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HomeMy WebLinkAboutPermit Plumbing 1997-7-14 . . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 q 7/7Js~ JOB NUMBER 225 Fifth Street Sprlnglleld, Oregon 97477 tJn LOCATION OF PROPOSED WORI<' f??r CJ ASSESSORS MAP' 170 335'1;Jo -1""7 L/ '> ~)- ~.t1J , o Lf L!tJV . TAX LOT: SUBDIVISION' LOT: BLOCI<' At\. (j." r:= ADDRESS' 3:< (gO (-n;:/AM..l~ CITY: 75pr~/r~jbl DESCRIBE W~K: {( E r'U"7 ~ \A ~ Pc ,,~ -1nA/U// I2d . 7::J- D - t:f-f <J t./ PHONE: OWNER' CfZ. ZIP: -Cl~77 STATF' . POiL '\ \,~ ~ \ ~.. ", r Al i)~ <::IS/Nt..../\.._ ,'\F ADDITION OTHER REMODEL DEMOLISH NEW CONST, CONTRACTOR' CONTRACTOR'S NAME GENERAl' ADDRESS EXPIRES .:-:- PHONE L\-~:r 1('2... 'Lo-r'U \?_n.,\,"'" (2.., ,lffI nn711(,7. ,~/(P-qff bB-nll Pm hS-, PLUMBING: MECHANICAl' ELECTRICA' . - OFFICE USE - FlQPl:l.I",,,,IiN, . if\Ct.. 11'1\11:: ,,1:1<"" · OF UNITS: NO Ef\~\ T 81 Ip,lJ E.~Plf\Ep~gf;(~IMlCiiE:_ CONSTR. Typ~\'IIS P '\) ~OF.f\ 1\'\\S '.~,~s: U1\'10f\\LI:: e~NDONI::\'/ HEAT SOURCE'" '<"r"C r"IR IS~ SECONDARY HEAT: COtANlI::\W~ ,~ ""v PERIOD. SQUARE FOOTAGE: Jl.tol'l ,,,;TV'"' QUAD AREA' . OF BLDGS' OCCY GROUP' . OF STORIES: WATER HEATER: LAND USE: RANGE: 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 8.m. will be made the following work day. REQUIRED INSPECTIONS D Final Plumbing - When all plumbing w9rk Is complet.e. o Rough Mechanlcel - PrIor to cover. D Temporary ElectrIc D Site Inspection - To be mado after excavation, but prior to setting forms. D Und';~slab Plumbing/Electrical/ Mechanical - Prior to cover. o Rough Electrical - Prior to cover. D Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanical work Is complete. D Electrical Service - Must be approved to obtain permanent electrical power. o Footing - After trenches are excavated. D Final Building - When all required Inspections have been approved and building Is completed. D FIreplace - Prior to facing materials and framing Insp. o Masonry - Steel locallon, bond beams, grou\\ng. D Framing - Prior to cover. DOther o Foundation - After forms are erected but prior to concrete placement. ~erground Plumbing - Prior ~fllllng trench, D Underlloor Plumbing/Mechanical _ Prior to Insulation or decking. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping, MOBILE HOME INSPECTIONS D Wood Stovo - After Installation. D Blocking and Set.Up - When all blocking is complete. D Post and Beam - Prior to ((oar Insulation or decking. D Insert - After fireplace approvlll and Installation 01 unit. D Plumbing Connections - When home has been connected to water and sewer. o Floor Insulation - Prior to decKing. .~ Sa'nltary Sewer - Prior to filling ~nch. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Electrical Connection - When blocking, set.up, and plumbing Inspecllons have been approved and the home Is connected to the service panel. D Sidewalk & Driveway - After excavation Is complete. forms and sub-base material in place. D Storm Sewer - Prior to f111Ing trench. D Fence - When completed. o Water Line - Prior to filling trench. D Final - After all required Inspections are approved and porch os, skirtIng, decks, and venting have been Installed. D Street Trees - When all required trees are planted. D Rough PlumbIng - Prior to cover. Lot faces Lot Type'. Lo.t sq, flg, InterIor Lot coverage Corner Panhandle ',: Topography Total height Cu/-de.sac BUILDING PERMIT ITEM SQ, FT, ., '( X $/SQ, FT, ~ Main Garage Carport Total Value Building Parmi t Fee State Surcharge Total Fec (A) ..~ I P.L. IN Is Iw IE VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FIxtures ,11'1: . ~ 1,.' , , ResIdential Bath(s) .- - N' Sanitary S~wer Waler FT. ~0 I " FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance StalO Surcharge Sldewatk fl Curbcut fl Demolition State Surcharge Total Miscellaneous Permlls (E) TOTAL AMOUNT DUE (excluding electrical) (.... B. C, D. and E Combined) FEE 2,5frD .. ( .' '.' '. : ' . ': ~\ ' '.. 'j ': J. C). tJ1) I,~~ .7-f :l7.tJy) ~q) ',.," ... .~; :.;; ~I~.\;t.:~;'l . '('THE PROPOSED W~~K 1:'THE:!!l:: .~- ....HISTORICAL DISTRICT, OR ON THE HISTORIC...L REGISTER? If yes, this appllcallon must be signed and approved by. the Historical Coordinator prior to permit issuance. Setbacks . HSE GAR Acc.1 \ I I \ APPROVED: . .. " .t BUILDING VAUJE, 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, 01 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: Recel pt Number. Received By: Plans Reviewed 8y Date Systems Devetopment Charge Is due on all undeveloped properlles within tile City IImlls which are being Improved. ADDITIONAL COMMENTS By signature, I stato and agree, that I have carefully examined Ihe 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 Springfield, 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 at the front of the property. and the approved s~t plans will remain on the site at all times durIng con uctlon. ~ , ./1"'''' - ____ Signature h .-- ~~,,' Date - ~~~7 , VALIDATION: RECEIPT NUMBER J..I4 (J r;tj DATE PAl[)' 7- 1'(- q 7 AMOUNT RECEIVED .17.PJ RECEIVED BY ---#t'