HomeMy WebLinkAboutPermit Plumbing 1997-2-21
,./P _~
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP:
LOT:
.
SpnlNGFIELO
BLOCK'
OWNER'
ADDRESS:
CITY'
~(.. ~I.t..-elfe('
.1\ 'i G.. -e -e_ V<l.\ ~
~ '" 9z:,{
Or.
DESCRIBE WORI(: J:...-sk \ \
STATE: _(j ~
.~.
JOB NUMBER "7 ')a;;:;:~
225 Filth Streel
Sprlnglleld, Oregon 97477
- I
TAX LOT:
C;?//PC;:>
SUBDIVISION'
PHONF'
ZIP:
Q,lf7,
O.Jb\J(", ba.......V:d.?:, G-u 1't\S~rT
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
ADDITION
DEMOLISH
OTHER
i
ADDRESS
CONST,
CONTRACTOR'
PHONE
MECHANICAl'
MH.t ~ t b H- ~"- + j <'f_
1..{/I()O(~,..i~/,- !1S;f~'t-7Y79
'{. '17- t 'flIS-
-J'r
...,--
2-S {'t 15
12-/,l.a/'i] .
ELEGrRICAL'
EXPIRES
- OFFICE USE ~
QUAD AREA' LAND USE:_ FLOOD PLAIN'
· OF SLOGS: . 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 l~af4 hour recording. Alllnspecllons requestob before 7:00 a.m. will be 1
made the same working day, Inspections requested ofter 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
/ '
o Temporary Electric ~ Rough Mechanlc~1 - Prior 10
/ ~-;!$~#- U'.::>
o Slto Inspection - To be mad~ D Rough Electrical - Prior to
after excavatlon, but prior to cover.
- seltlng forms. . /'
o Underslab Plu~~~:lectrlcal/ 0 Electrical Service - MUsl be
Mechanical 7' Prior to cover. approved to obtain permanent
electrical power.
D Fooling - After trenches are
excavated.
o Masonry - Steel location, bond
beams, groullng.
o Foundation - After forms are
erected but prior to concrete
pI acemon t.
o Underground Plumbing - Prior
. to filling trench. '
o Underlloor Plumbing/Mechanical
- Prior to Insulallon or decking.
o Post and Beam - Prior to floor
Insulation or decking. .
o Floor Insulation - Prior to
decking,
o Sanitary Sower - Prior to filling
trench.
D Storm Sewor - Prior to filling
trench. I.
o Water L1no - Prior to filling
. trench.
o Rough Plumblno - Prior 10
cover. ,
D Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wall/C'elllng Insulation - Prior to
cove~ .
o Drywall - Prior to taping.
o Wood Slave - Aflor Installallon,
o Insert - After fireplace approvel
and Installation of unIt.
o Curbcut & AIlproach - Aller
forms are erected bul prior to
placemont of ~oncrotc.
D Sidewalk & Driveway - Aller
excavation Is complele, forms
and sub-baso material In place.
o Fence - \Nhon completed.
D Strool Truos - Whtm all required
trees are planted.
o Final Plumbing - When all
plumbing warl< Is complel,e.
o Final Eleclrlcal - When all "..!
electrical work Is complete. '.
rvf Final Mechanical _ When all ,:1
9)J)~jlnl~~Oll< Is ~.J'J.~~~ '
7r/~~/~~~F
o Final Building - When all
requIred Inspections have been
approved and building Is
completed.
DOlher
MOBILE HOME INSPECTIONS
I
o Blocking and Sel.Up - When all
blocking Is complete. '..
o Plumbing Connoctlons - When-
homo has been connected to
waler and sewer.
01:
o Electrical Connecllon - When
blocking, set.up, and plumbing'
Inspecllons have been approved
and the homo Is connected to
. the service panel.
o Final - Allor 011 required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
LOI facos
Lot TyPO.
Inlcrlor
Lot sq. flg,
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac
"
"
... THE PROPOSED WORK IN THE, '~
~ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed'
and approved by the Historical
Coordinator prIor to p~rmlt Issuance.
I P.L,
IN
Is
Iw
IE
Selbecks
'HSE'GAR'ACCI
I
I
I
I
BUILDING PERMIT
ITEM SQ, FT. X $ISQ, FT, '- VALUE
Meln
Garago
Carport
Total Value
Building Permit Fee
Slate Surcharge
Total Feo
(A)
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT,
FT,
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcherge
Tolel Cherge
(C)
MECHANICAL PERMIT
Furnaco
Exheust Hood'
Vent Fan
N'
Wood StovellnsertlFlreplace Unit'
Dryer Vent '
Mechanical Permit
~///
~
Issuance
State Surcharge
Tolel Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sldewelk
fl
fl
Curbcul
Demolition,
Slele Surcharg~
Tolel Mlscelleneous Pormlts ", \ (E)
",
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. 0, and E Comblnod)
FEE
/~
/t?'
;..~
76'_2P
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the oxpress condition thatlhe said
construction shall, In all respects, conlorm 10 the Ordinance
adopted by the City ,of Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Feo:
Date Paid:
Receipt Number"
Received By:
Plans Rovlewed-'By"-----
Date
Systems Development Charge Is duo on all undeveloped
propertlos wllhln Iho Cltyllmlls'whlch are being Improved,
ADDITIONAL COMMENTS
VdllA<' O~ \1o~~
,. 2(" (j,.On
By slgn~ture. I stale and agree, thai I have carefully examined
the completed application and do hereby certify that all
Information horeon 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 tho work described
heroin, and thai NO OCCUPANCY)/JIII be made of any
struclure wlthoUl permission of the Bultdlng Safety Division,
I further certify thai only contractors and employees who
are In compliance with ORS 701.055 will be used on this
prolec!.
I further agree to ensure that all required Inspections are
requested at the propor time, that oach address Is readable
from tho streot, Ihatthe pormlt card Is located at the front
of the properly, and the approved set of plans will remain
on the site 01 all I res during constru~tlon,
Signature ~~ 1AJ ~
c7
7,-U --<i7
Date
VALIDATION:
RECEIPT NUMBER '2' o/b<?$
2-'21"",9::::>
:::?,;;:;;'~ '::> ,p
./Z~~__
....." /---
17 '
DATE PAin'
AMOUNT RECEIVE!)'
RECEIVED BY
....