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Home My WebLink AboutPermit Plumbing 1993-04-294 TDFIT,\.GFIELD 2€o o /oBLOCK h,L LOT: LOCl.TlOl'! OF PROPOSED WORK: - ASSESSoRsi MAP: -LZ-t !-3:!I 3 os.?,3 SUBDIVISION TAX LOT OB NUMBERRESTDENTIAL PEF.MII' APPLICATION lnspections'726'3769 Of licc: 726'1i759 225 Fifth Street Springfield, Oregon 97 477 PHONE: aeSTATE: ( 7f 6 - o ?+o ztP'.q -rq7 7 V.__e_4.+ 1',2 (l (oi noqL.- O\,^JNER -&-!!-- 3,fs q_ADDF]ESS: ",r, -Sp-r?+ REMODEL ><- ADDITION DEMOLISH OTHER LineSe'u r..pls cc r{ EW _-_ ors,rlrta,: 'NoRK PHONEEXPIRESADDRESS <(. ELECTRICAL:. -- I,4ECHAN ICAL CONST. CONTRACTOR # CON TRACT()R'S NAME CEN i:RAt-: PLUTTIBTNG: -O * ^ _ OFFICE USE _ , OF BDNMS WATER HEATER: - QUAD AREA: { OF STORIES: ---- g OF BLDGS: LAND USE. # OF UNITS SECONDARY HEAT: SOUARE FOOTAGE: CONSTR. TYPE: HEA.r SOURCE: RANGE: ZONING CODE: OCCY GROUP - - To rcquest irn inspection' you must call 726-3769' This is a24hour macl(] the s.rme workin0 (jay, inspections requested after 7:00 a'm' REOU!RED INS recording, All inspections requested before 7:O0 a'm' will be wrll be made the following work day' PECTIONS Final Plumbing - When all plumbing worl< is complete'TemporarY Electric [l Site lnsPection - To be made a[ter,:xcavatron, but Prior to scttir,g torms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover' Footing - Af ter trenches are excavated. Masonry - Steel location, bond beams, grouting. l--l Foundalion - Af ter forms are L-l srs6t,ld but lrrior to concrete Placement. [-l Underground Plumbing - Prtor t -l ,^ ,;lr ^^ !ra..hlu !'i' I t-i Underlloor Ptumbing/ MechanicalI I - Pr or to insulation or clecking' []Post and Beam -- Prior to ficior insul;rtion or deckirtg' Floor lnsulation - Prior to L_l Rough Mechanical - Prior to cover. Rough Electrical - Prior to cover, cover, Curbcut & APProach '- After fornts are erected but Prior to placr,'ntent of concrete' Sidewalk & DrivevraY - After excavation is comPlete, forms ancJ sub-base nraterial in Piace' Fence - !\rhen comPleted Strect Trees - When all required trees are planted. Electrical Service - Must be approved to obtain Permanent electrical Power. Fireolace - Prior to facing materials and f raminO lnsp' Framing - Prior to cover' Wall/Ceiling lnsulation - Prior to Final Electrical - When all electilcal work is comPlete' Final Mechanical - When all mechanical work is comPlete' Other Final Building - When all required insPections have been approved and building is completed. l-l OrYwatl - Prior to taping' lviUBiLE'FiCf'/iE i t'iSPECf iOi'ls [---l wood Stove - After installation' lnserl - After firePlace aPProval and installation of unit' Blocking and Set'UP - When all blocking is comPlete. Plumbing Connections - When home has been connected to water and sewer. trenc rl det; SanitarY Sewer - ['rior lo f illing Electrical Connection - When blocking, set-uP, and Plumbing inspecti-ons have been aPProved and the home is connected to the service Panel. Final - After all required insDections are aPProved and oorchcs, skirting' decks, and venting have been installed' Stornr Sewer - Prior to filling trencrl [ ] wate, Line - Prror to fillino L-r tfCnCn. I- I Rouglr Plumbing - Prior to L_l covel [] L r E r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac tbac S IS THE PROPOSED WORK IN THE HISTORICAL DISTFIICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit rssuance. APPROVED: P.L.HSE GAR ACC N S E VALUE (A) x $iso. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport 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, regulatirrg the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Recei pt Numbe Plan Check Fee: Date Paid: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixt u res Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE \ FT. o cf)<-,^ LLz qi(c) N0 FT. \ PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/lnserti Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permlt MECHANICAL PERMIT Fu rn ace Exhaust Hood 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 certif y that any and all work performed shall be done in accordance with the Ordinances of tlre City of Springf ield, and the Laws of the State of Oregon pertaining to the work dcscribed herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I f urther certify that only contractors and employees who are in compliance with OFIS 701.055 will be used on this plo.iect. I f urther agree to ensure that all required inspectiong 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 r 3 plans will remain I ti s duri const tion. -2 on the site Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 0C) I AMOUNT REC RECEIVED AY VALIDATION RECEIPT NUMBE DATE PAID FT. Permit No: Address: NJLL CA t lssued Date:-- R OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(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 underORS 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 lmust register as a construction contractor if the structure is sold or offered for sale before or upon completion. 1 2 A3 My general contractor is Contractor registration n umb 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.l l/ I I 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. I hereby certify that the above information is correct and that I have read and understand the lnformation Notice to Property Owners about Construction Responsibilities on the reverse s e of this form. +-L?-?s( gnatu rm t ppl t Date WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT CONSTRUCTION CONTRACTORS BOARD 0244J 8t91