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Home My WebLink AboutPermit Plumbing 1993-08-03I{ESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOHK:q HGFIELf' ^l /)q- JOB NUMBER %2tu 225 Fifth Street Springfield, Oregon 97 477 F/e .d- TAX LOT:4 c-zASSESSORS MAP:/)-€7 -76^2 / LOT:BLOCK:SUBDIVISION: tr. 9Zl* 2 t 2 3-?PHON /lt ilG 2 r'rL ? 73a1Ao/'e.r,,-ZIP:STATE: 2-9ct 2 / >E CITY: ADDRESS: OWNER: NEW -- REMODEL ADDITION DEMOLISH OTHER --' /9 ctDESCBIBE WORK: AENIEOAI' ADDRESS EXPIRES PHONECONTRACTOR'S NAME ELECTRICAL: MECHANICAL: PLUMBING: CONST. CONTRACTOR # RANGE: # OF BDRMS: - OFFICE USE - LAND USE:FLOOD PLAIN * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: QUAD AREA: , OF BLDGS WATER HEATEFI: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspectlon, you must call 726-3769. Thls ls a24hour recording. All lnspections requested before 7:00 a.m. wlll be made the same working day, lnspections requested after 7:00 a.m. wlll be made the following work day. REOUIRED INSPECTIONS [-l Temporary Eleclric Rough Mechanlcal - Prlor to cover. Final Plumbing - When all plumblng work ls complete. Site lnspection - To be made after excavation, but Prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is comPlete.cover. Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrlcal power. Final Mechanical - When all mechanical work is comPlete. Footing - After trenches are excavated.Fireplace - Prlor to faclng materlals and framlng lnsP' Final Building - When all required lnspectlons have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to lilling trench.l-_l orywall - Prlor to taPing. MOBILE HOME INSPECTIONS Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decking.Wood Stove - After lnstallatlon. Post and Beam - Prior to floor insulation or decking.lnsert - After flrePlace aPProval and lnstallation of unit' Blocking and Set.UP - When all blocklng ls comPlete. Floor lnsulalion - Prior to decklng.Curbcut & ApProach - After forms are erected but Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Eleclrical Connection - When blocking, set-uP, and Plumblng inspections have been aPProved and the home is connected to the servlce panel. Storm Sewer - Prior to filllng trench. Sidewaik & DrivewaY - After excavation ls comPlete, forms and sub-base material in Place. Water Line - Prlor to fllllng trench. Fence - When comPleted. Rough Plumbing - Prlor to cover. Street Trees - When all requlred trees are Planted' Final - After all required inspections are aPProved and porches, sklrtlng, decks, and venting have been lnstalled. ZONING CODE: E E E E E tl E E Lot laces Lot sq. ftg' Lot coverage TopograPhY Total height Lot Type - lnterior -_ Corner - Panhandle - Cul'de-sac P.L.HSE GAR ACC N S W E TS THE PROPOSED WOBK IN THE ' HtsTOBIcAL DlsTRlcT, oR oN THE HISTOHICAL REGISTEA? - lf yes, this appllcatlon must be slgned and aPProved bY the Historlcal Coordinator prior to permit lssuance' APPROVED: BUILDING VALUE, PLAN CHECK Atto BUILDING PERMIT Thls permit is granted on the express conditlon that the said coniiruction s'lrall, ln all respects, conlorm to the ordinance ;;;;i;J by the Citv of Sprinsfleld' lncludins the O"r"f oprn"nt Code, rejulatlng the construction and use ol [rrioi^-s", and may bJ suspended or revoked at any tlme upon vi-otation of any provisions of sald ordinances' Plan Check Fee: Plans Reviewed BY Date Date Pald: Receipt Num Recelved BY: BUILDING PERMIT VALUE (A) SO. FT. X $/SQ. FT.ITEM Main Garage Carport Total Value Bullding Permlt Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties withln the City limits which are being lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE No ?.*Fr. p*/? FT. FT. ,/2"4(c) PLUMBING PERMIT c42 -PPlumblng Permlt Stato Surcharge Total Charge Wood Stove/ lnsert / Flreplace Unlt Dryer Vent MECHANICAL PERMIT (D) No Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan i By signature, I state and agree, that I have carefully examined the completed applicatlon and do hereby certlfy that all lnformation hereon ls true and correct, and I further certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure without permission of the Building Safety Divlslon. I lurther certify that only contractors and employees who are ln compllance with ORS 701.055 will be used on thls project, I further agree to ensure that all required inspections are requested at the proper time, that each address ls readable from the street, that the permit card ls located at the lront of the property, and the approved set of plans will remaln on the slte at all times during constructlon. 23 ,z ?- 3- Slgnatu Date MISCELLANEOUS PERMITS Moblle Home State lssuance Stale Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Permlts (E) *1e d':aDATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RE-CEIPT NUMBER TOTAL AMOUNT DUE (excludlng electrical) (A, B, C, D and E Combined) L l, Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board tosign the following statement before the building permit can be issued. This state-ment is required for residential building, electrical, mechanical, and plumbingpermits. Licensed Architect and Engineer applicants, exempt from registratioi under ORS 701.010(7), need not submit this statement. Thi; statement wilt befiled with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: Permit No e=//la Address lssued e R OFFICE USE ONL' STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES 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. My general contractor is_ 1 2 3 A Contractor registration numbe 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,ax-l 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 certily 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 side ol this form. 2-3- 2 3 gnature o rmit Applicant Date CONSTRUCTION CONTRACTORS BOARD 0244J Bt91 WHITE CPPY TO ISSUING AGENCY PERM]T F]LE PINK COPY TO APPLICANT g-2-Z?