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Home My WebLink AboutPermit Plumbing 1991-10-23SPRI]{GFIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER 225 Fifth Street Spri ngf ield, Oregon 97 477 r4_ LOCATION OF PROPOSED WORK: ASSESSORS MAP:/7-A3 -/3 TAX LOT:O7*z> LOT:BLOCK:SUBDIVISION ?/?*2@PHONE: 2BSTATE:ZIP:42/?7 CITY: ADDRESS: OWNER: LDESCRIBE WORK: ADDITION DEMOLISH OTHERNEW_-- REMODEL MECHANICAL: ELECTRICAL: - EXPIRES PHONEADDRESSCONTRACTOR'S NAME CONST. CONTRACTOR # G EN ERAL: PLUMBING RANGE: * OF BDRMS: _ OFFICE USE _ ZONING CODE: FLOOD PLAIN: SECONDARY HEAT SQUARE FOOTAGE: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: # OF STORIES To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day' REQUIRED INSPECTIONS fl Temporary Electric ll Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is 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 electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. Final Building - When all required inspections 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 filling trench.l-_l Drywall - Prior to taning MOBILE HOME !NSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace aPProval and installation of unit. Blocking and Set-Up - When all blocking is complete. 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.Electrical Connection - When blocki ng, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base material in Place. Water Line - Prior to filling trench. Fence - When comPleted. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. w Rough Plumbing - Prior to cover. WATER HEATEFI: Floor lnsulation - Prior to decki ng. tl E E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac THE PROPOSED WORK IN THE HISTORICAL DISTRICI OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the H istorical Coordinator prior to permit issuance. APPROVED: BUILDING PERMIT ITEM SO. FT, Main X $/SQ. FT.VALUE Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) 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. Plan Check Fee: Date Paid Receipt Number:- Received By: Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE FT. Fr. 4 SAl 2.r.n- FT. Plumbing Permit State Surcharge Total Charge 2{."" (c) /.2; al.2; ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Fi replace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit (D) 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 with the Ordinances of the City of Springfield, and the Laws 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. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I f urther 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 on the site at all times du n st ru ct Date -al MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER 2 ^ DATE PAID /a -z 7-7,/ AMOUNT RECEIVED RECEIVED BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) P.L.HSE GAR ACC N S E No Si Permit No:\\ Address: lssued by Date:\D R OFFICE USE ON STATEMENT: }NFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, ald initia! box 1 and either box 2A or 2B.:. 1 I own, reside in, or will reside in the completed structure. My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 2. B I will be my own general contractor. lf ! hire subcontractors, I will hire only subcontractors reqistered with theConstruction Contractors Board. lf I chanoe my mind and -do hire a oeneralcontractor, I will contract with a contrattor -who is reoistered witn tneConstruction Contractors Board and I will immediatelv-notifv the officeissuing this building permit of the name of the contraitor. - 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 side ol this form. /o-zs-q tgnaturePermit App Date NSTRUCTION CO t wHtTE CgpyTo lssutNc AGENCY pERMtT F|LEPINK COPY TO APPLICANT 1/90 NTRACTORS BOARD @s C'TY OF SPF|' -F!ELD DEVELOPMENTSERY'CES PUBUC l,l0PKS M ET R O PO LITA N WAST HIYAT ER M AN AG E M ENT 0ctober 24, 1991 Anna Ruth Conklin 551 North 19th Street Springfield, Oregon 97477 Dear Ms. Conklln: Yesterday, 0ctober 23, 1991, our office issued you a permit to install a vaterIine at 551 North t9th Street, Sprlngfield, Oregon. The job number that vas lssued to you is incorrect. Please change your permlt Job number from 911266 to 9LL242. I apologize for any inconvenlence thls may have caused. If you have any questlons, please phone me at 726-3790. Slncerely, Lisa Hopper Building Servlces Representative th 225 FIFTH STNEEI SPRINGFIELD, OR 97477 (503) 726-3753