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HomeMy WebLinkAboutPermit Plumbing 1999-12-13 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 SPRINGFIELD LOCATION OF PROPOSED WORK: <.:?'/O ASSESSORS MAP: ~~~ 7"3 " Cr'''''~''II''\-C LOT: BLOCK: JOB NUMBER 99/~6 225 Fifth Street Springfield, Oregon 97477 S ~A2 I trJ /:; --. /.r / TAX LOT: ~ ~ SUBDIVISION: PHONE: OWNER: At F,<"'-~Y2 ADDRESS: y/ r? CITY: c...-~IZ- illlc-..... 1-,: 1/ - I a /' -, r j) L-e'-"\JrV\,\A, L "" "-..\J", ' STATE: c:fl>>z. DESCRIBE WORK: c:< ,~-( ZIP: 779'77 NEW REMODEL " 2JI~ ,e<p,-'PC-cJ'V\~'\....'//u ~~~~/ ~~/W~ ADDITION DEMOLISH OTHER CONTRACTOR'S NAME GENERAL: tfi.~)......~l..,L CON ST. ADDRESS CONTRACTOR It CO <-t) Ui{C/'-... 2 7 ~ ? zP )~/~;- // ~S '--- EXPIRES PHONE '7~4/.t.. t. i;l- - lOt:> I (P Jj?-l(.. D j PLUMBING: MECHANICAL: ELECTRICAL: QUAD AREA: It OF BLDGS: OCCY GROUP: 1/ OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: It OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: __ FLOOD PLAIN: ZOr:JING CODE: It OF BDRMS: SECONDARY HEAT: 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, 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. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking, IV1 Sanitary Sewer - Prior to filling L,4..J trench. D Storm Sewer - Prior to filling trench, D Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS' o Rough Mechanical - Prior to . cove~ , o 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. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping, o Wood Stove - A(ter Installation. o Insert - After fireplace approval and instal/atlon of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete, o Sidewalk & Driveway - After excavation Is complete, (arms and sutJ-base material in place, 0, Fence - WIlen completed. o ~"reet Trees - When all required trees are planted. 0' Final'Plumbing - When aI/ plumbing worl< Is complete. o Final Electrical - When aI/ electrical worl< is complete. o Final Mechanical - When all mechanical worl< 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 blockin~J 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 tl1e home is connected to the service panel. o Final - Alter all required inspections are approved and porches, sl<irtlng, decks, and venting have been installed, Lot faces Lot sq.)tg.,~ ' .- ~'b..'~\\ ~~,,:' Lot coverage .:.. ~-".;.' ';".' '~ ., '... Topography Total height C ',"H::, . : ,"." BUILDING 'PERMIT ITEM SQ, FT. Main Garage Carport 1r;' ...,~..,. - . ," "'-,. '::--;1 ....J:~, '. . '~: .- .. ,,:.-t;'t~1 Value Buildi'ng Permit Fee State S'urcharge Total Fee Lot Type Interior Corner Panhandle Cul.de.sac ' X $/SQ, FT. '>,'), '_....,.. . ,"'<' 1. (A) I Pl. IN Is W, ' E V A LU E SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO ' FT. ~.ttJ FT. FT. ;~ (C) Dryer Vent Wood Stove/Insert/Fireplace Unit NO, Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home 'State Issuance State Surcharge Sidewalk It Curbcut (t Demolition .. S'lat?, Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, 8, C, 0, and E Combined) FEE .. ,., ~.. ,.e;-' t,I~ ' . :Z~ / ''2?' q'?/ ~~ , Setbacks HSE GAR ACC IS T.HE PROPOSED,WORK iN THE, HISTORICAL DISTRICT, OR ON THE HISTORIcAL REGISTER? If yes, this application must be signed 31)d approved by" the Historical Coordinator prior to permit issuance, "APPROYED; ;' 'l~" ...._' -:\ :_, . '.", ,_ "".,. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on'the expr,ess conditiqn that'the said construction shall, in all respects, conform to the Ordinance adopted by, the C;ity of, Spring.field, including the" Development Code, regulatiJ;lg the construction and use of buildings; and may be suspended or'revoked at any time upon violation of any provisions of said ord!nances. Plan Check Fee: .. r Date Paid: RE)ceipt Number' Received By; ._--, ------ Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ,~, DDITIONAL COMM:.~T~~,_ _ '.. ~b"t="~ A~ ~~/~~~ 1~~.,z:-~Ai".7e=-~; ?~?:1fA?~~r- a-?..w'>~~:i/ /~^'~~/~~. -60 ".7/, r/, //' .,:'~' ... ~~~ /~/~"/3'99 BY,slgnature,1 state and agree, that I have carefully examined the corppleted application and do hereby cedify that all Information hereon is true and correct, and I further certify, that any and all work performed shall be done in accordance with,theOrdinances of the City of Springfield, and the Laws of 'the Sta'te 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. I further agree to ensure that all required inspections are, r~quested at the proper time, that each address Is readable from the street, that th rmitcard Is located at the front of the property, an e approved set of plans will remain on the site a~1 'mes urlng construction. Signature D~te fl,i. - (~-19' . '\ VALIDATION: RECEIPT NUMBER '?~7"'// DATE PAID /Z~,~ AMOUNT REC~IVED .--. 'fl/.. ~' , '. REC"EIVED BY -h~~~~~ _. -~,.,. , , ty~ .