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HomeMy WebLinkAboutPermit Plumbing 1999-01-13RESIDENTIAL PERMIT APPLICATION lnspectlons: t26.gl6g Office: 726.9159 ELO JOB NUMBER OO FZ 225 Fifth Street Sprirrgflelrl, Oregon gl 4?l LOCATION OF PBOPOSED WORK:/6 5/6yt ASSESSORS MAP:/703 3s i TAX LOT:gpSoo LOT:BLOCK:SUBDIVISION oL PHONE: G €7I On 7q 7- ZIP:7I7'( Z OWNER: ADDRESS: CITY: ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW._- REMODEL ADDRESS /1 7,J(f- t1" EXPTBES 'f PHONE N-' CONTRACTOR'S NAME PLUMBING: GENERAL: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # # o F sro R r Ef, UtiOR rZ SDJJNOELI H I S P EBId[rr tU0tc =, for you to nw tegulresrules ca OFFICE US # OF UNITS:#oFBLDGSffi LAND USE: To request an inspectlon, you made the same worklng day, must call 726'3769. Thls is a24haur recordlng. All lnspections requested before 7:00 a.m. will belnspections requested af ter 7:00 a.m. wlll be macle the following work day. REQUIRED INSPECTIONS n Temporary Etectric Rough Mechanical - prior to cover. Final Plumbing - When allplumbing worl( is complete. Slte lnspectlon - To lre made after excavatlon, but prior to settlng forms. Rough Electrical - prior to Final Eleclrical - When allelectrical work is complete.cover, E Underslab Plumblngl Electrical / Mechanlcal - Prlor to cover.Electrical Service - Must be approved to obtaln permanent electrlcal power. Final Mechanical - When all mechanical work ls complete. Footlng - After trenches are excavated.Flreptace - Prlor to faclng materlals and framing lnsp. Final Building - When allrequired lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prior to cover. Foundatlon - Aftdr forms are erected but prlor to concrete placemont. Other WalllCelling lnsulatlon - Prlor to cover. Underground Plumblng - Prlor to flltlng trench.l-_l Drywall - Prlor to taptng Under!loor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. MOBILE HOME INSPE TTONS Wood Slove - After lnstallatlon. Post and B6am - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and installatlon ol unlt. Blocking and Set.Up - When alt lclocking is complete. Floor lnsulallon - Prior to Plumbing Connections - When home has been connected to water and sewer. n9.Curbcut & Alrproach - After forms are erected but prior to placement of concrete.Itary Sewer - Prlor to filllng Storm Sewer - Prior to fi.lling trench. Sidewalk & Drivewav - After excavation ls complete, forms and sub-base material in place. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce panel. Water Line - Prlor to filling trench.[-l Fence - When coiitpleted. Rough Plumbing - Prior to cover. $treet Trees - When all required trees are planted. STATE: E tl E fl E I-_l Final - After all required 'J inspections are approved andporches, sklrting, decks, and ventlng have been lnstalled. E E tl Lot Typ _ - lnterior -- Corner .- Panhandle ' - Cul-de-sac Se P.L.TJSE GAR ACC N S iry__ E IS THE PROPOSED WOFIK H ISTORICAL OISTRICT' OR APP ED: TN THE . ONLot faces Lot sg. ftg. Lot coverage TopograPhY Total helght THE HISTORICAL REGISTER? - lf yes, thls application must be slgned arrd aPProved bY the Historlcal Coordinator prlor to permit issuance' This pernrit is granted on the express condition that the said consiruction s'[-ralt, in all respects' conform to the Ordinance "Jopt"a by the City of Springfield, including the Development Code, regulating the constructlon and use of ouildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances' Plans Reviewed BY Date BU I LDI NG AND BUIL DING PERMIT E,LAN CHECK Plan Check Fee ReceivetJ BY: Date Paid: Receipt Nu BUILDING PERMIT VALUE (A) t ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SO. FT. X $/SQ. FT. Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) Nx FT. FT. FT. /{? 1o * PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS f,,,+ By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy 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 Sprlngfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Bullding Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on thls prolect. I further agree to ensure that all requlred lnspections are requested at the proper time, 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 Signature /-rsDate 7Y on the site at all es durlng constructi Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Permits (E) N0Vent Fan (D) MECHANICAL PERMIT Furnace Exhaust Hood Mechanical Permit lssuance State Surcharge Total Permit TOTAL AMOUNT DUE (excluding electrical) (A,B,gQandEComblned) 03 zrsztVAI-IDATION FIECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY {o.ctot, 2.0 o/ / ?,.-, t. _- Ls. au