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HomeMy WebLinkAboutPermit Plumbing 1997-8-5 Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: _ &\.2.! ASSESSORS MAP: \,\[)(\33l\4 LOT: BLOCK: RESIDENTIAL PERMIT APPLICATION . ... SPRINGFIELD . JOB NUMBER C'1- .'oW 225 Filth Street Springfield, Oregon 97477 qat..\t~ . TAX LOT: -D \~ e8 SUBDIVISION: -, , OWNER: Ko b to Rt- ' k'C I! 'v ADDRESS: ' 5 c;, ~ 0 7)/1/5 v' sf.. CITY: .s PR"~) r::'~ (,1 / #-r3 STATE: 0 K PHONE: DESCRIBE WORK: _ ZIP: NEW REMODEL ADDITION OTHER DEMOLISH CONTRACTOR'S NAME CONST. CONTRACTOR II EXPIRES - PHONE GENERAL' PLUMBING?<>,I ADDRESS ,', ~ (2/ Sf n?Rkt 7;;Rf~IAJ ()~, ~()5 -25 ? }J /1 MECHANICAL: ELECTRICAl' /1051-3 QUAD AREA' - OFFICE USE -' LAND USE:_ FLOOD PLAIN: I( OF SLDGS: II OF UNITS:t\(\~'f.. ZONING CODE: ~", ' ., OCCY GROUP' ,CONSTR. TY.P~~~ _\~~p II OF SDRMS: ~ '" ~\ ,- II OF STORIES: HEAT ~rc.~~S'~ GQ~ SECONDARY HEAT: ~ -~~\.\. ~~~ ' ~~\) \ WATER HEATER: ii\\\(J · ~flb'\f\J~~~()a SQUARE FOOTAGE: ___ , ,\(), ~~~ \~'v \'0 ~~~ To request an Inspection, you mu,\\\fa~.~~~~~~_t~~i24 hour recording. All Inspections requested belore 7:00 a,m. will be made the same working day, Inspec~Wre~~e~~ 7:00 a,m. will be made the lollowlng work day, ~ (jC~~~ ~~i3UIRED INSPECTIONS /"<' D Temporary Electric t-~-{ ~ Rough Mechanical - Prior to ~ ~~~~ Plumbing _ When all cover. plumbing w9rl< Is complet,e. D Site Inspection - To be made after excavation, but prior to setting lorms. o Underslab Plumbing/ ElectrlcafJ Mechanical - Prior to cover. o Footing - Alter trenches are excavated. o Masonry - Steel location, bond beams, grouting, o Foundation - After lorms are erected but prior to concrete placement o Underground Plumbing - Prior to IlIlIng trench. , D Underlloor Plumbing / Mechanical - Prior to Insulation or decl<lng, , D Post and Beam - Prior to Iloor Insulation or decking, o Floor Insulation - Prior to deckl ng. ~ o Sanitary Sewer - Prior to 111I1ng- trench. , . " . o Storm Sewer - Prior 10 1IIIIrig trench. O Water Line - Prior to tilling trench, ~Ugh Plumbing - Prior to cover. , ~ ~ . : :~: ,::' ,.' : ;':.,';.,:' o Rough Electrical - Prior t~ cover, o Final Electrical - When all electrical worl< Is complete, '. o Electrical Service - Must 'be approved to obtain permanent electrical power, o Final Mechanical - When all mechanical worl< Is complete. o Fireplace - Prior to (acing materials and (ramlng Insp. o Final Building - When all required Inspections have been approved and building is completod, o Framing - Prior to cover. o Other o Wail/Ceiling Insulation - Prior to cover, o Drywall - Prior to taping. o Wood Stove - Arter Installation, MOBilE HOME INSPECTIONS o Insert - Alter fireplace approval and Installation 01 unit. o Blocking and Set.Up - When all blocking Is complete. o Curbcut & Approach - Alter , lorms are erected but prior 10 placement 01 concrole, o Plumbing Connections - When home hLls been connected to water and sower, o Sidewalk & Drlvew8\' - Aller excavation is complete, lorms and sub,base material 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 - WtlOn completed, o Final - Alter all required Inspections are approved and porches, skirting, decks, and venting have been Installed, o ~Hreet Trees - Whlln all required , trees are plantod, , " .' . ,', " " . . . :'."," . ,', .:' :~\~:' .): . " :', :: . : , " , " '. " . Lot faces Lot Type Lot sq. Itg. Interior 'I P.L IN Lot coverage Corner ,I S Topography Panhandle Total height Cui-de-sac W --- E . -.-::.... ":'. ~ , . . ":.': Setbacks HSE GAR ACC ( IS 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: " I ..J '_.---.J APPROVED: BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT, '" VA LU E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ' Garage . .' 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 revokod at any time upon violation of any provisions of said ordinances, Main Carport Plan Check Fee: Total Value Date Paid: Building Permit Fee Receipt Number: State Surcharge Received By: Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) . j - ..--.-. ---.-..- Plans Reviewed By Date, Systems Development Charge Is due on all undeveloped properties within tho City limits which are being Improved. PLUMBING PERMIT iTEM ADDITIONAL COMMENTS FEE Fixtures . ~ '1 , .:~/ " Residential Bath(s) NO .. , ,~ ".,., , . , " , " , , , ' " Sanitary S!3wer Water FT, FT. " " , ./, , .. ......J. " ' "f , . ' :-r'" ,'j. Storm Sewer FT, H.,.,~ ~ ',.", '~~"f;, . OJ' " . Mobile Home . "/1 , . .,. " ~ " " .'~ r,.. . ..,' " . ,"'/ 1 .\ --.:" . , ~', . " (C) l5.~, \.W (lo .W , . ,.- Plumbing Permit State Surcharge Total Charge ........ '. MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO By signature, I (;talc and agree, that I have carefully examIned the comploledappllcatlon and do hereby certify that all Information horeon Is true and correct, and l.furlher certify that any and all work performed shall be done In accordance with the Ordlnancu3 of tho City of Sprlngflold, and the Laws of tho Stote of Oregon perlnlnlng to the worl< described herein, and that NO OCCUPANCY will be made of any structure without permission of Ihe Building Safety Division, I further certify ttlat only contractors and employees who arc In compliance with ORS 701,055 will be used on this project. Wood Stovellnsert/Flroplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree 10 ensure that all required Inspections are requested at the proper lime, that oach address Is readable from tllO street, that the pormlt card Is located at the fronl of the prop rty, and the approved set of plans will remain on tile e a llli eZI: Cu ----' ....../ t; -c, =r- ~ , MISCELLANEOUS PERMITS Mobile Home State Issuance Stato Surcharge SIdewalk 'ft " , Dale Curbcut It Demolllion TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) . Lla Ji) VALIDATION: ' [) lA1f ~ RECEIPT NUMB~ (W.\"' J DATE PAID () .~.y() , . RECEIVED BY VJ!) _.# ' State Surcharge Total Miscellaneous Permits (E)