HomeMy WebLinkAboutPermit Plumbing 1999-9-3
ASSESSORS MAP'
1
. OWNER' ~ "M~~
ADDRe~~.' 3(,,\30 ~ C<.,.....Q
CITY: O~
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WOR\<'
/50-z.0'
LOT'
..
SPRINGFIELD
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l....... .
~~
4 ~5S- w....:, \ <!.o-, ('... "-,-+
I
BLOCK:
STATF' OR...
DESCRIBE WORK:.Ji6\-c..\\ W~.(. Se.o.-xr- h........
NEW ~ . REMODEL
ADDITION
CONTRACTOR'S NAME. C .
GENERAI'~'m!>~
,PLUMBING'
MECHANICAL'
ELECTRICA' .
DEMOLISH
OTHER
.
1 'i" II 0 '-I
.JOB NUMBER
225 Filth Street
Springfield, Oregon 97477
. TAX LOT'
SUBDIVISION:
. PHONe. 14'-'-:2337
ZIP: CJ '7{/.=t r..
, .
ADDRESS
CONST.
CONTRACTOR'
EXPIRES .~ PHONE
QUAD AREA: . NOTloe;
· OF BLDGS: :Vi liS r;:;;1,1IT SIIALL EXPIA!fIf'lFf~vl~m:
OCCY GROUP: -rl'JTI :G::lh:-:: ~tloeR THIS ~t1,llTFlSW6f:
· OF STORIES: .coMMENCED'OR IS AaANDEHilMJ~CE:
WATER HEATER'II\lV 1M nAY p~Rlno. RANGE'
ATTENTION:Uregon ,law '"yu''''''' 1v~. :-
follow rules adopted by the Oregon Utility
Netilisation Cenaill(j)b~@Al#llls ;lore set forth
in OAR 952-001,mJ.1 P thrgugheOfR ~52:~U2:
0090. You may (j'5lli{ii~v;r.Jh. U'._wL - . Y .
, alIifl9 the senl*'. ~rM!1e telephone
n~mber for lhf$p~~pn Utility Notification
. Center IS '1'~(lB!:P.l2-'29~). .
SQUARE FOOTAGE:
- OFFICE USE -
LAND USE:_
. ,
JTo request,an InspectIon, you must call 726-3769. This 15 a 24 hour recording. All Inspections requested before 7:00 a,m. will be
made the sa~e working day. Inspections requested. after 7:00 a.m. will be. made the followIng work day.
REQUIRED INSPECTIONS
. D Tempor~ry Electric
D Site Insp.ectlon - To be made
- after excavation, but prIor to
setting forms.
o Underslab Plumblng/Electrical1
Mechanical - Prior to cover.
D Footing - After trenches are
excavated. "
D Ml!sonry -- Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but- prior to concrete
placemen"t.
D Underground Plumbing - Prior
to filling trench.
D Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Boam - Prior to.floor
" Insulation or decking.
D Floor Insulation - ~rlor to
decking. . .
D Sanitary Sewer - Prior to filling
trench. . .
D Storm Sewer - Prior to filling"
trench. .
D Waler LIne - Prior to fililng
trench. .
D Rough Plumbing - Prior to
cover.' . ,
D Rough M.echanlcal - Prior to'
cover. .
d Rough Electrical --:' Prior to
cover.
D Electrical Service - Must be.
approved to obtain permanent
'electrical power.
D Flreplace.- PrIor to facIng
~aterlals and fram~ng Insp.
D Framing - Prior to c~ver.
D Wail/Ceiling Insulation - Prior to
cover. ".
D Drywall - Prl"r to taping.'
'" D Wood Stovo - Aftet Installation: .
D Insert - After fireplace approve.1
. and Installation of unit, . .
D CurbclIt & Approach. - After
forms are c're.clcd bllt prtor to
placement of concrete..
D Sidewalk & Driveway - After.
, excavation Is.compiete,forms
and sub.bas~ material In place,
D Fe'nce - V\/hen completed.
o Street Trees -'When all required
trees are planted.
o Final' Plumbing - When all
" plumbln'g W9rl(ls complet.e.
D Final Electrical - When all
electrical Vo(ork is, comp-'ete.
D Final Mechanical - When all
mechanical w9rk Is complete.
D Final Building - Wh'en all .
required Inspections have been
approved and building is
completed.
DOther
MOBILE HOME INSPECTIONS
.0 Blocking and Set,Up ...:,: When ,all
plocklng Is complete,
o .Plumbing Connections - When
home 11as 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'Ffnal - After all required'
Inspections are approved arid
porches, skirting, decks, and
. venting have'been Installed.
LO,t faces
Lot sq. Itg.
Lot coverage
Topogr\,phy
Total height
:,( ';'1
BUILDING PERMIT
ITEM SO. FT.
, Main
Garage
Carport
Total Value
Building .Permit Fee
,State Surcharge
Total Fee
LOI' ~ype4t
Interior
Corner
Panha~dle ~f
Cul-de-sac
(
X $/SO. FT.
(A)
'I" i'~' >,-.;, ,,~ " '.1 ;~:Jh,:.~i::'::t
I PL.
IN
Is
Iw
IE
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~,wer
Water
FT.
Storm ,Sower
FT.
FT.
Mobile Home
Plumbrng Permit
(B)
30
~/)
State Surcharge'
... ,0
Z- "J:!.-f./ < .
(C)
Total Charge
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan -
N'
Wood Stove/lnserllFlreplace Unit
pryer V~nt '
Mech,anica" Permit .
Issuance
State Surcharge
Total Permit
Mobile Home
MISCELLANEOUS PERMITS
(D)
State Issuance
. State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
State Surcharge
Total. Miscellaneous Permits
(E)
,
TOTAL AMOUNT DUE (excluding electrical)
(A,' e, C. 0. and E Comblnod)
FEE
2-")"'-
2-:1'
.t:;/).-.
- 4.l1'O
5'";"; ~ .
- 'Setbacks,
, .,
HSE GAR ACC'
..
. IS THE PROPOSED WORK tN THE.
qH,ISTOI'lICAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
; Coordl~ator prior to p~rmlt Issuance.
APPROVED:
, ','.\.. '.. I, .
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perr:nit is granted on ~he 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
oUlldings,.and m?-y be suspended or revoked at any.tlme
upon violation of any provisions of said orqlnances.
Plan Check Fee:
Date Paid:
Rec~jpt Num~er::
Received By:
Plan,S Rcylewed By
Date
Systems Development Charge Is due on all undeveloped
properties within tho City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I sta.le and agree, lhatl have careful.lY examlnod
the completed application and 90 hereby certify that all
Information hereon Is true ~nd correct, and I further certify
.that any and all work performed shall be done In accordance
.wlth the O.rdinanc~s of the City of Springfield, and the Laws
ot.the Slate.of Oregon perlainlng to the work described
herein. and that NO OCCUPANCY will be made of any.
structure without permission of the Building ~afety Division.
I further certify that only contractors ~nd employees who
" are In compliance with ORS 701.055 will be used on this
proje9t.
.1 further agree to ensure that all required Inspections are
requested at the proper time, that'each add~ess 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 at all times during construction.
.Xlgnaturp~'0\"~' '
'.' . (
Date
\.
vAUDA'nON: .
RECEIPT NUMBER
DATE PAID
AMOUNT REC.EIVED
, RO:CO:IVI;O BY
() 51 Z tT7
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