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HomeMy WebLinkAboutPermit Plumbing 1997-6-3 Inspections: 726.3769 ...~ Office: 726-3759 ' ~..i' LOCATION C;>F PROPOSED WORK: S-" 0' ,tOc;, ~-../ ~h :1i1 /[?-, ASSESSORS MAP: / ")...~<- '3:3'- ~~, , OWNER: ~r4 /d '<J't- ~ ctQ, ,../~ ~rllrbY' ADDRESS: '5 0>' ~ () Lk, \1 / ~~ it; IY- CITY: ~J:::..!"} ~~ ~ ~ STATE: / r// ) RESIDENTIAL PERMIT APPLICATION , ' LOT: DESCRIBE WORK' NEW REMODEL ADDITION OTHER CONTRACTOR'S NAME GENERAl' ,PLUMBING: P<:fr MECHANICAL: ELECTRICAL: QUAD AREA' # OF BLDGS: OCCY GROUP: # OF STORIES: WATER HEATER:' 'i .' SPRINGFIELD . JOB NUMBER q ":A::::>~~ 225 Fifth Street Sprlnglleld, Oregon 97477 TAX LOT: CZ>/V:;;>~ ,'., :', ;.' .~ i BLOCK: SUBDIVISION: ~ PHONE: 7t/~ - <?OO J ();f' ZIP: L7 '1-zr I DEMOLISH ADDRESS' , CONST. CONTRACTOR # EXPIRES,:':) PHONE IQI ,~t::~~;'_tr'~ .l.LJ) (7 ? LJil17 5~(1.r17 7('7(1' ", ,:' - OFFICE USE - LAND USF' ,FLOOD PLAIN: ZONING CODE' # OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: # OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: 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 alter 7:00 a.m. will be made the following work day. REQU I RED INSPECTIONS D Temporary Electric o Site Inspection - To be mado after excavation, but prior to sellfng forms. ' D Underslab Plumbing/Electrical/ Mechanical - PrIor to cover. D Footing - After trenches are excavated. ' D Masonry - Steel location, bond ,beams, grouting. ' D Foundation - After forms are erected' but, prior to concrete placement D Underground Plumbing - Prior to filling trench. D Rough Mechanical ....:. Prior to' cover, [ZJ Final Plumbing - When all plumbing w9rl< Is complet~, , , '0 Rough Eh3ctrlcal ....,. Prlor'to ' cover. o 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. o Fireplace - prior to facing materials and framing Insp. o Final Building - When all required Inspections have been approved and building Is, completed. o Framing - Prior to cover, D Other o Wail/Ceiling Insulation - Prior to cover. ' o Drywall ,..... Prior to taping. MOBILE HOME INSPECTIONS O Underlloor Plumbing/Mechanical' , -,Prior to Insulation or decking. D Wood Stove - Alter Installation. o Post and Beam - Prior to floor Insulation or decking. " - D Floor Insulation - Prl.or,to decking. - o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. ' o Water Line - PrIor to filling trench. _ , '. rN1 Rough Plumbing -,.. Prl,or to ~ cover, . o Insert - After fIreplace approvlll , and Installation of unit. ' o Blocking and Set. Up - When all , bl~cklng Is complet,e. o Curbcut & Approach - Alter forms are erected but prior to placement of concrete. o Plumbing Connections - When home has been connected to water and sewer. O Sidewalk & Driveway - After excavation Is complete, forms , and' su~.base'materlal In place. o Electrical Connection - When blocking, set-up, and plumbing , , Inspections have been approved and the home Is connected to the service panel. ' o Fence: -:- "'then completed. o Final - After all required .., Inspections are approved and porches, skirting, decks, and venting have been Installed, o ,Street Trees - When all required trees ~re planted, ' , lot faces '.~" .. 'i, iil'; ,''',,;f,U,'', ~#ijt~'i. , ~. . lot Type lot sq. ftg. Interior - lot coverage' Corner ' - Topography Total height - ~' Panhandle " , Cul-de"sac " (, '.il.,', 'It. 'j' BUILDING PER~IT;\1 i';,:j so. FT. X $/so. FT. = ITEM Main Garage Carport '0 Total Value Building Permit Fee State Surcharge Total Fee (A) " Setbacks ' I 'P.l. I HSE I GA;/ ACe' IN" I I s ~ I /w ~ VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary S~wer FT. Water FT. Storm Sewer FT. MObile Home Plumbing Permit ~I'~ State Surcharge Total Charge (C) . MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit , Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft ft Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0,' and E Combined), ' ( IS THEPROPOSED WORK ~N THE _ "'HIST08ICAL DISTRICT, OR ON THE HISTORICAL REGISTER? I I I' I APPROVED: ~ " I II L l BUILDING VAU1E, PLAN CHECK AND BUILDING PERMIT ' Tiils perm'it 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. If yes, this application must be signed and approved by the, Historical Coordinator prior tei permit Issuance, I . 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 being improved. FEE /~ .... :.~ , - /b ~2<fJ ADDITIONAL COMMENTS " . , By signature, I stato and agree, that I have carefully examined the completed application and do, hereby certify that all Information hereon Is true and correot, and I further oertlfy that any and ali work performed shall be done In accordanoe with the Ordlnancus of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described here'ln, and, that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I fu~ther certify that only contractors and employees who are In compllanc~ with ORS 701.055 will be used on this project. 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 pormlt oard Is located at the front of the property, and the approved set of plans will remain on Ihe. site el alt. 1~..6 Signatu~ I 7.~ Datee:,. ?- CJ7 \ VALIDATION: RECEIPT NUMBER DATE PAID A~OUNT RECEIVED RECEIVED BY \ . '2~/3 ~- ~~-::> ';2p" /6" fr~/ -