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Home My WebLink AboutPermit Plumbing 1993-04-26RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Of fice: 726-3759 STDRINGFIELD LocATroN oF PRoPoSED WoRK: --3\Z- S <n4- ASSESSORS MAP:la_a_53:/ JOB NUMBER 225 Fifth Street Spri ngf ield, Oregon 97 477 TAX LOT: LOT:BLOCK: SUBDIVISION PHONE: OQ ZIP:STATE: 3qS 3 1) Q) Lt CITY: ADDRESS OWNER: MOLISH OTHER DESCRIBE WORK NEW - REMODEL ADDITION PHONEEXPIRESADDRESS o 'r\) CONTRACTOR'S NAMF. CENERAL: -- , PLU M BI NG: MECHANICAL: ELECTRICAL CONST. CONTRACTOR # _ OFFICE USE _ * OF BDRMS: ZONING CODE: FLOOD PLAIN WATER HEATEA LAND USE: -- I OF UNITS: , QUAD AREA: , OF BLDGS CONSTR. TYPE: HEAT SOURCE: RANGE: OCCY GROUP: " OF STORIEST 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, lnspections requested after 7:00 a.m. will be made the following work day. REOUIRED INSPECTIONS Rough Mechanical - Prior to cover.f--l Temporary Electricll Site lnspection - To be made after excavation, but Prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decki n0. Sanitary Sewer - Prior to f illing trench. Storm Sewer - Prior to fiillng trench. Water Line - Prior to filllng trench. Rough Electrical - Prior to cover Eleclrical Service - Must be approved to obtain Permanent electrical power. Fireplace - Prior to facing materiats and f raming lnsP. Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to COVET, Drywall - Prior to taping Wood Stove - After installation lnsert - Atter fireplace approval and installation of unit. Curbcut & Approach - After forms are erecte'-j but Prior to placement ol concrete. Sidewalk & DrivewaY - After excavat;on is complere, forms and sub-bas(' rnaterial in place. Fence - '/Jhen cornPieted Slreet Tr,:t,s - When :lll reqiiired t rees are i,i : n:!)J. Final Plumbing - When all plumbing work is comPlete. Final Electrical - When all etectrical work is comPlete. Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set.Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Etectrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to tne service panel. tl f I Final - After all reqtrireCLr irrspections are aPProved and porches, skirting, decks, and vcnrin-i have been installcd.Rough Plumbing - Prior to cover.L-] Qzo=<-t D0360 r E r tl Er r E E Er tl tl i--l tf SECONDARY HEAI SOUARE FCOTAGE: Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE ACC E N S BUILDING PERMIT ITEM SQ. FT.X $/SQ. FT.VALUE Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) 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 Springfietd, inctuding 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: ___ Recei pt Number: Received By Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home \n^,l,,-.-l FEE N0 FT. FT. FT. 15 00 Plumbing Permit State Surcharge Total Charge IS.C O 7S (\.)ls.-ts ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit (D) By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and lhat NO OCCUPANCy wilt 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 proiect. I f urther 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 es du s structi on. Sig natu re Date I t lqz MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) VALI DATION: RECEIPT NUMBER n 2ast DATE PAID 4 laulq> AMOUNT RECEIVED 6 r<lq RECEIVED BY ---- rlgTOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 16. -7= IS THE PROPOSED WORK IN THE HISTOFIICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: Date Paid: Permit No:Q3os<- Address: lssued by 3qa A: 53 o&- Date '/>,-lqt 1 2 DB R OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. A My general contractor is Contractor registration number-. I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3. B. a<-,1 will be my own general contractor. lf I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. lf I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. ! hereby certify that the above information is correct and that I have read and understand the lnlormation Notice to Property Owners about Construction Responsibilities on the reverse side ol this form. 4 3 t App t te WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT CONSTRUCTION CONTRACTORS BOARD o244J 8191