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Home My WebLink AboutPermit Plumbing 1994-10-10 RESIDENTIAL PERMIT APPLICATION Inspections' 7263769 Office' 726.3759 LOT BLOCK . \ JOB NUMBER q4\~~'/ 225 Fifth Street s~~~:rn 97477 TAX LOT " ( ) 4 ( ) ( X ) SUBDIVISION OWNER\ 'g\,,~~O(X\ ~~~ )\OQ~ 0 PHONE r(\ 1 ~~:/L ADDR':C'~"'1!)\\) ~Q"f\~Q~nQ ~ r; CITY lLO 0- STATE \. [)(\ ZIP '-"t' \"t-l r l .~~ . n~ DESCRIBE WORK\ ~\ Q D \~ ~ \ ^- <Jl""t 51 L r{1 il 0 , - r~ p<[) ..- NEW REMODEL \ ADDITION DEMOLISH OTHER f t-\ ~ ~ '~~~1.=1_ ..- _ CONTRACTOR'S NAME PHONE ADDRESS CONST CONTRACTOR' GENERAL \.\ f, PLUMBING \ \}\() ~ffit) (\ "t( \l1\1 t^) MECHANICAL ELECTRICAl QUAD AREA /:) Q \\ ')W · OF BLDGS OCCY GROUP \.\~ ~ . OF STORIES WATER HEATER - OFFICE USE - LAND USE \ \\ \ · OF UNITS CONSTR TYPE HEAT SOURCE RANGE EXPIRES 4--Q4. s?1? - -'l'-.....:;;r- FLOOD PLAIN '\ ZONING CODE (-1-.)J9 _) . 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 700 a m will 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/Electrlcall MechanIcal - Prior to cover D Footing - After trenches are excavated D Maaonry - Steel location, bond beams, grouting D 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 D Post and Beam - Prior to floor Insulation or decking D Floor Insulation - Prior to deckl ng D Sanitary Sewer - Prior to filling trench D Storm Sewer - Prior to filling trench L-f)ater Line - Prior to filling ~enCh 6 Rough Plumbing - Prior to cover REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover D Rough Electrical - Prior to cover D Electrical Service - Must be approved to obtaIn permanpnt electrical power D Fireplace - Prior to facing materials and framing Insp o Framing - Prior to cover I D Wail/Ceiling InsJlatlon - Prior to cover D Drywall - Prior to taping D Wood Stovo - After Installation D Insert - After fireplace approvar and Installation of unit D Curbcut & Approach - After forms are erected but prior to placement of concrete D Sidewalk & Driveway - After excavation Is complete, forms and sub base material In place D Fence - When completed D Streel Trees - When all required trees Ble planted D Final Plumbing - When all plumbing work Is complete o Final Electrical - \^J.hen all electrical work Is complete C D Final Mechanical - When all mechanical work Is complete D FInal Building - When all requIred Inspections have been approved and building Is completed D Other MOBilE HOME INSPECTIONS D Blocking and Set Up - When all blockIng Is complete D Plumbing Connections - When home has been connected to waler and sewer D Electrical Connection - When blocking, set uP. and plurvblng Inspections have been approved and the home Is Connee-ted to the service panel D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed Lot faces Lot Typ Lot sq ftg InterIor Lot coverage Corner Topography Total ~elght Panhandle Cui de sac BUILDING PERMIT ITEM SO FT X $/SO FT Main Ga(age Carport Tolal Value Building PermIt Fee Stale Surcharge Total Fee (A) )~ ~~ ~ I Setbacks IH~E GAR'ACC\ ! PL IN Is Iw IE VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures , Residential Bath(s) N' Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuahce State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It It Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A. B, C, D, and E Combined) FEE ibaJ 1~5 ""15 "-' <0-/' ~..........J \ ;;:J '/ CC/ tS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes. this application must be signed and approved by the Historical Coordinator prior to permit Issuance APPROVED BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT 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 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 bemg 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 all 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 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 701055 will be used on this project I further agree to ensure that all required Inspections are requested at the proper time. th a h address Is readable from the street, that the per car s located at the front of the property, and aR roved et of plans will remain on the site t all ring VALIDATION ( RECEIPT NUMBER \ ~ DATE PAID 10' / (') -/ c) AMOUNT Rf,Gf,!..vtb , fi 7'FJ RECEIVED~~)V\\. ,-.J