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Home My WebLink AboutPermit Plumbing 1991-7-29 /?/L?> ~ '"?h Q tP.n~JV'h'<" {' _~~d/ Iif.,,o~ d- /Jr RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 ASSESSORS MAP LOT OWNER ADDRESS CITY DESCRIBE WORK NEW REMODEL CONTRACTOR'S NAME GENERAL PLUMBING D/Z/.I;' <Y: y~./ MECHANICAl ELECTRICAL QUAD AREA H OF BLDGS OCCY GROUP H OF STORI ES WATER HEATER SPRINGFIELD /",o,,7'f,n/1,J: ( BLOCK LlVd STATE _/?/<( .5A.Jer- ~~ 4IUo('j~ JOB NUMBER <9/.?5.9.8? '" 225 Fifth St'eet Springfield, Oregon 97477 /?!t/c! , TAX LOT &?p~~ 'Y' SUBDIVISION PHONF ? ZIP ADDRESS CONST CONTRACTOR H PHONE REQUIRED INSPECTIONS o Rough Mechanical - Prror to cover o Rough Electncal - Prior to cover o Electncal Service - Must be approved to obtain permanent electncal power o Fireplace - Prior to facing materIals and framIng Insp ADDITION DEMOLISH OTHER EXPIRES hcf?()7 7-27-92 6'8'7-/6 ry. h03 SO/VJ",s/:i~ 1 0/ FLOOD PLAIN ZONING CODE H OF BDRMS SECONDARY HEAT SQUARE FOOTAGE To request an InspectIOn, you must call 7263769 ThIS IS a 24 hour recording All Inspections requested before 700 a m wIll be made the same working day, Inspections requested after 700 a m will be made the following work day o Temporary Electnc o Site Inspection - To be made after excavation, but prior to settIng forms o Underslab Plumbing/ Electncal/ Mechamcal - 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 D Underfloor Plumbing/Mechanical - Prior to insulation or decking o Post and Beam - Prior to floor Insulat!on or decking o Floor Insulation - Prior to decking [XJ Sanitary Sewer - Prior to fr1llng trench o Storm Sewer - Prior to filling trench O Water Lrne - Prior to filling trench D Rough Plumbrng - Prior to cover - OFFICE USE - LAND USE # OF UNITS CONSTR TYPE HEAT SOURCE RANGE o Framrng - Prior to cover o WaIl/Ceiling Insulation - Prior to cover o Drywall - Prior to taping o Wood Stove - After installation o Insert - After fireplace approval and I nstallatlon of Unit o Curbcut & Approach - After forms are erected but prior to placement of concrete o Sidewalk & Driveway - After excavation IS complete, forms and sub base material In place o Fence - When completed o Street Trees - When all requIred trees are pI anted o Final Plumbing - When all plumbing work IS complete o Fmal Electrical - When all electrical work IS complete o Fmal Mechanical - When aU mechanical work IS complete o Fmal 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 Plumbing Connections - When home has been connected to water and sewer o Electncal Connection - When blocking, set up, and plumbing inspections have been approved and the home IS connected to the service panel o Fmal - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed Lot faces Lot Type Setbacks , THE PROPOSED WORK IN THE Lot sq ftg Interior I PL H8E GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the HIstorical Topography Panhandle Iw I Coordinator prior to permit Issuance Total height CuI de sac IE I APPROVED BUILDING PERMIT ITEM SO FT X $/80 FT VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Main This permit IS granted on the express condition that the 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 Garage Carport Plan Check Fee Date Paid Total Value Receipt Number Burtdlng Permit Fee ReceIved By State Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge IS due on al! undeveloped properties within the City limits which are being Improved PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT Water FT Storm Sewer FT ~&>-/S-c> 4/0 " 0<:> Mobile Home Plumbing Permit State Surcharge '/6J _ """ Total Charge (C) :? - ....,. Sf::? CD MECHANICAL PERMIT Furnace Vent Fan NO 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 all work performed shall be done In accordance with the Ordinances of the City of Sprrngfleld, and the Laws of the State of Oregon pertaining to the work descrrbed herein, and that NO OCCUPANCY will be made of any structure without permiSSion of the BuJldlng Safety DIvIsion I further certify that only contractors and employees who are In compliance with ORS 701055 will be used on this project Exhaust Hood Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree to ensure that all required Inspect[ons 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 du construction _ ,.,. ~~~-=-::) 7- 2q- ~ "'7/ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Datp - Curbcut ft Demol[tlon State Surcharge VALIDATION RECEIPT NUMBER -<'::>$3/ DATE PAIl' 7--;::;>9-9/ AMOUNT RECEIVe" '7"":2 = RECEIVED BY 4 /7.P----? ~_"'_'~ -p-- r.2/ Total M[scellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)