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HomeMy WebLinkAboutPermit Plumbing 1995-5-2 OWNER' ~~z:>y ('EWCLC~ , PHONE: 7~-<::::5/$<"V ADDRESS:' ~?-=i- '3' >' ~~~ ~~ _~ .4 ' ::?~^--p STATE: ~ ZIP: :;;;':>7:?~ DESCRIBE WORK: /~~C~~ /9~'?JS- f.~ ~ ?c'""'Rv.::;.) RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 ASSESSORS MAP' LOT' CITY: NEW REMODEL CONTRACTOR'S NAME '. BLOCK: ADDITION DEMOLISH -~ JOB NUMBER ~?~ 225 Fifth Street Springfield, Oregon 97477 SUBDIVISION: OTHER , ADDRESS CONST. CONTRACTOR It PHONE GENERA~ ' , ~ "_ 1- h ::?~~:;;-?;r~>~L PLUMBING:r;~ ~~ ?~~A.r9~r MECHANICAL: ELECTRICAL: EXPIRES /::;>~ y/_ ? / . -95: 7'7'"/"'26 SI / r / - OFFICE USE - QUAD AREA: LAND USE' , FLOOD PLAIN: It OF BLDGS: It OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: It OF BDRMS: It OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: 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 o Site Inspection - To be made after excavation, but prior to , seltlng forms. o Underslab Plumblng/Electricaf/ Mechanical - Prior to cover. o Footing - After trenches are excavated. ' o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but, prior to concrete placement. D Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical -, Prior to. Insulation or decking. '\. ' D Post and Beam - Prior to floor' Insulation or decking. ' , o Floor Insulation...... Prior to decking. _.. . r171 Sanitary SewE;r - Prior to fllilng !,A-J trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to IlIling trench. . ' D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical .-:. PrIor to cover. o Rough Electrlcal- 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 Wall I Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After , forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is compiete, forms and sub-base material In place. o Fence, - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all , plumbing work Is complete. 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 building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o PJumblng Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and tile home Is connected to the service panel. o Final - After all required Ins'pections are approved and porches, skirting, decks, and venting have been installed. Lot faces Lot TY_ _ Interior Lot sq. ftg. Lot coverage Corner Topography Total height Panhandle Cul-de-sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge ....:. I P.L. IN' Is Iw IE VALUE I~ .Total F:.e ~ ~ . , ,. . (~) '." . -..... ...... . SYSTEMS DEVELOPMENT C'HARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT. 7> Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge , Total Charge ;~ (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELL.~NEOUS PERMITS Mobile ,Home State Issuance State Surcharge, Sidewalk fl Curbcut ft Demolition State Su rcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE ~-.. V?/..~ ;;;?_-.::::? /.2~ ~..2C:> 9'5.. 2~ "",.\,' .. :"; ::: ;;:~;<'~'it~ ; .S THE PROPOSED WORK tN 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. Setbacks HSE GAR ACC APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the expr~s con91tlon that the said construction shall, In all respects, conform to the Ordinance adopte,d 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: t;U:'" ~ ~",..' ~ ',"-:" ' '. '~'Plan~Revlew~d By ";'~:~.: 1 '.. .' Date Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed application ~nd do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done'ln accordance with the Ordinancus 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 onIY,c,9htractors and employees who ;' "'."'\" are In compliance ",:,Ith 'OR5 701.0~5 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. Slgnature//} ,- Date~ - ~-- VALIDATION: RECEIPT NUMBER /.~/':S-' 5"-2 ~;> ~. :::?c::> ~.z~_...... r/ / "" DATE PAID ". AMOUNT RECEIVED RECEIVED BY