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HomeMy WebLinkAboutPermit Plumbing 1991-4-29 i I I RESIDENTIAL ~ERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 I I LOCATION OF PROPOSED WORI<' AbsESSORS MAP' I. - 0:' I ' LOT: I I OWNER' I , ADDRESS: CITy,i::0 bbr)0 E' I I DESCRIBE WORK: I NEW I I CONTRACTOR'S NAME G~NERAI' PtIN \.0 Z;;'\1=<:Z.YG\0\ I PLUMBING: T1<nb1<.e56LV e: I MECHANICAl' I , ELECTRICAL' -I I i QUAD AREA' i . OF BLDGS: I OCCY GROUP' i . OF STORIES: I WATER HEATER' , , ., .. 1>AV L D ZA-f<- 'Z. Y O~ \ I~I 1'\I\c. CL.uRE" - SPRINGFIE~D, . ,JOB NUMBER~/?/25 225 Fifth Street Springfield, Oregon 97477 ::f 2.33>0))~ TAX LOT- SUBDIVISION' PHON~' l'oB8 - 0"2.43. 12t.1., I-tAYD~t-J BRlObE!: \2.'/ - -z..-<." - l \ - 0 Il.,o(:) BLOCK' LN, STAT~' C/e.... ZIP' "'7It:toL/ AJ~ :> flluh?/./VA.J2 ,P'1xTS ~c:,c;. ""~,'FzBl./Af' ADDITION DEMOLISH OTHER REMODEL CONST, CONTRACTOR' ADDRESS l3\ rY\cc.\u.Y~ PLU me, 11--.1 L... EXPIRES PHONE" '-::, , ~ l!.2-;l_lB~__ _.... . ...;": " -3~ . ,41-:> -//J:2Pl - OFFICE USE - LAND USE: . OF UNIT:'" CONSTR. TYPF' HEAT SOURCE: RANG~' ~(:i-:P{? :L -'.{ ~e ~L. FLOOD PLAIN' ZONING CODE: . OF BDRMS' SECONDARY HEAT: SQUARE F,OOTAGE: TO ~equest an inspection, you must caI/726-3769. ThIs Is a 24 hour recording. All Inspections requested before 7:0Q,a.m. will be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. 1 , [I] Temporary electric I .r--p Site Inspection - To be made LDI after excavation, but prior to setting for.ms. , ~ Underslab Plumbing/Electrical/ L..1J M'echanical .....:.. Prior to cover. I [J]Footing - After trenches are' , excavated. . I [] Masonry - Steel location, bond I beams, grouti,ng. I OJ Foundation - After forms are I' erected but prior to concrete placement. ' i . o Underground Plumbing - Prior I t? filling trenc:h. : D Underfloor Plumbing/Mechanical 1 - Prior to Insulation or decking. o Post and Beam - Pr~or to floor Ilnsulatlon.or, decking. . . o Floor Insulation - Prior to I decking, , O Sanitary Sewer - Prior to filling trench. ,..,1 o Storm Sewer - Prior to filling I trench, . o Water Line - Prior to filling I trench. Rt Rough Plumbing - Prior to /; cover. , I REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to. cover. , "f':7( Electrical Service - Must be F approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~r,aming - Prior to cover, f::7( Wall/Ceiling Insulation - Prior to ~over. ~~W~,l1 - Prior to taping. o Wood. S't'ove -"Aft~r i~stall~t1on~ D Insert -'After fireplace approval and Installatlo," of unit. . . o Curbcut & Approach - 'After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms arid sub~base material in place. D:Fence -.Whe:n complet.ed..' o Street Tr~es ---i"When a-II re'quired trees are planted. ~ " Final Plumbing - When all , lumblng work is complete. .K:71'" Final Electrical - When all ~ electrical work is complete., o Final Mechanical - When alt mechanical work is complete.' ty( 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 has been connected to water and 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, ltg, Lot coverage Topography Total hel ght Lot Type e Interior Corner Panhandle Cul-de-sac BUILDING PERMIT ITEM SQ, FT. X $/SO, FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) . THE PROPOSED WORK IN T~E HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Setbacks I P,L, HSE GAR ACC IN Is Iw IE VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan (B) ~ N' FT. FT, FT, (C) Dryer Vent Wood Stoveflnsert/Flreplace Unit N' Mechanical Permit Issuance State Surcharge Total Permit Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, 9, D, and E Combined) FEE Sh,O>' :2YJ ,pf) /5'D '==? /,::'-0 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 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: //C470trv- Plans Reviewed By ;f~~1 Systems Development Charge is due on all undeveloped properties within the 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 Informatton hereon is true and correct, and I further certify that any and all work performed sharr 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 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 will remain on the site at all times during constructlo.n. SIgnature )\, Date Lt l L$', l \) VAll DATION: RECEIPT NUMBER /991'1/ 4~2V// 9"z ~ ~~ DATE PAin AMOUNT RECEIVED RECEIVED BY