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HomeMy WebLinkAboutPermit Plumbing 1995-06-01RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WOBK: SPFlII\lGFIELE, JOB NUMBER 225 Fifth Street Springfleld, Oregon 97477 .r7 _s7 "A/<-.ASSESSORS MAP:rAX Lor: 0 7 2- ffi SUBDIVISION: _LOT:BLOCK: ZIP: PHONE:-z% STATE: 72 CITY: ADDRESS: OWNER NEW - REMODEL ADDITION DEMOLISH OTHER - DESCRIBE WORK: ADDRESS EXPIBES PHONE 3 CONTRACTOB'S NAME MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING - OFFICE USE _ LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN I OF UNITS: QUAD AREA: N OF BLDGS: SECONDARY HEAT: SQUABE FOOTAGE: # OF BDRMS: _ BANGE: OCCY GROUP: / OF STORIES: CONSTB, TYPE: HEAT SOURCE: To ma request an inspectlon, you must call 726'3769. Thls ls a24haur recordlng. All lnspections requested before 7:00 a.m, wlll berde the sante worklng day, lnspections requested after 7:00 a.m, will be made the followlng work day. REQUIRED INSPECTIONS Rough Mechanical - prior to cover. Final Plumbing - When altplumbing work ls complete. Site lnspection - To be made af ter excavation, but prior tosetting lorms. Rough Electrical - prior to Final Electrical - When allelectrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Electrical Service - Must be approved to obtaln permanent electrlcal power. Final Mechanlcal - When allmechanical work ls complete. Footlng - After trenches are excavated.Flnal Building - When allrequired lnspectlons have beenapproved and building is completed.Masonry - Steel locatlon, bond beams, grouting. Flreplace - Prlor to faclng materlals and framing lnsp. Framlng - Prlor to cover. Foundatlon - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - prior to cover, Underground Plumbing - prior to filllng trench.[--l Drywall - Prtor to taping. Underlloor Plumbing/ Mechanicat - Prior to insulation or decklng. MOBILE HOME INSPE TIONS Wood Stovo - After lnstallatlon Post and Bearry - Prior to f loorlnsulation or decking.[-l lnsert - After flreptace approval - and lnstallailon of unit. [--l Alocking and Ser.Up - When ail'J blocklng ls compleie. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but prior toplacement of concrete. Plumbing Conneclions - Whenhome has been connected towaler and sewer. XI mHrY sewer - Prior to fillins [--l Storm Sewer - prior to fiiling - trench. Sidewalk & Driveway - Afterexcavation is complete, formsand sub-base material in place. Electrical Connection - Whenblocking, set.up, and plumblng rnspectlons have been approvedand the home is connected tothe servlce panel.Waler Line - Prior to filling trench. Fence - Wtlen completed Street Trees - When all requlred trees are planted. Final - After all requiredinspectlons are approved andporches, skirtlng, decks, andventing have been installed. Rough Plumbing - Prior to cover. ,-1722l /r)C?7 tO2\- Varql [-l Temporary Etecrric tl E r tl I] [-l other E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Typr _ - lnterior - Corner - Panhandle - Cul-de-sac Set P.L.HSE GA,R ACC N S E IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be signed and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: VALUE (A) X $iSO, FT. Total Value Bullding Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport 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 co0struction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Fleviewed By Date Plan Check Fee: Date Paid Recei pt Numbcr:-..-. Fleceived By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved, ITEM Fix t u res Besidential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home Z? + /,2o /s.zo FEE (c) FT. FT. /o* PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge N0 . FT. ADDITIONAL COMMENTS Zrea-<,r-,Dat7 Wood Stove/ lnsert/Flreplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed applicatlon and do hereby certify that all lnformation 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 Springf ield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure without perrnission 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 prolect. 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 ls located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ,1 -/-" Slgnature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut ' f t Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned) 2{o DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: BECEIPT NUMBER z/.2.---_