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Home My WebLink AboutPermit Plumbing 1995-03-01RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 SPrlIN IELO LOCATION OF PROPOSED WOBK: t{!,o //. /f * trr ASSESSoHS uee: /'727-<4-fB TAX LoT: LOT - BLOCK: JoB NUMBE a ?fiazda 225 Fifth Street Springfleld, Oregon 97477 7Y/- Ls'?oPHONE: ,f/ flt,t\e F tfit I F2r?7 ?STATE ZIP: sn ORCITY: fi/slo ADDRESS: OWNEB L/to 11, / / NEW - FIEMODEL ADDITION DEMOLISH OTHER (. t1u{",r u,/frtftDESCRIBE WORK: coNsT. CONTRACTOR 'ADDBESS EXPIBES PHONE 3{qP KL-,tttaort /P5-////Cu.f foor ft.un6ruc AR P/frY r/.r{ CONTBACTOR'S NAME GENERAL: PLUMBING: MECHANICAL; ELECTBICAL: RANGE: r OF BDRMS: - OFFICE USE - LAND USE: WATER HEATEB: ZONING CODE: FLOOD PLAIN: N OF UNITS: QUAD AREA: , OF BLDGS SECONDARY HEAT: SOUARE FOOTAGE: OCCY GROUP: I OF STORIES: CONSTR, TYPE: HEAT SOUFICE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m, wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc [-l nougtr Mechantcat - prlor to fXl.J cover. r t Flnal Plumbing - When ailplumblng work is complete. Slte lnspectlon - To be made after excavation, but prior to settlng forms. Rough Electrlcal - Prlor to Flnal Electrical - When all electrlcal work is complete.cover. [--l Underslab Plumbtng/ Etectricat / - Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mechanical - When all mechanical work ls complete, Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Flnal Building - When all requlred lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, grouting,Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement. Othor Wall/Celling lnsulatlon - Prlor to cover, [-l Underground Plumbing - prioru to fllllng trench.Drywall - Prlor to taplng Underlloor Plumblng/ Mechanical - Prior to lnsulatlon or c,ecklng. MOBILE HOME INSPE TIONS Wood Stovo - After lnstallatlon. Post and Beam - Prior to floor lnsulatlon or decklng.[--| lnsert - After fireplace approvqlu ood lnstallatlon of unlt. l--l Blocking and Ser.Up - When ail - blocklng is complete. Floor lnsulatlon - Prior to decki ng.Curbcut & Approach - After forms are erected but prior toplacement of concrete. Plumbing Connectlons - Whenhome has been connected towater and sewer. Sanltary Sewer - Prior to ,llling trench. Storm Sewer - Prlor to fllling trench. Sidewalk & Driveway - After excavatlon ls complete, forms and sub.base material ln place. Electrical Connectlon - Whenblocking, set.up, and plumbing inspectlons have been approved and the home ls connected tothe service panel, Water Line - Prlor to filling trench. Fence - When completed. Street Trees - When all requlred trees are planted. Final - After all required lnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled. Rough Plumblng - Prior to cover. SUBDIVISION:- : E tl E tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot TypL- - lnterlor - Corner - Panhandle - Cul-de-sac PL.HSE GAR ACC N S E IS THE PROPOSED WORK TN THE . HISTORICAL OISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcailon must be slgnedand approved by the Historlcal Coordinator prlor to permit issuance. VALUE (A) X $/SQ. FT, Main Carport Garage Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT.P!I!_LD_!NG VALUE, PLAN CHECKAND BUTLDING P'ERMIT Thls permit is granted on the express condition that the sardconstruction shall, ln all respects, conform to the Ordlnanceadopted by the City of Sprtngfleld, including theDevelopment Code, regulating the construction and use ofbulldlngs, and may be suspended or revoked at any tlm6upon violation of any provisions of said ordinances. Recei pt Number:_.-. Plans Dateewed Date Pald: Beceived By: Plan Check Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undevelopedproperties wlthin the City limits which are being improved. Fesldenrlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT thafu- FT. (c) L?E_ / ,/2. za FEE Plumblng Permlt State Surcharge Total Charge ITEM Fixtures ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanlcal Permlt lssuance State Surcharge Totat Permlt Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlnedthe compteted application and do hereby cerilfy that alllnformatlon hereon ls true ancl correct, and I f urther cerilfy that any and a[ work performed shail be done in accordance wlth the Ordinanccs of the Clty of Sprlngf ield, and the Lawsof the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCy wlil be made of any structure wlthout permlssion of the Building Safety Divislon.I further certlfy that only contractors and employees who are ln compllance wlth ORS 7O1.OS5 wlll be used on thlsprolect. I further agree lo ensure that all requlred lnspections are requested at the proper ilme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln Date es rlng Slgnature 3 -/'?.f on the slte at all ti ructlon. MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk ._- ft Curbcul -- ft Demolitlon State Surcharge Total Mlscellaneous permits (E) VALIDATION: RECEIPT NUMBER ? DATE PAID AMOUNT BECEIVEDTOTAL AMOUNT DUE (exctuding electricat) (A, B, C, D, and'E'Combtned)RECEIVED BY /6 Zr APPROVED: I By No FT. FT.