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Home My WebLink AboutPermit Plumbing 1995-08-23SPR I]{GFIELEI RESIDENTIAL PERMIT APPLICATION lns pections: 726'3769 Of f ice: 726.3759 LOCATION OF PROPOSED WOFIK:/A4 dpee.Nvt*Le Zfr, JOB NUM BER 225 Fifth Slreet Spring fleld, Oregon 97477 ?5/:ss ASSESSORS MAP: LOT;BLOCK: TAX LOT: PHONE STATE:ZlPl.')f= LLZ72L- tJtra p1=rr/rueeOWN ER: ADDRESSI CITY REMODEL - ADDITION - DEMOLISH -- OTHER_E: DESCRIBE WORK NEW ADDRESS PHON ECONTRACTOR'S NAME ELECTRICAL: CONST. CONTRACTOR ' RANGE: , OF BDRMS: _ OFFICE USE _ WATER HEATER: ZONING CODE: FLOOD PLAINOTJAD AREA: ,r OF BLOGS: SECONDARY H EAT: SOUARE FOOTAGE OCCY GBOUP: " OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested belore 7:O0 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day. REOUIRED INSPECTIONS Temporary Eleclric Flnal Plumbing - When all plumblng work Is com plete. Site lnspectlon - To be made after excavatlon, but prior to sett lng lorms. Final Electrical - When all electrical work ls com plete. Underslab Plumblng / Electrical/ Mechanical - Prlor to cover Electrical Service - Must be approved to obtaln permanent electrlcal power. Flnal Mechanical - When all mechanical work Is complete. Footlng - After trenches are excavated.Fireplace - Prlor tq faclng materials and f raming lnsp Finaf Buildlng - When all requlred lnspectlons have been approved and building is com pleted.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. OlhsrFoundatlon - After forms are erected but prlor to concrete placement.wall/Celling lnsulatlon - Prlor to cover, Underground Plumbing - Prior to lllllng trench.Drywall - Prlor to laping. MOBILE HOME INSPE TIONS Underlloor Plumblng / Mechanical - Prior to lnsulation or decklnq. Posl and Beam - Prlor to floor lnsulatlon or decklng. Blocking and Set.Up - When all blocking is com plete. Floor lnsulalion - Prior to decklng.Curbcut & Approach - A{ter forms are erected but prior to placemcnt of concrete. Plumbing Connections - When home has been connected tg waler and sewer, Sanitary Sewer - Prior to lilling trench. Storm Sewer - Prior to fllling lrench. Sidewalk & Driveway - After excavation ls complete, forms and sub-tase materlal ln place. waler Llne - Prlor to filling trdnch. Fenqe - When completed. Final - After all required lnspectlons are approved and porches, sklrtlng, d ecks, and ventlng have been lnstalled.Rough Plumbing - Prior to cover. Slr€6t Tr6es - When all required trees are planted. SUBDIVISION: ?7477 GENERAL: - PLUMBING: - MECHANICAL: EXPIRES LAND USE: - d OF UNITS: - n Rough Mechanlcal - Prlor to 'J cover. }Y( Rougtr Electrical - Prior tolz_\cover E E E E E tl E E Wood Stovo - After lnstallatlon. lnsert - After flreplace approval and lnstallatlon oI u nlt. E E E E E Electrical Connection - When blocking, set-up, and plu mbing lnspections have been approved and the home is connected to the servlce panel. E E E E E E E E E Lot taces Lot sq. ftg. Lot coverage To pogra phy Total helght Lot Ty, - lnterior - Corner - Panhandle - Cul.de-sac Setbacks PL HSE GAR ACC N s E IS THE PROPOSED WORK IN THE H ISTORICAL OISTRI T, OR ON THE HISTORICAL REGISTEN? - lf yes, this applicatlon must be slgnedand approved by the Historlcal Coordinator prlor to permit issuance, APPROVED: VALUE (A) x $/so. FT. Total Value Bulldlng Permit Fee State Su rcharge Total Fee BUILDING PERMIT ITEM SO. FT Main Garage Carporl BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinanceadopted by the City of Springfietd, inctudlng theDevelopment Code, regulating the construc on and use ofbuildings, and may be suspended or revoked at any flme upon violation of any provisions of said ordinances. Plans Rcviewed By Date Date Paid: Fleceived By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within thc City timlts which are betng improved. ITEM Flxtures Residential Bath(s) Sanltary Sewer Water Slorm Sewer Moblle Home Plumbtng permft Zt-o -f /,fo state surcnarge fH+ Toial Charge (C) PLUMBING PERMIT FEE FT, --2-a,fu,. 2 e42 Fr. < FT. < ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) No Mechanical Permit lssu an ce State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By slgnatu re, I state and agree, that I have carefully examlnedthe completed application and do hereby cer fy fhat all lnformatlon hereon is true and correct, and I further cerfify that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertainlng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure wlthout permission of the Bullding Safety Divislon. I further certlfy that onty contractors and employees who are ln compllance with OFIS 701.055 wl be used on thlsprojecl. I further agree [o ensure lhat a required inspections are requested at the proper Ume, that each address ls,eadable from the street, that the permlt card Is located at the frontof the property, and the approved set ol plans wi rematn es durlng c tructionon the site at all Date ,x-Slgnatu MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk --- ft Curbcut --. ft Oemolltlon State Surcharge Tolal Mlscellaneous permits (E) eor) z?7.oo 2 b a/./a- AMOUNT RECEIVED FIECEIVED BY DATE PAID VALIDATION: BECEIPT NUMBEFI F F [-r- FF Plan Check Fee: @ o #l'u tfe , - ,- ,. ',- /' -2,, ,-\aqF /, i;a. .** 1 z45lo . TTOTAL AMOUNT DUE (exctudtnq clectrlcat) (4, B, C, D, and E Combined)