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HomeMy WebLinkAboutPermit Plumbing 1991-3-25 RESIDENTIAL PERMIT APPLICATION e. .- 6Ft. c' , JOB NUMBER' ~0V .~ 225 Fifth Streetc\\Dd--lo8- ~J/ , Springfield, Oregon 97477 ~~ \\ T,AX LOl' -0 ;n~ \ ~ Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' lJ,Bl\-"\ ~SSESSORS ,ry1AP' \ '1 D'A, 1\4 1- OWNER,I ~p\(). I~ )1\C1l\\GX. jf\r\nt. ADDR~~"'. ~o 44- \_bo\~ . CITY: ~/ ,() STATE: . \ \ . ~~, \lllQ i LOT: v DESCRIBE WORt<. NEW REMODEL ADDITION CONTRACTOR'S NAME BLOCI<" ~;tJ DEMOLISH OTHER SUBDIVISION' PHONF' ZIP: qr4-l~ ADDRESS /"'. ( CONST. CONTRACTOR # PHONE GENERA' ' , PLUMBING:0. R D~l[UJ$tflcLaD MECHANICAl' ELECTRICAl' QUAD AREA: ~4~D # OF BLDGS: OCCY GROUP' # OF STORIES: WATER HEATER' ~D ro. S\\6E. J - OFFICE USE - LAND USE: \ \\ , EXPIRES ~~<\'L~~/ql 141~' FLOOD PLAIN' ZONING CODE: # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must cal/ 726.3769, This Is a 24 hour recording, AI/Inspections requested before 7:00 a,m, wll/ be made the same workIng day, Inspections requested after 7:00 a.m. will be made the following work day. D Temporary Electric D.Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing I Electricall Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond' beams, grou'ting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior ~o Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. O Sanitary Sewer - Prior to filling trench. .1'if)Sto'rm s~~e~ ~ ~~;o~ ~o fj;lin~ (' trench. o Water Line - Prior to filling . trench. o Rough Plumbing - Prior to " cover. # OF UNIT'" CONSTR. TYPE: HEAT SOURCE: RANGF' REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Electrical - Prior to . cover. o Electrical Service - Must be approved to obtain permanent electrical power, D Fireplace - Prior to facing materials and fr?-mlng Insp. D Framing - Prior to cover. D Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping, . .,. D Wood .Stove -:. After Installation. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. . o Sidewalk'& Driveway - After excavation is complete, forms .and su~.base material in place. D Fence'~ 'When completed. o Street)"rees ....; Wh~en all requln3d" .. trees are planted. . o Final Plumbing - When all plumbing work Is complete. D Final Electrical - When all electrical ,,",:,ork 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. o Other MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete, D Plumbing Connections - Whe!1 home has been connected to water and sewer. , ' D Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home is connected to the service panel. D Final - After all required Inspections are approved and .. . porches, skl'rting, decks, and venting have been Installed. . Lot faces Lot TYP.. Setbacks .-tHE PROPOSED WOR'K IN THE I PL. HSE GAR .ACC I' HISTORICAL DISTRICT, OR ON Lot sq, ltg, Interior IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit issuance. Total height Cul.de.sac IE I APPROVED' BUILDING PERMIT ,ITEM SO, FT, X $/SO. FT VALUE BUILDING VALUE, PLAN CHECK AND. BUILDING PERMIT Main This permi,t 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 v.iC?latlon of any provision::> of s~.id ordinances. Garage -Carport Plan Check Fee: Date Paid: Total Val us Receipt Number' Buil~ing Permit Fee State Surcharge Received By: Total Fee \ (A) SYSTEMS DEVELOPMENT CHARGE (SDe) Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS FEE ( ( , ,.!) 5 ,cO Plumbing Permit Total Charge (C) {.f)5 B(a.AS State Surcharge MECHANICAL PERMIT Furnace Vent Fan N' 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 co~rect, and I further certify that any. and all work performed shalf be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work de"scrlbed herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. l. 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/lnsertl Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, I?, and E Combined), A( n. qs 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 timesiduring construction. .:::':~~'0J ~ ! i' .1 . VALIDATION: RECEIPT NUMBER i /9Cf57 DATEPAID ,~-~S.q ~ AMOUNT R.ECE~~. 8Lo. ~--5 RECEIVED .BY <.. l'{~ .J Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E)