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HomeMy WebLinkAboutPermit Plumbing 1998-07-07RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK: IhlGFIELO JoB N;MBER Qfot z L 225 Fifth Street Sprlngfleld, Oregon g7 4Zl 3-! N 73 ASSESSOFIS MAP:11o i c, lv TAX LOT: LOT: - BLOCK SUBDIVISION: PHONE: STATE: 5 5 o ZIP:97qt 7 DoOWNER: ADDRESS: CITY: 3?-f ' /U ?3 c-U I C NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ADDRESS EXPIRES ,. PHONE ELECTFIICAL: CONTRACTOB'S NAME MECHANICAL: GENEFIAL: PLUMBI CONST. CONTRACTOB / occY GRoUP' AwHoneEa UNDER THt$ryFftilT * OF BDBMS: ZONING CODE: FLOOD I)LAIN _ OFFICE USE - # oF sroRr ES' _€oMMEN0E+Ofi_IS ABANUoNEggffi e: # oF BLDGS'ffiLEXplHEgt SECONDARY HEAT SOUARE FOOTAGE:wArER HEATEB: AI{Y 19q BAY PER|QD. FTANGE: QUADAREA:ffi LANDUSE: To request an lnspection, you must call 726-3769. Thls ls a24hoor recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day. REQUIRED INSPECTIONS [--l Temporary Electrlc Rough Mechanical - Prior to cover. Final Plumbing - When altplumbing worl( is complete. SIte lnspection - To tre made after excavation, but prior to setting forms. Rough Electrical - Prior to Flnal Electrlcal - When all electrical work is complete.cover, Underslab Plumblng/ Electrical / Mechanlcat - Prlor to cover.Electrical Servlce - Must be approved to obtaln permanent electrlcal power. Final Mechanlcal - When all mechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lrrsp. Flnal Buildlng - When all required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prior to cover. Foundallon - After forms are erected but prlor to concrete Other Wall/Ceiling lnsulatlon - Prlor to cover. und Plumbing - Prior Drywall - Prior to tapinging trench. Underlloor Plumblng / Mechanlcal - Prior to lnsulatlon or clecklng. MOBILE HOME INSPECTIONS Wood Stovo - After lnstallation. Post and Beam - Prior to floor lnsulatlon or decking.tnsert - After flreplace approvgl and installatlon of unlt. [-l Btocking and Set.Up - When ail|J blocklng ls complete. Floor lnsulation - Prlor to decking.Curbcut & AJrproach - After forms are erected but prior lo placement of concrete. Plumbing Connectlons - When home has been connected to water and sewer. Sanitary Sewer - Prior to fllling trench.Eleclrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce panel. Storrn Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation ls complete, forms and sub-base material ln place. Water Llne - Prlor to filling trench. Fence - When cci-'rpleted [itreet Trees - When all requlred trees are planted. Final - After all required lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled. Rough Plumbing - Prior to cover. E E E E E E E tl E E rl ,. Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac Se ks P.L.HSE GAR ACC N S E IS THE PROPOSED WORK IN THE . HISTORICAL OISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPFIOVED: BUILDING PERIVITT VALUE (A) : ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SO. FT. X $/SO. FT. BUILDING VhI-UT, i5TRU CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City ol Springfield, including the Development Code, regulating the construction and use of ouildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Receipt Number:- Plans Reviewed By Date Plan Check Fee Date Paid Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home MJ , l, ut /lrf.,* /(' FEE ?.f (c) N. FT. PLUMBING PERMIT 27-' Plumblng Permlt State Surcharge Total Charge . FT. ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certify that all lnformation hereon is true ancl correct, and I f urther certlfy that any and all work performed shall be done in accordance with the Ordinanccs of the City of Springfield, and the Laws of the State of Oregon perlainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure wlthout perrnission of the Buildirrg Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.O55 will be used on this proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from tlre street, that the permlt card ls located at the front of the property, and the approved set of plans will remain Date on the site at all times constru Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permi ts (E) NoVent Fan (D) MECHANICAL PERMIT Fu rnace Exhaust Hood Mechanical Permlt lssuance State Surcharge Total Permit TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D and E Comblned) 7o 67( do fr VALIDATION RECEIPT NUMBER DATE PAI[) AMOUNT RECEIVED RECEIVED BY " ti: w FT.