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HomeMy WebLinkAboutPermit Plumbing 1994-12-19R P ESIDENTIAL ERMIT APPLICATTON lnspectlons: 726-3769 Offlce: 726-9159 JOB NUMBER 225 Flfth Street Sprl ng f leld, Oregon 9Z 4tl LOCATION Yr"...o"S MAP:oOF PROPOSED WORK: TAX LOT;/3 SUBDIVISION: 7 OWNER: ADDRESS: CITY: PHONE: ZIP:STATE:4z/ ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW- REMOD ADDRESS EXPIRES PHONE ELECTRlCAL: CONTRACTOB'S NAME MECHANICAL: PLUMBING: GENERAL: CONST. CoNTRACTOR # - oFFtcE USE _ WATER HEATER: r OF UNITS: r OF BDRMS: LAND USE:QUAD AREAI I OF BLDGS: RANGE: OCCY GBOUP: r OF STORIES: SECONDAHY HEAT: SOUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: FLOOD PLAIN: To request an lnspectlon, you must call 726-3769. Thlsmade the same worklng day, lnspecflons requested af ls a2.4 hour recordlng. All lnspectlons requested before 7:00 a.mter 7:00 a.m. wlll be made.the followlng work day. REQUIRED TNSPECTIONS wlll be Slte lnspectlon - To be madeafter excavatlon, but prlor tosettlng forms. l-l Understab ptumblng/ Etecrrlcat/ - Mechanlcal - prloi to cover. fl Footlng - After trenches are - oxcavated. [-l Masonry - Steet locailon, bond - Deams, groutlng. tf Foundallon - After forms areerected but prlor to concreteplacement. Temporary Eleclrlc Rough Plumblng - prlor to cover. l-l glectrlcal Servlce - Must be - approved to obtaln permanent olectrlcal power. [l Ftreptace - prtor to factng.J materlals and framlng lnspf Rough Mechanlcat - prlor tocover. Rough Eleclrlcal - prlor tocover. Framlng - prlor to cover. Walt/Celllng tnsdlatlon - prlor: tocover. l--l Flnat ptumblng - When ail - plumblng work ls complete. Flnal Eleclrlcal - \Ahen altelectrlcal work ls complete.t Flnal Mechanlcal - When allmechanlcal work ls complete. Flnal Buildlng - When ailrequlred lnspecilons have beenapproved and bulldlng lscompleted, Plumblng Connectlons _ Whenhome has been connected towater and sewgr. Eleclrical Conneiction - When P-l99ktlg, set.up, ano prurpornjrnspecilons have been approvedand the home ls connected tothe servlce panel. l-l Flnal - After ail requtred - tnspecilons are aBproved andporc.hes, sklrilng,'ciecXs, anOventlng have been lnstailed. E ll Underground ptumblno - prtort-I to fllllng trench l--l Drywatl - prlor to taplng. Underltoor plumblngl Mechanlcat - Prlor to lnsulatlon or clecklng. Posl and Beam - prlor to floorlnsulatlon or decklng. Floor lnsulatlon - prlor todecklng. Sanltary Sewer - prlor to fllllngtrench. n Storm Sewer - prtor to fllltng - trench. -Klil:r Llne - Prlor to rllrlns MOBILE HOME INSPE TIONS [-_l Btocklng and Set.Up _ Whel ail.J blocktng ls compleie. tl E tl Street Trees - When all requlre.dtrees are planted. Q4t 737 /7/,/ E tl tl fl [-l Wood Stove - Afr6r lnstaltailon. l-l tnsert - After ftreplace apDrovat ' l-l Curbcut & Approach - After - forms are erected but prlor toplacemont of concrete, fl Staewatk &.Drtveway - Afrer - excavailon ls completo, formsand sub-base materlal in place. I-l fence - When compteted. Lot faces Lot sq. ftg. Lot coverage Topography Total tleight Lot Type - - lnterior - Corner - Panhandle - Cul-de-sac PL,HSE GAR ACC N S E 1- rS THE PFIOPOSED WOBK fN THE - HISTOBICAL DISTBICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordinator prlor to permlt lsSuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit ls granted on the express condition that the said construction shall, ln all respects, conform to the Ordlnance adopted by the City of Springf leld, includlng the Development Code, regulatlng the constructlon and use of bulldlngs, and may be suspended or revoked at any tlme upon violatlon of any provisions of said ordinances. Recei pt Number:- Plans Reviewed By Dato Date Paid: Becelved By: BUILDING PE'RMIT ITEM SO. FT, X $/SQ. FT.VALUE (A) Total Value Bullding Permit Fee State Surcharge Total Fee N.4ain Gaqage Carport Systems Development Charge ls duo on all undeveloped propertles wlthln the City limits which are being lmproved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Flxturest. Resldentlal Bath(s) Sanitary Sewer Water Storm Sevrer Moblle Home Plumblng Permit State. Surcharge /.2 f *,7 f Total Charge (C) FEE No 266e34/ FT. FT.T FT. PLUMBING PERMIT 2 e,ao?. 276--0 Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent (D) Vent Fan Mechanical Permit lssuahce State:surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordlnances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to tho work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure wlthout permission of the Building Safety Divislon. I further certify that only contractors and employees who are ln compliance with ORS 70'1.055 will be used on thls proiect. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable from tho street, that the permlt card ls looated at the front of the property, and the approved set of Slgnatu.<d S s wlll remaln on the slte MISCELLANEOUS PERMITS Moblle Home State lssuance Sldewalk - ft Curbcut - ft Domolitlon Stato Surcharge Total Mlscellaneous Permlts (E) 1{ 7ae aa L AMOUNT RECEIVED RECEIVED BY DATE PAID VALTDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned) 71 , .11; ; Plan Check Fee: N0 SPFlINGFIELED RESIDENTIAL PERMIT APPLICATION lnspectlons: 726.3769 Offlce: 726-3759 JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 LOCATION OF PROPOSED WORK:/3/j ?*A(e 7 ASSESSORS MAPI LOT: TAX LOT: I 7A).ilf PHONE: C /< STATE:ZIP:727z7 14 D ef7/ADDRESS; OWNER; CITY: ((^oDEMOLISH OTHER OESCRIBE WORK: NEW- REMODEL ADDITION 5zs1 A ORESS CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTBICAL: EXPIRES PHONE - OFFTCE USE - LAND USE: FLOOO PLAIN* OF UNITS: ZONING CODE: I OF BDRMST RANGE: CONSTR. TYPE: HEAT SOURCEI OCCY GROUP: * OF STORIES: S.ECONDARY HEAT: SQUARE FOOTAGE:To request an lnspectlon, you mustmade the same worklng day, lnspe,ls-ls a 24 hour recordlng. Allafter 7:00 a.m. wlll be mad.e s reEuested before 7:00 a.m. wlll belng work day. call 726-3769. Th ctlons requested R lnspectlon the followl Temporary Eteclrlc iifi ij*I;,t*,;,,,.,?en:." il:*:",Ir,,' IT; :l i 5, :c r r, c a, / I-l Footlng - After trenches are - excavated^ tl l!Xill,%;il"r:, rocaron, bond t] 5,::13;'11'l ;, #lT J8l?;,T"pracement. [--l yng:tnround ptumbrns _ prtor - to fllllng trench. 3 B?i'l',.'li,?,:f,:,,,:'", f,T::[,,ff : f_ost aTd Beam - prtor to floorlnsulatlon or decklng. Floor lnsulailon - prlor tooecKtng, ,Xft:*ry sewer - Prror to ,rns Storm Sewer - prlor to fllllngtrench. Y:t:.-Ltne - prtor to filtnsrrench. Rough Plumblng - prlor tocover. EQUIRED INSPECTIONS l-9uSr, Mechantcat _ prlor tocover. !-1!St Electrlcal - prtor tocover. Ele_c-trlca.l .servtce _ Must be 3iJ#ti, f'"fl:l:' " Permane n t , l3t],1q" - prtor to factnsmatertals and framlng tnsf Ln"ptt - After ftrepta"" "pproro,and lnstallailon of 'unlt. -" -' .' Curbcut & Approach _ Afreirorms are erected but prlor to . .placemont of concrete. Sldewalk & Drlveway - Afterexcavailon ls compieto, formsand sub.base matirlal in ptace. Fence - When completed. . Slreel Trees - When all requlredtrees are planted. Flnal-plumblng _ When ailprumblng work ls complete. 5,':;1,,:'i,"$:?i,, " "Hil" il]. l1gl nagclantcal _ When ailmechanlcal work ls complete. Flnal Buildlng _ When ail l11t11reO.tnspecilons have beenapproved and bulldlng lscompleted.Framlng - prlor, to cover. W-all/Celllng lnsulatlon - prlor tocover. Drywall - prlor to taplng. Wood Stove - nft6r lnstallatlon. Olher MOBILE HOME INSPECTIONS E 8,'ff['x8,Ti""#y[ - whep a,, Plumblng Connections _ Whenhome has been connected towater and sewgr. Eleclrical Conniclion _ When P]?9Illg' set'up, ano pturporn-jrnspecilons have been approvedanct the .home ls connected tothe'servlce panel. Final - After all requiredrnspecilons are appioved and .p.^o]g,hu": skl riln g,'dec Xs, anO-venilng have been lnstalled. QUAD AREA: r OF BLDGS: Lot faces Lot sq. ftg. Lot coverage TopograPhY Total tlelght Lot Type - - lnterior - Corner - Panhandle - Cul-de'sac 1 - lS THE PROPOSED WORK tN THE -. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and aPProved bY the Hlstorlcal Coordinator prlor to permit lssuance' APPROVED: ACCHSEGARP.L. N S E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit ls granted on the express condition that the said consiruction shall, ln all respects, contorm to the Ordlnance ;;;;l;; ty tne' citv of Sprinsfleld' includlns the Ouuif op."nt Code, regulatlng the constructlon and use of o"riii"'g", ""d may uJsuspenoed or revoked at any tlme ,pon ,iol.tlon of any provisions of sald ordlnances' Plan Check Fee: DatoPlansReviewed BY Receipt Numbe Date Paid Recelved BY: BUILDING PERMIT VALUE (A) SQ. FT. X $/SO. FT.ITEM !v!ain Gaqage Carport Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge ts due on all undeveloped prop"rtt"s wlthln the City limits which are being lmproved'SYSTEMS DEVELOPMENT CHA (B) BGE (sDc) ADDITIONAL COMMENTS lTEM Flxturest Residentlai Bath(s) SanltarY Sewer Water Storm Sev.rer Moblle Home PLUMBING PERMIT -t {to 'r') ' I 1,2fs'7 f -) a 60 Total Charge FEE Nq FT. FT. (c) 2aoPlumblrrg Permlt State Surcharge Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permit lssuahce State Surcharge Total Permit Furnaco Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon hereon ls true and correct, and l lurther certlfy that any and all work performed shall be done in accordance wlththeOrdlnancesoftheCityofsprlngfield,andtheLaws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure wlthout permission of the Bulldlng Safety Dlvislon' lfurthercertifythatonlycontractorsandemployeesWho are ln compllance with ORS 701'055 wlll be used on thls proiect. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls looated at the lront of the property, and the approved set of plans wlll remaln gnature 7-1 7-Date on the site at all times durlng constructlo MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk --_ ft Curbcut ---_ ft Demolition State Surcharge Total Mlscellaneous Permits / 577 L &DATE PAID AMOUNT RECEIVED BECEIVED BY VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excludlng electrical) (A, B, C, D, and E Comblned) .\:; ; n. 4? 7 ? (E) -t1fu