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HomeMy WebLinkAboutPermit Plumbing 1999-12-16 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . LOCATION OF PROPOSED WORK: C, /7 ASSESSORS MAP: _/ 1 () 3 B '-f / ~ LOT. 1-1 A.#? /z- 77)/1./ Sf'.. BLOCK: _ OWNER' ("/l1y'/W JI-4UCLA-O-1J ADORE"". ' 9/ 2.t 8 ,))i)/I/,v.ll'/ ;:(.Il CITY' S'~",e I/f/C: FrE~ t:) DESCRIBE WORt<. U,c-OFIP l-ky,~J;" NEW REMODEL CONTRACTOR'S NAME GENERA'. (". LAy nNt./ PLUMBING' MECHANICAl. ELECTRICAl. STAT':. OR DI?A,./V L IA/,: ADDITION DEMOLISH OTHER . JOB NUMBER_Cf91 (p Y:7 225 Fifth Street Springfield, Oregon 97477 5/"/"0. TAX LOT. 0 f'1 0lJ SUBDIVISION: PHON':. 9//- 727-2~,,"i) ZIp. ~7'17f( ADDRESS }/Au C! / A7v f) C O/1/S 'f CONST. CONTRACTOR' EX~RES ~ PHONE QUAD AREA: WATER HEATER: .; . t"1\. I': o::nc', ::lwr:-_"ldr!=l~ \./nllt, tll"O\f,., !"'f!l~j~ r:<', J, .,. .-: (...1.,. J::;:" . .-", FLOOD PLAIN. REQUIRED INSPECTIONS D Rough Mechanical - Prior. to cover. D Rough Electrical - 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 Wall/CEJillng Insulation - Prior to cover. o Drywall - Prior to taping. , o Wood Stove - After Installation. o Insert - After fireplace approvlIl and Installation of unit. o Curbcut.& Approach - After forms are erected but prior to placement of concreto. D Sidowalk & Driveway - After excavation Is complete, forms and sub-base material .In place. D Fence - \-Vt1en co.-.lpleted. . 0 Stroet Trees - When all required trees are planted. 'V,I\' :; rlt ZONING CODE: _ . '.l lJy .(,. :. "" , ,. ,.. . <;JF, BDRMS. ....~. - ...............-,' - OFFICE USE - 'OOll:l3d AVO 08 ~ AN'rJ l:IO~ 03NOONVIW 81l:10 dtfj{J3~~~.f0J- . OF SLOGS' . ncf:'-An,HNlir,"'-' . .LUN ::;1.LW~t1:ld ;:>IM.!. cl30N :lZJcvn.l.l, OCCY G ROU P}jaOIVl5t1.l.;;ii ::;UIJ):-311VH8 B~Jl!IEHB{fY'pE: . OF STORIES: HiUit)$~o)i'CE: )rnrl '.' ' C : I.. RANGE. . , SECONlJARY HEAT)' SQUARE FOOTAGE:._ To request an Inspection, you must call 726-3769. Ttlls Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the same working day, Inspections requested aller -':00 a.m. will be made the following work day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to seltlng forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. o Footing - 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 ~ / filling trench, ~ Underlloof'fSiumblnd/Mechanlcal - Prior t~ or decking. D Post and Beam - PrIor to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to fIIllng trench. o Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. : o Rough Plumbing - Prior to cover. o Final Plumbing - When all plumbing w9rl< Is complete. D Final Electrical - When all _ electrical .work Is complete. o Final Mechanical - When all mechanical work :5 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 complete. o Plumbing Connections - When home 11a5 been connected to water .~nd sewer: D Electrical Connection - When blocking, set-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 porches, skirting, decks, and venting have been Installed. Lot faces Lot sq. ftg, Lot coverage Topography Total height . Lot Type Interior Corne r Panhandle Cul-de-sac. BUILDING PERMIT ITEM SQ, FT, X $/SQ. FT. Main Garage Carport Tolal Value Building Permi t Fee State Surcharge Total Fcc (A) ;"'.:' :;~ "JI; . . Setbacks PL. HSE I GAR I J'!._ _..1 -L- w ----- E ---- VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary S~wer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan (B) N' FT. FT. FT, (C) Wood StovellnsertlFlreplace Unit N' Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit MISCELLANEOUS PERMITS (D) Mobile Home State Issuance State Surcharge Sidewalk ft ft Curbcut Demolition State Surcharge Tolal Miscellaneous Permits (E) FEE p .:J;;. -- ,-- -L7')-+ ,7) 41>:17. "5" \ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ACC I I I IS THE PROPOSED WORK IN THE. HISTORICAL DISTRICT, OR ON THE HtSTORICAL REGISTER? II yes, Ihls 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 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 oulldings, 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 Reviewed By Date Systems Development Charge Is due on all undeveloped properties within tile City limits which are being improved. ADDITIONAL COMMENTS By sIgnature, 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 dona in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaIning to the work des-.:rlbed 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 thai all required Inspection.s are requested at the proper time, 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. c; /' /_. - :/" , .. ~ / Ignatur,( ....-. _< ~ y~/ - .~ ;..:-' _ 1 ~- L I .-""- ~alP /2..- /l - 7' '1 VALIDATION: 3ln~ RECEIPT NUMBER DATE PAIr> 1-;;),- I (p - '" "'j AMOUNT RECEIVED~J.50 RECEIVED BY ~