HomeMy WebLinkAboutPermit Plumbing 1999-7-22
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK' IS f /
/76527'i}
ASSESSORS MAP:
LOT'
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M",dd.
ADDRESS' 1 S' f'1
<.:.; lei
..
BLOCK'
OWNER'
Fa a /PVl
If",,;,_ If
[..;1/
CITY:
DESCRIBE WORK'
IZ.-j7.f1( IL
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERA' .
PLUMBING:
MECHANICAl'
ELECTRICA' .
STAT'"
OIL
(,;J,-L
Lr A..A.
DEMOLISH
OTHER
.
JOB NUMBER 9 tf c1 r'h
225 Filth Street
Sprlnglleld, Oregon 97477
TAX LOT'
SUBDIVISION'
oJ 50 0
PHON'"
7C({,- Lf7J' ].
ZIP'
q7 '177
ADDRESS
CON ST.
CONTRACTOR'
EXPIRES 0 PHONE
I4c. If c.JY'1
(-7;., j,. ~. M..,
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IJrJ(j7? U4/U
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1"'\1 I ~l"IIUI'4.VIt:.~UII.clVY It::a.fulIC:::) yvu lU
IUIIUVV I Ult::o':I d.UUfJit::U uy U It:: UIt::!::JUII UlIIIlY
NOr C~. ~O\fiFc!JHoH~iiler. Those rulesaresetforth
QUAD AREA' i . LAND usfflOAR952-001-0010throughOAfl~QGUAIN'
THISPERMITSHALLEXPIRE IF11-fEWORK0090. You may obtain copies of the rules by
· OF BLDGS' · Of UNITS........t!ho,,-^, - -- -, (Pd I .th t,ZON/NACODE'
fWlHUHILtUUNUI:H I HIS PERMIT IS NOT 'varrm" ,I,~ vv...er. () e,.. e <<I':~I 01.'" .
OCCY GRGl.IR:.. .~. 'c--- - C- I'" . ........,DON~~STR. rl'lb'tBber for the Oreaan Utility NQt\!j~El!i!lRMS'
"UIVflVll:l1lv~LJvn 01'\0"" l:UrUH Center is 1-800-332-2344),
. OF STOIA1iw.1BODf'.vPERlS8-. HEAT SOURCE: SECONllARY HEAT'
WATER HEATER:
RANGE:
SQUARE FOOTAGE:
TO request an Inspecllon, you musl call 726-3769. This Is a 24 hour recording. Alllnspecllons requesled 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.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams. grouting.
O Foundation - After forms are
erected but prior to concrete
placement.
D Undorground Plumbing - Prior
to filling trench.
D Underlloor Plumbing/Mechanical
- Prior 10 Insulation or decking,
D Post and Beam - Prior to floor
Insulation or deckIng.
O I!loor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewor - Prior to filling
trench.
//cj
(/0 \yater Line - Prior to filling
~trench.
o Rough Plumbing - Prior 10
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,
D Wail/Ceiling Insulation - Prior to
cover.
D Drywall - Prior 10 taping.
o Wood Stove - After InSlall8110n.
o Insert - After fireplace approval
and Installation of unit.
D Curbaut a Ar)pro.oh - Arter
forms are erected but prior to
placemont of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and'sub-base material In place.
o Fence - When cOinpleted.
D,street Trees - When all roqulred
trees are planted.
D Final Plumbing - When all
plumbing w9rl< Is complet.e.
o 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 bulldl ng Is
completed.
o Other
MOBILE HOME INSPECTIONS
O Blocking and Sat. Up - Whcn all
blocking Is complete.
O Plumbing Conn.cllon. - When
homo nDB b..n oonneoted to
water and sewer;'
o Electrical Connection - When
blocking, sel.up, and plumbing
Inspecllons 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 sq, ftg,
Lot coverage
Topography
Total height
Interior
<:! . '" 'ti ",~',i~~ '
\t.. \ };i ~ . "I ~"'li.'~ '1 '\l,':~;.~J!h1i!.t.lJ'. r. .,.. :
.",-;--- SotbaCkS., .... !..ISTHE,PROPOSEDWORK'tN'THE~--'
';t:'P.L. HSE I GAR Acc'l HISTOI;lICAL DISTRICT, OR ON
.1 THE HISTORICAL REGISTER?
N" If yes, this sppllcatlon must be signed.
S and approved by the Historical .
VIE' +--L-- _ Coordinator prior to permit Issuance.
,--=--L~__ I" APPROVED'
[01110-0.--.:.:.:.:...:.. .
,., "
LOt Typ. .
Corner
Panhandle ;
Cul,de,sac
!:.
Garage
Carport
"
BUILDINh ~L~E, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall,ln all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Dovelopment Code, regulating the construction and use ot
oulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
BUILDING PER~IT '~.'.:i~ '~
ITEM SO. FT: X $/50, FT, - VALUE
Main
Plan Check Fee;
Date Paid:
Total Value
Receipt Number'
Building Permit Fee
Received By:
State Surcharge
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(8)
Systems Development Charge Is due on all undeveloped
properties within lhe City limits which are being Improved,
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s) N'
Sanitary S!3wer
Water
FT.
FT.
FT.
5-0'
7- ) crv
Storm Sewer
Mobile Home.
Plumbing Permit
State Surcharge
Total Charge
~)Cu
(C)
5"'Z1
"2-,
r.>
7- 7. .'/
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By sIgnature, I state and agree, that I have carofully 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 Ordlnanc~s of the City of Springfield, and the Laws
of the Slate of Oregon perlalnlng 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
arc In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that all required Inspections are
requested at the proper time, that each a.ddress 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.
Slgnaturfl ~y/ f:.-:r~/-
Date
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
State Sur~harge
VALIDATION:
RECEIPT NUMBER. O? 4 95'f
DATE PAID 7/2.2.-/7'Q
AMOUNT RECEIVED -.4?- 7. f(l')
RECEIVED BY _ .1fJl tJJ
I I
Demolition
Total Miscellaneous Permits (E)
'\.
,
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)