HomeMy WebLinkAboutPermit Plumbing 1998-3-16
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726,3759
LOCATION OF PROPOSED WORK:
1'6 0 '2-
ASSESSORS MAP:
LOT'
OWNER'
ADDRESS'
CITY:
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SPRINGFIELD
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BLOCK'
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STAT~'
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NEW -t
ADDITION
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DEMOLISH
OTHER
DESCRIBE WORI<'
REMODEL
CONTRACTOR'S NAME
GENERA" ;ol",~l,'....
C-dJ...
PLUMBING'
MECHANICAl'
ELECTRICAl.
QUAD AREA:
. OF BLDGS'
OCCY GROUP'
. OF STORIES:
WATER HEATER:
.
JOB NUMBER
9'8;03/3
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:..JLJ ~ () ()
SUBDIVISION'
PHON~'
lY/- "'27(,
ZIP'
CONST,
CONTRACTOR'
ADDRESS
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16',,\ (;'1-- I/g' ~/
- OFFI~~O?7; ~~.~
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LAND USE: :S>V.o "'~V.O;6~ ~)) FLOOD PLAIN'
· OF UNITS: . ~ :s>~/,>- ~ING CODE:
CONSTR. TYPE: ~~ {s>~~DRMS'
HEAT SOURCE: 0-9 PIcONDARY HEAT:
RANGE:
EXPIRES
PHONE
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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 Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel locallon, bond
beams, grouting,
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulallon or decking, .
O Floor Insulation - Prior to
decking,
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
L..J yench.
G ,!!~.ter Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
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 Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approvel
and Installation or unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sldew.lk & Drlvew.v - After
excavation Is complete. forms
and sub-base material In place.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
~al Plumbing - When .11
plumbing w9rk Is complet,e.
D Final Electrical - When all
electrical 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 .11
blocking Is complete,
o PlumbIng 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 15 connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed..
Lot faces
L~t ~y.
Lot sq. fig,
Interior
Lot coverage
Corner
Panhandle .,.
Topography
Total height
CuI-de-sac
BUILDING PERMIT I
ITEM SO, FT,
"
X S/SO. FT
Main
Garage
Carport
Total Val ue
Building Permit Fee
Slate Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
.'
,.,.
Sanitary S~wer
Water
FT,
FT. 16L> :
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge +-, 0370 A~
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unil
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Curbcut
fI
Demolition
State Surcharge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C. D. and E Combined)
Setbacks
I PL I HSE I GAR
I N I I
I S I
I
,;I~
"" '.,' "
t
VALUE
"
FEE
,
4'40, -
-t!tf). ..-
~.- +- /,).D
::t 1- 3 :;)0
.' " ~ ::~. if.:"~(,l:' ~:.:l
~ IS THE PROPOSED WORK IN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
" yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Acc'l
I
I
APPROVED'
"c . '1
BUILDING VALOE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
constructlon 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 tl1e City limits which are being Improved,
\\ .
,. .
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed application 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 Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertainIng to the work descrIbed
herein. and thai 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.
I further agree to ensure that all required Inspections are
requested at the proper time, that each address 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.
~Ignature Xt-,,' L
~ate
7.-!t,-Yf"
VALIDATION:
RECEIPT NUMBER j},q /00
'3 - I b - =,<i
DATE PAIn.
AMOUNT RECEIVED ---2:f.?J'~
RECEIVED BY ~