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HomeMy WebLinkAboutPermit Plumbing 1997-5-9 -. . SPRINGFIELD . RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 <97cJ) /2./ JOB NUMBER 225 Filth Slreel Springfield, Oregon 97477 Jfd LOCATION OF PROPOSED WORK' <:;'f 0 5' I7-D2-U-_U-3 ASSESSORS MAP' a 0 ~ 6 () TAX LOT' SUBDIVISION: LOT' BLOCK: .4-1 Ct-IA r;er rIA -I' or OWNER' 741-7C,r:'-s PHON'" I>C/.hks ADDRESS' C-~ O~ Jdf 01. CITY: <:; II? ~. '-VI 5 t f ~ t..; I , Th<:'kd oR 9747J.- STATF' ZIP: 111<1 -l' n-e'-1..l Se'-t.l-ev DESCRIBE WORK' NEW REMODEL ADDITION DEMOLISH OTHER CONST, CONTRACTOR' CONTRACTOR'S NAME ADDRESS EXPIRES PHONE GENERAl' PLUMBING: .ar~- MECHANICAL: ELECTRICAL: ~ ....~. - OFFICE USE - ,OUAD.AREA: , \ . OF BLDGS' OCCY GROUP: . OF STORIES: WATER HEATER' LAND USE: FLOOD PLAIN' ZONING CODE: . OF BDRMS: SECONDARY HEAT: SOUARE FOOTAGE:_ · OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGF' To request an Inspection, you must cafl 726,3769, This Is a 24 hour recording. Afllnspecllons requeSled before 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 Rough Mechanical - Prior to cover. D Final Plumbing - When all plumbing w~:)rl< Is complet.c. D Site Inspection - To be made after excavation, but prIor to setting forms. D Rough Electrical - PrIor to cover. D Final Electrical - When all electrical work Is complete. D Underslab PlumblnglElectrlcall Mechanical - Prior to cover. D Final MechanIcal - When all mechanical work Is complete. D Electrical Service - Must 'be approved to obtain permanent electrical power. D Footing - After trenches are excavated. D Final BUfldlng - When ail required Inspecllons have been approved and building Is completed., D Fireplace - Prior to facing materials and framing Insp. D Masonry - Steel location, bond beams, grouting. D Framing - Prior to cover. D Foundation - After forms are erected but prior to concrete placemont. DOthor . D Wall/C'elllng Insulation - Prior to cover. D Underground Plumbing - Prior to filling trench. . D Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Underlloor Plumbfng/Mechanlcal - Prior to Insulation or decking. D Wood Stovo - Aftar Installation. D Post and Boam - Prior to floor Insulation or deckIng. D Blocking and Set,Up - When all blocking Is complcte. D Insort - After fireplace approvlll and Installation of unit. D Floor Insulation - Prior to decking. r'V>1 Sanitary Sewer - Prior 10 filling ~ trench. . D PlumbIng Conncct1o~s - When home has bcen connected to watcr and sewer. D Curbcut & Approach - After forms arc erected but prior to placement of concrote. D Electrical Connection - When blocking, set-up. and plumbing Inspections have becn approved and the homo Is connected to the service panel. D Sidewalk & Driveway - After excavation Is compiCle, forms and sub.base material In place. D Slorm Sewer - Prior 10 filling trench. o Water Line ~ Prior to filling trench. . ,~. . D Fence - When completed. D Final - After all required Inspections are approved and porches, sklrllng, decks, and venting have been Installed. o Rough Plumbing - Prior to cover. D Street Troos - Whan all required trees arc planted. . . :.... ~.., ~. :,: .~ . (eTHE PROPOSED WORK IN THE. " HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? It yes. lhls appllcallon must be signed and approved by the Historical Coordinator prior to permit Issuance:' Lot facos Lot Type . Lot sq. Itg. , Interior I PL. - IN Lot coverage Corner Is Topography Panhandle Iw Total height Cui-dc-sac IE Setbacks HSE GAR Accl I .J ,-.J APPROVED' MaIn BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT . . This permit Is granted on the express condlllon that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, Including the Dovelopment Code, regulating the construction and use of buildings, and may be suspended or rovoked at any time upon violation of any provisions of said ordinances. BUILDING PERMIT ITEM sa. FT. x $/SO. FT. = VALUE Garage Carporl Plan Check Fee' Date Paid: Total Value Recelpl Number' Building Permit Fee Received By: State Surcharge Total Fee' (A) -_._-- Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) ~O ~ Systems Development Charge is due on all undeveloped ,e:;"I/ oC2c. ..., I properlles within the City limits which are being Improved. (B) .,L. .J ,. . PLUMB'ING PERMIT ITEM FEE ADplTIONAL COMMENTS /tf~r-(~c. 97y'~~/,~/A//Y6 /;..~/(7/./7/ Pt:~::- ~/~ r~7e~. ?~~~, Fixtures Resldenllal Bath(s) N' Sanitary s~wer FT. ~~ Water FT. Storm Sewer FT. Mobile Home ~46t/ ~\ Plumbing Permit n L/t? = . . '2 .-~ /.:::;;?? tf=5 _ "2::> State Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Vent Fan N' By signature, I state and agree, lhall have carefully examined the completed appllcallon 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 the City of Springfield, and the Laws of the Stale of Oregon p,ertainlng to tho work described herein, and thai NO OCCUPANCY will be made of any structure without permission of Ihe 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. Exhaust Hood Wood Stove/lnsert/Flreplace Unit Oryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agreo lo ensuro thai all required Inspections are requested at the proper time, that oach 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 cfnstructlon. ~ Slgnaturp ()t k",. /'::)~ Date Z? - c; - '7 7 MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sldewatk ft Curbcut II " I Demollllon Total Miscellaneous Perrnlls (E) TOTAL AMOUNT DUE (excluding electrlcal~./' ~tt:> - (A, B, C, D, and E Combined) ?' 4'2,?--tO , VALIDATION: RECEIPT NUMBER DATE PAiD AMOUNT RECEIVED RECEIVED BY Z.c;7/JL C::/'7/77 -, 4.'2, ,'l..O .,~ '( State Surcharge