HomeMy WebLinkAboutPermit Plumbing 1997-6-4
OWNER: M/K.l:,/~~<:;A-A) 7Zi~;vt!!'X_
ADORE"'" 4- 1; 7 ::y _ 7~~ ..dL,
, .
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DESCRIBE WORK: ,C;:t:U-JOtt ,1.;.&)&
NEW ~REMODEL ADDITION
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
JSt".J2.
ASSESSORS MAP:
LOT:
CITY'
.
SPRINCr-IELO
e- _,_Jori NUMBER 9 7,4)C;:<)? ,A
'225 Fillh Slreet
Sprlnglleld, Oregon 97477
TAX LOT:
rOS6i9 (')
BLOCK:
STATE:
?"'9t'
SUBDIVISION-
PHONE: -1'3i0 - /)1E>~1
/'
ZIP:
9747~
~
,
~~~t7J Afu/~/5t.J(',~
V
DEMOLISH
OTHER
CONTRACTOR'S NAME
GENERA' .
)<.PLUMBING:
~..o-rrc() /S.'t-l'JtrS
MECHANICA"
ELECTRICA' .
ADDRESS
CONST.
CONTRACTOR'
Co.
~\qb
-rvv....R fW0 L/V. ~"'......... ('9.- C;..." ~ 1.-
EXPIRES
PHONE
QUAD AREA:
. OF BLDGS:
OCCY GROUP'
. OF STORIES: ___
WATER HEATER:
- OFFICE USE _
LAND USE:_
. OF UN'ITS:
CONSTR. TYPE:
HEAT SOURCE:
,
FLOOD PLAIN:
ZONING CODE:_
. ,OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: _
RANGE: __
To request an Inspection, you must call 726,3769. This Is a 24 hour recording. All Inspections requeSled belore 7:00 a,m, will be
made the same working day. Inspections requested Dfter 7:00 a,m, will be made the fOllowIng work day,
o Temporary Eloctrlc
o Slto Inspectlon - To be made
after excavation, but prior to
setting forms.
o U~derslnb PlumblnglEloctrlcalf
Mechanical - Prior to Cover.
o Footing - After trenches are
excavated.
o Masonry - Steel tocatlon, bond
beams, grouting.
o
Foundation - After forms are
erected but prior to concrete
placemont.
o Underground 'Plumbing - Prlor
, 10 filling Irench,
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking,
o Post and Boam - Prlor to floor
Insulation or deckIng.
o Floor Insulation - Prlor'to
decking.
~sanltary Sewer - Prior 10 filling
~ ~rench,
~ Storm Sewer - Prior to filling
~ench. I
o Water L1ne'- -: PrIor 10 filling
, trench, '..'
o Rough Plumblno ..:.:. Prlo'r 10
- 'covet. \
REQUIRED INSPECTIONS
o Rough Mochanlcal - Prior to
cover,
o Rough Electrical - ,Prior to...
cover.
o
Electrical Service - Must be
approved to obtain permanent
electrical power.
o Flreplaco - Prior 10 facing
materials and framing Insp.
o
o
Framing - Prior to cover.
Wail/Coiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation,
o Insert - Aftor fireplace approvel
and Installation of unit.
o
Curbcut & Approach - After
(orms arc erected but prior 10
placemont of concrole.
o Sidewalk & Drlvewav - Arter
excavation Is complete, forms
and sub.base material In place,
o
Fence - When completed,
o
Slreo' Treos - Who" all required
Irees are planted. .",'
o .Flnal Plumbing - When all
plumbing w9rl< Is complet,e,
D Flnat Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete,
o Final Building - When all
required Inspections have been
approved and building /s
completed.
o Othor
MOBILE HOME INSPECTIONS
o Blocking and Set,Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
waler and sewer.
o
Electrical Connection _ When
blocking, set.up, and plumbIng
Inspections have been approved
and 1I1e home Is connected to
the service panel.
o
Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
,
Lot coverage
" .
p'
Lot Type . Setbacks .HE PROPOSED WORK IN THE,
Inlerlor I P,L HSE GAR ACC I '"'HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Corner II yes. this application must be signed
Is I ilnd approved by the Historical
Panhandle Iw I Coordinator prior to permit Issuance,
,
Cul-de.sac IE I
APPROVED:
Lot ,fac,es
Lot sq, fig.
Topography
Total height
Garage
Carport
"
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perml'! is granted on the express conditlon'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 revoked at any tlmo
upon violation of any provisions of said ordinances,
BUILDING PERMIT
ITEM SO. FT. X $/50, FT, = VALUE
Main
" Plan Check Fcc:
Dale Paid:
Tolal Value
Receipt Number'
Building Permit Fee
State Surcharge
Received By:
Total Fee
(A) ,
~ --,-----,
Plans Reviewed By
Dato
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s) N'
Sanitary S~wer FT, -:</J
Water FT,
Storm Sower FT. ,-=30
Mobile Home
Systems Developmonl Chorgo Is due on all undevolopod
propertles within Ole City limits which are being Improved.
ADDITIONAL COMMENTS
FEE
'2.5,00
\I Ad,~{JJ~ ~
~l)&~~
~~,'5ev
z..s;o<,
Plumbing Permit
J.c:ro
2J"o+/.:JD ""?'-:
r<- - l-a.-,
rr- t. ~::. - - ~-.
State Surcharge
Total Charge
(C)
-:- ~~
~,
MECHANICAL PERMIT
5f.tr'l)
I
Furnaco
Vonl Fan
N'
By slgnalure, I ntale and ogreo, lhall have carefully oxamlned
the completed application and do hereby certify that all
In(ormatlon 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 Slale of Oregon perlalnlng to the work described
herein, .ilnd 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
arc In compliance wllh ORS 701.055 will be used on thIs
prolect.
Exhaust Hood
Wood Stovellnsert/Flroplace 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 oach address Is readable
from the street, that the permit card Is located at the front
of the property, and the approvod set 01 plans will remain
on the site at all times durlng construction.
~naturp'Th'vW ~
Dolo G- a.t-'\l
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuanco
State Surcharge
Sidewalk
II
Curbcul
II
Demolition
State Surcharg~
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (Oxcludlng eloctrlcol)
(A. B, C, D, and E Combinod)
~~~....
s5/..00
DATE PAIl">
AMOUNT RECEIVED
RECEIVED BY
~C)~?
~/-#'/?
.t:: 1 cro (I(').~ .f!'W~
~~ ~
Total Miscellaneous Ponnlls jE)
.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME~)U,"'\-'~,l\:'Qf\\UMll.r' PHONE: ~\.O .l)~~\
ADDRESS: ~<t\ \"{"') l\)m \ \)\~ STATE: f11L ZIP: Q.\41~
.
Job. No.
(\\(J~0
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \AS\ b\(\f'\Of \ l\1\\\)Q...
Plat Name: ~ \ fu..iC~ Tax Lot. Number: . \ ~ O?.D 'L-1..~ D~
1. DEVELOPMENT TYPE (Check\ap~~riate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back,)
A, SinQIA-FRmilv DAtRr.hAO
\ Single Family home
, NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit = $ \()O(J ,CO
l
B. ~innIA-FRmilv Attached,
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv ADartmen\
NO. OF UNITS
X $692 per unit = $
D. Manufactured Home Park,
NO. OF UNITS
X $699 per unit = $
$ \1fX) ,CO
WILLAMALANE SDC
2. SDC CREDIT (if applicablel SDC-payer must furnish proof of .rX
Willamalane Credit approval. See SDC Credit Worksheet. $ KJ
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Creditl
~ 0 ~~~J2) ~
Developmimf Serv~e~ Department Date
City of Springfield
$
\\ff) ~
/ 5 / ;7