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HomeMy WebLinkAboutPermit Plumbing 1995-06-13SPFlIN IELORESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK ASSESSORS MAP: LOT: efr, JOB NUMBER q 225 Fif th Street Springf leld, Qregon 97411 BLOCK: TAX LOT: - SUBDIVISION: PHONE: ztPSTATE:o (* OWNER E €-\S t{r ADDRESS: CITY: + Eq,ATDESCRIBE WORI(: NEW- REM ODEL ...-...--_-_ ADDITION DEMOLISH OTHEB DRESS EXPIBES PHONE*L+ PLUMBING MECHANICAL ELECTRICAL CONTRACTOR'S NAME GENERAL CONSI. CONTRACTOR / - OFFICE USE - LAND USE: r OF BDBMS: * OF UNITS: BANGE: QUAD AREA: r OF BLDGS: OCCY GROUP: I OF STORIES: FLOOD PLAIN: ZONING CODE SECONDAFIY HEAT SQUABE FOOTAGE: CONSTR. TYPEI HEAT SOURCE: To^request an inspection,, made the safile working d you must call 726.3769. ay, inspections request REf-l Ternporary Electric Sile lnspection _ r. :i nf #'1"J1,;, l"o?,'. ii :" fl:li:,If"ilHi 3: i 5' ::yj;,,, SrTj[?; Afrer trenches are llxHl,,1; ilunu " o "u" on, bon d ;alf"i}],, *' l3' J:lT,t,T" r'd't;lX;'ii:dr ru m bi n s - Pri or 3 ff Ij"" iJ,?Jffj,i:,"' y,T:;i, ff l Post and Bearrv _ p,.insuraiion-#il*,,iJi"t to rloor 5::?i;;:,,",ion - Prior ro Sanitary Sewer _ p,itrench., r-rror to filling ;:xrs."",""r _ Prior to filIns ,y#:1..,r" _ Prtor to fiiltns tr 3;#?" Prurnbins - Prior ro I:y-n-,, Mechantcat _ prior tocover. !:rnn Electricat _ prior tocover. Electrlcat Servlce _ Must be:iJ#tT !'J:::' ^ perrnanen t [':i3J,ffi;#*l;,'fi,# Framlng - prlor to cover. Wall/.Celling lnsulailon _ prlor to Drywall _ prlor to taplng. Wood Slovo _ After lnstailailon. :X'." [ ;,fl|,L,r;? t;i,: app rovq, P^:P:1, & Approacrr _ After ;::[,#;,";ec teo"otr t nri oiI o ijl:;:l'Jr:*#hi^aj[i Fence - When completed. f ;ff,.["i,];flen arr requrred . Alt ade NS requested before 7:00 a.mI work day. A 5l.]fl#;Ti:n',;yffi:il] 5,;;J,,:5"#:?i,, ;y,l ; i: ill ;'#1, # ffil T L?, ; "Hi?" iil fltir3;i'd:t'Tl#il?rx'0"", ]lr,:.1" a-24 hour rccordlns.ed after 7:00 a.m. will be m QUIRED tNSpECTtO, lns pec tions the followin Othor wlll be MOBILE HOME INSPECTIONS o",'ffl,'x;,i"i"i"J;y[.- when a,, [:s'jti Hiil"*:*Yr"^ 3y"rffi".*'i#{i. **in$*[t*Tii,",;,:# ?--: to 3 t)(^("1 ?o-t t=t WATER HEATER: rrI Lot faces Lot sq. ftg. Lot coverage Topography Total helght Setbacks P.L.HSE GAR ACC N S E -iS THE PROPOSED WOBK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and approved bY the Historical Coordinator prior to permit issuance. APPROVED BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is grantecl on the express conclitiotl that the said consiruction shall, in all respects, conform to the Ordinance adopted by the City of Springfielcl' including the Development Code, regulating the cor)struction and use of buildings, and may be suspended or revol(ed at any time upon violation of atry provisions of said ordinances' ReceiPt Number:--.- DatePlans Rev iewed BY Plan Check Fee Date Paid Received BY BUILDING PERMIT VALUE (A) SO. FT. X $/SQ. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within tlrr: City lirnits which are being improved'SYSTEMS DEVELOPMENT CHA (B) RGE (SDC) ADDITIONAL COMMENTS ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEEQo9, N0 t1. ?b FT. FT. FT. 41,tn(c) Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Fl replace Unit Dryer Vent MECHANICAL PERMIT N0 (D) Fu rnace Exhaust Hood Vent Fan Mechanical Permit lssuance State Surcharge Total Permlt By slgnature, I state and agree' that I have carcf ully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true ancl correct' and I turther certi(y that any and all work per(ormed shall be done in accordance wlth the Ordinances of the Clty o( Sprlngf ield' and the Laws of the State ol oregon pertalnlng to the work described f,erotn, and that NO OCCUPANCY will be made o{ any structUrewlthoutpertnissionoftheBulldirrgsafetyDivislon. t further certily that only contractors and employees who are ln compliance with ORS 701 055 will be used on thls proiect. ensure that all required inspections are r tlme, that each adcJress ls readable ring \ I further agree to requested at the Prope rmlt card ls located at the (ront from the street, that the Pe roved set of Plans will remain of the ProPerty, and the aPP onst ru cti on.on the site at all times du slgnature Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut ' f t Demolitlon State Surcharge (E)Total Mlsc ellaneous Permlts 22 n "7 AMOUNT RECEIVED BECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER TOTAL AMOU (A, B, C, D' an NT OUE (excluding electrical) d E Combined)-q\tu Lot Type - lnterlor - Corner - Panhandle - Cul-de'sac