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HomeMy WebLinkAboutPermit Plumbing 1996-08-21SPrlINGFIELt)RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: .ZzE/- eft, JOB NUMBER 225 Fif th Street Sprlngtleld, Oregon 97477 I TAX LOTIASSESSORS MAP ,/?ev 26->/ LOT;BLOCK;SUBDIVISION: STATE:ztP 2 €CITY: ADDRESS: OWNEB: ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW- BEM ADDBESS EXPIFI ES PHONECONTRACTOR'S NAME GENERAL: ELECTRICAL: MECHANICAL: PLUMBING: CONST. CONTRACTOR # RANGE: - OFFICE USE - LAND USE r OF UNITS: OUAD AFIEA: * OF BLDGS: SECONDABY HEAT: SOUARF. FOOTAGE:WATER HEATER:- OCCY GBOUP: I OF STORIES; CONSTR. TYPE HEAT SOURCE: To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:oo a.m. wlll bemade the same worklng c,ay, lnspections requested after 7:00 a.m. wlll bo made the followlng work day. REQUIRED !NSPECTIONS Temporary Electric Rough Mechanlcal - prlor to cover. Flnal Plumbing - When allplumblng worl< ls comptete. Site lnspectlon - To be madc after excavatlon, but prlor tosettlng forms. Rough Electrlcal - Prior to Flnal Eloctrlcal - When all electrlcal work ls complete.cover. Underslab Plumblng / Electrical / Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtalrr permanent electrlcal power. Flnal Mechanlcal - When allmechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Flnal Buildlng - When allrequlred lnspectlons have beenapproved and bullding ls completed,Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement. Othor Wall/Colling lnsulatlon - Prlor to cover. Underground Plumblng - Prlor to fllllng trench.Drywall - Prlor to taplng Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng, MOBILE HOME INSPECTIONS Wood Stovo - After lnstallatlon, Post and Boam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. [-l Alocking and Ser.Up - When ail.J blocking ls complete. Floor lnsulallon - Prlor to deckl ng.Curbcut & A1:proach - After forms are erected but prlor toplacemont of concrete. Plumbing Connectlons - Whenhome has been connected to water and sewer. Sanltary Sewer - Prior to f llling trench. Storm Sewer - Prior to {llllngtrench. i Sidewalk & Drlveway - After excavatlon ls complete, forms and sub.base materlal ln place. Electrlcal Conneclion - Whenblocklng, set.up, and plumblng Inspectlons have been approved and the home ls connected tothe servlce panel. Waler Llne - Prlor to filllng trench.l--l Fence - When compteted Bough Plumbing - Prlor to c0ver, {itroet Treos - When all requlred trees are planted. Final - After all required lnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstatled. B PHONE:-% FLOOD PLAIN: ZONING CODE; , OF BDRMS: - E E tl E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac i -.j THE PROPOSED WORK IN THE HISTOBICAL OISTRICT, OR ON .THE HISTORICAL REGISTER? lf yes, thls applicatlon must be slgned and approved by the Hlstorlcal Coordinator prlor to permit issuance. APPBOVED: P.L,HSE GAR ACC N S E k VALUE (A) x $/so. FT, Total Value Bulldlng Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT, Maln Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express condition that the sald construction shall, ln all respects, conform to the Ordinance adopted by the City of Springfleld, includlng the Development Code, regulating the construction and use ol buildlngs, and may be suspended or revoked at any tlme upon violation of any provisions of sald ordinances. Plans Bcvlewed t3y Date Recelpt Numbe Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmcnt Charge ls due on all undeveloped properties withln the City linrlts which are being lmproved. ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Homefur:' P,rz. FEE 112,G 4rel(c) No FT. ,a-€ 5Z.e PLUMBING PERMIT Plumblng Permlt Stato Surcharge Total Charge Fr. //d ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carofully examlned the compl€ted appllcatlon and do hereby cerilfy that all lnformatlon horeon ls lrue and correct, and I f urther certlfy that any and all work performed shall be done In accordance wlth the Ordinances of the City of Sprlng(ield, and the Laws of the State of Orcgon pertalnlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure wlthout perrnission of the Bulldlng Safety Divislon. I further certlfy that only contractors and employees who are ln compliance with ORS 701.05S wlll be used on thls pro jec t. I f urther agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln on the site at all times durlng construcilo Date J 7-E Slgnature Wood Stove/ lnsert/Flreplace Unlt Dryer Vent MISCELLANEOUS PERMITS Moblle Home Stale lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surchargp Total Mlscellaneous pennits (E) Vent Fan (u, MECHANICAL PERMIT Furnace Exhaust Hood Mechanlcal Permlt lssuance State Surcharge Total Permlt TOTAL AMOUNT DUE (exctudtng ctectrtcat) (A, B, C, D, and E Comblned) VALIDATION: RECEIPT NUMBEF _ 22?/,/ 4r4\ DATE PAID AMOUNT RECEIVED RECEIVED BY . FT. N0