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Home My WebLink AboutPermit Plumbing 1994-01-20SPRI}lGFIELE, RESIDENT!AL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT:- BLOCK: ry JoB NUMBE" a /aaa/ 225 Fifth Street Springfield, Oregon 97 477 TAX LOI 23?aa SUBDIVISION STATE:ZIP: OWNER: ADDRESS CITY: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ADDRESS EXPIRES PHONE ELECTRICAL: CONTRACTOR'S NAME MECHANICAL: CONSI CONTRACTOR # GENERAL: PLUMBING - OFFICE USE - * OF BDRMS: FLOOD PLAINLAND USE:QUAD AREA: # OF BLDGS SECONDARY HEAT SQUARE FOOTAGE:RANGE: OCCY GROUP: C OF STORIES: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: _-ZONING CODE: To request an inspection, you must call 726-3769. Th made the same working day, inspections requested ls rs a 24 hour recording. Ail rnspections requested before 7:00 a.m. wiil beafter 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS l--l Temporary Etectrtc Rough Mechanical - prior to cover.Final Plumbing - When allplumbing work is complete. Site lnspection - To be madeafter excavation, but prior tosetting forms. Rough Electrical - prior to cover. l-l Underslab ptumbing/ Electrical/ - Mechanical - prioi to cover.Electrical Service - Must beapproved to obtain permanent electrical power.Footing - After trenches areexcavated. l--l Masonry - Steel tocation, bond - oeams, grouting. Flreplace - prlor to facingmaterials and framing lnsp. l-l Framlng - prtor to cover. Foundation - After forms areerected but prior to concreteplacement.Wall/Ceiling lnsutation - prior tocover. [-l Underground plumbinq - prior(J to filling trench l-l Drywatl - prior to taping Underlloor plumbing/ Mechanical - prior to insulation or decking. Post and Beam - prior to floorinsulation or decking. Floor lnsulation - prior todecking. Sanitary Sewer - prior to fillingtrench. Slorm Sewer - prior to filling trench. Wood Stove - After installation. MOBILE HOME INSPECTIONS I lnsert - After flreplace approval - and lnstallation of unit. I Blocking and Set.Up _ When ail - btocking is complete. Curbcut & Approach - Aftertorms are erected but prior toplacement of concrete. Sidewalk & Driveway - Afterexcavation is complete, formsand sub-base material in place. Fence - When completed. Plumbing Connections _ Whenhome has been connected towater and sewer. l-l yrr"t Line - prtor to fi[ins.J trench. Electrical Connection _ When P-19:kilg, set-up, and ptumbingrnspections have been approvedand the home is connected tothe service panel. Rough Plumbing - prior to cover.Street Trees - When all requiredtrees are planted. Final - After all requiredrnspections are approved andporc.hes, skirting, decks, andventing have been installed. /ffi-<48,/ PHoNE: ;- //-O? fA *4?./>>4 WATER HEATER:- l--l Final Etectrlcat - When ail.J electrical work is complete. l-_l Final Mechanlcat - When ail - mechanical work ls complete. [-_| Finat Buitding - When all - required inspections have beenapproved and building iscompleted. Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Se IsTHE PROPOSED WORK IN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPHOVED P.L.HSE GAR ACC N S E 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, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances' DatePlans Reviewed BY Becei pt Numbe Plan Check Fee: Date Paid Received BY: BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT,VALUE (A) Total Value Building Permit Fee State Surcharge Total Fee Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS FEE t4d' (c) 4 z- N0 FT. FT. Q.n PLUMBING PERMIT Residential Bath(s) Plumbing Permit State Surcharge Total Charge ITEM Fixtu res zp_* SanitarY Sewer Water Storm Sewer Mobile Home Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan 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 withtheordinancesoftheCityofSpringfield,andtheLaws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division' lfUrthercertifythatonlycontractorsandemployeesWho are in compliance with ORS 701'055 will be used on this project. I further 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 g constructionI times durion the si Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk .- ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) ^2O€6-*DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding (A, B, C, D, and E Combined) ' c>-*-electrical) FT.