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HomeMy WebLinkAboutPermit Plumbing 1996-4-25 RESIDENTIAL PERMIT APPLICATION Inspections: 726'3769 Office: 726,3759 . SPRINGFIELD LOCATION OF PROPOSED WORK' 71?7 ~"..9-/A/ -:>/"", ASSESSORS MAP' /)-7 -7')"'::. ~ ' LOT: BLOCK' OWNER: ~""!":;.u.<; .h~4"~/ ~~/e--/J;_' ADDRESS: fZ~~ ~A/# 9-7<' ,J~., ... ,/ CITY: :::r- '-J?- STATF' ~, /~~~ DESCRIBE WORK: V--~~?;n">"""'/ , , CONST, CONTRACTOR'S NAME . ADDRESS" ~ CONTRACTOR' GENERAL: j,"),_~~~; 2?~~~/'S7. .,'~ ? '??/ , ' PLUMBING: MECHANICA' . ELECTRICA' . NEW REMODEL ADDITION QUAD AREA' . OF BLDGS: OCCY GROUP' . OF STORIES: WATER HEATER' ~ DEMOLISH OTHER . JOB NUMBER ~5'?y 225 Fifth Street Springfield, Oregon 97477 TAX LOT: ~::> ~~ , SUBDIVISION: PHONF' ?Y7~, ~?~ ZIP: ~?'77? - OFFICE USE - LAND USF' . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: EXPIRES -. PHONE ,~/~ , '" " . , FLOOD PLAIN: ZONING CODE: . OF BDRMS: ~~ ,~ SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. Alllnspectlons requested before 7:00 a.m. will be made the same working day. Inspections requested after 7:00 a.~. will be ~ade the following work day. . REQUIRED INSPECTIONS o Temporary Electric O SlIe Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcall 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 to filling trench. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to fI.oor Insulation or decking. o Floor Insulation - Prior to decking, rvl Sanitary Sewer - Prior to filling I,C-l trench. ?:/f;r> o Storm Sewer - Prior to filling trench. O Water Line - Prior to filling trench. . o Rough Plumblng.- Prl?r to cover. ., o Rough Mechanlcal- Prior to cover. o 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/Cefllng Insulation - Prior to cover. o Drywall -:-, Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approvel and Installation of unit. o Curbcut & Approach - After forms are erected but prior to . placement of concrete. o Sidewalk & Drlveway....L After excavation Is complete: forms and sub.base material. In place. o Fence - When completed. o Street Troes - Wher all required trees are planted. '. o Final Plumbing - When all plumbIng W9rl< Is complet.o. o Final Electrical - When all electrical work Is complete. o Final MechanIcal - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. [Xl Olher~ /~~~ ~~~YA<: I MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is comple.te. ' o Plumbing Connection!? - When home has been connected to water and sewer. o Electrical Connection - When blocking, set,up, end plumbing Inspections have becn approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and ventlng have been Installed. Lot faces : Lol sq. flg. Lot coverage Topography Total hei ght BUILDING PERMIT ITEM sa. FT, Main Garage Carport Total Value Building Permit Fee_ State Surcharge Tolal Fee LOI TY. Interior Corner. Panhandle . Cul-de-sac x $/sa, FT.' ~ ,_.1 .' ~. I .~ .~ ' - - I . , I , , " (A) I P.L. IN Is Iw LL VALUE :. ,'. " SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential Balh(s) Sanitary S~~er Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan Wood Stovellnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit ,(B) N' 'II'!, , I ,;rl' .. I'.' . r~~ , FT, q;o FT. FT. FEE ..... ~~ /..;-. ~ 'Uh~_ :~ (C) -/.s. 2e> N' (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fl Curbcul fl Dem~lI,tlon State Surcharge , . Total,~Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excluding. electrical) (A, B, G, D; and E Combined) ~5 /~-- ,~ .~ , . /9 71'7 95":b'7 .",' " ,. ')-; :.... i~ .'.~" 1 ',: " " IS THE PROPOSED WORK iN THE ""HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? Setbacks .. HSE ' GAR' ACC I I I I I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT I' yes, this application musl be signed and approved by the Historical . Coordinator prior to permit Issuance. APPROVED' This permit Is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the Clly. 01 Springfield', including the Development Code, regulating the construction and use 01 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: , . Plans Reviewed By " Date Systems Development Charge Is due on all undeveloped pr,operties within the City limits which are being improved, ADDITIONAL COMMENTS By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and J further certify that any and all work performed shall be done in accordance with the Ordfnancos of the City of Springfield, a~d the Laws of the Slale 01 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, thafeach 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 th(..~ 7Ytt~e~~ during c~. Signat~/~V. c:J-; Date' L/!~/1& I I VALIDATION: RECEIPT NUMBER =<" :<?.,... 7'- <5' '~.G' AMOUNT RECEIVE['\ -=1'<;', &;.-y- RECEIVED BY~~ DATE PAID V/