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HomeMy WebLinkAboutPermit Plumbing 1996-5-13 ~ '.~ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 '. . C\loO~ JOB NUMBER 225 Fifth Slreel Springfield. Oregon 97477 LOCATION OF PROPOSED WORK' \ \an \1()3Q.\~' U\ U\ 011 ') CJeit~ _ ~4'l TAX LOT' OO\.QCX) ASSESSORS MAP: LOT' BLOCI" SUBDIVISION: PHONE: \L\\.\~J OWNER: \'\'\.()~, J.....~. (~~ ADDRESSh \ \ ~ ~ i. "D\Ol 0 \. ,Q.J~ 4-1 CITY: ~~ l- 0vtW'~Q\ ~TA~E:l\.)\(Jr:vr: ZIP: C\--r\,/ DESCRIBE WORK: ~U\n~ \v... )\r1 Q . ~ f\Ul ~ NEW REMODEL ~DITION DEMOLISH OTH~ CONTRACT9~N~M~ , GEN ERAL' \~l..I,J~\.~_{(.)_ PLUMBING'~.v MECHANICA' . "\ ELECTRICAL:l'\ \."'{\Q ~ ) ADDRESS CONST. CONTRACTOR . PHONE EXPIRES - 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: RANGE: SQUARE FOOTAGE: To request an Inspection. you musl call 726-3769. This Is a 24 hour recording. Alllnspecllons requesled before 7:00 a.m. will be made the same working day. Inspections requested after 7:00 a.m. will be made Ihe following work day. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, groutlng. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to fillIng trench. o Underfloor PlumblnglMechantcal - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - PrIor to deckl ng. o Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. O Water Line - Prior to filling trench. D Rough PlumbIng - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtai n permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stovo - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placemont of concrete. o Sidewalk & Driveway ~ After excavation Is complete; forms and sub.base materIal In place. o Fence - When completed. D Street Trees - When all required trees are planted. o Flnat Plumbing - When all plumbing wc;>rk is complet.e. D 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. o Other MOBILE HOME INSPECTIONS ~IOCklng and Set.Up - When all blocking Is complete. ~mblng Connections - When home has been connected to water and sewer. II Electrical Connection - When l...L.-d-01ocklng, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. ~inal - After all required inspections are approved and porches, skirting, decks, and venting have' been Installed. Lot faces LotT. Interior Lot sq. Itg. Lot coverage Corner Topography Total height Panhandle Cul-de-sac BUILDING PERMIT ITEM sa. FT. X $/SO. FT. _ Main Garage Carport Total Value Building Permit Fee Slate Surcharge Total Fee (A) N Is Iw I I I l:t-LL-.J PL. 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 State Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsertl Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Tolal Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge ,,-~ fl.i.rh~"'a"t Curbcut It Demol/tlon State Surcharge . Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A. B, C. D. and E Combined) . FEE IS.W 121 pJ . l.flU Jif; .00 J~.W aJ(}OO -5.:J. 5 3LS . .." 'j<; .\,,:'~I; I; ~ _. " .. ~~ ., Setbacks . HSE GAR Accl IS THE PROPOSED WORK iN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes. this application must be signed and approved by the Historical 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 the City limits which are being Improved, ADDITIONAL COMMENTS By slgnature,l state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon /s true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances or the City of Springfield, and the Laws of the State of Oregon perlalnlng to the work described herein. and that NO OCCUPANCY will be made of any structure wllhout 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 property, and the approved set of plans will remain on the site at alUI~ during construc~_ ~at~~4__~ r:e VALIDATION: % RECEIPT NUM~ER _ .A~ DATE PAID Y). \.-) '%,_ () AMOUNT RECEI~Ej TI""<" \c::l...b!.YJ RECEIVED BY ~ , '-. :. . " . \ \ ~ . . ,~ /!3 / , ; / ~ ..3 --- , ,.. \L\' , " I \ ~