HomeMy WebLinkAboutPermit Plumbing 1998-4-9
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP'
LOT:
Ii 0'1-
.
.
JOB NUMB~R _q',\( () 4--, 1
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
SUBDIVISION'
6 I .~()C)
I? ~ ~ '5 h'\~~AA.
':30 00
BLOCK'
OWNER: !0;;"..-rt- k r: be , J=a.. V- b.e (2.. PHONF'
ADDRESS. ~3(<' /hq,YL. (I' # J-'-IO
CITY: <:/}r~_<1?-~./cL STAT'" DR
f f\ I
DESCRIBE WORK'
NEW
REMODEL
CONTRACTOR'S NAME
GENERA' '
PLUMBING: PSf
MECHANICAl'
ELECTRICAl'
QUAD AREA:
. OF BLDGS'
OCCY GROUP:
. OF STORIES:
WATER HEATER:
ADDITION
DEMOLISH
OTHER
-L~
~
l"
ZtP:
ADDRESS
CON ST.
CONTRACTOR .
EXPIRES .,., PHONE
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.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o WalllCelllng Insulation - Prior to
cover.
o Drywafl - Prior to taping,
o Wood Stovo - After Installation.
o Insert - After fireplace approve!
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prIor to
placement of concreto.
o Sidewalk & Driveway - After
excavation IS complete, forms
and sub.base material In place.
o Fence - Wnen COiTlpleted.
o Street Trees - When all required
trees are planted.
//()17 <i
1- '17
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NnTIC~.',:
I~S'1~E"u!iESHALL EXPIRE IF THI: WUt11\
LAND USE'AUlI:lDf<11ED UNDER THIS PERMIJL!rO~~PJLAIN'
. OF UNITS0MMENCED OR IS ABANDONEDZ~~~NG CODE:_
CONSTR. ~:180 DAY PERIOD, " . OF BDRMS'
HEAT SOURCE:
RANGF'
SECONDARY HEAT:
SQUARE FOOTAGE:
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 a.m. will be made the following work day.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcal/
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 Underground Plumbing - Prior
to filling trench.
o Underlloor 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.
o Rough Plumbing .:.....: Prior to
cover.
o Final Plumbing - When all
plumbing wc;>rk Is complet.e.
D Final Electrical - When all
electrical work Is complete.
o Final Mechanlcel - 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 end Set.Up - When all
blocking Is complete, .
~!ng Connections - When
home has been connected to
water and 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..
, ' . .,.. . .; .;, ~'..H.~t .
L~t~_ ,'-1 '..,' ~:.~.i'h:..~ .
Lot faces Setbacks . ( IS THE PROPOSED WORK IN THE.
Lot sq, ftg, Interior I P.L HSEIGAR Acc'l HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner I If yes, Ihls application must be signed
; Is I I and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit Issuance.
Total height Cul-de.sac
IE I APPROVED'
BUILDING PERMIT "I -~t
ITEM SQ, FT, X $/SQ, FT,
VALUE
BUILDING VAL(JE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City -01 Springfield, including the
Dovelopment Code, regulating the construction and use of
oulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee'
Date Paid:
Total Value
Receipt Number:
Building Permit Fee
Slate Surcharge
Received By:
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limlls which are being Improved,
PLUMBING PERMIT
ITEM
'ADDITIONAL COMMENTS
'fEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT,
FT,
FT.
j,~; ~ :.'j.
Storm Sewer
Mobile Home
Total Charge
(C)
~ IS,
17~T,I../~
df4 (p, a<J
Plumbing Permit
State Surcharge
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I state and agree, that I have carefuily examined
the completed application and do hereby certify that ail
Information hereon is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances 01 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 01 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 Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
J further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
Irom the street, that the permit card is located at the front
of the property. and the approved set of plans will remain
on the slt~~~structlon,
~ Signature. __
} DateL/D -~r -
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
II
Demolition
State Surcharge
VALIDATION:
Tolal Miscellaneous Permlls (E)
RECEIPT NUMBER ~ 1 ~ I) ~
J- Cj - <1 "1
AMOUNT RECEIVEn .4, Ita, 0-0
cku\
DATE PAIr>
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
RECEIVED BY