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HomeMy WebLinkAboutPermit Plumbing 1997-01-22SPFIINGFIELE) RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOFIK:a ASSESSORS MAP: JOB NUMBER 225 Fifth Street Springfleld, Oregon 97477 L LOT - BLOCK: TAX LOT: SUBDIVISION: - OWNER ADDRESS: CITY: PHONE ZIP:STATE: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ADDRESS ) .I^ PHONECONTRACTOR'S NAME GENERAL: PLUMBING MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # RANGE: _ OFFICE USE - ZONING CODE: FLOOD I)LAINQUAD AREA: I OF BLDGS: SECONDARY HEAT: SOUARE FOOTAGE: LAND USE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726'3769. Thls ls a24.hour recordlng. All inspections requested before 7:o0 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m, wlll be made the following work day. REQUIRED INSPECTIONS Final Plumbing - When ailplumbing worl( is complete. Slte lnspectlon - To be made after excavatlon, but prior to settlng forms. Final Electrical - When allelectrical work is complete. Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover.Electrical Servlce - Must be approved to obtaln permanent electrlcal power. Final Mechanical - When allmechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Flnal Building - When ail required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng. [-l Framlng - Prlor to cover. n WatllCeltlng tnsulatlon - prlor tou cover. [-_l Drywall - Prlor to taptng. Foundatlon - After forms are erected but prlor to concrete placement. Other Underground Plumblng - Prior to fllllng trench. Undertloor Plumblng/ Mechanical - Prior to lnsulatlon or decking. MOBILE HOME INSPE TTONS Wood Stove - After lnstallation Post and Beam - Prlor to floor lnsulatlon or decking.lnsert - After flreplace approval and lnstallatlon of unlt. [-_l Blocking and Ser.Up - When ail.- blocklng ls complete. Floor lnsulalion - Prlor to decklng.Curbcut & Alrproaclr - After forms are erected but prior toplacemcnt of concrete. Plumblng Connectlons - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling Sidewalk & Driveway - After excavation ls complete, forms and sub-base malerial in place. Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home is connected to the service panel. h. Waler Llne - Prlor to filling Fence - When completed h.Final - After all required inspectlons are approved andporches, skirting, decks, and ventlng have been lnstalled. Street Trees - When all required trees are planted. Rough Plumbing - Prior to cover. I I # OF BDBMS: _ WATER HEATER: l-_l Temporary Electrlc E [-l Rough Mechanlcal - prior tolJ cover. l-l Rough Electrical - Prior tolJ cover. tl tl E n fl tl tl GAR ACCP.L.HSE N S E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - - lnterior - Corner - Panhandle - Cul-de-sac ks i Ts rne PBoPoSED woBK iN TIJE HlsroRtcAL olsTRrcl oR oN THE HISTORICAL REGISTER? - ll yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: 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. Plans Reviewed By Date Receipt Nu Plan Check Fee: Date Paid Received By: VALUE (A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties withln tlre City limits which are being improved. ITEM Fixtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home .0b + 37,0q l*uiue FEE --ffip-- t ll"AO(c) N0 FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all information hereon is true and correct, and I f urther certlly that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Divislon. I further certify that only contractors and employees who are ln compliance with ORS 701.055 wlll be used on thls proiect. I {urther agree to ensure that all required lnspections are requested at the proper time, that each address ls readable f rom the street, that the permlt card ls located at the front of the property, and the approvod set of plans wlll remaln S on the site at Date s during constructlon. Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Pertnits (E) N0Vent Fan (D) MECHANICAL PERMIT Furnace Exhaust Hood Mechanical Permit lssuance State Surcharge Total Permit TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) VALIDATION: BECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY Fr. 1n t/0 (Y w-kJ /no't fur*ar,rz ed */orb?? 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