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HomeMy WebLinkAboutPermit Plumbing 1999-10-15SP;lINGFIELDRESIDENTIAL PERMIT APPLICATION ?? r 7zz lnspect Office:e$, ions: 726-3769 726.3759 .,OB NUMBER 225 Fifth Street Sprlrrg(leld, Oregon 97477 LOCATION OF PBOPOSED WO N"/1 z ASSESSORS MAP:/70 /r{TAX LOT:o7 0o LOT BLOCK:SUBDIVISION PHONE: 4oJ l/" O<STATE ZIP:7)'./ )> -7 yA.. qz,t LJ UT CITY: ADDRESS: OWNER: de^u r c_ .<;n.le*l*</u- ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW- BEMODEL ELECTRICAL: - ADDRESS /<) b'12 Y7- 7'2 N, EXPIBES '1 PHONECONTRACTOR'S NAME MECHANICAL: CONST. CONTRACTOR # GENERAL: PLUMBING - oFFtcE USE - ouAD AREA: NOTICE: LAND USE: FTTr-' "'r- "' THISPERMITSHALLEXP|$HPFYfiEWoHK- fQII*V.;TII.::': .:FI.OODI?LAfN . .., '.#oFBLDGS.6DERTH1sfEHMffiS.Nffi-++H.,..'].zoNlNG"oou,]..ni....,.. occY GRou"' eomM-NeEDoRtsABAftBUftEbFUFF' # oF sroRlES: ---AIIAq€0€AY+ER|OD. HEAr souRCE: r OF BDRMS: _ RANGF-: calling num SQUARE FOOTAGE: SECOI!DARY HEAT: To request an lnspection, you must call 726-3769. Thls ls a24nour recordlng. All lnspections requested before 7:00 a.m. will be made the same worklng day, lnspections requested af ter 7:00 a.m. wlll be macJe the followlng work day. REQUIRED !NSPECTIONS l-l Rough Mechanical - Prior tolJ cover. Temporary Electrlc Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumblng/ Electrical / Mechanlcat - Prior to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placement. Underground Plumbing - Prior to filllng trench. Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decking. Post and Beam - Prlor to floor insulatlon or decklng. FIoor lnsulation - Prior to decking. Sanltary Sewer - Prior to filling trench, Slorm Sewer - Pr'ior to fllling trench. ch Rough Electrical - Prior to cover. Electrical Service - Must be approved to obtaln permanent electrlcal power. lnsert - After fire;:lace approval and lnstallatlon ol unlt. Curbcut & Approach - After forms are er(lcted but prior to placemen t of concretc-.. Sidewall< & Driveway - After excavation is complete, forms and sub-base material in place. Slreel Trees - When all requlred trees are planted. Final Plumbing - When all plumblng worl< ls complete. Finat Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Final Building - When all required lnspections have been approved and building is completed. Other MOBILE HOME INSPE TTONS Blocking and Set.Up - When all blocklng is cornplete. Plumbing Connections - When home lras been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved andporchcs, skirting, decks, andventlng have been lnstalled. Line - Prior to filling [--l fence - lvhen cciripleted. Rough Plumbing - Prior to cover. i. WATER HEATER: E tl l-l Flreplace - Prlor to faclng - materlals and framing lnsp. I--l Framlng - Prior to cover. I-l Walt/Ceiling lnsulatlon - Prlor tot-J cover. l--.l Drywall - Prlor to taplng. | | Wood Stove - After lnstallatlon. fl tl tl Lot faces . Lot sq. ftg. Lot coverage Topography Total height Lot Type - ln terior -- Corner ..- Panhandle - Cul-de-sac Setbac PL.HSE GAR ACC N S E IS THE PROPOSED WOBK IN THE . HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, this application must be signed arrd approved by the Historical Coordinator prlor to permit issuance. APPFIOVED: VALUE (A) X $/SQ, FT. Garage Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ, FT. Main BUTLDING VALUE, PLAN CHECK AND BUILDING PERT/IIT This pernrit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Recei pt Numbe Plan Check Fee: Date Paid Fleceived By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties wlthin the City linrits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE N. zfa ___21? 27.ft FT, 37 (c) {' PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance stats suroharge Totel Permit 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 information hereon is true and correct, and I turther certify that any and all work performed shall be done in accorrJance with the Ordinanccs of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Building Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.05S will be used on this proiect. I further agree to ensure that all requirod lnspections are requested at the proper time, that each address ls readable from tl'ro atreet, that the permlt card ls located at the front of the property, and the approved set of plans will remaln Date on the site at all times du g constructlon to /t r /zt Signatu re MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneoug Perrnits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned) t1 ?.() 1f1t t ff/l )7.EIVED c DATE PAII') VAI-IDATION: RECEIPT NUMBER AMOUNT BEC RECEIVED BY FT. . FT.