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HomeMy WebLinkAboutPermit Plumbing 1997-11-14 LOCATION OF PROPOSED WORK: /70 z- ~ 7, '3 i.I y . R,ESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP: LOT: OWNER: ~Q.b.cw-+ ~ \~ ADDRESS: 'i;~:\ ~ S\- CITY: Spvt nz,~l~Jd ~ DESCRIBE WORK: NEW REMODEL ADDITION DEMOLISH CONTRACTOR'S NAME . SPRINGFIELD . JOB NUMBER q7 I ~ ~ / , *' ... 5~.DaJ.S LI Gt. , OLf'(? f LI- / 225 Fifth Street Springfield, Oregon 97477 SPVU'Y3~ILJd TAX LOT: SUBDIVISION: DR- BLOCK: ~ Ct.ur+,f---, PHONE: _ 7410 -LlN ~ STATE: 'r/{ ZIP:~~ tlot-~, Lot& l,Ur:tLt.; S,'-I~ OTHER ,..-- 1A1\ M.F'H J .. ADDRESS CONST. CONTRACTOR # EXPIRES .~ PHONE .'. GENERA' . PLUMBING: ?~ Q0v4-Llwv) 9t. qi;:} \(p MECHANICAl' ELECTRICAl' Ih~?l )~CO 1~7R~3~ - OFFICE USE - aUAD AREA: LAND USE: FLOOD PLAIN' # OF BLDGS: # OF UNITS' ZONING CODE: OCCY GROUP: CONSTR. TYPE: # OF BDRMS: # OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE: SaUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a24 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. REQUIRED INSPECTIONS D Temporary ElectrIc D Site Inspection - To be made after excavation, but prior to ' setting 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. ~al Plumbing - When all ,plumbing w9rl< Is compll~t,e. D 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. o 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. o Other D Wail/Ceiling Insulation - Prior to cover.' o Drywall - Prior to taping. MOBILE HOME INSPECTIONS o Underlloor Plumbing/Mechanical 0 Wood Stovo - After Installation. - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. o Insert - After fireplace approval and Installation of unit. o Blocking and Set.Up - When all blocking Is complete. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Plumbing Connections - When home has been connected to waler and sewer. D Sidewalk & Driveway - After excavation Is complete, forms andsub.base material In place. . o Electrical' Connection - When blocking, set.up, and plumbing Inspections have been approved and the ho'me Is connected to the service panel. o Fen.ce - When completed. o Street Trees - When all required' trees are planted. ' o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Setbacks ' HSE GAR ACC' , , ,. ( IS THEPROPOSED WORK tN 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. 1 Lot Type. ':~ \ ': . .. : ~ . , ',-'.. :~ Lot faces Lot SQ. ftg. Interior I P.L. IN Lot coverage Corner ',' S Topography ~anhandle Total height Cul-de.sac W E , . ; . 't'." ~ I. . 'I . , " .~ 'I t, ;; ,~, ;-1.....: ,'ti. ": , '. .;'" ~;.t.i ;~ . X $/SO. FT. = VALUE , APPROVED:' " . BUILDlN!G VALOE,PLAN CHECK AND BUILDING PERMIT 'I,' ',I "'i BUILDING PERMIT ITEM SO. FT. ':~ 't 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 Receipt Number' Building Permit Fee State Surcharge Received By: ' Tolal Fee (A) Plans Reviewed By Dat~ 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 I ADDITIONAL COMMENTS FEE Fixtures Residential Balh(s) N' Sanitary S~wer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) 41' /~ - ,'# - -i I -I-S + ; 7~ <( 1ft;, ,;)0 MECHANICAL PERMIT Furnace Vent Fan N' By slgnature,l 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/lnsert/ Fireplace Unit Dryer Vent Mechanical Permit Iss~ance State Surcharge Total Permit (D) 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 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 e~--e.E..~u..~('Yk .' MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Date ~ L/-/q, Curbcut ft Demolition State Surcharge VALIDATION: RECEIPT NUMBER ,~X'() /t DATE PAID J t+ tJ ~l.~ b-eA- AMOUNT RECEIVED ~J; .;;)0 " t-w /":1' "' RECEIVED BY I... ,~ " Total Miscellaneous Permits (E) ", TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ..