HomeMy WebLinkAboutPermit Plumbing 1997-9-11
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,IDENTIAI.1' .
I~MIT APPLICATION
Jectlons: 726.3769
ice: 726.3759
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)CATION OF PROPOSED ~ORi<' ZoS'i
IsSESSORS MAP'. \ <f,U'j \ '7;'L
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!OWNER: ..Il/Ani.; B,rd~ He..f)al?f'd
ADDRES'" 2.057 IJ1 La.n..cI wlf'/ .
CITY: 'c:;-/?..-,~-I"t ple/' STAT'"
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SPRINGFIELD
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BLOCK:
DESCRIBE WORK'
NEW
'ADDITION
OTHER
REMODEL
DEMOLISH
.' JOB NUMB~R q qJo 5 ~.
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION:
PHON'" 72 c:, -999 f'
ZIP'
q7SL:r~
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CONTRACTOR'S NAME
GENERAl'
ADDRESS'
CONST.
CONTRACTOR #
,~
PLUMBING'
-PS7
9/z/ M~I-~.~
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To request an Inspecllon, you.must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00a.m. will be
made the same working day. Inspections requested after 7:00 a.m. will be m8:de the following work day.
MECHANICAl'
ELECTRICAt .
...:.-
QUAD AREA'
# OF BLDGS:
OCCY GROUP'
# OF STORIES'
WATER HEATER:
REQUIRED INSPECTIONS
D Temporary Electric
. I . . .
D Rough Mechanical - prlor,to
cO,ver. ...,
D Site Inspection - To be made
after excavation. but prior to
setting forms.
D Rough ElectrIcal ~ Prlor'to
cover.
D Underslab Plumblng/Electrlcal/.
Mechanical - Prior to cover.
D Electrical Service - Must ,be
approved to obtain permanent
electrical power.
D Footing - After trenches are
excavated. '
D Fireplace - Prior to facing
. materials and framing Insp.
D Masonry - Steel location, bond
, .beams, grouting. .
D Foundation - After forms are
erected.but prior to:concrete
placement.
D Fra:mlng - Prior to cover.
D Wail/Ceiling Insulation - Prior to
cover.
D Underground Plumbing - Prior
to filling trench.
D Dry~all - Prior to taping.
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Wood',Stovo - After I~stallatlon.
D Post and Beam - Prior to floor
Insulation or decking. '.,
D Insert - After fireplace approvel
and Installation of unit.
D Floor Insulation' -- Prior to
decking.
D Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
D Sanllary Sewer - Prior to filling
trench. "
D Storm Sewer - Prior to tilling
trench. .'
D Sidewalk & Drlvewav - After
excavation Is compiete. torms
and "sub-base material In place.
D Water Line - Prior to filling
trench. '.
D F~nce, - \r\lhen cCfrlpleted:
" .... ""'-. ".
D Rough Plumbfn.g .- Prl~r-to
cover. ,Y ""
D Street Trees - When all required'
. trees are planted. ,;. .
fl.
EXPIRES
PHONE
FLOOD PLAIN'
ZONING CODE:_
# OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
-----
L.:J rlnal Plumbing - When all
plumbing worl< Is complete.
. .
D Final Electrical - When all
electrical work Is complete.
D Final Mechanical - When all
mechanical work Is complete.
D Final Building - When all .
required Inspections have been
apprOVed and building Is
completed.
Doiher
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When all
blocking Is complete.
o PlumbIng Connections - When
home has been connected to
water and sewer.
D ElectrlcallConnection - When
blocking, set.up, and plumbing'
Inspecllons 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.
.".':'
.' ...
Lot, fac~s Lot Type ,
Lot SQ. flg. , Interior
Lot coverage Corner
Topography Panhandle
Total height . -"-'-- 'Cul.de'sac
. . "
-:,~.' . "I':-'.~' i.'::-".: ;~'~"~ ~??Nr.,:th .
,~
Setbacks. .
IpL. HSE GAR ACC.
IN
Is .1
Iw ,I
I E I
( IS THE PROPOSED WORK IN THE_
--.HISTOI;lICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, .this applicallon must be slg';~d
and approved by the Historical
Coordinator prior to permit Issuance,
APPROVED'
BUILDING PERIVIIT :!i
ITEM SQ. FT.
:~ ':t
X t/SQ. FT. =
VALUE
BUILDIN'G v~LdE, PLAN CHECK
AND BUILDING PERMIT
Garage
Carport
"
This permit Is granted on the express condition that the. said
construction shall, In 'all re'spects, conform to the Ordinance
adopted by. the Clty.of Springfleld, Including the
Development 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:
Dato Paid:
Main
'.
Total Value-
Building Permit Fee
,State S~rcharge
Total Fee
Receipt Number'
Received By: .
(A)
Plans Rcvl.ew.ed .By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge Is due on all undeveloped
properties within the City limits which are being Impro~ed.
Residential Bath(s)
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,(:.,:~,.;. ':'i: :, , ADDITIONAL COMMENTS
""iF,EE "/.
'IC1..(/t,.f:":;!it) '/.,., ~~':
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PLUMBING PERMIT
ITEM
Fixtures
Storm Sewer
FT.
FT.
FT.
Sanitary S~wer
Water
Mobile Home
\..,^O-~
State Surcharge
Total Charge
(C)
!\S.uu
.I ,? Cl()
(. ?'D
lLo.W
Plumb ng Permit
MECHANICAL PERMIT
Furnace
Vent Fan
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By signature, I state and agree, that I have carefully examined
the completed applicallon 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 Ordlnanc~s 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 further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stovellnsert/Flreplace Unit
Dryer Vent
MeChanIcal Permit
Issl.{ance
State Surcharge
Total Permit
(D)
I,further agree to ensure that all required Inspections are
, reQuested at the proper time, that each address Is readable
: 'rom the street, that the 'permlt card Is located at the. front
of the property, and the approved set of plans will remain
on the, site, at a!.l-l)mes during construction.
Signature ~ ;{,// 1A ..J~d
.1
7~/ /7''1
Date
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State. Surcharge
Sidewalk
ft
Curbcut
Demo'lIlion
ft,
, .
State ~urcharge
. ,
VALIDATION:
\
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
~
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- / /p. fJ. r)fC-,
AMOUNTRECE~ C/ -/ /. Q7~
RECEIVED BY 17) (./)1 )
RECEIPT NUMBER
Total Miscellaneous Permils (E)
DATE PAID
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