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HomeMy WebLinkAboutPermit Plumbing 1993-12-17SPRINGFIELD RESIDENTIAL PERMIT APPLICATION I ns pecti ons: 726-3769 Office: 726-3759 <22a tn '.-+ Zfr, JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 zLOCATION OF PROPOSED WORK: ASSESSORS MAP: ,1,-4p ? ,_ 1<- _- 2</ LOT: - BLOCK: TAX LOT:eAr.r/dZP SUBDIVISION: PHONE: z,P: zA<E't=Z>1r-STATE:CITY: ADDRESS: OWNER NEW - REMODEL ADDITION DEMOLISH OTHER i DESCRIBE WORK: ADDRESS EXPIBES PHON E ELECTRICAL: CONTBACTOR'S NAME MECHANICAL: CONST. CONTRACTOR # G EN ERAL: PLUMBING FIANGE: * OF BDRMS: - OFFICE USE - WATER HEATER: ZONING CODE: FLOOD PLAIN: * OF UNITS: QUAD AREA: * OF BLDGS: SECONDARY HEAT SQUARE FOOTAGE: LAND USE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This ls a 24 hour recording. AII 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. REOUIRED INSPECTIONS Temporary Electric 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. Eleclrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prlor to facing materlals and framing lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prlor to cover. Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.l--l Drywall - Prior to taping MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to lnsulation or decking.Wood Slove - After installation Post and Beam - Prior to floor insulation or decking.lnserl - After flreplace approval and lnstallatlon of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.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 - Prlor to filling trench.Electrical Connection - When blocking, 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 Llne - Prior to filling trench. Rough Plumbing - Prior to cover. 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 Er E tl E E E tl E E E E E tl E tl Other - l-_l Fence - When completed. Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac , rS THE PROPOSED WOFIK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E VALUE (A) X $/SO. FT. Garage Carport Total Value Bullding Permit Fee State Surcharge Total Fee BUILDING PERM!T ITEM SQ. FT. Main 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 Numbe Plan Check Fee: Date Paid Received By: Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) ADDITIONAL COMMENTS ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home /4--z' FEE 4 ..* 223(c) N0 FT. FT, 2. *-€ PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have carefully 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 Springf ield, 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 he permit card ls located at the front e approved set of plans will remainand Signature IZ 3Date d fln from the of the pro truction.on the site MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolltion State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A,B,qOandECombined) U7.ea -'-3 2-DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER /4/2 (B) FT.