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Home My WebLink AboutPermit Plumbing 1995-02-16I}lGFIELE, RESIDENTIAL PERMIT APPLICATION lnspectlons: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WOHK:4 JOB NUMBER 225 Fif th Street Sprlngfleld, Oregon 97477 TAX LOT:ASSESSOBS MAP:H-/> LOT;BLOCK:SUBDIVISION:- CITY: - STATE: PHON E: ztP ADDRESS: OWNEB: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ADDRESS EXPIRES PHONE CONTRACTOR'S NAM ELECTBICAL: MECHANICAL: PLUMBING: GENERA CONST. CONTBACTOR # I OF BDRMS: - OFFICE USE - FLOOD PLAINQUAD AREA: r OF BLDGS: SECONDARY HEAT: SOUARE FOOTAGE: LAND USE: OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: WATER HEATER;FIANGE: # OF UNITS: -- ZONING CODE: To request an lnspectlon made the same worklng , you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll beday, lnspections requested after 7:00 a.m. wlll be made the foilowrng work day. REOUIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - prlor to cover.Flnal Plumbing - When ailplumblng work ls complete, Slto lnspectlon - To be made after excavatlon, but prlor tosettlng forms. Rough Electrlcal - prlor to Flnal Electrlcal - When allelectrlcal work is complete. covor. [-l Underslab ptumblng/ Electrlcal / - Mechanlcal - prlor lo cover.Electrlcal Servlce - Must beapproved to obtaln permanent electrlcal power. Flnal Mechanlcal - When allmechanlcal work ls complete, Footlng - After trenches are excavated.Flnal Buildlng - When allrequlred lnspectlons have beenapproved and bullding is completed.Masonry - Steel locailon, bond beams, groutlng. Flreplace - Prlor to faclng materlals and framing lnsp. Framlng - Prlor to cover; Foundatlon - After forms are erected but prlor to concrete placement,Wall/Celllng lnsulatlon - prlor to cover. E l'd'flii:;"1';iJ;.'-orns - Prior f orywar - prror ro taprns. MOBILE HOME INSPECTIONS Wood Stovo - After lnstallation lnserl - After flreplace approvaland lnstallatlon ol unlt. Curbcut & Approach - After forms are erected but prior toplacomont of concrete. Sidewalk & Drlveway - Afteroxcavatlon ls complete, forms and sub-base materlal ln place. Fence - When completed. [*l Blocktng and Set.Up - When ail - blocklng ls complete. Floor lnsulatlon - prlor to decklng,Plumbing Connecllons - Whenhome has been connected towater and sewer,ffi Sanitary Sewer - prior ro fliling - trench. [*_] Storm Sewer - prtor to filling|J trench. Electrical Connection - Whenblocklng, set-up, and plumbtng inspectlons have been approvedand the home ls connected tothe servlce panel.Waler Llne - Prlor to filllng trench. Rough Plumblng - prlor to cover. Flnal - After all required lnspectlons are approved andporchcs, sklrilng, decks, andventlng have been lnstalled. .%/P./ E fl fl l--l otner l-l Underltoor plumblng/ Mechanlcat Prlor to tnsutatto-n or oJ"rir-ng. E [--l Post and Beam - prlor ro ftoor.- lnsulatton or decktng. t] n Slreet Trees - When all requlred - trees are planted. Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type. .- lnterlor - Corner - Panhandle - Cul-de.sac PL.HSE GAF ACC N S E IS THE PROPOSED WORK TN THE . HtsroRlcAL DtsTFltcT, oR ON THE HISTORICAL REGISTEB? - ll yes, thls appllcailon must be slgnedand approved by the Hlstorlcal Coordinator prlor to permlt issuance. APPROVED: BUILDING PERMIT VALUE (A) ITEM Main Garage Carport Total Value Building Permit Fee Stale Surcharge Total Fee PlrtLDlNG VALUE, PLAN CHECKAND BUILDING PERMIT Thls permit is granted on the express condrtron that the sardconstructlon shall, ln all respects, conform to the Ordlnanceadopted by the City of Spri ngfl.eld, lncludlng theDe.velopment Code, regulating the c-onstrucilon and use olbulldlngs, and may be suspended or revoked at any tlmeupon violatlon of any provisions of sald ordlnancss. DatePIans Bevlewed By Recelpt Numbe Date Pald Received By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undevelopedproperties wlthln tlre City limits which are belng lmproved, ITEM Flxtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE No rLlk-2,,& FT. (c) *2 -43r, ^ ,?o Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fl replace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanlcal Permlt lssuance State Surcharge Total Permlt Furnace Exhaust Hood Vent Fan By slgnature, r state and agree, that I have carof uily examrnedthe completed appllcaUon and do hereby cerilfy that alllnformatlon hereon ls true and correct, and I f urther cerflfythat any and all work performed shall be done ln accordance wlth the Ordinances of the Clty of Sprlngfleld, and the Lawsof the State of Oregon pertalnlng to tho work descrlbedhereln, and that NO OCCUPANCy wlil be made of anystructure wlthout permission of the Bulldlng Safety Dlvlslon.I further certify that only contractors and employees who are ln compllance wtth ORS 701,055 wlll be used on thlspro,ect. I further agree to ensure that all requlred lnspecilons arorequested at the proper ilme, that each address ls readable from the street, that the permlt card ls located at the frontof the property, and the approved set of plans wlll remalnon the slte at all times durlng coA Date tructlon 2-t Slgnatu re MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk -- ft Curbcul ---- ft Demolltlon State Surcharge Total Miscollaneous permlts (E) VALIDATION: BECEIPT NUMBER DATE PAID AMOUNT RECEIVEDTOTAL AMOUNT DUE (excludlng electrtcat)(A, B, C, D, and'E Comblned)RECEIVED BY 2_? I SQ. FT. X $/SQ. FT. FT.