HomeMy WebLinkAboutPermit Plumbing 1999-03-16go// ? c
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SUBDIVISION
TAX LOT:
JOB NUMBER
ASSESSORS MAP:t'7nzzc44LOCATION OF PROPOSED WORK:zl3
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726€769
Offlce: 726-3759
LOT BLOCK:
225 Fifth Street
Sprlngfleld, Oregon 97 477
PHONE;
STATE:ztP;
I
a
OWNEB:
ADDRESS:
CITY:
k*^
DEMOLISH OTHER
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
MECHANICAL:
-
CONST.
CONTRACTOR 'rNAMEDD EXPIRES NEo-
ELECTRICAL:
PLUMBING:
GENERAL:
coN
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requestect before 7:00 a.m. wlil be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be macie the followlng work day.
REQUIRED INSPECTIONS
n femporary Electrlc [l Rough Mechanlcal - Prlor to f- Flnat ptumbtngu cover. lJ plumblng work - When all
ls complete.
tl
E
tl
E
fl
E
Undorground Plumblng - Prlor n Drywall - Prlor to taplng.to fllllng trench.
Slte lnspectlon - To lre mado
after excavatlon, but prlor to
settlng forms.
Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erectod but prlor to concrete
placement.
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.
Poet and Bcam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulallon - Prlor to
klng.
Sewer - Prlor to fllllng
h.
Slorm Sewer - Prlor to fllllng
trench.
Water Llne - Prlor to fllllng
tr6nch.
Rough Plumblng - Prlor to
cover.
Rough Electrlcal - Prlor to
cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover.
Wall/Celllng lnsulallon - Prlor to
cover.
Wood Slovo - After lnstallatlon.
lnsert - After flreplace approvql
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but prior to
placoment of concrete.
Sldewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal ln place.
Fence - When cottpleted.
Street Treee - When all requlred
trees are planted.
Flnal Electrlcal - When all
electrlcal work ls complete.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bullding is
completed.
Other
MOBILE HOME INSPECTIONS
E Blocking and Set.Up - When ail
blocklng ls complete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Eleclrlcal Connectlon - When
blocklng, set.up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Flnal - After all requlred
lnspectlons are approved andporchos, sklrtlng, decks, and
ventlng have been lnstalled.
'ti
fl
E tl
E
a
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type -
-
lnterlor
-
Corner
-
Panhandle I
-
Cul-de-sac
i -1S THE PROPOSED WORK TN THE.
HISTORICAL DISTRIGT, OB ON
THE HISTOFIICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
arrd approved by the Hlstorlcal
Coordlnator prlor to permlt lssuance,
APPROVED:
P,L.HSE GAR ACC
N
S
E
BUILDTNG PERMIT
SO. FT.VALUE
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
';,
'1.
X $/SQ. FT.
BUTLDING VAIUE, iiMU CHECK
AND BUILDING PERMIT
This permit is granted on the express conditlon that the said
construction shall, in all respects, conform to the Ordlnance
adopted by the City of Springfleld, lncludlng the
Development Code, regulatlng the constructlon and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordlnances.
Plans Reviewed By Dale
Plan Check Fee:
Date Paid:
Receipt Num
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties within the City limits which are belng lmproved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
Nr
4o arr. /zD /
FT.
FT.
(c)
Plumblng Permlt
State Surcharoe
Total Charge
qD*,
/, r;/aD--,tTe
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Oryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hoorl By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and t further certlfy
that any and all work performed shall be done ln accordance
wlth the Ordinanccs of the Clty ot Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Dlvislon.
I further certify that only contractors and employees who
are in compllance with ORS 701.055 wlll be used on thls
Proiect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
trom the street, that the permlt card ls located at the front
of the property, and the approved set of nwlll
rU
Slgnature
Date
on the site at mes durlng
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellanoou$ Permlls (E)
TOTAL AMOUNT DUE (excludlng electrlcal) .-_
(A, B, C, Q and E Comblned)
f
't/
)/AU
3
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT
SPR!l\rGFIELE,
Qtr rr To
lat
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT:
/a," ket ,/
o
BLOCK:SUBDIVISION
%'t-q f t tPHONE:
OL ztPSTATE:
i ad
NEW- REMODE L
-
ADDITION DEMOLISH OTHER
tfr lnt rr, futt
CITY:
DESCRIBE WORK:
OWNER:
ADDRESS:
BING:
--
MECHANICAL:
-
ELECTBICAL:
CONTRACTOR'S NAME
?vz- lrilitotol, ou4.*.ro*
,(ru*
0u"lh I
CONST.
CONTRACTOR 'ADDRESS
llv4raz lf Ftuc.
- OFFTCE USE -
QUAD AREA:
'fOFB I'ty
LAND US }lQjIIfilU to
TIUe:# OF UNI
OCCY G
, o, "rodEipli
r\llrtrR rp,! F,TRI rrTdfiiij0J-unce
cOutA{ENCEp 0H ts Aqt\i OLrNEDfAh e:
ANY 180 DAY PERION
WATER H
Lq90332-2344t.uenler ts
nJtgs PEBMTT SHALL EXPJRE tF TltE)|voft( rypE
To request an lnspectlon, )'ou must call 726 3769. This is a24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be macJe the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
I Plumbing - When all
lumblng worl< is complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.F Building - \Aihen all
red lnspections have beenFlreplace - Prlor to faclng UI
Masonry - Steel locatlon, bond
beams, groutlng.
als and framing lnsp.approved and building is
completed.
- Prlor to cover.
E Foundatlon - After forms are
erected but prlor to concrete
placemont.Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.| - Prlor to taping.
MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stove - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreirlace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
decklng.Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllllng
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Slorm Sewer - Prior to fllllng
trench.
Sidewall< & Driveway - After
excavation is complete, forms
and sub-base material ln place.
Waler Llne - Prlor to filling Fence - When ccinpleted.
$treet Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved andporches, skirting, decks, and
ventlng have been lnstalled.
Fra
E
fl
L
?7qt t
EXPIRES .:, PHONE
E fl
E
tl
[--l other
tl
tl
Plumblng - Prlor to E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type.
-
lnterior
-
Corner
-- Panhandle i'
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E,
.-IS
TI-IE PROPOSED WORK iN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
arrd approved by the H istorlcal
Coordinator prior to permit issuance.
APPROVED:
VALUE
'5r--1 nnDt-
38.i2
7,otr
L(/ ,{8
T-
(A)
/Z4o,o
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
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
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Flcviewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid
Receivecl By:
BUILDING VALUE
AND BUILDING P
, i5rRru cHEcK
ERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
30,ot
z.L{d
32.llo
FEE
3
(c)
3
Nc
FT.
Fixtures
Resldential Bath(s)
Plumbing Permit
State Surcharge
Total Charge
PLUMBTNG PERMIT
ITEM
Sanitary Sewer
Water
Storm Sewer
Mobile Home
ADDITIONAL COMMENTS
Note:
-Building Inspector may reqllire
--aclditional plans. information,
_and/or fees fcr the ctnplelion ot
this project.
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust l{oorj
Vent Fan
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I further cerilfy
that any and all work performed shall be done in accorrjance
with the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Buildlng Safety Divislon.
I further certily that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Slgna
Date
on the si all times during constructlon.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
---
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
TOIAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
t5 22c
?
VAt-IDATION
RECEIPT NUMBER
DATE PAI[)
AMOUNT RECEIVED
RECEIVED BY
/)z^ /,r/
';t
X S/SQ. FT.
FT.
-
FT,