HomeMy WebLinkAboutPermit Plumbing 1998-9-3
LOCATION OF PROPOSED WORK' L./&& 7
ASSESSORS MAP: . I ~ ~ 7- () {,
8'
OWN~R; ~ "M>~
ADDRESS: _:i~ 130 ~ ~
CITY' ~
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RESIDENTIAL
PERMIT APPLICATION
..
Inspsctlons: 726.3769
Office: 726'3759
LOT'
DESCRIBE WORK'
NEW' '-JC.:: REMODEL
ADDITION
CONTRACTOR'S NAME -
GENERA' ~'vY\'-~
, ,
PLUMBING'
MECHANICAt.
ELECTRICAl'
QUAD AREA:
-OF BLDGS'
SPRINGFIELD
~-
/.k; /~ (I., <Art
BLOCK:
STATE; nf(.
...."..'\..-~
DEMOLISH
OTHER
"
.
.
1r Iti>)
JOB NUMBER
225 Fifth. Street
Springfield, .Oregon '97477
TAX LOT'
SUBDIVISION: f/;./~y.O .v~f ItI
PHONF' <74(,-.2337
ZIP:
CJ1t.f=<- G
ADDRESS
CON ST.
CONTRACTOR -.
EXPIRES ..", PHONE
,--t'-'-"..". I '. .
: .: ,... ;I ~~lvn'''''IQ~VIl aYV IC:~UIf~" yvu tV
. ...mvn IU.~"'c;U..IV"'lOU uy Ult;:l UIt;l:YVII U~iill.Y
-:- OFFlqijdliHtatton Center. Those rules are set forth
LAND U~E: inOAR952-001-0010th~~HllN':-001~
0090. You may obtain copies ofthe rules by
::::":~g t,! :'*lter. (Not~~(6Ie;slRIf:;;
number for the Oregon I,J@W~OOP.tion
Centeris1-80Q-332-2344). .
SEGONOARY HEAT:
- OF UNITS:
OCCY GROUP: CONSTR. TYPE:
.. OF STORIES: NOTICE: . HEAT SOURCE:
WATER HEATERTH1S PERMIT SHALL EXPIRfklfJMf. WORK
AIIT~nRm:n IIMm:R TIoII~ PI=RIAIT Ie: MnT
.'
SQUARE FOOTAGE:
. To'request an In~!I![rNOOD~l(S\I\BN~NEGtpe)fi' a 24 hour recording. All Inspections requested belore 7:00 a.m. will be:
made the same M~~8 8~r'~E~Elb~ns requested after 7:00 a.m" will be made the' following ,work day. .
. REQUIRED INSPECTIONS
D "Temporary ElectrIc
D Site Inspection - To be mado
after excavation, but prior to
setting forms.
.
D Underslab Plumblng/Eleclrical/
Mechanical - Prior to cover.
D Footing - After trenches are
excavated. '
D Masonry - Steel location, bond
,beams, grouting.
D Foundation -. After forms are
erected but prior to concrete
.placement.
D Undorg'round Plumbing - Prior.
to filling trench.
D Unde,f1oor Plumblng/Mechanlc~1
_- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking. .
D Floor.lnsulation - Prior to
~ decking. .
~Sa.nltary Sewer - Prior to filling
~rench.
D Storm Sewer - Prior to"fllllng
trench, .'
~ Water Line ~ Prior to filling
~ trench. .
D Rough Plumbing - Prior to
cover.
/
D Rough Mechanical, --:- Prior t~
cover.
D Rough Electrical - Prior. to
, CQver.
D Electrical Service - Must be
, approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framl.ng - Prior to cover,
o WalllC~lIIng Insulation - 'Prlor to
cover.
D Or~wall - Prl~r to taping..
o Wood Stovo - Af.ter Installation..
o Insert - After fireplace appro~lSr
and Installation of unit. '
D Curbcut & Approach - After
forms are erecled but prior to
placemcnt.of concrete,
. D Sidewall< & Driveway - After
, . excavation Is complclc, forms
and sub.base ,material In place.
D Fence -'\Nhen completed.
. ,.
D Street Trees - When all required
trees are planted. .
o Final Plumbing - When all
plumbing w9rl< Is complet.e.
D Final Electrical - When alt
.electrlcal work Is comple~e.
D Final Mechanical - When all'
, mechanical work Is complete.
. - ..
D Final Building - When all
required Inspections have -been
approved and building is
completed;
uOther
....: .
l
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o P.lumbing 'Connectlons - Wh'en
" home has been connected to
water ~1.nd sewer.
,
D Electrical Connectlo"n - When
blocking, set-up, and plumbing
Inspections have been approved
and the home Is connected to
the s~rv'ce panel.
o Final - After all required '
inspec,tions are approved and
porches, skirting, decks, and
venting have bee~n Insta.lled...,
Lot ~ype. " '..
,
, Lot faces
Lot sq. Itg. Interior I.P.L.
IN
Lot coverage Corner Is
Topography Panhandle '{
Iw
Total height Cui-dc-sac '
IE
BUILDING.PERIVIIT :'i.
ITEM sa. FT.
"
"
..(
X $/ sa. FT... ~
VALUE.
Main
Garage
"
Carport
Total Val ue
Building P~rmit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT <:;HARGE (SDC)
(B)
PLUMBING PERMIT
,ITEM
Fixtures
FEE
Residential Bath(s)
N'
Sanitary Sewer
. . .
FT. 1, D
FT.'~ D
J)".,
?_.'"
Water
Storm Sewer
FT.
, Mobile Home
Plumbing Permit
_K,E).OO
-rl-ao
~ 1-6C
.., S"D .....( rO
State Surcharge ~ l
Total Charge .. (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
. Wood Stove/lnsertlFlreplace Unit
.Dryer Vent
Mechanical Permit '"
I
Issuance
Stale Surcharge
Total Permit
(0)
MISCELLANEOUS PERMITS,
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcul
ft.
Demolition
State ~.urcharge
Total- Miscellaneous Permits (E)
"
TOTAL AMOUNT DUE (excluding electrical)
(A,' B, C, 0, and E Combined)
','.." 'r:-~ -i ;::.,:'~h \', ~'.-' I
- :'.!ti. ~
,.
i. IS THE.PROPOSIOD WORK tN THE.
. . HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
Il.yes, this application must be signed
alld. approved by the Historical
Coordinator prior to permit,issuance. .
Setbacks.
HSE GAR ACC.
APPROVED"
",; I.~- 'J .t
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit I,s 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
'Oovelopment Code, r~gulating the construction and use of
oulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of saId ordinances.
Plan Check Fee:
Dato Paid:
Recelp! Number:
. Received ,By:
. Plan's Reviewed By
Date
Systems Development Charge is due' on all undeveloped
properties within the City limits which are 'being Improved;
".) , " ,
ADDITIONAL COMMENTS
.
By signature, I stato and agree, that I have carefully examined
the completed application and do hereby certify that all
I~formatlon hereon is true and correct, and,l 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 perlalnlng to the work described
herein, an.d that NO OCCUPANCY will be made of ari"y
i structure without permission of th~ BuildIng ~afety Division.
J further certify,that only contractors"and employees who
. arc in,compl!anco Wi,th O~S 70~.055 will b~ used on this
prolect.
I !~rther agree to ~nsurc tra! all required Inspections are
requesteo'at the proper time, that each address Is'readable .
'from the street, !hat the permit card Is located at the fro~t
of the property, and the approved set of plans will rem~ln
on the site at all times during construction.
~naturp~~~
. .
Date
VALIDATION:
RECEIPT NUMBER
() ~ r.z,1 y
10l('!
'00{l
~ Wv4/
DATE PAIP
AMOUNT RECEIVED.
RECEIVED BY.