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Home My WebLink AboutPermit Plumbing 1996-10-10RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 LOCATION OF PROPO ED ASSESSORS MAP: SPR IELE,3I.JOB NUMBER 225 Fif th Street Springfletd, Oregon g7477 TAX LOT: LO]: BLOCK:SUBDIVISION OWNER: ADDR CITY:STATE: PHONE: ZIP: ADDITION DEMOLISH OTHEFI NEW-- REMODEL DESCRIBE WORK: ADDRESS EXPIIlES PHON E L: CONTRACTOR'S NAME ELECTRICAL: GENERAL: PLUMBI MECHA CONST. CONTRACTOR # - OFFICE USE - ZONING CODE: LAND USE:QUAD AREA: , OF BLDGS SECONDARY HEAT: SOUARE FOOTAGE: # OF BDRMS: --- OCCY GFIOUP: r OF STORIES: FLOOD PLAIN: CONSTR. TypE: --_ HEAT SOURCE: --- # OF UNITS: --.- WATER HEATER: _.-RANGE: To request an lnspecilon, you must call 726-3 made the same working day, lnspections req 769. This rs a24 hour recordrng. Ail inspections requestec, before 7:00 a.muested after 7:00 a.m. will be made the following work day. wlll be REQUIRED INSPECTIONS [--l Temporary Etecrric Rough Mechanical - prior tocover.Final Plumbing - When allplumbing worl( ls complete. Site lnspeclion - To be madeafter excavation, but prior tosetting forms. Rough Electrical - prior to I--l Final Electrical - When ail - electrical work is complete. cover. [--| Underslab p!umbing/ Electrical/ - Mechanical - prior to cover.Final Mechanical - When allmechanical worl< is complete. Footlng - After trenches are excavated.Final Building - When ailrequired lnspections have beenapproved and building iscompleted.l--l fUasonry - Steet tocatton, boncJ - beams, grouilng. Foundatlon - After forms areerected but prior to concreteplacement.Wall/Ceiling lnsulallon - prior tocover. fl Underground plumbinq - priorL-J to fitllig trench.-"'-"'r l-l orywall - Prlor to taping Underlloor Plumbing/ Mechanlcal - Prior to lnsulatlon or decking. MOBILE HOME TNSPE TIONS Wood Stove - After lnstallatlon. Post and Beam - prior to floorlnsulation or decking. Floor lnsulation - prior to decking. [--l lnsert - After fireptace approvat - and installailon of unlt. [-l Blocking and Ser.Up - When ail - blocking is complete. Sanitary Sewer - prior to filling trench. Curbcut & Alrproach - Afterforms are erected but prior toplacement of concrete. Plumbing Connections _ Whenhome has been connected towater and sewer. l-_l srorm Sewer - prior to fillinglJ trench. Sidewalk & Driveway - Afterexcavation is complete, formsand sub.base material in place. Fence - When completed. Eleclrical Connection _ Whenblocking, set-up, and plumbinginspections have becn approvedand the home is connected tothe service panel.Waler Line - prlor to filling trench. [itreet Trees - When all requiredtrees are planted. Final - After all requiredrnspections are approved andporc.hes, skirting, decks, andventing have been installec,. Rough Plumbing - prior to cover. \ffTrr [-_] Electricat Service - Must be - approved to obtaitr permanent electrlcal power. l--l Fireptace - prtor to facingu materlals and framing lnspl f Framing - prlor to cover. Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior -_ Corner - Panhandle - Cul-de-sac ks P.L.HSE GAR ACC N S E i IS THE PROPOSED WORK iN THE HISTORICAL DISTRICT, OR ON TIIE HISTORICAL REGISTER? - lf yes, this application must be signed and approved bY the Historical Coordinalor prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantecj on the cxpress 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' Receipt Number:-- DatePlans Reviewed t3Y Plan Check Fee Date Paid Beceived BY: BUILDING PERMIT VALUE (A) SO. FT. X $/SQ. ttrT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within thc City linrits whicl.r are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE ((,) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanical Permit (D) N0Vent Fan lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace 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 f urther certify 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 pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without pertnission of the Buildirrg Safety Division. I further certily that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from tl're street, that the permit card is located at the front e property, and the approved set of plans will remain I tu re a te of o tion.site at all es during co MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- (t Curbcut -- ft Demolition State Surcharge Total Miscellaneous Perlnits (E) VALIDATION RECEIVED BY BECEIPT NU AMOUNT R DATE PAID TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)