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HomeMy WebLinkAboutPermit Plumbing 1996-10-14 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ortice: 726.3759 ASSESSORS MAP: LOT: -- SPRINGFIELD JOB NUMBER .~~:fl~ 225 Fifth Street Springfield, Oregon 97477 --........ TAX LOT: J 3~ ) SUBDIVISION: OWNER: NQJ\ ~ ~^3tUQl ' L(~tl CL_ ADDRESS: -V 0 2nx 7 (0/ / 1.rtilt CITY: .<;pP (c ~ ~ .. I STATE: II () lZ DESCRIBE WORK: rtpbtt./ ~~f7l1)-y 60 I~..I/j/ //h{l NEW REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME BLOCK: PHONE: ZIP: 971.(77 ADDRESS CONST. CONTRACTOR # EXPIRES .~ PHONE GENERAL: ' PLUMBING: _f\hf~~;y'"' . rn....137;x I UhK-_ MECHANICAL: ELECTRICAL: /()1./333 JKd/L7 l(C5--L( 7~L-/ s - OFFICE USE - QUAD AREA: LAND USE: _,. FLOOD PLAIN: # OF BLDGS: # OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: # OF BDRMS: # OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: SQUARE FOOTAGE: , To request an Inspection, you must call 72~:3769, This Is a 24 hour recording, All Inspections requested berore 7:00 a,m, will be made the sarrle working day, Inspections requested arter 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 Pfumblngl Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. ' D Underfloor Plumbing I Mechanical - Prior to Insulation or decl<lng. D Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. ~ sa, nltary Sewer - Prior to filling r---'\rench. o Storm Sewer - Prior to 1IIIIng trench. o Water -LIne - Prior to filling trench. o .Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D Rough Mechanical -:- Prior to cover. / o Rough Electrical - Prior to cover. D 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/C'elling Insulation - Prior to cover. o Drywall - Prior to ~aplng. o Wood Stovo - After Install allan. D Insert - Arter fireplace approval ,and Installation or unit. o Curbcut & Approach - After forms are erected bul prior to placement or concrete. o Sidewalk & Drlvewav - Arter excavation Is complete, forms and sub.base material In place. o Fence - Wtlen completed. o Street Trees - When all required trees are planted, D Final Plumbing - When' all plumbing w\Jrl< is complete. o Final Electrical - When all electrical ,worl< is complete. D Final Mechanical - When all mechanical worl< is complete. o Final Building - When all , required Inspections have been approved and building Is completed. D Other MOBilE- HOME INSPECTIONS o Blocking and Set-Up - When all blocking Is comp,lete. o Plumbing Connections":'" When home has been connected to water and sewer, o Electrical Connection - When blocking, set.up, and plumbing Inspeclions have been. approved and the home is connected to the service panel. / o Final - After all required Inspections are approved and porches, skirting, decl<s, and venting have been installed, f '. '~':', '" ,i\~',:'_. ". .....t! ';:' '. ~: I I; Lot faces Lot TYPL Lot sq, f,ig. Interior Setbacks PL.IHSE'GAR'ACC' 'IS THE PROPOSED WORK IN THE, HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Hls'torlcal Coordinator prior to permit issuance. Lot coverage Corner N Topography Total height Panhandle' S Cul-de-sac W E J APPROVED: ITEM SQ. FT. X $/SQ, FT. VALUE BUILDING VALUE, PLAN CHECK ,AND BUILDING PERMIT BUILDING PERMIT Garage " This, permit Is granted on the express conditldn thatlhe 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. Main Carport Plan Check Fee: Date Paid: Total Value Building Permit Fee Receipt Number: State Surcharge Received By: Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tho Ci.'y limits which are being improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) NO Sanitary S~wer FT. C; () Water FT. Storm Sewer FT. Mobile Home !to. /J[) Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan NO By signature, I stale 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 Ordinances of the City of Springfield, and the Laws of the Slate 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. Exhaust Hood Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree 10 ensure that all required Inspections are requested at the proper time, lhat each address Is readable from the street, ltlat the permit card Is located at the front of the properly, and lhe approved set of plans will remain on the slle at all times during construction. "~ Signature ,Q14'LLtf t?, - ~ Date I (/ )("')- I t../ -9 {. MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It I Demolition Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER Ji;/-l11 10 -- J1j~ tf & ff70 DATE PAID State Surcharge TOTAL AMOUNT DUE (excluding electrical) (A, 8, C, D, and E Combined) AMOUNT RECEIVED FIECEIVED 8Y __,~__