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HomeMy WebLinkAboutPermit Plumbing 1998-2-12 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 ASSESSORS MAP' LOT' OWNER' }-fa r.,. ,I J)~I LUR- [, I~Vl eX'e....'s+- rlr. ADDRF"'" CITY' C:"'''eJ~ ~ DESCRIBE WORK:....lib!> 1< NEW REMODEL CONTRACTOR'S NAME IJJ',1 M~h GENERA" ' PLUMBING: MECHANICA' . ELECTRICA" . . BLOCK' STAT'" ' t)(? . JOB NUMBER 3Z..n /3 L I . 225 Fifth Street Springfield, Oregon 97477 SUBDIVISION' PHONE: '7:-.4'-1 ~j D,-;- Q"lns-H"-') SPw-U- ADDITION DEMOLISH h r.-{"N I OTHER ZIP: 0'1..4 D :s-- ~ ,J' ADDRESS f.~\)e notVo~S P,J~M.-0 CONST. CONTRACTOR . ,.., PHONE .. &>'C3777/) 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' RANGE: _ SQUARE FOOTAGE: To request an Inspection, you must call 726-3769, This Is a 24 hour recording. All Inspections requested belore 7:00 a,m. will be made the same working day, Inspections requested after 7:00 8.m. will be made the following work day. REQUIRED INSPECTIONS D Temporary Electric D Site Inspection - To be mado after excavation, but prior to setting forms. D Underslab Plumblng/Eleclrlcall Mechanical - Prior to cover. D Footing - Aller trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete . ,placemont. D Underground Plumbing - Prior to filling trench, .. " D Underfloor PlumblnglMechanlcel - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking. r\(1 Sanitary Sewer - Prior to filling JA.:..J trench. D Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. . D Rough Plumbing,,,,, Prlorto cove~ , " D Rough Mo~hanJcal'~ 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 Insulallon - Prior to cover. _D Dry~al~ prlo~o taping. D Wood Stovo - AHar Installation. D Insert - After fireplace approv~1 and Installation 01 unit. D Curbcut & Approach - AHer forms are erected but prior to placemont of concrete. D Sidewalk & Drlve"!i'Y - After excavation Is complete, forms and sub-base material In place. D Fence - When completed. D Street Troos - When all required trees are t":ianted. D Flnel Plumbing - When all plumbing w9rk Is camplet.e. o Final Eloctrlcal - 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, DOihor MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When 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 porchos, skirting, decks, and venting have been Installed. I . " "';,, ': i ;'.:;~ j. ,. Lot ~pe. " ';"1' .' ':~:"\.:1J,~.:I~;~ , ". ", ..1,1;..... " , Lot faces Setbaoks . ( IS THE PROPOSED WORK IN THE. Lot aq, fig. Interior I P.L HSE GAR Accl HISTORICAL DISTRICT, OR ON 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. TOlal height Cul.de.sac IE \ I APPROVED: BUILDING PERMITi ITEM SO, FT, X $/SQ, FT, VALUE . ,- ., BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT " t Main Garage Carport " This permit Is granted on the express condition thatlhe said construction shall, In all respects, conform to the Ordinance adopted by the City ,of Springfield, Including the Dovolopment Codo, rogulotlng tho conatructlon and U80 of buildings, and may be suspended or rO'Joked at any time upon violation of any provisions of said ordinances. . Plan Check Fee' Total Value " , Date Paid: Building Permit Fee Receipt Number Received By: State Surcharge Total Fee (A) Plans Rovlewod By Date 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 ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' Sanitary S~wer FT, ~ tIff5 0 $..J ~, -'! Water ,FT. Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge _ :<5:- ~. i~~' .../ /.,ptl!I> (C) MECHANICAL PERMIT Furnaco Vent Fan N' By signature, I stato and agree, that I have carofully examined the completed application and do hereby certify that all Information horeon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield, and the Laws of tho State of Oregon pertaining to the work described heroin, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Dlvlalon, I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Exhaust Hood Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance Slale Surcharge Total Permit (D) I further agreo to ensuro~that all required Inspections are requested at the proper tlmetlhat oach address Is readable from the street, that the pormlt card ts looated at the front of the property, and Ihe approved set of plans will remain on the site at al~ IJ~. ~u.r~~~:t:strftt.~o,n; .J ;" ~ J Stgnature~ ;?~~ y. 7'1/:;;/7;.--_, Date )Ih"~ /2- /)q gOO- . MISCELLANEOUS PERMITS Mobile Home . State Issuance State Surcharge Sidewalk II II Curbcul Demolition State Surcharge VALIDATION: cb RECEIPT NUMBER '2-<61 '1 DATE PAin. & -/;:;'--111 AMOUNT RECEIVED$ri1 '3'6"'). ,i RECEIVED BY cKtJ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excludlnll electrical) (A, B, C, D, and E Combined)