HomeMy WebLinkAboutPermit Plumbing 1998-6-4
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RESIDENTIAL
PERMIT APPLICATION
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JOB NUMBER
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225 Fifth Slreet
Sprlnglleld, Oregon 97477
Inspections: 726,3769
Office: 726.3759
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LOCATION OF PROPOSED WORK:
17 02-
ASSESSORS MAP:
LOT'
TAX LOT' I?'" ;La-{)
BLOCK'
SUBD.lVIStON:
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7i7-<{,U3
OWNER:
PHONE:
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ADDRESS'
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Of-...
CITY'
STAT~'
ZIP'
IN~-r- t',( +\<rte r I .. t"f?\.:i.r ~ kI.'~
DEMOLISH OTHE~ ',~..~.J.....r" '^ ~/ ~Y:...c
CONST.
CONTRACTOR N EXPiRES..... PHONE
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N
DESCRIBE WORt<.
NEW REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAr.
PLUMBINn.
MECHANICAL: !i1.A.1.. ho l \ ~
ELECTRICA' .
ADDRESS
\-t ~a.. 1\...."'-
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-* 2...,C;- 7q()
S:f'd Q'vt8
7l( 7- 7y'lS
- OFFICE USE -
QUAD AREA:
N OF BLDGS'
OCCY GROUP:
N OF STORIES:
WATER HEATER'
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lON S~-M~~~1m vi a~ Q30N3WWOO '
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':3.J:J.w..u "":~tljd S/Hl
'::I~1l nu
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
RANG~'
To ~equest an Inspectlon, you must call 726.3769. This Is a 24 hour recording. Arllnspecllons requested before 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
~al Plumbing - When all
- plumbing work Is complete.
I . - , . ".;~,... .
o Temporary Electric
o Rough Mechanical - Prior to
cover.
o Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Rough Electrical - Prior to
cover.
o Final Electrical - When all
electrical work Is complete.
o Underslab Plumblng/Electrlca"
Mechanical - Prior to cover.
o Final Mechanical - When all
mechanical work Is complete.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Footing - After trenches are
excavated.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond
,beams. grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Framing - Prior to cover.
o Other
o Wail/Ceiling Insulation - Prior to
cover.
D Underground Plumbing - Prior
to IIl1lng trench.
o Underlloor Plumbing/Mechanical
- PrIor to Insulation or decking.
o Drywall - Prior to taping.
MOBilE HOME INSPECTIONS
o Wood Stovo - After Installallon.
o Post and Beam - Prior to floor
Insulation or decking.
o Blocking and Set.Up - When all
blocking Is complete.
o Insert - After fireplace approvel
and Installation of unit.
o Floor Insulation - Prior to
decking.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Curbcut & Approach - After
forms are eructed but prior to
placement of concrete.
D Sanllary Sewer - Prior to filling
trench.
o Electrical Connection - 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 compiete. forms
and sub.base materIal In place.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
~ROU9h Plumbing - Prior to
cover.
o Fence - When completed.
o Final - After ell required
Inspections are approved and
porches, skirting, decks, and
. venting have been Installed.'
D Street Trees - Whan all required
. lrees are planted.
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, Lot faces
Lot SQ. fig.
LOI Type
Interior
Topography
Total height
"
Panhandle
Setbacks
I :L.I HSE 'GAR' ACe i
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IS THE PROPOSEO WORK IN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this appllcallon musl be signed
and approved by the Historical
. Coordinator prior to permit Issuance.
Lot coverage
Corner
Cul-de-sac
APPROVED'
ITEM
SO. FT.
X $/SO. FT, ~
VALUE
. ". "
BUILDING VALLIE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
.~
Garage
"
This permit is granted on the express condition that the said
conslrucllon shall, In all respecls, conform 10 the Ordinance
adopted by the City 01 Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked al any lime
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee'
Dale Paid:
Total Val ua
Recel pi Number:
Building Permit Fee
Stale Surcharge
Received By:
~
Tolal Fcc
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within tho City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
I
Resldenllal Bath(s)
N'
\/4a Lt.( e ~
^&~
Sanitary S~wer
Water
FT.
FT.
';'J
f'\3 7.s _ (J(J
Storm Sewer
FT.
Mobile Home
Plumbing Permit
Slate Surcharge
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'Y..' .!..7~.+-,~S!:
.. :ft. (re..).!J.J~"'~ .',
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',0'1 ,",'
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Total Charge
(C)
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MECHANICAL PERMIT
Furnace
Venl Fan
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By signature, I state and agree, that I have carefully examined
the compleied appllcallon and do hereby cerilfy' that all
"Information hereon Is true and cor.re~tl and I f~rther 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 Slale of Orogon pertaining to the work described
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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. .
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Exhausl Hood
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Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
,.
I
Total Permit
(D)
I further agree 'to ensure thai all requIred Inspections are
requested at the proper lime, 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, site at all tT~d, urlng construcllo~.' ,
Signature r-r~ 1fA);Jt/Jl:
C/ 6-<(--ig ,
Datp
MISCELLANEOUS' PERMITS.
Mobile Home
State Issuance
Slate Surcharge
Sidewalk
It
It
Curbcut
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER 30 II~
DATE PAID Ie' 3 - '7 1-
AMOUNT REC. --Jitk-;r<J
RECEIVED BY =t<:uJ
Total Miscellaneous Perrnlls (E)
TOTAL AMOUNT DUE (excluding eleCal)
(A, B, C, D, and E Combined)
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