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HomeMy WebLinkAboutPermit Plumbing 1993-06-01!3I'iul"l{iFlEul-) RESIDENT IAL PERMIT APPLICATION lnspections: 726'3769 Of {ice: 726-3759 LOCATION C)F PBOPOSED WONK: ASSESSORS; MAP h, OB NUMBER ..25 Fifth Street Springfield, Oregon 97 477 TAX LOT: SUBDIVISIONLOT:--_ BLOCK: PHONE: ztPSTATE: OWNER ADDRESS: _ CITY: --, ERDEMOLISH DESCAIBE \,VOR NEW -, REMODEL --- ADDITIO MECHANICAL: -=- CONST.EXPIRESADDRESS oRIt,CONTRACTOR'S NAME GENE,RAL: - PLUMBIN _ OFFICE USE _ LAND USE: I OF BDFIMS: Y OF UNITS:ZONING CODE: FLOOD PLAIT.I CONSTR. TYPE: --_- HEAT SOURCE: RANGE: SECONDARY HEAT SOUARE FOOTAGE: OUAD AREA: , OF STORIES: ----WATER HEATER: c OF BLDGS: - OCCY GROUP: To request an inspection' you must call 726-3769' This is a 24 hour reco nrade the strme working day, inspections requested after 7:00 a'm' will rding. All inspections requested before 7:OO a'm' Will be be made the following work daY' REOUIRED INSPECTIONS TemporarY Elcctric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing worl< is comPlete. Site lrtspection - To be made af ter r:xcavation, but Prior to setting lorms. Under slab Plumbing/ Electrical / Mechanical - Prior to cover' Rough Etectrical - Frior to Final Electrical - When all electrical work is comPlete.cover Eleclrical Service - Must be approved to obtain Permanent electrical Power. Final Mechanical - When all mechanical work is comPlete. Footirrg - After trenches are excavated.Fireplace - Prior to facing rnaterlals and framing lnsP. Final Building - When all required insPections have been approved and bui!ding is completed. Masonry - Steel location, bond beams, grouting.Framing - Prior to cover' Other Founttation - After forms ate erected but Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to fillrng trench. Drywall - Prior to taPing. MOBILE HOME INSPECTIONS Under lloor Plumbing / Mechanical - Prior to insulation or decking'Wood Stove - After installation Post :rnd Beam - Prior lo floor insul.,tion or decking.lnsert - After firePlace aPProval ;rnd installation of unit. Blocking and Set'UP - When all blocking is complete. Floor lnsulation - Prior to deckirlg.Curbcut & APProach - After fornts are erected but Prior to placement of concrete. Plumbing Contlections - When home has been connected to water and sewer. SanitarY Sewer - Prior to filling trencll.Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base material in Place' Electrical Conrrection - When blocking, set-uP, and Plurnbing . inspections have been aPProved and the home is connected to the service Panel. Storm Sewer - Prior to filling trenclt. Water Line - Prior to lilling trench. l-_-l Fence - When conrPleted' Rough Plumbing - Prior to cover. Street Trees - When all required trees are Plarrted. Final - After all required insoections are aPProved and oorches, skirtirrg, decks, and ventlng have bcen installecl' %"\-tt l E r r D E E E E Lot laces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - PanhancJle - Cul-de-sac Setbacks P.L.I{SE GAR ACC N S E 13 THE PBOPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? __- lf yes, tlris application must be signed and approved by the Historical Coordin;rtor prior to permit issuance. APPROVED: BUILDING PERMIT ITEM SQ. FT. X $/SO, FT VALUE Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express conditi<rn tirat the said construction shall, in all resl)ects, conform to lhe Ordinance adopted by the City of Springfield, inclrrding the Development Code, regLrlating the conslruction and use of buildings, and nray be suspended or revoked .1t any time upon violation of any provisions of said ordrnarrces. Date Paid Recei pt Number:-- Received By Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City lirnits which are berng improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE N ,r. q 5' FT. FT. Plumbing Permit State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) By signature, I state and agree, that I have caref ully 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 Builcling Safety Division. I f urther certify that only contractors and employees who are In compliance with OFIS 701.055 wiil be usecl on this proiect. I f urther agree to ensute that all requirecj inspcctio\s are requested at the proper time, that each address is readable from the street, that the permit carcJ is locatecl at the front of the property, and the approvecl set of plans will remain U n the site at al imesr ri n stru ig nat u re Date d-J -_Z? n MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Pernrits (E) TOTAL AMOUNT DUE (excluding etectricat) (A, B, C, D, and E Combined) VALIDATION: RECEIPT NUMBER.- DATE PAID AMOUNT R RECEIVED Plan Check Fee: - Mechanical Permit lssuance State Surcharge Total Permit