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Home My WebLink AboutPermit Plumbing 1991-3-18 mlt.5ena // c.S. 31 'M RESIDENTIAL PERMIT APPLICATION .' Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSE9-dO!.~:: ASSESSORS MAP: 1'1 . . -, LOT: OWNER: -r;)/~ ADDRESS:../ is 9 CITY: Sfr'~9-h~/r1...~' DESCRIBE WORK: ~ fa (U 0 , - SPRINGFIELD . 9/0Z~9 JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 4440 /U'r1Jtf Co O;l.. lX1Ls () SIO.~"o.J ~ TAX LOT: " '/''''' 4- 'N .~ L:# O'.O;;;L ....~ . ',' "., BLOCK: SUBDIVISION: I,. ' I ; ~ PHONF" 7;).(0-%0;;)0 STATE: I)~ Q7'1IJtf1 ZIP: IJ JanJ'v / Ine-' ~DfY) st'de uxt (/G OTHER X. -fd h 6US e.. NEW REMODEL ADDITION DEMOLISH CONTRACTOR'S NAME GENERAL: P.LUMBIN,G' , ADDRESS CONST. CONTRACTOR # PHONE EXPIRES , 8SQ S. 3J4h Spt/d. (JR...- -- , . A ('OWI7et<.- - , ' , 7~fo -t02o ) /' -riA Je~ mase41 ~,' I -J ../ MECHANICAL' ELECTRICAl' - OFFICE USE - QUAD AREA: LAND USF' FLOOD PLAIN' # OF BLDGS: # OF UNITS: ZONING CODE: OCCY GROUP: CONSTR, TYPE: # OF BDRMS: # OF STORIES: HEAT SOURCF" SECONDARY HEAT: WATER HEATER' RANGF' SQUARE FOOTAGE: To request an inspection, you must call 726.3769. This is a 24 hour recording. All inspections requested before 7:00 a,m. will be made the same working day, inspections requested after 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 Plumbing I Electricall Mechanical - Prior to cover. o Footing - After trenches are excavated, D Masonry - Steel location, bond beams, grouting. ' , o Foundation - After forms are erected but prior to concrete placement. Ir7l Underground Plumbing - Prior lA...J, 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 - Prio( ~~ decki ng. D Sanitary Sewer - Prior to filling trench, .'. .,.~.'. D Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Final Plumbing - When all plumbing work is complete. o Rough Electrical - Prior to . cover, , D' Final Electrical ,--'- When all electrical work ,is complete, , ' D Electrical Service - Must be approved to obtain permanent electrical power. D Final Mechanical - When all mechanical work is complete. D' Fireplace ~ Prior to facing materials and framing Insp. D Final Building - When all required inspections have been approved'and building is completed. o Framing - Prior to cover, D Other D Wall/Ceiling Insulation - Prior to cover. ' D Drywall - Prior to taping, MOBILE HOME INSPECTIONS , - '.~ ,-. ~ . D Wood Stove - After Installation. . ' D Insert - After fireplace approval and Installation of unit, D Blocking and Set.Up - When all blocking Is complete, D Curbcut & Approach - After . forms are erected but prior to placement of concrete. D Plumbing Connections - When home has been connected to water and sewer, , 0 'Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place, D Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is cO,nnected to the service panel. D' Fence':""; When comple!ed. ,. D Final - After all required . ' Inspections are approved and , .,. porches, skirting, decks, and venting have' been i,nstalled. o Stree,t Trees -' viJiienall' requfred " trees are pla~~ed. , Lot faces -::SO u-+-h Lot Type . Setbacks Lot sq. ftg, Interior I P.L. HSE GAR ACC IN Lot coverage Corner - Is Topography Panhandle Iw Total height Cul-de.sac IE I.E PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON i 1_. THE HISTORICAL REGISTER? NO If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance, APPROVED: , " X $/SQ, FT. = \ VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT BUILDING PERMIT ITEM SQ, FT. " . , " l" \ \"' " This permit is granted on the express ~ondition 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 ') l . buildings, and may be suspended or';revoked at any time upon violation of any provisions of said ordinances, , Main Garage Carport Plan 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. 4g Storm Sewer FT. Mobile Home "Z:)., o~ Total Charge (C) -:2,~ a-P I. '2 S- Z. Z'> 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 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 701.055 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 J 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 on the site at ~es during construction, s;gna,"~,,~@ c:r Date~-/ 3' - 9/ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge VALIDATION: Total Miscellaneous Permits (E) RECEIPT NUMBER /95 ~e 5-/~-~/ AMOUNT RECEIVED ~ ~~- "2 ~ ~~ D' DATE PAID TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, ~nd E Combined) RECEIVED BY / ,'" ,