HomeMy WebLinkAboutPermit Plumbing 1997-1-10
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SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
JOB NUMBER
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSfD WORK~ i(l~ D
ASSESSORS MAP' { 70 g:2. 72 (/
225 Filth Street
Sprlnglleld, Oregon 97477
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TAX LOT:
SUBDIVISION'
LOT'
BLOCK'
OWNER' 17) M ~ Lny.R t+/"'~ +.:\0 / La ",R.:, r 1<-
ADDRF'"'''' L~ <[;0 L-OC.hu I) Li'l PJ 0 t-
CITY' ~-\ V'V'_ {;p .\ "'~ STATe, '
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\t<t'p\f>O. ~ +-h+~ C'nH
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PHONE:
71lUL
ZIP:.9:J 'f ~"'7
fA 'a-r-.u <.c 1~P/YVI - 1\11 . F. H .
DESCRIBE WORK:
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
CONST,
CONTRACTOR .
CONTRACTOR'S NAME
ADDRESS
EXPIRES "~ PHONE
IWO-
ll{Y<-/~ 1/2.-~? Z~SM
GENERAl'
PLUMBING: ~~ o-L \".! ruA.f-L,l~O 9 > _~pe.D (U.cuLt ~ 1ffc...
MECHANICA' '
ELECTRICA' '
- OFFICE USE -
QUAD AREA: LAND US". FLOOD PLAIN:
. OF BLDGS: . OF UNITS' ZONING CODE:_
OCCY GROUP' CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANGe. SQUARE FOOTAGE:'
To request an Inspection, you must call 726.3769, This Is a 24 hour recording. All Inspections requested belore 7:00 a,m, will be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
o Rough Mechanical - Prlor to
cover.
D Final Plumbing - When all
plumbing w9rl< Is complet.e.
D Site Inspection ,- To be mado
after excavatlon~ but prior to
setting forms.
D Rough Elect~lcal - Prior to
cover.
D Final Electrical - When all
electrical work Is complete.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
D Final Mechanical - When all
mechanical work Is complete.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
o Footing - After trenches are
excavated. .
D Final Building - When all
required Inspections have been
approved and building Is
completed.
D Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond
beams, grouting.
D Framing - Prior to cover.
o Other
o Foundation - After forms are
erected but prior to concrete
placement.
D Wail/Ceiling Insula\lon - Prior to
cover.
D Underground Plumbing - Prior
to filling trench.
~derfloor Plumbing I Mechanical
~ - Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
D Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
D Wood Stovo - After Installatl,on.
o Blocking and Set,Up - When all
blocking Is complete.
o Insert - After fireplace approvel
and Installation of unit.
o Floor Insula\lon - Prior to
deckl ng, ,
o Plumbing Connections - When
home has been connected to
water and sewer.
o Curbcut & Approach - After
forms are erected but prIor to
placement of concrete.
D Sanitary Sewer - Prior to filling
trench.
D Electrical Connecllon - When
blocking, set.up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
o Sidewalk & Driveway - After
excavation Is complete. forms
and sub-base material In place.
D Storm Sewer - Prior to filling
trench. .
D Fence - When completed.
o Water Line - Prior to filling
trench.
D Final - After all required
Inspections are approved and
porches, skIrting, decks, and
venting have been Installed.
D Rough Plumbing - Prior to
cover.
D Street Trees - When all requIred
trees are planted.
Lot faces
Lot sq. fig,
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM
SQ, FT.
Main
Garage
Carport
Total Value
Building Permit Fee
Slate Surcharge
Total Fee
Lot Type.
Interior
Corner
Panhandle'
Cul.de-sac
X $/SQ, FT,
(A)
I P.L.
IN
Is
Iw
IE
VALUE
"
,;,-",'.,:.
" ~:. ,;'~i~ \i( :~.,
(, THE PROPOSED WORK iN ;HE .
...'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks
IHSEIGARIACcl
I
I
I
I
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary S~wer
Water
Storm Sewer
Mobile Home
\AAth
Plumbing Permit
Stato Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Ven t Fan
(B)
N'
FT.
FT.
FT.,
(C)
Dryer Vent
Wood Stove/lnsert/Flreplace Unit
N'
Mechanical Permit
Issuance
State Surcharge
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Curbcut
fI
Demolition
. State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
Lt;.OV
,'75
_, fo,)-Q
FEE
....')
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APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
. construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Development Code, regulating the construction and use ot
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee'
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Dale
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certlly that all
Information hereon is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
prolect.
I further agree to ensuro that all required Inspections are
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the front
of the property. and the approved set of plans will remain
on the te all during constructlOG [ IJ
Slgnatur / ~
Datp \
/-/()-97
VALIDATION: ,r,
RECEIPT NUMBER 2 L( J 79;
DATE PAID 1-[0- 17 ~
AMOUNT RECEIVED /0.ln
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RECEIVED BY