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HomeMy WebLinkAboutPermit Plumbing 1995-10-13 " RESIDENTIAL . PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: - SPRINGFIELD ",. BLOCK' OWNER: ()'\l~~ \~er~lJ.- ~~\"eY\) ADDRE~ '~ \ ~'t\- \)\n. f'(\.~ :\ ,,7 CITY: ~\\\\t::i. STATE: -1)x / DESCRIBEWORK\_Wl6'~ \ ~'l ~ NEW REMODEL CONTRACTOR'S NAME GENERAl. PLUMBING' MECHANICA' . ELECTRICA' . ADDITION DEMOLISH OTHER . C\ '6\ veri JOB NUMBER 225 Flflh Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION' ()\\ \ S PHONE:14\. C)~ ZIP: Ul4-l, ADDRESS CON ST. CONTRACTOR' PHONE EXPIRES - OFFICE USE - QUAD AREA: LAND USF. FLOOD PLAIN' . OF BLDGS' . OF UNITS. ZONING CODE:_ OCCY GROUP', CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGF. SOUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested belora 7:00 a.m. will be made tho same working day. Inspections requested after 7:00 8,m, will bo made the following work day, o Temporary Electric O Site Inspoctlon - To be mado after excavation, but prior to setting torms. o Underslab Plumbing/Electrical I 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. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Boam - Prior to floor Insulation or decking. o Floor Insulation - Prior to deckl ng. o Sanitary Sewer - Prior to flllJng trench. o Storm Sewer - Prior to filling trench, o Waler Llno - Prior to filling trench. ~9h Plumbing - Prior to cover. REQUIRED INSPECTIONS . 0 Rough Mechanical - Prior to cover. o Rough Electrical - PrIor to cover. 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, o Wall/Celling Insulation - Prior to cover. o Drywall - Prior to t~plng. o Wood Stovo - After Installation. o Insert - After fireplace approval. and Inslallatlon of unll. o Curbcut & Approach - After forms are erected bllt prior to placemont of concrete. o Sidewalk & Driveway - After excavation Is compiete, forms and sub-base material In place. o Fence - When completed. o Street Troes - When all required trees are planted. ~nat Plumbing - When 011 plumbIng wc;>rk Is complet,e. o Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. OOthor MOBilE HOME INSPECfIONS o Blocking ond Sel.Up - When all blocking Is complele. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, sel.up, and plumbing , Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porch os, skirting, decks, and venting have been Installed. Lot faces Loi ~ype- Lot sq. IIg. Interior Lot coverage Corner Topography Total height Panhandle Cul.de.sac BUILDING PERMIT ITEM SO. FT. X SISO. FT. Main Garage Carport Tolal Value Building Permit Fee Slate Surcharge Total Fcc (A) I P.L. IN Is Iw IE VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. FT. Storm Sewer Mobile Home Plumbing Permit ~oOf) State Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace . Exhaust Hood yent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State'lssuance State Surcharge Sidewalk II Curbcut It Domolltlon State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE IS~ /.'20 1/0.20 iLo . 2.{) \',',; _S THE PROPOSED WORK iN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application musl be signed and approved by the Historical Coordinator prior to permit Issuance. , :( ". Setbacks HSE GAR Accl APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition Ihat Ihe 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, Plan Check Fee: Date Paid: Receipt Number: Received By: Plans Reviewed By Date Systems' Development Charge is duo on all undeveloped properties within Iho City limits which are being improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carofully ex'amlned 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 thai only contractors and employees who are In compliance with OAS 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 property, and the approved set of plans will remain on t9-slte at a~ ~m7 ..;.....:)'g construction, Slgnat J/4k:YAi /l~. . Date J \Q2P DATE PAID ~l/i . LJ..<) AMOUNT RECE~ '/...0 . ~ RECEIVED BY -YJ~.L\8_) ,j VALIDATION: RECEIPT NUMBER