HomeMy WebLinkAboutPermit Plumbing 1997-2-14
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
'-
SPRINCFIELD
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LOCATION OF PROPOSED WORK'
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OWNER: /I./.h?~ r ~~~~ ,P.F"7? s---
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DESCRIBE WORK: /1.~.4?7iJ~
NEW REMODEL ADDITION
ASSESSORS MAP:
LOT'
ADORES:'"
CITY:
CONTRACTOR'S NAME
GENERA' '
PLUMBING:
c?1!-~~'
MECHANICA' '
ELECTRICAl'
BLOCK:
?P~
~..
JOB NUMBER
97.?'25''/
225 Fifth Street
Sprlnglleld, Oregon 97477
TAX LOT:
0.06 c::><::>
SUBDIVISION:
PHONE: 226 ~/h;>h
-
ZIP:
<9' :;> 7"'.7 ?
7'pr~ ~7>c ~ C. h-Y:r~ ..n~......-P ...? .v-::
, '..- '. .-
o Rough Mechanical - Prlor,to
cover. - ......... .'
D Rough Elcctrlcnl - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanont
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
D Wail/Ceiling Insulntlon - Prior to.
cover.
D Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - Alter flreplace approval
and Installation of unit,
o
Curbcut & Approach.....;; After
forms are erected but prior \0
placement of concrete.
DEMOliSH
OTHEIl
ADDRESS
CONST,
CONTRACTOR'
PHONE
O Sidewalk & Drivew,JY - After
excavntion Is complete, forms
and sub-base material In place.
D Fence - \,vtlon complctlJc1.
D Streot Treos - When all required
trees are planted.
EXPIRES
- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN'
. OF BLDGS' . OF UNITS' ZONING CODE:_
OCCY GROUP' CONSTR. TYPE: . OF BOIlMS:
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: __ SQUARE FOOTAGE:
To request an InspectIon, you must call 726.3769. This Is a 24 hour recording. Alllnspec~lons rcqucsjed!Jeforc. 7:00 tun. will be
made. the same working day, InspectIons requested ofter 7;00 a.~. will be made the (ollowlng worle day.
REQUIRED INSPECTIONS
o Final Plumbing - When nil
plumbing w~Hle Is complel,e.
D Final Electrical - When all
electrical worle Is complete.
D Final MeChanical - Wilen all
mechanical worle Is complete.
o
Final Building - When all
required Inspections have been
approved and buildIng is
completed.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslnb Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel locatIon, bond
beams, grouting.
o Foundation - Afler (orms are
erected but prior to concrete
placement.
o
Un'derground Plumbing - Prior
to filling trench,
o
Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o
Post and Beam - Prior to floor
Insulation or decking.
O Floor Insulation""': PrIor to
decking, ' ,
[Z] Sanitary Sewer - Prior 10 filling
trench. ,
, I
o Storm Sewer - PrIor 10 filling
trench.
rT7f Water Line - Prior 10 fitling
~ trench. --,.:. ...
o
Rough Plumbing":'" Prior to
cover.
. "
.,:;.
o Other
MOBILE HOME INSPECTIONS
o Blocking nnd SOI.Up - Wilen nil
btockln~J is complcte.
o Plumbing Connections - When
home hns been connected to
y.J<Her and sewer,
o Elcclricn! Connection - When
blocleing, set.up, and plumbing
inspections hnve been approved
and tile home Is connected to
the service panel.
o
Finnl - Alter all required
inspectIons are approved and
porches, sl<lrting, decks, and
venting have been Installed.
Setbacks
HSE GAR ACC I
I
I
-~
Lot faces
Lol Type
-
I P,L,
IN
Lot SQ, ftg,
.
Interior
Lot coverage
,
Topography,
Total height
Corner
Panhandle
S
Cul.de-sac
W
E
BUILDING PERMIT
ITEM SO, FT,
X $/SQ, FT,
VALUE
Main
Garage
"
Carport
TOlD! Value
Building Permit Fcc
State Surcharge
TotDI Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Flxlures
Resldenlial BaI11(')
N'
Sanitary. S~wcr
Water
FT.
FT.
Storm Sewer
FT.
~Ie Home ..--::::
, 7L/~~?/(,~'~/~-
Plumbing Permit . ;0<7' ,. /5.....
r> -~S
./6. ::?O
Slate Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnscrtlFlreplace Unit
Dryer Vent
Mechanical Perml I
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Slate Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
~tate Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
....,.
"
<<HE PROPOSED WORK iN THE "
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED'
BUILDING VALUE, PLAN CHECK
AND,BUILDING PERMIT
This permit is granted on the express condition that the said
construction shal"'ln all respects, conform to 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 provislo~s of said ordinances.
1 J
Plan Check Fee:
Date Paid:
Receipt Number
Received By:
--.-.-.
Plans Reviewod By
Date
Systems Development Charge is due on all undeveloped
properties within tho City limits which are being improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carofully examined
tile completed application and do hereby cerll fy 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 State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I furlher certify that only contractors and employees who
are In compliance with ORS 701,055 will be used on this
project.
I further agree to ensure that all requIred Inspections are
requested at the proper time, that each address Is readable
(rom tho street, that the permit card Is located at the front
o( the property. and tho approved set of plans will remain
on the site at all tImes during construction.
SlgnatuJe ~ '.~--1?1
Date dJ.- /t-t- ~ 7 (:J
VALIDATION:
RECEIPT NUMBER '< ~ &?-R '51
, 7../i/- -9 ?
DATE PAiD
AMOUNT RECEIVED /~. <> t!?
RECEIVED BY /2~
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