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HomeMy WebLinkAboutPermit Plumbing 1999-08-04RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726.3759 ; s FIELD 7?ruerJOB NUMBER 225 Fifth Street Springfleld, Oregon 97477 LOCATION OF PROPOSED WORK:w ASSESSORS MAP:/7033 *3 TAX LOT:/o &a LOT BLOCK:SUBDIVISION PHONE: ztPSTATE:aCITY: ADDRESS: OWNER: NEW- REMODEL ADDITION DEMOLISH OTHER- DESCRIBE WORK: ADDRESS OU tw u4 EXPIRES ,f PHONE ELECTRICAL: CONTRACTOR'S NAME MECHANICAL: PLUMBING: GENERAL: CONST. CONTRACTOR ',o'8{ /v/7 I I hv TI-UE@DER 1 !,[l t4grEUi0t'l UNITS: rvee: G0iltFcEDoRls SQUARF- FOOTAGE; - o"'"fuUtfcEt DUSE:-@ HEAT SOURCE A{Y1mDAYPEfiIOD'SECONDAFIY HEAT - To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recording. All lnspectlons requested before 7:00 a.m. will bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the following work day. REQUIRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing worlr ls complete. Site lnspectlon - To be made after excavatlon, but prior to setting forms. Bough Electrlcal - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover.Electrical Service - Must be approved to obtairr permanent electrlcal power. Final Mechanlcal - When all mechanlcal work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Final Buildlng - When all required lnspectlons have been approved and buildlng is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prior to cover. Foundatlon - After forms are erected but prior to concrete placement. Other Wall/Celling lnsulatlon - Prlor to cover. Underground Plumblng - Prior to filllng trench.Drywall - Prlor to taping Underlloor Plumblng / Mechanical - Prior to lnsulatlon or decking. MOBILE HOME INSPE TIONS Wood Stove - After lnstallatlon Post and Beam - Prlor to floor lnsulatlon or decking.lnsert - After flreplace approval and lnstallatlon of unit. Blocking and Set.Up - When alt blocklng ls complete. Floor lnsulation - Prior to decking.Curbcut & AJrproach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sewer - Prior to filling nch.Electrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service panel. Stonn Sewer - Prior to filling trench. Sidewalk & Drlveway - After excavation is complete, forms and sub-base material in place. Waler Line - Prlor to filling trench. Fence - When aoillpleted. Rough Plumbing - Prior to cover. Str€ot Trees - When all requlred trees are planted. Final - After all required inspectlons are approved and porches, sklrting, decks, and ventlng have been lnstalled. d3'-r FIANGE: tl tl E tl E tl E E E E E E E E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterior - Corner "- Panhandle '. - Cul-de-sac tbacks P.L.HSE GAR ACC N S E ( -1s rHE PRoPoSED WORK tN THE.. HISTORICAL DISTRIGT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: : t, '[BUILDING \TALUE, PLAN CHECK AND BUILDING PERMIT This pernrit 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. Receipt Number:- Plans Reviewed By Date Plan Check Fee Date Paid: Received By: BUILDING PER VALUE (A) fttm i 'ii { ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SQ. FT. X $/SQ. FT. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE N. Fr. /37)1o 4ir l{) FT. FT. ,1;" I'-,l (c) PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permlt MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certlfy 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 perrnission of the Building Safety Division. I further certify that only contractors and employees who are In compliance with OFIS 701.055 will be used on thls proiect. I further agree to ensure that all requlred inspections are requested at the proper tlme, that each address ls readable f rom the street, that the permlt 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. Slgnature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolitlon State Surcharge Total Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) VAl-IDATION: RECEIPT NUMBER DATE PAII) AMOUNT RECEIVED 03I RECEIVED BY f i -i'n