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HomeMy WebLinkAboutPermit Plumbing 1994-05-09\ ResrornnAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ?/oc;1JOB NUMBER 225 Flfth Street Spring fleld, Oregon 97 477 TAX LOT @ /?7f /\/? ASSESSOBS MAP:/7os zs z 1 LOT - BLOCK:SUBDIVISION: ZIP: T E O PHONE:343 -593 q 77rc / oWruen: CITY:STATE: VEADDRESS: NEW - REMODEL ADDITION DEMOLISH OTHER DESCBIBE WORK: ADDRESS EXPIRES PHONE /N CONTRACTOR'S NAME GENERAL: T PLUMBING: MECHANICAL: ELECTRICAL; CONST, CONTRA TOR # * OF BDRMS: - OFFICE USE - LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN: RANGE: QUAD AREA: * OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GBOUP: * OF STORIEST CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a,m. wlll be made the followlng work day. REQUIRED INSPECTIONS I Temeorary Electrlc Rough Mechanlcal - Prlor to cover. Flnal Plumbing - When all plumblng work ls complete. Site lnspection - To be made after excavatlon, but prior to setting forms. Rough Electrlcal - Prior to Flnal Electrlcal - When all electrlcal work ls complete,cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mechanlcal - When all mechanlcal work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Flnal Bullding - When all requlred lnspectlons have been approved and bulldlng ls completed.Masonry - Steel locatlon, bond beams, groutlng. l-l Frarnlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement.Wdlf Celllng lnsulatlon - Prlor to cover. Underground Plumblng - Prlor to fllllng trench.l--l orywall - Prlor to taplng. MOBILE HOME INSPECTIONS Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng.Wood Stove - After lnstallatlon. Post and Beam - Prlor to floor lnsulatlon or decklng,E Blocklng and Set.Up - When all blocklng ls complete.lnserl - After flreplace approval and lnstallatlon of unlt. Floor lnsulalion - Prior to decklng.Curbcut & Approach - After forms are erected but prlor to placement of concrete. Plumblng Connectlons - When home has been connected to water and sewer. Sanitary Sewer - Prlor to filling trench.Electrlcal Connection - When blocklng, set-up, and plumblng lnspectlons have been approved and the home ls connected to the servlce panel. Slorm Sewer - Prlor to fllllng trench. Sldewalk & Drlveway - After excavatlon ls cornplete, forrns and sub-base materlal ln place. Waler Llne - Prlor to filling trench.I*_l Fence - When completed. Slreet Trees - When all requlred trees are planted, Final - After all required lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled. Rough Plumb,lng - Prior to cover. # OF UNITS: - fl E E E E tl E [---l olherll E E tl E E E ,t if Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac IHE PBOPOSED WORK TN THE -. HISTORICAL DISTBIGT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: P.L.HSE GAR ACC N s W E BUILDING PERMIT ITEM SQ. FT. Main Garage VALUE (A) X $/SQ. FT. Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt ls granted on the express conditlon that the said constructlon shall, ln all respects, conform to the Ordlnance adopted by the City of Springfield, includlng the Development Code, regulating the construction and use ofbulldlngs, and may be suspended or revoked at any tlme upon violation of any provisions of said ordlnances. ewed ByPI Date Plan Check Fee: Recelved By: Date Paid: Receipt Nu SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Deveiopment Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Flxtures Resldential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home N0 '2.'7&? FEE FT. (c) FT, Z: {OFT 2-;&e ..7i*/=l- Z_oo PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) NoVent Fan Mechanical Permlt 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 certlfy that all lnformatlon hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work described hereln, and that NO OCCUPANCy will be made of any structure wlthout permission of the Building Safety Divislon. I further certily that only contractors and employees who are ln compllance with ORS 701.055 will be used on thls prolect. I further agree to ensure that all required lnspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front Date and the approved set of plans will remaln X,nn mes duri cons of the on the slte MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolitlon State Surcharge Total Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (excludlng electricat) (A, B, q D, and E Comblned) d'o DATE PAID 5-7 -, /Z AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER l FT,