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HomeMy WebLinkAboutPermit Plumbing 1992-1-3 RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 LOT' .' BLOCK: OWNER:\.D_~ A~Q '(t\().0 V f-O)( l'.1-,) ADDR~~0) ,("X\ HY, ~ b CITY:~~~~ft . ,', DESCRIBE WORK: ,---'Y.LO f'1;{l)/ J..}" ~J;j 11 NEW ~REMODEL ADDITION (JEMOLlSH CONTR{CTOR'S NAME ADDRESS . q flODDS JOB NUMBER 225 Fifth Slreet Springfield, Oregon 97477 SUBOIVISION' PHON~' rf))Jj ~fYfl) ZIP: - f.Y '(~ - OFFICE U~E - LAND US~ ~( I # OF UNITS' CONSTR. TYPE: HEAT SOURC~' RANGE: REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. . D Wood Stove - After Installation. D Insert ~ After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. STATE: OTHER CONST. CONTRACTOR # EXPIRES PHONE GENERAL' PLUMBING:6,J\DOf\<::.,lJj)':") 4fl~q \'{'Q-\ ~4: 3\?-l12l0 MECHANICAl' ELECTRICAl' QUAD AREA: 3EJ1 ) (l ) # OF BLDGS' OCCY GROUP: # OF STORIES: WATER HEATER: \A,.\QQ3 721~ FLoo-6 PLAIN: \ ZONING CODE: ljJV # OF BDRMS' SECONDARY HEAT: 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 same working day. Inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o UnderSlab Plumblng/Electrical/ Mechanical - Prior to cover. D Footing - 'After trenches are excavated. o Masonry - Steel location, bond beams, gr~utlng. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior 10 filling trench. D Underfloor Plumbing/Mechanical - prior to insulation or decking. D Post and Beam - Prior to floor Insulation .or decking. D Floor Insulation - Prior to decking. rf:t:Sanitary Sewer - Prior to filling ( trench. o Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. D Sidewalk & Driveway - After excavation is complete, forms and s~b-base material in place. D Fence - When completed. D Street Trees - When all required trees are planted. D Final Plumbing - When all plumbing work is complete. o Final Electrical - When aU' electrical work is complete. D Final Mechanical - When all mechanical work is complete. D Final Building - When all required Inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has 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 .'.-. porches, skirting; decks, and venting have been installed. Lot faces Lot Type . Setb'lcks . THE PROPOSED WORK IN THE I PL. , GAR' ACC I HISTORICAL DISTRICT, OR ON Lol sq. Itg. Interior HSE IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography Panhandle Iw I . Coordinator prior to permit issuance. Total height Cul.de.sac IE I APPROVED' BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This. permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Main Garage Carport Plan Check Fee: Date Paid: Total Vai ue Receipt Number. Building ~ermit Fee State Surcharge Received By: Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE , Sanitary Sewer Fd N'Y 4noo - - \ .0 J \ ( \ \ A \l! Q X L: ) r JI. . l\\ ~DOf\1 I-{DI$'~ Fixtures Residential Balh(s) N' Storm Sewer FT. FT, Water Mobile Home Total Charge (C) 40 ,co ~ .00. 42.. .ou Plumbing Permit State Surcharge MECHANICAL PERMIT Fu rnace Vent Fan N' By s.ignature, 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 Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and lhat NO OCCUPANCY wili be made of any structure without permission of the Building Safety: Division. I further certify that only contractors and employees who are In compliance wilh ORS 701.055 will be used on this project. Exhaust Hood Wood Stove/lnsert/Flrepiace Unit Dryer Vent MeChanical Permit Issuance State Surch~rge Total Permit (D) I further agree to ensure that all required inspections are requested at the proper ti me: 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 all times during construction. Signa~ .... rrxJ1 W fLY ...x1? '2-1 ;:) /-3 - 9~ Oat'" MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge VALIDATION: _/1 RECEIPT NUMBER ()G DATE PAID (-,~-Gr Total Miscellaneous Permlls (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 41)OV AMOUNTRE~S ~~ RECEIVED B~ 1 l\ - 00 J