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HomeMy WebLinkAboutPermit Plumbing 1997-10-30 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 .,~ _ rJ Office: 726.3759 ~JI LOCATION OF PROPO,SED WORK: c:; l.p le () ~~ ASSESSORS MAP: Ii 0 d- "3 '34 'U (j ,SO"7) , OWNER' {V\ \c.hcLu LU'5l\~ ADDRESS:' ::'){obD ~114 ~ CITY: Sp::r 0~ Llri ~~,po _ DC' t!o+~, Cold . ... " LOT: DESCRIBE WORK' NEW REMODEL ADDITION DEMOLISH CONTRACTOR~S NAME SPRINGFIELD BLOCK: 4! 5(c; STATE: ()R.~~ . ~ JOB NUMBER 97 / 5 7....s- 225 Fifth Street SprlngCleld, Oregon 97477 .#=: 5 'fa TAX LOT: SUBDIVISION: '" , PHONF' ZIP: ct:J4'~ lAXt:bx ~~L)-b.vn ~ OTHER L--" " ADDRESS' , CONST. CONTRACTOR # EXPIRES '..... PHONE ". GENERAl' PLUMBING: p"",~~ ct~ 'SD<N\~S- YD-V~~o NO"~~ITS: .L EXP\RE \f \ ri~ \<<>R~ lH\g<P~l\W~ lH\5 pct\M\1 \S NO ^U~AeR~~ER B~NUU\~t.D~0~ WATER HEATER: C~~D OR \5 ~ SQUARE FOOTAGE: "'rr,;Q\OO. " , ""\f18UUf'\' - , To requ3st an InspectIon, you must call 726~~9. 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. MECHANICAl' ELECTRICAL: QUAD AREA: # OF BLDGS: OCCY GROUP: # OF STORIES: o Temporary Electric o Site Inspection - To be made after excavation. but prior to setting forms, D Underslab PlumbIng/ElectrIcal/ Mechanical - 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. o Underground Plumbing - Prior to filling trench. - OFFICE USE - LAND US!:' , , REQUIRED INSPECTIONS o Rough Mechanical .:..;; Prior to cover. . D Rough Electrical - Prior to cover. " II o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facIng materIals and framing Insp. o Framing - Prior to cover. D Wail/Ceiling Insulation - PrIor to cover. D Drywall - PrIor to taping. o Underfloor Plumbing/Mechanical D Wood Stovo - After Installation. - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking, ' , o Floor Insulation - Prior to 'decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. D Water line - Prior to filling trench. o Rough PlumbIng - Prior to cover. o Insert - After fireplace approvlll and Installation 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, planted. ' , llrB'l3 /7fq, ~~~ l FLOOD PLAIN: ZONING CODE: II OF BDRMS: SECONDARY HEAT: ~nal Plumbing - When all plumbing w9rl< Is complet,e. D Final Electrical - When all electrical work Is complete, o Final MechanIcal - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building Is completed, o Other MOBILE HOME INSPECTIONS o Blocking and Sel.Up - When all blocking Is complete. , o Plumbing Connecllons - When home has been connected to water and sewer. , o Electrical' Connection - When blocking, set.up. and plumbing, Inspecllons have been approved and the home Is connected to the service panel. D Final - After all required Inspections are approved and porches. skirting, decks, and venting have been Installed. Lot faces Lot~yP. Interior {' , ~ " ,;.. .~ \ ., I' 'l""~ ;;..\ ;.,", ", .~. I. , . ,....", '1",'''';,,'II'l:'<W-fir'\iil'' '~.:.'.', ,'" '.... 'J.~.."'~';'\:<~J.~~':A,,'."'; . ~. Setbacks ' HSE GAR ACC' .'5 THEPROPOSED WORK tN THE_ '-"HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If y~s, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Lot sq, ftg., Lot coverage Corner Panhandle \,' p.L. N Topography Total height Cul.de.sac S W E APPROVED: BUILDING PERMIT ':'j :i;~ ITEM, SO, FT, X $/SO. FT, = VALUE BUILDING VAulE, PLAN CHECK AND BUILDING PERMIT Garage Carport " 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. Main Plan Check Fee: Date Paid: Total Value Building Permit Fee State Surcharge Receipt Number' Received By: 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) N' -,/ I Sanitary S~wer Water FT. '.. " " , , ,"" :1' I. ' , Storm Sewer FT. FT. " t- " ~, . H' I ."~', ::,t A , . Mobile Home , ' ,'\; ,. I' , ' Total Charge (C) .p 1<:, .- %-~ -r .lfS'" ~/(p.dO I 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 Stovellnsertl Fireplace Unit Dryer Vent Mechanical Permit Iss~ance State Surcharge ~ V Total Permit (D) State Surcharge Sidewalk ft ft I further agree to ensure that all required Inspections are l 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 during construction. Signature ~j ~LL~ Date' 1 I),; ..~J--q -=r- MISCELLANEOUS PERMITS Mobile Home State Issuance Curbcut Demolition State Surcharge VALIDATION: Total Miscellaneous Permits (E) RECEIPT NUMBER {)7 3 c:, c:{ DATE PAID 3AJ~~ AMOUNT RE,CEIVED lIP j~.d-6 <=K~ ./<7 "1 '7 '. TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) RECEIVED BY "