HomeMy WebLinkAboutPermit Plumbing 1999-5-27
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RESIDENTIAL .
PERMIT APPLICATION'
Inspections: 126.3769
Office: 726.3159
LOCATION OF PROPOSED WORK' /<( r;;
170 32 5' 22.
ASSESSORS MAP;
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OWNER.
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CITY:, .,
DESCRIBE WORK:
SPRINGFIELD
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BLOCK:
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STATF'
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JJlMBER' 'l1ot 5/
225 Filth Street
Sprlngllcld. Oregon 97477
TAX LO" C-ri '100
SUBOIVISION:
PHON~.
7'1/- OYi/(j
ZIP;
7'7 '177
NEW _ REMODEL _ ADDITION ~ DEMOLISH _ OTHER
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAl.
ELECTRICAL'
1/1""01...115
CONST.
NOTI~NTRACTOR ' EXPIRES"" PHONE
TU'~PEm~ITSHell "YP''''''IFTHEWORK
)\IITHO"'17FD UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY lBODAYPERIOD.
ADDRESS
ATrEN'I'I(jN:ul(;:~U(llJW (61.wireS YOl:i-HOFFICE USE _
follow rules adopted by !tHo: Orqgpn Utility
QUAD AREA'I\lOUlll,,;dllUII ......UIIIUI. I I lose rutc't.~~B ::,ltWf.:..,;;,
. OF BlDGSia.06001':?_nnl",nnln'hrough(il.~!vNlf8j1.
0090, You may obtain copies 01211e rules bv
OCCY GROUP: "Tf\1 t II ~ NSTR..TYPE:
call1TlY ure t,;UmLa. \,.0 e: 10 I IO!JlfOIlU
" OF STORIES:numbcr1or thA OrP.gnn Utiljt}HSltifiso\iJ~CE:
Center jg l-ROO-332-?~44)G'
WATER HEATER: . RAN F'
FLOOD PLAIN'
ZONING CODE:
" OF BDAMS:
SECONDARY HEAT: _
SQUARE FOOTAGE:__
To requesl an Inspoctlon, you must call 726-3769. This Is a 24 hour rocordlng. Alllnspecllons requested boloro 7:00 a.m. will be
made tho lIamo working day, Inspecllons requesled after 7:00 a.m. will bo made the followIng work day,
D Tomporary Electric
o Slto Inspoctlon - To bo mado
after excavallon, but prior 10
sCHllng lorms.
o Underslab Plumbing I Eleclrlcal'
Mechanical - Prior to cover.
o Footing - Artor trenches are
excavated.
o Masonry - Stee! locallon, bond
beams. grouting;;
o Foundation - After forms are
erected but prior to concrete
. placement.
o Underground Phunblng - PrIor
to filling trench.
D Undorlloor Plumblng/Mochanlcal
- Prior 10 Insulation or decking.
o Post end Boam -- Prior 10 floor
Insulation or decking.
o Floor Insulation - Prior to
deCking.
o Sanitary Sowor - Prior to filling
trenCh.
D Slorm Sewer - Prior to 1II1/ng
trench.
;'
O Woler lIno - Prior 10 filling
trench.
('" "
D flough Plumbing - Prior 10
co...or.
'-.J
REQUIRED INSPECTIONS
D Rough Mechanical - Prior 10
co...er.
D Rough Eloctrlcal - Prior to
cover.
D Eloctrtcal Service - Must be
approved to oblaln permanent
. olectrlcal power.
o Fireplace - Prior to 'acing
" materials and framing Insp.
o Framing - Prior to cover.
o Wall/Colllng Insulation - Prior to
cover.
o Drywall - Prior 10 laptng.
D Wood Stove - Aller Inslallollon.
o In80rt - After fireplace appro....1
and In5tallollon 01 unit.
o Curbcut & Approllch - After
forms are croclcd bul prior to
placemont 01 concrete.
o Sidewalk & Drlvewav - After
exca...atlon Is complolo, forms
and sub.baso mRterlal In place.
o Fonce - When completed.
D Slree' TroeD - Whun all required
trees lire planted.
&-:::J
Flnsl Plumbing - When ill!
piumblng w9rk Is completo.
o Final Electrical - When all
electrical work Is complete.
D Final MechanIcal - When all
mechanical work I, complete.
o Final Building - When all
required Inspections ha...e been
appro...ed and building Is
completod.
~Othor
MOBILE HOME INSPECTIONS
o Blocking and SOI.Up - When all
blocking Is complete.
o Plumbing Connections - When
homo hos been connecled 10
waler and sewur.
o EleotrlCl1 Connoollon - When
blocking, sel.up, and plumbing
Inspections ha...e been appro...ed
IInd the homo Is connected to
the aorvlcl pan.I,
o Final - Aller all reQuIred
Inspoctlons are appro...ed and
porches. skirting. decks, and
venllng ha...e beon Installed.
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May-26-99 11:OlA
f,
-,
,
lot laces
LoOI sq. IIg.
1.01 coveraga
Topography
Total height
ep.
Inlerlor
Corner
Panh~dle ~
Cul.de-::;.ac.
BUILDING PERMIT 'j "
ITE.M sa FT. x S/$O. FT.
~.l...
O'U8gC
CarpOfl
Tolill Valuc
l:5ul"Jlng Permi! P'Q&
Slo.le Surehnrgtt
TOUII Fcc
(AI
Ace I
I
I S I
~~_ __'''_ _.J
" ,___J
BUILDING ~U1E, PLAN tHECK
AND BUILDING PERMIT
I P.L..
IN
VAWE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(8)
PLUMBING PERMIT
wi,-/-
"1
!::!,'-...--.
ITEM
Fi..turC3
RCSI(Jcntlal Salh(s)
Snnltary S,owor
Wntcr
Slorm Sewer
Mobile Home
PlumbIng Pormll
StAto SurCho.rou
Total Charge
E':
~T.
FT.
Furnllt:o
MECHANICAL PERMIT
Ie)
Exhaust "'ood
V~1l1 FAn
t!:....._.__
Wood SIOveflnsert/Flroplaee Unll
Dryer Vent
Mech.onlclJI Permit
ISslJ,:lnce
S1:IIO SurchCllrgo
Tolal Permit
CD)
MISCELLANEOUS PERMITS
Mobile Homo
SUllO Issuance
Stalo SurCharge
SI.,owalk
Curbcul
Demollllon
510.to Surcharge
"
"
..-... ~ )..
Total MI$collal'\~ou5 Permll!; (E)
TOTAL AMOUNT DUE (exehldlng oroctrlcalj
lA, II, 0, 0- a...o . OOTTlDln.G)
FEE
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If) ...
, YJ(,7~
Ib. Z<>
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P.02
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IS_ PROPOSED WORK tN THE.
. HI5TO~ICA.1. DISTRICT. OR ON
THE HISTORIcAL REGISTER?_
If yes, this application must be slgnod
Qnd approved by the ~1&10rleal
Coordinillor prlQf" 10 permit IS$U:lnCl!.
'.
~.
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Setbacks
Hf-E.- ~AR
APPROVED'
Tnle por",," Ie grant." on I". IllIlp,... OOI'lCllllon l"al'''. alia
constructIon shall, In all respects, conform to IhO Or.,lnence
.do~l.d by tho Cl(y 01 S~rlnoll.ld. Including Ih.
Do",olupmenl Code. rogula-lIng the conSlrucllon ,no usa 001
Culldlnge, ;lnd "'OIY be aUlpend.a Oor r....clc.d II en)" tlm.
uPOn "'Iolatlon or any provlulon. 01 .alel grdlneneaa.
Plan Cheek Fee: _.
Date Paid:
ROCQipt Numbo':__,_._~,
Aote!ycd Dy:
pr"ns Rl.'vICWOd- Oy'"
Oal0
Systoms. Oe\lelopmcnl crlOuge Is "LlO On illI un"oll'olopad
properlles wllhln Ihl'!: City Ilmils which are being ImprO\le<l.
ADDITIONAL COMMENTS
BV signature, I tltnlo anc:l agreo., thai I have C4)rolully e..amlned
Iho completed 8PI'IlCBllon an., do horeby cortlly that 011
Information hereon Is lrue ann correct, and I furl her certify
lh~1 any an" all work performed shall bo dOne In ,aCCOfIJanco
wlll1lhe Ordlno.ncus 01 lhe City of Sprlngllold, and lhe l.a.ws
01 tho Slate of OrC/gon pertaInIng 10 tho work descrlbod
herein, and thaI NO OCCUPA.NCY will be m~ch, uf any
Slfuclure wllhoul permission of lhe BuildIng Safely DiviSIon.
I furl her conlfy thai only contractors and employees who
are In COml)IlMCc with ORS 701.055 will be used on thIs
project.
I further agreo 10 ensurQ thai all requIred Inspections are
'equo~lo" 411 the propor lIme. Ih:af oaCh address 15 readable
from the Slrelot. that tho PO'n'l1t card Is located allho fronl
of tho property, ::1nd the approved set of plans will remaIn
on the alto 0.1 all limes durIng conslructlon.
SlgnalU,.i:..aA~Rrf.ff}J ()/'ff
0.,. ~2-h I t}8
I
VAUOATION.
RECEIPT NUMDER 6'l,1.{.z.Z-o
OATE PAID ., /2.-7/fi(p.
AMOUNT RECEIV"O -I2-N ( M
PleoelVeo a.., It( ~
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