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HomeMy WebLinkAboutPermit Plumbing 1991-6-18 RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 726 3759 LOT SPRINGFIELD BLOCK , JOB NUMBER C\\()8~ ) 225 Fifth Street Springfield, Oregon 97477 TAX LOT (y)P(j4 SUBDIVISION OWNER ?- \ ,""-UL ~J...> '0;\C"\.t'\ ~>U PHONE 14 \- ~ ADDRF"'''' rJ(n~?J ~\ \~'f\.\'\,\('Q('S) ~~..:x?~ CITY ~~~~ ~TATE (() JG DESCRIBE WORK \( \-\ J... J... .\\"\. D\-[\C"\ ~~_tVTY\..l~ NEW REMODEL ADDITION DloMOLlSH OTHER CONTRACTOR'S NAME GENERAL PLUMBING MECHANICAL CO 1 ,) \'\-.Q.,;V ELECTRICAL QUAD AREA . OF BLDGS OCCY GROUP # OF STORIES WATER HEATER ZIP G\' \-<\ II ADDRESS CONST CONTRACTOR # PHONE REQUIRED INSPECTIONS o Rough Mechamcal - Prior to cover D Rough Electncal - Prior to cover D Electncal Service - Must be approved to obtain permanent electrical power o Fireplace - Prior to facing materials and framing lnsp - OFFICE USE - LAND USE # OF UNITS CONSTR TYPE HEAT SOURCE RANGE EXPIRES FLOOD PLAIN ZONING CODE # 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 am w!ll be made the same workIng day, inspectIOns requested after 700 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 Plumblng/Electncal/ Mechanical - Prior to cover D 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 o Underfloor Plumbing/ Mechanical - Prior to InsulatIon or decking o Post and Beam - Prior to floor Insulation or decking D Floor Insulation - Prior to decking D Sanitary Sewer - Prior to filling trench D Storm Sewer - Prior to fllllng trench D Water Line - Prior to filling trench ~U9h Plumbmg - Prior to ~over o Framing - Prior to cover o Wail/Ceiling Insulation - Prior to cover D Drywall - Prior to taping o Wood Stove - After Installation D Insert - After fireplace approval and installation of unit o Curbcut & Approach - After forms are erected but prior to placement of concrete o Sidewalk & Dnveway - After excavation IS complete, forms and sub base material In place D Fence - 'When completed D Street Trees - When all req~ulred trees are planted o Final Plumbmg - When all plumbIng work IS complete D Fmal Electncal - When all electrical work IS complete o Fmal Mechanical - When all mechanical work IS complete o Fmal Building - When all required Inspections have been approved and bUilding 15 completed OOthe, MOBILE HOME INSPECTIONS o Blockmg and Set Up - When all blocking IS complete D 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 Final - 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 Interror PL HSE GAR ACC I HISTORICAL DISTRICT, OR ON I THE HISTORICAL REGISTER? Lot coverage Corner N 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 $/SO FT VALU E 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 Spnngfleld, 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 pran Check Fee Date Paid Total Value Receipt Number BUIlding Permit Fee Received By State Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge IS due on all 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 Mobile Home Total Charge (C) J S.U-) ,'is F51'3 Plumbing Permit State Surcharge 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 Building Safety DIVISIon I further certify that only contractors and employees who are In compliance With GRS 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 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 WI!I remain on the te at all times, dn construction , Slgnatur ~,~) LI/kfl /.6; dLd.//lT./-> &-/!7-91 (j MISCELLANEOUS PERMITS MobIle Home State Issuance State Surcharge Sidewalk ft Date Curbcut It Demolition TOTAL AMOUNT DUE (excluding electncal) (A, B, C, D, and E Combined) J es '7-5 VALIDATION f\ A /' "'..) RECEIPT NUMBER] rOrrn) (\ DATE PAIL> 0 ' {X . q ( AMOUNT RECEIVEr> ./3 1:'.. CCf>~ RECEIVED BY j State Surcharge Total MIscellaneous Permits (E)