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HomeMy WebLinkAboutPermit Plumbing 1995-9-1 r) RESIDENTIAL PERMIT APPLICATION Ins pee lions: 726.3769 <(Ilice: 726.3759 l ASSESSORS MAP: LOT' r. BLOCK: . JOB NUMBER 9<t::;"/~ V , 225 Flflh Slreel ~) ;;:g:I::~:/]~f( pi J TAX LOT' ~~ 0 SUBDIViSION: OWNER: /-I-/01_VI (>c. V VI (' V-. ADDRESS" ~:4 0 S- 4- /7 t, P-X:t h k (' ~V) VIe; :l-Ie //') DESCRIBE WORK: --1b (' 10 \' I~ /'. / ADDITION ~ CiTY: NEW IlEMODEL ADDRESS CON ST. CONTRACTOR' " CONTRACTOR'S NAME OW~~V- GENERAL' PLUMBING: MECHANICAl' ELECTRICA' . STATE: - I f(cI 0P. , C'Qu:::..'-?0Y f- I DEMOLISH t..LLL~ OTHER - OFFICE USE _ PHONE: 7L// -:2 1!- 3 _ ZIP: 97L/7J- G7q~J:f- dor EXPIRES PHONE OUAD 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: SOUARE FOOTAGE: _ To request an inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the some working day, Inspections requested after 7:00 a.m. will be made tho following work day. o TomporllfY Eleclrlc O Slto Inspection - To be mado after excavation, bul prior to selling forms, o Underslllb Plumbing 1 Electrlcall Mechanlc,,1 - Prior to cover. o Fooling - After trenches are excavated. o Mosonry - Sleel locallon, bond beams, groullng. o Foundation - After forms are erected bUI prior to concrele placemont. o Undorground Plumbing - Prior to fllllnQ trench. o Underfloor Plumblng/Mochanlcal - Prior to Insulation or decking. o Posl and 608m, - Prior 10 floor Insulallon or docl~lng. o Floor Insul3t1on - Prior to decking. o SDnltsry Sower - PrIor 10 filling (ronch. o Storm Sewor - ,Prior 10 filling trench. o Wator Uno - Prlo'r to filling trench. . o Rough P/umblng - Prior 10 cover, REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. O' Rough Eleclr~cal - PrIor to cover. , o Electrical Servlco - Must be approved to obtl1ln permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. [Z] Fram.lng - Prior to cover, ,0 Wall/Celling Insulatlon - PrIor 10 cover. , o Drywall - Prior 10 taping. o Wood Stovo -. Aftor Installallon. o Insert - After fireplace approvlll . and Installation of unit. . o Curbcut & Approach - Aller forms are crected but prior 10 placemont of concrotc. o Sidewalk & Driveway - After excavation 15 comp/Cle, forms and sub.base material In place. o Fence - When com~leted. o Street Troos - When all required troes are planled. .... o Final Plumbing - When all plumbing w9.rl< Is complel,e. o Final Eloctrlcal - When all electrical work Is complete. o Final Mochllnlcal - When alf mechanical work Is complete. I\7l Final Building - Whon all L,X-J required Inspections have been approved and building Is complotod. o Othor MOBILE HOME INSPECTIONS o Blocking and Set,Up - When all blocking Is complete. o Plumbing Connoctlons - When homo has been connected to water and sewer. o Electrical Connection - When blocking, sel-up. and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porch os, skIrting, decks, and ventlne have been Installed. Setbacks I P.L. I HSE GAR i ACC I IN Is Iw IE Lot faces Lot Type. Interior LOl sq:' flg. Lot coverage Corner Topography Total height Panhandle Cui-de, sac BUILDING PERMIT ITEM SO. FT. X $/50. FT. = VALUE Main Garage Carport " ~- ~.- :~ /.40 ~&? SYSTEMS DEVELOPMENT CHARGE (SDC) Total Value Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM FEE Flxlures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Slorm Sewer FT. Mobile Home Plumbing Permit State Surcharge Totai Charge (C) MECHANICAL PERMIT furnaco Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permll (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It It Curbcul Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) 2"7.:'~~ lA, B. c. D, and E Combined) ,: ' _ THE PROPOSED WORK IN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II 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 Ihc express condllion Ihallhe said construction shall, in all respecls, conlorm to the Ordinance adopled by the Cily of Sprlnglielcl, Including the Development Code, regulating lhe COQslruclion and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordlnancos. ~~ Date pald:__"7:L=3l~_ Recelpl Number:_._.../.~~~ __. :~:~~'~-~~--?--~ ~'~7~ Plan Check Fee: Systems Development Charge Is duo on all undeveloped properties within tho City lImits which arc being Improved. ADDITIONAL COMMENTS . By signature, I state and ngree, that I have carefully examined the com pie led applicalion and do hereby certlly 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 Ordinancus of the City of Springfield, and the Laws of the Stato of Orogon pertainIng to the work described herein, and that NO OCCUPANCY will be made 01 any slructure wlthoul permlssi.on 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 agreo to ensuro thai all required Inspections are requested at the propElr time, thai each address Is readable from the street, that the permit card Is located at the front 01 the. property, and the approved set of plans will remain on the site at all tImes during construction. Signature C21or..... (hG~ D; - ( - 9>" Date VALIDATION: /5i:q~ RECEIPT NUMBER _ __~ 9--/~ DATE PAID AMOUNT RECEIVED _._~-:? . :_5 .. RECEIVED BY ~~ -..., o? t'/ ~