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HomeMy WebLinkAboutPermit Plumbing 1998-10-28 SPRINGFIELD RESIDENTIAL PERMIT APPl!CATION Inspections: 726-3769 Office: 726-3759 .JOB NUMBER -J~! .3 cj::::: 225 Fifth Street Springfield, Oregon 97477 Cen+~"'IA--' BlvD 10m ASSESSORS MAP: LOT: __ TAX LOT: SUBDIVISION: BLOCK: ~e... .f?J~'-~'~ \ b ri "':)1--e~ ADDRESS: 13:>S c...e.h +eV'~il<'>--l l3l VI[) CITY: 5(Y,'l"8, +;'(...l cO DESCRIBE WORK: ((e.DI~~"",~ ~f- \ [4ft:, -Si.f61 OWNER: PHONF' crt Lf7 7 STATE: 0 (L. ZIP: Se-~ v- U" e.... ?e fh9a- e~x.c~t&.h1J NEW REMODEL ADDITION DEMOLISH ____ OTHER CONST. CONTRACTOR # CONTRACTOR'S NAME GENERAL: ADDRESS EXPIRES ,~~ PHONE ~..fc) rto o-+e.-v C0C> 11:- l I I fn ~ 'f~7 !<\y(;V" ~ t II q<7 ~'8i ~/711 PLUMBING: MECHANICAL: ELECf.RICAL: - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN: # OF BLDGS: # OF UNITS: ZONING CODE: # OF BDRMS: OCCY GROUP: CONSTR. TYPE: # OF STORIES: HEAT SOURCE: SECONDARY HEAT: ~\\ , \-I.f. \J'lUI , \~t:. SQU~~'<<iTh'cE: C:1~\ ~,('\1' v I\~l \ tl' _....~^\\ \..... ' \~- t>..~1\ 01 · .- c; n...'.l To request an Inspection, you must call 726-3769. This Is a 24 hour record~~b~gt:lec\if1...~e~\:it'@~\-ed ~~EtIZlBo a,m. will be made the same working day, Inspections requested after 7:00 a.m. will bt\{tn~C\t>~!aQMwrn~ ~~~(119 '- REQUIRED INSPECT~Ns'E~\Ct.D Ot\ \ On .. CO~~\ iT+R~R~ \J. D Rough Mechanical -' Prior to,.} 'll\) 'I)U 'tinal Plumbing - When all cover. , ",', r>-.~' '''', plumbing work Is complete. WATER HEATER: RANGE: D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D RoughElectrical\2:... 'P!lor to. cove~ . D Final Electrical - When all electrical work is complete. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. 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 location, bond beams, grouting. o Framing - Prior to cover. D Other' o Foundation - After forms are erected but prior to concrete placement. D Wail/Ceiling Insulation - Prior to cover. D Underground Plumbing - Prior . to filling trench. D Drywall - Prior to taping. MOBILE HOME INSPECfIONS D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Wood Stove - After Inst?IJatlo". o Blocki,:,g and Set.Up - When all . , . bl,9sk~ng Is complete. D Post and Beam - Prior to floor, Insulation or decking.. \ or '" ./ .1. o Floor Insulation - Prior to decking. . 't><'( Sanitary Sewer - Prior to filling . . \.trenCh, o Insert - After flrefi~~e"~app~rov81 . and Installation of unit. . ' .. , . . DPiumbing Connections - When , home has been connected to /. water. and sewer. o Curbcllt & Approach -:. Afte,r forms are erected but prior'to placement of concrete. D ElectrIcal Connection - When blocking, sel.up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Sidewalk & Driveway - After excavation is complele, forms and sub.base material in place. o Storm Sewer - Prior to filling trench. . ~ - l_ ". \. D Water Line - Prior to filling trench., ". < _ D Fence - When cCi"/lpleted. D Final - After all required inspections are approved and porches, skirting, decks, and venting have been Installed, DROU9h Plumblrig,,--. Prior to cover. ,___ _' . D Street Trees - When all required trees are planted. Lot faces - Lot Ty Lot sq. Itg. Interior Lot coverage Corner Topography Total height Panhandle Cul-de,sat ... ..,. _.....~... . .,. '( .-.1 BUILDING PERMIT 'i. 'f ITEM SO. FT. x $/SO, FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) , ,. " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. ~S- FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood. Vent Fan NO Wo.od,Stove/lnsert/Flreplace Unit .,;.'<,. . Dryer Vent Mechanical Permit Issuance State Surcharge ..' \~i' ~ 7 ::;"i '!.,,": Setbacks 'HSE'GAR'ACC! I I IS THE PROPOSED WORK ~NTHE. HIST081CAL 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. N S w ---'-'- , ; E VALUE " " I FEE j{),C{) 40,(ffl '. ~ zfJO ;, J. 1) T ..., ~ ~, Total Permit (D) . . . ~~requires you to MISCELI#\\N:itDIUSJP~gm]JI/tfi Ore on Utility Mobile Howtlow rules adopted by tel g re-set-t"~"" 1\1, tification Center. Those r~ ep a 001 State Issql3.9;~fi1R 952-001-0010 through OAR 952- - In OPt . . pres of the rules oy State Sur<QOO(ile You may obtam co I ~o II' the center (Note: the te,,:ol-''''''':- Sidewalk n~~~;/torthe Or~go~'Otility Notification Curbcut Genter is 1_800-332-2344). , Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) .\; - APPROVED' .. ,_"",." I. . 111.'\'..'. I.' ".' " I , . '.1. "~ -f.L . . BUILDING VALtJE, PLAN CHECK AND BUILDING PERMIT'. This permit is granted on the express c,ondition that the said 'corfstruction shall ,':i r;aii re.spects, conform to the Ordinance ,adopted ,by the Ci,tyof ,Springfiel9, including the Development'Coae, regula'ting the construction and use of buildings, and may be susp}lnde~ or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid: Receipt Number: Received By: .';." " Plans Reviewed By 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 and do hereby certify that all Information hereon Is true and correct, and I further certify that any and ali 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 des<;:rlped herein, and that NO OCCUPANCY will be made of any structure wi thout 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 pr erty, and the approve of plans will remain on the sl e t all. ~mes du g onst ction. Signature J(^-- -----. Date C- 10- 2-8-"lK' " ,/ VALIDATION: 3/ :b f:, ( /[)A~ ng (' ~/?!~t) ~ '1~1 I ~/~ A/ / /J A./\ ,z.:r {/- \, RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY