HomeMy WebLinkAboutPermit Plumbing 1998-8-11
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
LOCATION OF PROPOSED WORK' /99 (,.
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ASSESSORS MAP:
LOT'
OWNER:
ADORES!'"
CITY:
DESCRIBE WORK:
NEW
REMODEL
CONTRACTOR'S NAME
GENERA' .
PLUMBING'
MECHANICAl'
ELECTRICAl'
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BLOCK:
.
JOB NUMBER 7'<( j()O I
225 Fifth Street
Springfield. Oregon 97477
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TAX LOT:
SUBDIVISION:
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ADDITION
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DEMOLISH
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ZIP'
'17</77
ADDRESS
CON ST.
CONTRACTOR'
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EXPIRES
PHONE
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QUAD AREA: LAND USF'
. OF BLliQrICE: . OF UNITS:
OCCY G~~~tERMIT SHALL EXPIRE IF TH~Q~I<R. TYPE:
AUTHORIZED UNDER THIS PERMIT I~ NnT
. OF STQ8.1.E$: mo:o.TSOURCE:
WMMl:Nc.;ED OR IS ABANDONED FOR
WATER /;jEAT.EPJ' . RANGE:_
}\I~ Y I tJ, LI!-\y !"l:;t1IIJU.
- OFFICE USE - ATTENT! .
f II ON. Oregon law requires YO" I'"
o ow rules adClf)tall>Jil;11M'tl.. ~ ...
Notification Cent T r.:;,v.. ;';';;;'Y
':: ~",:1 :;!j2-001_~~IWGEI:f~1Ye are set fmth
0090 va through OAR 952-001-
. " u may OB1gJfi ~fil
calling the cen~r. INnt". tho.''''' '" 'U1":; uy
..--" . EOaI"JIYARY"....,jij:!~
r..... 'vv, forthe regon Utility Notific r
CenteriSg~I2'l&\WJ.E: a Ion
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same working day. Inspections requested after 7:00 B.m. will be made the (ollowlng work day.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng'Electrlcall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Undorground Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
- PrIor to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - PrIor to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
~U9h Plumbing - Prior to
~ L-Jyver.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approvel
and Installation of unit.
o Curbcut & Approach - After
forms are emcted but prIor to
placement of concrete.
,
o Sidewalk & Driveway - After
excavation Is complele, forms
and sub-base material In place.
o Fence - \-Vhen cOi","lpleted.
o Street Trees - When all requIred
trees are planted.
o Final Plumbing - When all
plumbing w9rl< Is complet.e.
D Final Electrical - When all
'electrlcal work is complete.
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water .'lnd sewer.
o Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirtIng, decks, and
venting have been Installed.
Lot faces
.
Lot Type
Lot sq. fig.
Interior
Lot coverage
Corner
Panhandle ~.
Topography
Total height
Cul-de-sac
.11
BUILDING PERMIT
ITEM SO. FT.
.~ ''t
X $/SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fcc
(A)
I PL.
IN
Is
w
E
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N' /'
Sanl tary S!3wer FT. /
Water FT. /
Storm Sewer FT. /-
Mobile H,?me ~
~r~~ ~
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
. Vent Fan
N'
Wood Stove/lnsert/Flreplace Unti
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
fI
Curbcut
fI
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B. C, D, and E Combined)
IS. de>
'io/7{
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,
:,., }il ~\;:;~J
. i _THE PROPOSED WORK tN 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.
Setbacks
, ,
HSE GAR ACC
APPROVED:
'"
.. ~. ".. '.
BUILDING VAlUE, 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
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'
Date Paid:
Receipt Number'
Received By:
Plans 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 state and agree, that I have carefully examined
lhe completed application and do hereby certify that all
'Informatlon 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 Slate 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
projecl.
I further agree to ensuro that all required Inspections are
requested at the proper time, that each address Is readable
from t reel, that the permit card Is located at the fronl
of the rope ty. and the a~prov set of plans will remain
on the Ite a ,tlmes~ d~ nstruction.
Slgnat' .o~, ~,....._~.hy/O..<. ".~
Date c;; ;-//~ ~j/
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
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