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HomeMy WebLinkAboutPermit Plumbing 1996-2-12 RESIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Office: 726-3759 LOCATION OF PROPqS,lT9.,.W~RK: _ ~ \ D ASSESSORS MAP: \ H)'ri ri 0\L\- LOT' BLOCK: OWNER:~l\Q \j\,IV}J\, . 0.~ ADDRE~,,' \c::; AI. (to. f'AjQ ~U,I\ CITY: \ . \ k01l\ ~ \ . . STATE: DESCRIBE WORK: _\) '<<'f'\ Illi ~o No.. 0 1\ ~ NEW REMODEL . ~\DD~~\ JOB NUMBER 225 Fifth Slreel mctPrlngfleld. Oregonl~7477 TAX LOT: \{ 1-W SUBDIVISION' PHONF' Of CJ1Jpf \ ADDITION DEMOLISH OTHER ZIP: C\lTlB \ CONTRACTOet'I\"\'('~r' <: GENERAL: r )j \ ~ O.J---< " ~.Dr~~SS CONST. . Oi9f3\CTOR (\. \q .l((S 'lP~Cf~7 PLUMBING: MECHANICAl . ELECTRICAL' - OFFICE USE - QUAD 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: RANGF' SQUARE FOOTAGE: To requesl.an Inspection. you musl call 726.3769, This Is a 24 hour recording. All Inspections requested before 7:00 a,m. will be . made the same working day, Inspectlons requested after 7:00 a.m. will be made the following work day. D Temporary Electric D Site Inspection - To be mado after excavatlon, but prior to setting forms. D Underslab Plumblng/Electrlca" 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 Underfloor Plumbing/Mechanical - PrIor to Insulation or decking. D Post and Beam - PrIor to floor Insulation or decking. D Floor Insulation - Prior to decking. D Sanllary Sewer - Prior to tilling trench. D Storm Sewer - Prior to filling trench. D Waler Line - Prior to filling trench. D Rough Plumbing - Prior to 'cover. REQUIRED INSPECTIONS 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 Wall/C"elllng Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approvll.1 and Inslallallon of unll. . D Curbcut & Approach - After forms are erected but prIor to placement of concrete. D Sidewalk & Drlvewav - After excavation Is complete, forms and sub-base material In place. D Fence - When completed. D Street Trees - When all required trees are planted. . D Final Plumbing - When all plumbing w9rk is complet.e. 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 ~:'eted. ~ -\l\1 SQ ~(C~ V ) MOBILE HOME INSPECTIONS D Blocking and Sel.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to waler 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 Inspectlons are approved 'and porches, sklrllng, decks, and ventIng have been Installed. Setbacks I PL. HSE GAR ACC IN Is Iw IE Lot faces Lot Type. Lot sq. Itg. Interior Lot coverage Corner Topography Total height Panhandle Cul-do.sac ' BUILDING PERMIT ITEM SO, FT. X $/SO. FT. VALUE Main Garage. Carport ., Total Value Building Permit Fee Slate Surcharge' Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT, Storm Sewer FT. llijm~~~,tN1Q/ . _ Plumbing pt~;t\ ... /~V\ \ ~OU Stato Surcharge -t -:9i) . -. l. '!Q. Total Charge (C) l.'l:L1U MECHANICAL PERMIT Furnaco Exhaust Hood . Vent Fan N' Wood Stove/Insert! Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition \~W , --~. L_ < . ~l~rcharge -. . Total Miscellaneous Permits (E) ;--)~.LO-\ TOTAL AMOUNT DUE (excludlntJ electrical) (A. B. C, 0, and E Combined) . .i',~. ~ ',:; \ ".i,. :,: ..S THE PROPOSED WORK iN THE . '''HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes. this application must be signed and approved by the Historical ~ 1 Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT 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. Plan Check Fee: Date Paid: Receipt Number' Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties wIthin tll0 City limits which are being Improved. ADDITIONAL COMMENTS By signature, I stato and agree, that I have carefully examined the compleled application and do hereby certily 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 Ordjnanc~s 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 01 any structure without permission of the Building Safety DivisIon. J 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 reAfJested at the proper time, that each address Is readable fjo~ the street, that the permit card Is located al the lront of the property, and the approved set of plans will remain \ I .\ (l)n t e site at all times dur ng constructIon. VALIDATION: (\ ~ RECEIPT NUMBE7 r;;1 n;.... DATE PAID c)l' \;+ -y AMOUNT RECEI~ - OS ~ RECEIVED BY \l \J 1\ ./ ~