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HomeMy WebLinkAboutPermit Plumbing 1996-5-6 ~ - RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 i:. SPRINGFIELD . q CeO(P ({ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: -+-~-z:-u- 1l0327?J1 l \ 20 " t= ,.., \ \2111 l'" lAl .Sf) #-<a ~ . TAX LOT' Q00CT(j t:-A-t t+r=- L JL: '^ 1 I},") <;.,-,,,-( ADDRESS' 1(2.0 fttlY1/t'wJ 'Sv-#-A;<-- ';".yl ,i(\~Xv{rl STATE:..lIt:- <-J ~ ~ va tw / (yt41la<<~ ') ADDITION DEMOLISH OTHER ASSESSORS MAP: LOT' OWNER' CITY' DESCRIBE WORK: NEW REMODEL CONTRACTOR'S NAME "'D A-, " \ GENERAl' PLUMBING: ~ MECHANICA' . ELECTRICAl' OUAD AREA: . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER' BLOCK- SUBDIVISION' PHONF' ZIP: cn'177 ... ADDRESS ~-A-t JI~ CONST. CONTRACTOR' PHONE ~ EXPIRES DJ.Q.~R /0/, 1/!f7 (.,f(c, J-hnl /. - OFFICE USE - LAND USE: . OF UNITS' CONSTR. TYPE: HEAT SOURCE: RANG'" FLOOD PLAIN' ZONING CODE:__ . OF BDRMS' SECONDARY HEAT: __.. SQUARE FOOTAGE: _ To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. will be made the same working daY,'lnspectlons requested ofter 7:00 a.m. will be made the following work day. I REQUIRED INSPECTIONS o Temporary Electric o SlIe Inspection - To be mado after excavation, but prior to selling forms. o Underslab Plumblng/Electrlcat/ Mechanical - PrIor to cover. ~ o FooU.....g - 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 Underlloor Plumblng/Mechanlcat - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or deckIng. o Floor Insulation - Prior 10 decking, o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to fIlling trench. '- . ~OU9h Plumbing - Prior to r-cover. o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Flreplaco - Prior to facing materials and framing Insp. o ;Framfng, - Prior to cover. o Wail/Colling Insulation - Prior to cover. o Drywall - Prior 10 taping. o Wood Stovo - After Installation. D.,nsert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erecled but prior to placemont of concrete. o Sidewalk & Driveway .J. After excavation Is compiote," forms and sub-base material In place. o Fence - When completed. D Street Trees - When all required trees are planted. b. Final Plumbing - When all ~p1umblng w~HI<. Is complete. 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. DOthor MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocking is complete. o Plumblng..Connectlons - When home 11as been connected to water and sewer. o 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 porch os, skirting, decks, and venting have' been Installed. Lot faces Lot TY. I P.L. Lot sq, ftg.' Interior IN Lot coverage Corner Is Topography Panhandle Iw Total height Cul.de.sac h BUILDING PERMIT ITEM sa. FT. x $/ sa. FT. ~ VALUE Main Garage " Carport Total 'Value Building Permi t Fee Slate Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM 15-~(;O Fixtures Residential Bath(s) Sanitary Sewer Water N' FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit /5.0t) ,7C; ,'1<' /(", 'J.r) Slate sur!;.5rgr i ~(O C, ~I)\ Total Charg f<<...-- (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unll Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home Stale Issuance State Surcharge Sidewalk It Curbcul It Demolition Stale Surcharge 00 Total Miscellaneous Permits (E) TOTAL AMDUNT DUE (excluding electrical) lA, B, C, D, and E Combined) . . ""lI ,. Setb'cks HSE GAR ACC '-IS THE PROPOSED WORK iN THE ~ISTORICAL DISTRICT, OR ON THE HtSTORICAL REGISTER? Ii yes, this application must be signed a.nd approved by the HistorIcal Coordinator prior to permi I Issuance. I I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT APPROVED: This permit Is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City, 01 Springfield, including the Development Code, regulating the construction and use of buitdlngs, 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 Revlewod By- Date Systems Development Charge Is due on all undeveloped properties withIn tho City limits which are being Improved. ADDITIONAL COMMENTS By slgna~ure, I state and agree, that I have carefully examined 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 Ordlnanc~s of the City of Springfield, and the Laws of the Slate of Oregon pertaining to the work described herein, and that NO OCCUPANCY wllf be made of any structure without permission of the Building Safely Division. I further certify that only contractors and em'ployees 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 ~Ime, that each address Is readable Irom the street, that lhe permit card Is located at the front of the properly, and the approved set of plans will remain on the slt~ at;. t~e~ dU:9 ~;n~ _ SIQ~._ -- '~'--s.I::/'_~ _----- Date_/?c- //)/. 4/_ ( ;/ "- VALIDATION: RECEIPT NUMBER 2- { 4 UO DATE PAID erG -C/ V AMOUNT RECEIVEP " U~, Z n RECEIVED BY \/te::/"'