HomeMy WebLinkAboutPermit Plumbing 1997-5-9
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SPRINGFIELD
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
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JOB NUMBER
225 Filth Slreel
Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK' <:;'f 0 5'
I7-D2-U-_U-3
ASSESSORS MAP'
a 0 ~ 6 ()
TAX LOT'
SUBDIVISION:
LOT'
BLOCK:
.4-1 Ct-IA r;er rIA -I' or
OWNER'
741-7C,r:'-s
PHON'"
I>C/.hks
ADDRESS' C-~ O~ Jdf 01.
CITY: <:; II? ~. '-VI 5 t f ~ t..; I
,
Th<:'kd
oR
9747J.-
STATF'
ZIP:
111<1 -l'
n-e'-1..l
Se'-t.l-ev
DESCRIBE WORK'
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
CONST,
CONTRACTOR'
CONTRACTOR'S NAME
ADDRESS
EXPIRES
PHONE
GENERAl'
PLUMBING: .ar~-
MECHANICAL:
ELECTRICAL:
~
....~.
- OFFICE USE -
,OUAD.AREA:
, \
. OF BLDGS'
OCCY GROUP:
. OF STORIES:
WATER HEATER'
LAND USE:
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS:
SECONDARY HEAT:
SOUARE FOOTAGE:_
· OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGF'
To request an Inspection, you must cafl 726,3769, This Is a 24 hour recording. Afllnspecllons requeSled before 7:00 a.m. will be
made the same working day. Inspections requested after 7:00 8.m. will be made the followIng work day.
REQUIRED INSPECTIONS
D Temporary electric
D Rough Mechanical - Prior to
cover.
D Final Plumbing - When all
plumbing w~:)rl< Is complet.c.
D Site Inspection - To be made
after excavation, but prIor to
setting forms.
D Rough Electrical - PrIor to
cover.
D Final Electrical - When all
electrical work Is complete.
D Underslab PlumblnglElectrlcall
Mechanical - Prior to cover.
D Final MechanIcal - When all
mechanical work Is complete.
D Electrical Service - Must 'be
approved to obtain permanent
electrical power.
D Footing - After trenches are
excavated.
D Final BUfldlng - When ail
required Inspecllons have been
approved and building Is
completed.,
D Fireplace - Prior to facing
materials and framing Insp.
D Masonry - Steel location, bond
beams, grouting.
D Framing - Prior to cover.
D Foundation - After forms are
erected but prior to concrete
placemont.
DOthor
. D Wall/C'elllng Insulation - Prior to
cover.
D Underground Plumbing - Prior
to filling trench. .
D Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
D Underlloor Plumbfng/Mechanlcal
- Prior to Insulation or decking.
D Wood Stovo - Aftar Installation.
D Post and Boam - Prior to floor
Insulation or deckIng.
D Blocking and Set,Up - When all
blocking Is complcte.
D Insort - After fireplace approvlll
and Installation of unit.
D Floor Insulation - Prior to
decking.
r'V>1 Sanitary Sewer - Prior 10 filling
~ trench. .
D PlumbIng Conncct1o~s - When
home has bcen connected to
watcr and sewer.
D Curbcut & Approach - After
forms arc erected but prior to
placement of concrote.
D Electrical Connection - When
blocking, set-up. and plumbing
Inspections have becn approved
and the homo Is connected to
the service panel.
D Sidewalk & Driveway - After
excavation Is compiCle, forms
and sub.base material In place.
D Slorm Sewer - Prior 10 filling
trench.
o Water Line ~ Prior to filling
trench. . ,~. .
D Fence - When completed.
D Final - After all required
Inspections are approved and
porches, sklrllng, decks, and
venting have been Installed.
o Rough Plumbing - Prior to
cover.
D Street Troos - Whan all required
trees arc planted. .
. :.... ~.., ~. :,: .~ .
(eTHE PROPOSED WORK IN THE.
" HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
It yes. lhls appllcallon must be signed
and approved by the Historical
Coordinator prior to permit Issuance:'
Lot facos Lot Type .
Lot sq. Itg. , Interior I PL.
- IN
Lot coverage Corner Is
Topography Panhandle
Iw
Total height Cui-dc-sac IE
Setbacks
HSE GAR Accl
I
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APPROVED'
MaIn
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT . .
This permit Is granted on the express condlllon that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Dovelopment Code, regulating the construction and use of
buildings, and may be suspended or rovoked at any time
upon violation of any provisions of said ordinances.
BUILDING PERMIT
ITEM sa. FT. x $/SO. FT. = VALUE
Garage
Carporl
Plan Check Fee'
Date Paid:
Total Value
Recelpl Number'
Building Permit Fee
Received By:
State Surcharge
Total Fee'
(A)
-_._--
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC) ~O ~ Systems Development Charge is due on all undeveloped
,e:;"I/ oC2c. ..., I properlles within the City limits which are being Improved.
(B) .,L. .J ,. .
PLUMB'ING PERMIT
ITEM
FEE
ADplTIONAL COMMENTS
/tf~r-(~c. 97y'~~/,~/A//Y6
/;..~/(7/./7/ Pt:~::- ~/~
r~7e~. ?~~~,
Fixtures
Resldenllal Bath(s) N'
Sanitary s~wer FT. ~~
Water FT.
Storm Sewer FT.
Mobile Home
~46t/
~\
Plumbing Permit
n
L/t? = .
. '2 .-~
/.:::;;??
tf=5 _ "2::>
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Vent Fan
N'
By signature, I state and agree, lhall have carefully examined
the completed appllcallon 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 Ordinances of the City of Springfield, and the Laws
of the Stale of Oregon p,ertainlng to tho work described
herein, and thai NO OCCUPANCY will be made of any
structure without permission of Ihe 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/lnsert/Flreplace Unit
Oryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agreo lo ensuro thai all required Inspections are
requested at the proper time, that oach address Is readable
from the street, that the permit card Is located at the front
01 the property. and the approved set of plans will remain
on the. site at all times durIng cfnstructlon.
~ Slgnaturp ()t k",. /'::)~
Date Z? - c; - '7 7
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sldewatk
ft
Curbcut
II
"
I
Demollllon
Total Miscellaneous Perrnlls (E)
TOTAL AMOUNT DUE (excluding electrlcal~./' ~tt:> -
(A, B, C, D, and E Combined) ?' 4'2,?--tO ,
VALIDATION:
RECEIPT NUMBER
DATE PAiD
AMOUNT RECEIVED
RECEIVED BY
Z.c;7/JL
C::/'7/77
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State Surcharge