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Home My WebLink AboutPermit Plumbing 1999-12-3 GAL'! .zrJMCY KArl IHtt. Lf\j..J~{(/Vlbb AVe <;fi/rJfaf!CL6'J ~ " DESCRIBE WORK' 5 C)A>..([ I-Jki d. /1 er:YI c([ REMODEL X Jj4~ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP: ~/ 70.Z LOT' OWNER: ADOR~C!:c::.. CITY' NEW ~ .. JOB NUMBER )')' {{Q3 / BLOCK: ~ , of( 225 Filth Street Springfield, Oregon 97477 sfttliJ6Yttz0, rrl q7~77 ~4-7e'J (') _ TAX LOT: SUBDIVISION: PHONE: _/4-7" b &01 ZIP: 17 Lf-l J STATE: ADDITION DEMOLISH OTHER CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERAl' f3.,Jtd!oY SdJil(f. GO. ~qq C .!()fJI. i-lE tUbil')JG IDB~.2. PLUMBING' y(cJtv1ffblJ~trlt, J6~cr 1Al.JiJi..t6){,~. >.RiJ",("yJ(.;Zfi) " ,/ MECHANICAl' ELECTRICAl' EXPIRES gj (J() .... PHONE rY '. so1.' {,Ro/\ 1'fj" "mYf - OFFICE USE - QUAD AREA' L~ND USE: FLOOD PLAIN: . OF BLDGS' .' OF UNITS: ZONING CODE' OCCY GROUP: CONSTR. TYPE: . OF BDRMS: . OF STORIES: HEAT SOURCE: SECONI)ARY HEAT: WATER HEATER' RANGE:_ SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. This is a 24 hour recordIng. All Inspections requested before 7:00 a.m. will be made the same working day. Inspections requested atler 7:00 a.m. will be made the following work day. D Te":,porary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - Alter trenches are . excavated. . D Masonry - Steel locatIon, bond , .beams, grouting. D Foundation - After forms are erected. but prior to concrete placement. o Underground Plumbing - Prior to filling trench. O Underlloor Plumbing/Mechanical -.Prlor to Insulation or decking. D Post and Beam - Prlor.to f1o.or Insulation or decking. " D Floor Insulation - Prior to deckl ng. D Sanitary Sewer - Prior to filling trench. D Stonn Sewer -- Prior to filling trench. D Water Line - Prior to filling trench. ,'. , J&' Rough PlumbJrig.- 'Prior to cover. " . , . i REQUIRED INSPECTIONS D Rough Mochanlcal - Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials ar 1 framing Insp. D Framing - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placemont of concrete. o Sidewalk & Driveway - After excavation, Is compietc, forms and'sub-base material In place. D Fence - When cOi"llpleted. D Street Trees - When all required trees are planted. _ ~ Final Plumbing - When all ~ plumbing w~)fl<: Is complet.e. o Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building is completed. DOthor MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer; o Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Final - After all required InspectIons are approved and porches, skirting, decks, and venting have been Installed. r' , " Lot faces L~t ~yt . ","', ~J. ;,~ 'f '; , ., ~. , .;. ,\' ';i'l'.:~~ " .1 ~ : tf1:~"ir ~.~.~~. , ," .:....1N:.':;; '. IS THE PROPOSED \(\/ORK,tN THE. '_.' . I HISTOI;lICAL DlqTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Lot SQ. Itg. Interior I 'PL. IN Is Setbacks. 'HSE'GAR'ACdl I I " Lot coverage Corner Panhandle ~~: Topography Total. height Cul-de~sac w ---- E APPROVED' " '. ITEM SO. FT. X $/SO. FT. VALUE BUILDING VALlj'E, PLAN CHECK AND BUILDING PERMIT Thl~ permit.is granted on the express.condltlon that lhe said construction shall, In all respects, conform to the Ordinance . adopted by the City. 01 Springfield. including the Development Gode, regulating the construction and use of ouildings, and may be suspe'lded or revoked at any time upon violation of any provisions of said ordinances, BUILDING PERMIT 'i ';~ 'I~ Main Garage Carport " \ Plan Check fe,e' , . Date Paid: Totol Value Receipt Number: Building Permit Fee Received By: Stato Surcharge " .' ... " . . Total Fee . (A) Plan.s R.evlewed By Date . , SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on ail undeveloped properties within tl1e City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Residential Bath(s) N' _JIll") i2trt:-j:., Crll1.lvi1'!p~rr ~ ~j .<\(JiAz< ft1<.J,.?;p?::;t ;Wt?~ I Fixtures Sanl tary S~wer Water FT. Storm Sewer FT. FT. _!~ # AJI>>J,L~ d?AVk_ Mobile Home 5~ 11JAjPL JIMrG( J 5. trO ~ j,ro /b:f'J Plumbing Permll State Surcharge / Or + . <I-F . Total Charge (C) MECHANICAL PERMIT Furnaco Vent Fan N' By signature, I state and agree, that I have carefully examined the completed application and do hereby certify 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 Ordinanc~s of the City of Springfield. and the Laws of the State of Oregon pertaining to tho work described herein, and thai 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 project. Exhaust Hood Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from the street,~t he permit ca Is located at the front of the property. nd he approve et plans will remain on the site at al tI es during nstr ctlon. ~J ' Signature ~ lA ' ./ /2--3 -)'f Date MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft It Curbcut Demolition \ TOTAL AMOUNT DUE (excluding electrical) (A. B, C. D. and E Combined) -J{-. S1J VALIDATION: RECEIPT NUMBER ( L "3 J S' DATE PAID ; i/ },(Q-f AMOUNT RECEIVED --./~ 7.0 RECEIVED BY' 4~ -{ State Surcharge Tolal Miscellaneous Permlls (E) '.