Loading...
HomeMy WebLinkAboutPermit Plumbing 1999-5-26 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP' J 7n .l . LOT' BLOCK: ~/A(-Je_ g ~ Ie. PO fL>c 7o/tf~ &,)1 e.Jc DESCRIBE WORK' r;hA.I().p _l-bl--tJ,1-~Jl. Jle4-1a I . REMODEL L ADDITION OWNER: ADDRESS: CITY' NEW CONTRACTOR'S NAME GENERA' . PLUMBING' MECHANICAl' ELECTRICAl' QUAD AREA: . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER' STATE: ' bl4.?o-"" ) 1 DEMOLISH OTHER . JOB NUMBER 99(J~ 5/ 225 Fifth Street Springfield, Oregon 97477 TAX LOT: _/"'1/)<;I CYf'\ SUBDIVISION: PHONE: 11//-0 L{!Lt/ ZIP: Cj'7t-!cJ/ CONST. ADDRESS CONTRACTOR · EXPIRESSy<l\ltOPHONE ..~ ,.(')r",OOO (aw IB~~~~oO Utility ,lI.,H:.I~I'J,.. t8dtlY\H<'-' -r8s8tlu"i, , j._\....,lesadOP ~..^"pruIBsa_ ^~,.,.o01. \Vr1.... -. cen'~l. ,1__ . nUI-\f"l"",...1- I\\ntilicat'o~ ^'J' _001 0 t\1ro~g 0 ^f the rules by In OP-fI \lO'-V obtain COI''''. ' t8\ep\1on" ,-J:> ",.", may \"'nt"".t\18 "ra^"nn UV"'Jr^'J the cen'''Oo .'_^ \ lIiiity \~V'" . - OFFICE USE - ;u~bertortne.v;~BOO.332.2:~""" centeflS . LAND USE: FLOOD PLAIN' . OF UNIT'" CONSTR. TYPE: HEAT SOURCE: RANGE: ZONING CODE:_ . OF BDRMS: SECONDARY HEAT: SOUARE FOOTAGE: To request an Inspection. you must call 726.3769. This Is a 24 hour recording. Alllnspecllons 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 D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanfcal - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel IDeation, bond beams, grouting, D Foundation - After forms are erected but prior to concrete placement. D Undorground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to lIoor Insulation or decking. D Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to filling trench. ' D Storm Sewer - Prior to filling trench. .' D Waler Line - Prior io filling trench. '. '~ ..' . I D Rough Plumblng'~ Prior to cover. ;. ~ .. D Rough Mechanical ~ Prior to cover. ... " D Rough Electrical - Prior to cover. o Electrical Service - Must be approved 10 obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wail/Colling In&lllation - Prior to cover. o Drywall - Prior to taping. D Wood Stovo - After Installation. O Insert - After fireplace approvlll and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placemont of concrete. D Sidewalk & Driveway - Alter excavation Is complete, forms and'sub.base material In place. D Fence - When corilpleted. D.Street Trees - When. all required trees are planted. . . ~. , ~ Flnal'Plumblng - When all ~umblng W9rk Is complet.c. D Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Final - After all required Inspections are approved and porchos, skirting, decks, and venting have been installed. r- " Lot faces Lot sQ. fig. Lot coverage Topography Total height L~t ~yp. Interior Corner ',' Panhandle " Cul.de.sac , " J' ..S THEPROPO~ED 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. ~,,: .....l ":. ,. {\.: -; )< ,'-'~.4' . , .. -,I "!.;' 'I:" ;. .\ . ~ ,. ;:1'~ ,~i ._. ~ . '.1. .' -.." .:.'.:i'N:'~ Setbacks, I P.L. HSE' GAR' ACe' I IN Is _'VY.___ E BUILDING PERMIT '!i'~ 't ITEM SO. FT: X $ISO. FT,.. VALUe Main Garage Carport Total Value Sul/ding Permit Fee State Surcharge Total Fee (A) " , SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures / . ResidenUal Bath(s) N' Sanitary S~wer FT. Water FT. Storm Sewer FT. Moblie Home Plumbing Permit State Surcharge ?r~,4r , /' (C) Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnserllFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Moblie Home . State Issuance State Surcharge Sidewalk fI Curbcut fI Demolition State Su rcharge Total Mlscelianeous Permits (E) . " TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE /JJ/N, /5"'0-0 /.2-0 /&.:0.0 4.20 .' APPROVEP' BUILDIN'G VAL.~E, PLAN CHECK AND BUILDING PERMIT ' This permit Is granted on the express condition 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 time upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid: Receipt Number' Received By: Plans Reviewed By Dale Systems Development Charge is due on all undeveloped properties within tile City limits which are being improved. ADDITIONAL COMMENTS C~t/aJ.q ul/# r/? /f(jf 7Yf7 b..-. 4>// /:>:r .-:;- I ['. 1 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify 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 Bulldlng Safety Division. I further certify that only contractors and employees who are In compliance wl(h ORS 701.D55 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 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 a times during construction. Signature Date VALIDATION: RECEIPT NUMBER Y /7' g ~/~ ~/09" ( ~I ,-::~,).._o AMOUNT RECEIVED ,_ RECEIVED BY DATE PAID