HomeMy WebLinkAboutPermit Plumbing 1998-12-30
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RESIDENTIAL
PERMIT APPLICATION
SPRINGFIELD
JOB NUMBER ~ X! ~m-
~,!. 225 Fifth Street
~'I Springfield, Oregon 97477
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. _ TAX LOT:
Inspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSi9-lVjQ.~:,) r -f- ( P-I-
ASSESSORS MAP:_'/L-Oa.5HC\
.'
LOT'
BLOCK:
SUBDIVISION'
I
OWNER' .o\P1"12. --rOr\\\CLQ~' , f'-..' PHONE: f\Q. \ 0 .B=tl)()
ADDR"""" II QY~ '\ ~l). f'\\D\ ill UJ\ \,\.V .
CITY:~~J\.t~ n..Qri STATE: l~\~ ~ ZIP: l'};:14'\1
DESCRIBEWO~.\P\()\?\ l{\9.-Uf\r\ 0("'...1>{ Y\J-U\~ -Lr~\.OJ\s'-h(\O(~'
NEW REMODE~ ADDITION DEMOLISH OTHER ~ t--t-o m
CONST.
CONTRACTOR'
CONTRACTOR'S NAME
ADDRESS
EXPIRES
PHONE
~
GENERAl'
PLUMBIN\t.,\'\\')\ . \)J'rtO e..,
vLPloc3l
.0., 6Cf\ T\-to1lL 4-
MECHANICAl'
ELECTRICAl'
- OFI>\9~ USE -
101!. 12tvl;
QUAD4(aEA- LAND USE:'Vo~,.; lOA, FLOOD PLAIN'
)) 'Vh I;" IC~t., 'liIs "V/'1iI
'~O~PlD~~ . OF UNtJ,s-OA'l' BIOI) a ~O'qc, POI) ,~ ZONING CODE:
1& '<:. ~ "'.e<-, 1780 :so? lil]t. 'liO' 6 "'lit /'1iI
C'ect~pjf9.UP: CONSTR. C~J.Y~07 aliiI'. 'l"!j 'Yllllilo9uil'fil'iJF BDRMS'
-1. ~ ~ ~)o I] "rlg ~l71iy UTa </Slil r. "'iii YO
':t-'~F,,_SioRl':"'-" HEAT SoO'Rltl!l; 111"'0 06'1' IIII''\, lllliIs Pfis'if(?ll1ARY HEAT:
709"" "'tJ '0/-. '>.1/ fO/,t. -"'fllliI/, "1 Co -.tJlIo <1/'liIs ~~fJ!
WATER~f;lEIIil!~:V , RANGE: C"Jl 'I11i10 . (1IIe,'lJIIiI'~O/I<l"1&ffiO~FOOTAGE:
-ftj.. 0-,,_ ~^ ':.r'l IliIl'in._:Iil.Qn_ 'iii: fl>_ ~ha. ~i?:",\ "
. ^" - "I' '~ '>VA "ctn ~~., - 'iii!. 'OJIIiI - .. ,
To requi(~ ,jn-Jl1,,~I~~OU must call 726-3769. This Is a 24 hour recor'cflT8l1. li'JIi1;'&~s~~este<! before 7:00 a.m, will be
made the'hme~~Ik~ d~.Inspectlons requested after 7:00 a,m. will be m Cl?1thllt. . g work day.
~ <'~ '~ _ _-""IJ. 10
V~ ~0. ~ REQUIRED INSPE~T10NS' 'I]
o Temporary Eleetrl~ 0'1-/'\ ~1" 0 Rough Mechanical - Prior 10 0 Final Plumbing - When all
~ v)1 cover, plumbing worl< Is complel.e.
o Site Inspection - To be made
after excavation. but prior to
setting forms.
o Rough Electrical - Prior to
cover.
D Final Electrical - When all
electrical work Is complete.
o Underslab Plumbing/ Eleetrleall
Mechanical - Prior '0 cover,
o Final Mechanical - When all
mechanical work 15 complete.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Footing - After trenches are
excavated.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond
.beams. grouting.
o Foundation - After forms Bre
erected but prior to concrete
placement.
o Framing - Prior to cover.
o Other
o Wail/Ceiling Insulation - Prior to
cover.
o Undarground Plumbing - Prior
10 filling trench,
o Drywall - Prior to tapIng.
MOBILE HOME INSPECTIONS
o Underfloor Plumbing/Mechanical
- Prior 10 Insulation or decking.
o Wood Stovo - After Installation.
o Blo"klng and Set.Up - When all
blocking Is complete,
D Post and Beam - Prior to floor
Insulation or decking.
o Insert - After fireplace approval
and Installallon of unit.
,
O Floor Insulation - Prior to
~klng,
'~
~ &ani: ,5~...r - Prior to. filling
E. trench,
o Storm Sewer - Prior to filling
trench. , , "
o Plumbing Connoctlons - When
homo has been connected to
water and sewer.
, 0 Curbcut & Al,proach - After
forms are erected but prior to
placemont of concrete.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material in place.
o Fence - When completed.
o Water Line - Prior to filling
trench. .
o Final - Aller all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed,
o Rough Plumbing - Prior to
cover. .
D Street Trees - Wh~n all required
, trees are planted.
J
Lot faces
Lot "TYpe
Lot sq, ftg:
Inlerlor
Lot coverage
Corner
Topography
Total height
,
Panhandle
Cul-de-sac
BUILDING PERIVIIT'I
'~ '~
ITEM
X $/so. FT,
sa. FT.
MaIn
I
,
Garage
Carport
Total Value
Building Permit Fee
Slate Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s) N'
Sanitary S~wer FT,
Water FT,
Storm Sewer FT.
_~b~o~e_~. 'U\J
~~~-
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsen/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
It
Demolition
State Surcharge
'.
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~ I ~'.. I ....l~~,:i~.<;:~;;..
1,1_\
'(~ THEP;OPOSED WORK IN THE.
-HISTOt;lICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this appllcallon must be signed
and approved by the Historical
Coordinator prior to permit Issuance,
Setbacks.
I PL HSE GAR ACC'
IN
Is
W
E
VALUE
"
FEE
H~OO
~
d/ ) pU
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding elec,rICal)c::J' J _ LU
lA, B, C, 0, and E Combined)
,.
APPROVED:
.... ;" 't
BUILDING VAUJE, PLAN CHECK
AND BUILDING PERMIT
Thls'permlt is granted on the express conditIon that the said
constructlon shall, In aft respects, conform to the Ordinance
adopted by the Ci!y'.of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked'at any time
Lipon violation of any provisions of said ordinances.
Plan Check Fee'
Date Paid:
Recei pt Number'
Received By:
Plans Reviewed By
Date
Systerrys Development Charge Is due on all undeveloped
properties within the City limits which are being improved,
ADDITIONAL COMMENTS
By signature, I stale and agree, that I have carefully examined
the completed appllcallon and do hereby cerllfy 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 Sprlnglleld, and the Laws
of the State of Oregon perlalnlng 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.
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 a' the front
of the property, and the approved set of plans will remain
]P." site at ~es ~Urlng construction.
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VALIDATION: _ Q-I)i@.l1
RECEIPT NUMBE)JLX ~
DATE PAID 16/ ~ .Lf;Y
AMOUNT RE~E ~c{J1 r. c:x::J
RECEIVED B (';'11""
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