HomeMy WebLinkAboutPermit Plumbing 1998-7-10
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
ASSESSORS MAP:
LOT:
SPRINGFIELD
BLOCK:
OWNER: l! f:,f-JJ 6c &N\ WI O/tJCS>
ADDRESS:' -p.o.""Bo;>< )307
CITY: tA-lJc..ho cS A-1J~ rL
DESCRIBE WORK: EJ;,,vtJ (JJtJrf7_ dl(.f..
NEW REMODEL .~ A'ODITION
.JOB NUMBER
9ro ~S-
225 Fi fth Street
Springfield, Oregon 97477
TAX LOT.
SUBDIVISION:
t/2 ~() Lf
PHONF. t.o 19 7':5& - 2119
STATF.' (!.AI r?- . ZIP: 9 z.o u; '7
--J-o ~JJ 1="1 ru...
DEMOLISH
OTHER
A-f/J~
2-od~.s~o
- .
CONST,
CONTRACTOR'S NAME ADDRESS CONTRACTOR /I
GENERAL:HorvltW'~ ~~ I z.~l./P~ Oo4./~ 77"
PLUMBING. J::J....,:1". '.. ~__ ~ _ t.. rJt.4J L...t IV C> rllA.I+\ bll\l~
MECHANICAL: . IJ/ It ~ 'A+C.
.ELECTRICAL: 1) A-Vl., t., Op
\ '
QUAD AREA"
. ..,-r..:.
,
\'1,
.... \i'
..-:.~ ~
/I Of',SLDGS:
\:-' \
,
'OCCY GROUP:
/I OF STORIES:
WATER HEATER:
~.:..'..
- OFFICENMICE:
IHlSP~RMIT SHALL EXPr1~51n~~pRK
AUTHORIZED UNDER T~~~I~~b~lgE~OT
COMMENCED OR IS ABANDONED FOR
1/ OF BORMS:
ANY 180 or..Y PERIOD, .
SECONDARY HEAT:
\
LAND USE:
EXPIRES .:,:,> PHONE
/g/91 4t6S-/<.ltJLj
SQUARE FOOTAGE:
To request an fnspeqtlon, you must call 726-3769. This is a 24 'hour recording, All Inspections requested before 7:00 a.m. will be
made the sam~ working, day, Inspections requested after 7:00 a.m. will be made the following work day,
REQUIRED INSPECTIONS
o Temporary E,I,~ctric,
Site nspecti?n ~~..:..._:.~
","",'" .~,.'- .. ~ ~."\O
S,
D Underslab Plumbing I Electrical/
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting,
D Foundation - After forms are
erected but prior to 'concrete
placement.
o Undergroun~ Plumbing - Prior
to filling trench:,
'0 Underfloor Plumbing/Mechanical
- Prior to Insulation or deckln'g,
../1 OF UNITS:
~...~.... .
CONSTR. TYPE:
-.1' '\
. ~ HEAT SOURCE:
,RAt'lGE:
. D Rough Mechanical - Prior to
. :-". ~ cov. ' . :. .
~ 'c"
Ro h Electrical - Prior to
c e~ .
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
,
I/Celling Insulation - PrIor to
r.
all- Prior to taping,
o Wood Stove - After Installation.
Q Post and Beam - Prior to floor 0
.........:.Insulatlofl .or de9,1sing, . .',.. Insert - Afte( fireplace approvl'11
"',. .:,,;.'.. ',' ,... ':',:,.,. '.<_ and installation of unit
, .'
D Floor Insulation - Prior to '.' ....
decking, <' '- . '" ',,'. ,'-,." 0 Curbcut & Approach - After
. " . . forms are erected but prior to
D Sanitary Sewer - Prior to;filli~'g placement of concrete.
trench,
o Storm Sewer - Prior to filling
trench. ....
'"', . "
. ,
o Water Line - Prior to filling
:--/OCh, \
{Bt1l ~~)9h Plumbin,~ -' Prior. to
cover, . \ \' \ .
,/ .... -,,",,\~, -"\ \ ....'.
o Sidewalk & Driveway - After
excavation is complete. forms
and'sub-base material in place.
D Fence. - When C6j""P~eted.
. \ ..J \ .
\.. (
D Street Trees - When all required
trees are planted.
D Final Mechanical - When all
mechanical work Is complete.
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 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,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total heIght
BUILDING PERn1JIT 'Ii.
ITEM SO. FT.
Main
Garage
Carport
nile f)4~ ~q(A.
; .
Total Value
Building Permit Fee
State Surcharge
Total Fee
Lot Type
Interior
Corner
Panhandle .,
Cul-de-sac
';~ '~'
X $/SO. FT.
(A)
'., ,.
.' """-;\'.'.\h:;~~-i
Setbacks .
( IS THE PROPOSED WORK ~N 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.
I P,L. HSE GAR
N
-----.
S
W'I
E I
VALUE
"
5~ 000
/
-Ltf l ~_
WK '-(if
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary S~wer
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
(B)
, L(.
FT.
FT,
FT.
(C)
Dryer Vent
Wood Stove/Insert/Fireplace Unit
NO
Mechanical Permit
Issuance
State Surcharge
Total Permit
Mobile Home
MISCELLANEOUS PERMITS
(D)
State Issuance
State Surcharge
Sidewalk
ft
ft
Curbcut
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FEE
Ij (J, OIJ
'1D.PU
Jl.v
'-!~.. 20
'lS L !?t/
Accl
I
'I
~_1
APPROVED:
!,l~ :'-,' ~1
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:
Recei pt Number:
Received By:
Plans Revie~ed By
.'. .
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
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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 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.
----
VALIDATION:
RECEIPT NUMBER /} ] 0 7 3 y
7/1011'(
AMOUNT RECEIVED' ;:...S- /, Ctl/}
J/ tJ a{/
DATE PAID
RECEIVED BY