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HomeMy WebLinkAboutPermit Plumbing 1994-11-8 . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: . / 7 ~ 2 LOT: OWNER: ADDRESS' CITY: If:{ 'r\ tJ'D~ L~ \-\ f't \Pi ~ ~lfl\ \ e {., I GU..~eNe-' SPRINGFIELD tIJ; , c; -) )_~, llA7ru ..... / '5"5 ~'"" . JOB NUMBER 94'/?/4 r 225 Fifth Street Springfield, Oregon 97477 ~/7 BLOCK: A L.LE:+J STATE: , 8 VJ-c:- DESCRIBE WORK: lMr\ ~C:-T ....v...~ NEW REMODEL ADDITION OTHER CONTRACTOR'S NAME GENERAL' PLUMBING: ~ " 'o\-t...,.. 6"6~~ ~ ~f4 e. \ L~ ~ls.oY0 MECHANICAL: ELECTRICAL' r\9.. ,~ 6. 'E- QUAD AREA' II OF BLDGS: OCCY GROUP' II OF STORIES' WATER HEATER: DEMOLISH , TAX ,LOT: ;() / <' ~ SUBDIVISION: PHONI=' I - SO :3 ~ 4~ 4-~ J 4-11 ZIP: ~'14-61 , ,. ADDRESS' ,~e. \Vl~.t-Q~l.\ c.o N~ 't - CONST. CONTRACTOR II ~~'l. I<<c. 4- 4 '1 jo,\rl .~, " 6 PHONE LJ-S\ "'-4<\ ~ ((,g-c{ -11 ~2 EXPIRES 1/.11 -45 II -3d -q$ S --"{ -'\5 ~~ l<'-. ~ :'7 ("3137) IT l.. ).I, ." 8<'( '''l-;l, '1 ",J Il!l - , .ft S 1 ;;L ~ ,., \ S 0 0 - OFFICE USE - LAND USE: II OF UNITS: CONSTR. TYPE: _ HEAT SOURCE: RANGF' ..... FLOOD PLAIN: ZONING CODE: II OF BDRMS: SECONDARY HEAT: 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 arter 7:00 a.m. .wlll be made the following work day. REQUIRED INSPECTIONS D Temporary Electric D Site Inspection - To be made arter 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 Underlloor Plumbing/Mechanical , - Prior to Insulation or decking. D Post and Beam - Pr,lor to 1I00r Insulation or d~cklng. D Floor Insulation - Prior to decking. 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. D Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Dry~all - Prior to taping. , , D Wood Stovo - Arter Installation. D Insert - After fireplace approval and Installation of unit, 1 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, D Fence - When completed. DStreet Trees - When all required trees are planted. D Final Plumbing - When all plumbing w9rk Is complet,c. D Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building Is completed. D Other MOBILE HOME INSPECTIONS ~ ., . " , , , ' 1\...1' Blocking and Set.Up - Wh,en all ~blocklng Is complete. " . . , ~ D<1 Plumbing Connections - When ~home has been connected to water and sewer, ~ectrlcal Connection - When ~~Iocklng, set-up, and plumbing , Inspections have been approved and the home Is connected to the service panel. ~Inal - After all required Inspections are approve!=! and, orches, skirting, decks-, af}d venting have been Installed. Lot faces lot ~yP. ' Lot sq. ftg. Interior Lot coverage Corner Topography Panhandle - Total height Cul-de-sac BUILDING PERMIT ITEM sa. FT. x $/ sa, FT, = ty1al n Garage Carport Total Value Building Permit Fee I State Surcharge Total Fee (A) . ( IS THE PROPOSED WORK, tN THE. ' HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior t9 permit Issuance. . ;7",' 'f';' ,., . '.':. .: .;t.;, " ."~: ,~.' .; ~:o 'l~: -'~;~" ~;'i ~ '~i: ~'. ." , ' "..'" i'M"" . . "". . ,", ,.'.;;(~: '\..', Setbacks ' HSE GAR ACC ," I P.L. IN S W IE VALUE '. SYSTEMS DEVELOPMENT CHARGE (SDC) , ',(B), ,P.LUMBING PERMIT "ITEM' Fixtures Residential Bath(s) NO Sanitary Sewer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge ,7J+,.(.r (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk s; Z.r -r J,I.r ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits . (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) t.. . I"' FEE / S If10 / ~ .2.0 /n ~(X) - '. 2D 0- 0 ~W '. /,1,-:S ~O /-i!J-_60 I APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construc'tion shall\ In all respects, conform to the Ordinance adopted by; the City of Springfield, includll')g 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. Plan Check Fee: Date Paid: Receipt Number: Received By: ' I . }, Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties, within the CitY,"ml.ts which are being Improved. , . ADDITIONAL COMMENTS /7k~ /~~ ~c8~ / . ,I 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 acco'rdance 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. 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 pro , and the approved set of plans will remain on the site t al imes duri g construction. ~nature Date VALIDATION: 1 RECEIPT NUMBER / r 19 ,7 lygA'~ I I I AMOUNT RECEIVED ~J.l; , ~.-o RECEIVED BY ~ .........~ DATE PAID . ~ . ~