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HomeMy WebLinkAboutPermit Plumbing 1991-7-17 .BLOCK' OWNER: \_~~~' -f\\~\\.~ PHONE: \rl-\O 0\'\ \ ADDRESS: _ \\ 0 ' ~ ~"( :r'.. C;wS() , ' ' " " STATE: h.ll\Of\lr \ 'ZIP: C\"f\~l , \.."\)" - . DESCRIBE WORK: f))\ ~ \1 \ \... '1\6\ L \ '\'{\. f\ l.. t . -9\D'\'<\..a-. REMODEL A~DITIO~ DEMOLISH OTH~l RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ~S.S,ESSORS MAP.' LOT" NEW . SPRINGFIELD . q \CJ~ JOB NUMBER TI)X,Wr:. SUBDIVISION' CONST. CONTRACTO~ NAME ADDRESS CONTRACTOR # GENERA" b,Mt)~\~19f~\)'(Y\ m2A \'0~' PLUMBING: h~D3- \ ~~t,Q'(" 3))~ ~~ J MECHANICA" - ELECTRI~AI .~'~ 'd\..~ , QUAD AREA: .,~SlO \ \<;?J ~. # OF SLOGS: OCCY GROUP: # OF'STORIES: WATER HEATER' - OFFICE USE - \ \ c:4) \ LAND USE: # OF UNITS' CONSTR. TYPE: HEAT SOURCE: .\=<2:- f____ RANG~' EXPIRES PHONE '1Z(t1,?JJj FLOOD PLAIN' ZONiNG CODE: ill~' # OF SDRMS' ,~' SECONDARY HEAT: SQUARE 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. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbingl Electrical! Mechanical - Prior to cover. IYl Footing - After trenches are ~ excavated. . o Masonry - Steel rocation, bond beams, grouting. O' Foundation - After forms are erected but prior'to concrete placement. D Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior to Insula~lon or decking. o Post and Beam - Prior to floor Insulation 'or decking. . D Floor Insulation..- Prior to ~ecking. O Sanitary Sewer - Prior to filling trench. O Storm Sewer - Prior to filling trench. , I)' \ o Water Line L Prior to filling trench. I') / o Rough Plumbing - P.rior to cover. ; I REQUIRED INSPECTIOII!S o Rough Mechanical - Prior to cover. o Rough Electrical - Priore 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/Ceiling Insulation.- Prior to cover. ' D Drywall - Pri?r to taping. . , .- - ,- , o Wc:>od S'tove - After Installation. o Insert - After fireplace approval and installatlon of unit. \ o Curbcut & Approach - After '\ forms are erected but prior.to placement of concrete. D Sidewalk & Driveway - After excavation is complete, forms -and sub-base material In place, o Fence - Whe~ compl€!ted. '.' o Street Trees - Wnen'''afr' required'-'w trees are planted. o Final Plumbing - When all plumbing work is complete. D Final Electrical - When all electrIcal .~ork Is co.~plete. o Final Mechanical - When all mechanical work is complete, o Final Building - When all required ,Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS I'\Zf Blocking and Set.Up - When all r blocking Is complete. ~ Plumbing Connections - When home has been connected to water and sewer, rr Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. . 9 Final - After all required inspections are approved and . . 'porches, skirting, decks, and ' venting have_ been:lnstalled. Lot Type. . . Lot faces Setbacks . THE PROPOSED WORK IN THE , I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON Lot sq. ftg. Interior IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, lhis application musl 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 Main Garage \ Carport Total Val ue Building Permit Fee t St;:tte Surch~~ge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. FT. FT, Water Storm Sewer /o,co Mobile Home Plumbing Permit State Surcharge /0,00 d!!s Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Fireplace Unit \ Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) o MISCELLANEOUS PERMITS / f't5.CO B'~~ cO ,(0 Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleclrical) (A, B, C, 0, and E Combined) ~co 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 adopled 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. Plan Check Fee' Date Paid: Receipt Number' Received By: Plan,S Reviewed By . Date Systems Development Charge is due on all undeveloped properties within ttie City limits which are being improved. I 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 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, an.d 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 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 wilt remain on the site at all times during c~nstructlo . . ___ J Signature\//A'~tP. .~~ Date X. I VALIDATION: n RECEIPT NUMBER QlOl \~! DATEPAlfl t -r.qb AMOUNT REC~I Efl ) R0. ' RECEIVED BY t f'Xf), i ............/ - -