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HomeMy WebLinkAboutPermit Plumbing 1997-11-17RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 IELE, 225 Fifth Street Springf leld, Oregon 97477 LOCATION OF PBOPOSED WORK: ASSESSORS MAP: LOT BLOCK: Lt+ TAX LOT; (^l-,- t-" zlPSTATE: VauqLnOWNER: ADDRESS: CITY: DEMOLISH OTHER (l rDESCRIBE WORK: NEW - REMODEL ADDITION +t(r "44-ll-..* ADDBESS tl? No CONTRACTOR'S NAME MECHANICAL: ELECTRICAL; CONST. CONTRACTOR # GENERAL: PLUMBING USE -4u trrv r,nsn Y /s . ,-dtll # OF BDFIMS RANGE: ZONING CODE: FLOOD PLAIN WATER HEATER: HEAT SOURCE: coN SECONDARY HEAT: SOUARF. FOOTAGE: OUAD AREA: * OF BLDGST OCCY GROUP: * OF STORIES: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day. REOUIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - Prlor to cover. Flnal Plumblng - When all plumbing work ls complete. Slte lnspectlon - To lre made after excavatlon, but prior to settlng forms. Rough Electrical - Prior to Flnal Electrical - When all electrical work ls complete.cover. Underslab Plumblng/ Electrlcal / Mechanlcat - Prlor to cover.Electrlcal Servlce - Must be approved to obtain permanent electrlcal power. Final Mechanlcal - When all mechanical work ls complete. Footlng - After trenches are excavated,Flreplace - Prlor to faclng materlals and framing lnsp. Flnal Buildlng - When all required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placemont.Wall/Celling lnsulatlon - Prlor to cover. Underground Plumblng - Prior to lllllng trench.Drywall - Prior to taplng. MOBILE HOME INSPECTIONS Underlloor Plumblng / Mechanlcal - Prlor to lnsulatlon or decklng.Wood Stove - After lnstallation. E Posl and B6am - Prlor to floor lnsulatlon or decklng.Inserl - After flreplace approvsl and lnstallatlon of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulation - Prlor to decklng.Curbcut & AJrproaclr - After forms are erected but prior to placement of concrete. Plumbing Connectlons - When home has been connected to water and sewer.fr Sanitary Sewer - Prior to filllng trench.Electrical Conneclion - When blocking, set-up, and plumbing lnspections have been approved and the home is connected to the servlce panel, Storm Sewer - Prior to fllllng trench. Water Llne - Prlor to filling trench. Slreet Trees - When all required trees are planted. Final - After all required Inspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled.@:::! Prumbins - Prror to JoBNUMBE"-? /62 7 ?.r-- ^\ '\/^ SUBDIVISION: ' PHONE: EXPIRES ,S PHONE E l-_l Sidewalk & Drivewav - Aftert-' excavation ls complete, forms and sub-base material in place. n Fence - lVhen coi-'rpleted. tl f] l-l ottrer E E E 5 ti: ll i IS THE PBOPOSED WORK TN T HtsroRlcAL olsTBlcT, oR oN THE HISTORICAL REGISTER? - lf yes, this appllcatlon must be slgned and approved bY the Historlcal Coordinator prlor to permit issuance. APPROVED: HE" Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Typ - lnterior - Corner - Panhandle ! - Cul-de-sac ACCHSEGARP.L. N S E VALUE (A) 1'ndrrBUILDING PER ITEM SQ. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee FT. X $/SQ. FT. This permit is granted on the express condition that the said construction shall, in all respects, contorm to the Ordinanceadopted by the City of Springfield, inctudlng the Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Receipt Number:_ Date Date Paid Received By: Plan Check Fee AND BUILDING P BU I LDI NG E , i5rRu cHEcK ERMIT SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. Resldentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home Plumblng Permlt State Surcharge *O,o3Z Mn^,; Total Charge (C) FEE FT. FT. N' /3. )" FT. 440,-+a.*lpp PLUMBING PERMIT ITEM Fixtures ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) No Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I f urther cerflfy that any and all work performed shall be done in accorrJance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure without perrnission of the Bullding Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 7O1.OSS wlll be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain Date on the slte at all times during ructlon. Xlonature MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - lt Curbcut - ft Oemolitlon State Surcharge Total Mlscellaneous Perrnits (E) TOTAL AMOUNT DUE (excluding etectrlcat) (A, B, C, Q and E Combined) VALIDATION: RECEIPTNUMBER W DATE PAID AMOUNT RECEIVED 6 RECEIVED BY <) ).o Flans Reviewed -Bt- ---.