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HomeMy WebLinkAboutPermit Plumbing 1992-2-6 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD . JOB NUMBER 92C)/e>'S 225 Fifth Slreet Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: -S~-=;_~ /?""I:1>.2.-~R'-'"'5'Y .#/4- #.~.#.A?~c;. ~ TAX LOT' /7t:::S.5G:s ~ 4e r-:A/ "7)/,/ ,- "::;.4/~t? - > h?~D_ ~ ,r DESCRIBE WORK: ~/.....j~' ~~/?~~~ r~f~ /.-?P./~ gA' ~~. NEW REMODE'L ADDITION DEMOLISH OTHER -'/ ~ ,r/~r. ASSESSORS MAP' LOT: OWNER: ADDRESS: CITY' CONTRACTOR'S NAME BLOCi'"' STATE: ~.?-< . SUBDIVISION' PHONE: "7 y,-'-/;?~ ZIP: 9 ?Y? ~ ADDRESS CONST. CONTRACTOR # PHONE GENER^, . PLUMBING:/~C..-..,r;:Tf-7:?-- - MECHANICAl' ELECTRICAl' EXPIRES - OFFICE USE - OUAD AREA' LAND USE: FLOOD PLAIN: # OF BLDGS' # OF UNITS' ZONING CODE: OCCY GI10UP' CONSTR. TYPE: # OF BDRMS: # OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE: SQUARE FOOTAGE: To request lln inspection, you must call 726.3~69. This Is a 24 hour recording. All inspections requested before 7:00 a,m, will be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS ... , ' '. , " o Temporary Electric o Site Inspeclion - To be made after excavation, but prior to setting forms. o Undcrslab Plumbing/Electricall Mechanical - Prior to cover. o Footing - After trenches arc excavated. o Masonry - Stoel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plurnblngl.Mcchanical - Prior to insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior .to decking. . o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filljng~ trench, ~ :- o Rough Plumbing '- ,P~ior.:o cover. " o Rough Mechanical. ..... .Pri~r to cover. " . o Rough Eleclrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o WalllCeiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approval and installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When all required trees arc planted. ~ Final Plumbing - When all plumbing worl{ is complet.e. o Final Electrical - When all electrical work is complete. o Final Mechanical - When alt mechanical work Is complete. o Final Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is comptete. o Plumbing Connections - When home has been connected to water and sewer., o Electrical Connection - When blocking, set-up, and plumbing inspections have been approvcd and the home is conne.ctod to the service panel. o Final - After all required inspections arc approved and porches, skirting, decks, and venting have bcen installed. Lot faces '" Lot TY. Lot sq. ftg. lnlerior I P.L. IN Lot coverage Corner Is Topography Panhandle - lw., Total height Cul.de-sac IE BUILDING PERMIT ITEM sa. FT. x $/SO. FT. Main Garage Carport Total Value Building Permit Fcc Stale Surcharge Total Fcc (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixlures Residential Balh(s) NO Sani tary Sewer FT. Water FT. Storm Sewer FT. Mobile Home -#I T~_~r/~r.~R~ Plumbing Permit Stale Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnserlfFireplace Unit Dryer Vent Mechanical Permit Issuance Slate Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical> (A, B, C, D, and E Combined) Setbacks 'HSEIGAR1ACC . IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? \1 I , VALUE FEE /5- -V /;')--.. OR? ,/~ /.~ ?r- I 10- I.,' If yes, this application must be sIgned and approved by the Historical .Qoordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the saId construction shall, in all respects, conform to tile Ordinance adopted by ttlO Cily of Springfield, including the Development Code. regulating the construction and U$C of buildings, and may be suspended or ,revoked at any lime upon violation of any provisions of said ordinances. #Plan Clleck Fee: Date Paid: Receipl Number; Received By: Plans Reviewcd By ~. ~. ; Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS By signature, I stale 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 Ordinances of lhe Ci ty of Springfield, and Ihc Laws of the State of Oregon pertaining 10 the worl{ described herein, and that NO OCCUPANCY will be made of any structure without 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 arc requested at the proper time, that each address Is readable from the street, that the permit card is locatcd at the front of the property, and the approved set of plans will remain on the site at all times during construction. SignatureL//4....... r2~ -?-cP-9z... Date VALIDATION: ')68' ? -:z . ~-? :2- AMOUNT RECEIVED /5'-. 7-'::'~ -:~ - - - /M/.-'- ...::.. RECEIPT NUMEJEJ1 DATE PAin RECEIVED BY - -t'/ V