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HomeMy WebLinkAboutPermit Plumbing 1995-4-25 RESIDENTIAL PERMIT APPLICATION InspectIOns 7263769 Office 726 3759 LOCATION OF PROPOSED WORK /7.0.3 ASSESSORS MAP LOT SPRINGFIELD " I<C;~ <,t; 2. >:7, BLOCK OWNER AI~A Fv~ / ?~A ;=! <r, ADDRESS CITY <"" ........ --:a:-... ) DESCRIBE WORK .#?!Jt1/AY'~ " J NEW REMODEL CONTRACTOR'S NAME GENERAL PLUMBING ~&#r-U/A-y /1J~/1?4 MECHANICAL ELECTRICAL QUAD AREA N OF BLDGS OCCY GROUP N OF STORIES WATER HEATER STATE eX , .' ., JOB NUMBER Cj "S"" 0 .~ 2s~ U)~ " ' ~---""'If~ , 225 FHlh Street Springfield, Oregon 97477 , TAX LOT SUBDIVISION ns c;.c:hD ADDITION DEMOLISH OTHER PHONE 7~~ -CJO.,:;' 1 ZIP '37477 I .A'~A?A" ADDRESS CONST CONTRACTOR N PHONE REQUIRED INSPECTIONS o Rough Mechanical - PrIor to cover , o Rough Electrical - Prior to cover o Electrical Service - Must be approved to obtain permanent electrical power o Fireplace - Prior to facing materials and framing Insp o Framing - Prior to cover o Wail/Ceiling Insulation - Prior to cover o Drywall - Prior to taping o Wood Stovo - After InstallatIon o Insert - After fireplace approv~r and Installation of unit o Curbcut & Approach - After forms are erected but prior to placement of concrete :1?:n_~ 7/;$"2 ~ t!'j,C "l7?'t1J/ - OFFICE USE - LAND USE N OF UNITS CONSTR TYPE HEAT SOURCE RANGE _ EXPIRES P.'i:<t:/ - .. -.$ ~yf'.r 4~ - ~7Q,7 rLOOD PLAIN ZONING CODE _ N OF BDRMS SECONDARY HEAT _ SQUARE FOOTAGE To request an InspectIon, you must call 7263769 This Is a 24 hour recording All Inspections requested before 700 am wlJ! be made the same working day, Inspections requested after 700 a m will be made the following work day D Temporary ElectrIc D Site Inspection - To be mado after excavation, but prior to setting forms o Underslab Plumbing/ Electrocall Mechanical - PrIor to cover D Footing - After trenches are excavated o Masonry - Steel location, bond beams, grouting o Foundation - After forms are erected but prior to concrete placement o Underground Plumbing - Prior to filling trench o Underlloor Plumbing/Mechanical - Prior to Insulation or decking , o Post and Beam - Prior to floor InsulatIon or deckIng D Floor Insulation -'- Prior to decking D Sanitary Sewer - Prior to 1IIIIng trench D Storm Sewer - Prior to filling trench D Water L1ne'- Prior to filling trench , D Rough Plumbing - Prior to cover D Sidewalk & Driveway - After excavation 15 completo, forms and sub base material In place o Fence - When completed o Street Trees - When all requIred trees are planted ~ Final Plumbing - When all ~Plumblng work Is complete o Final Electrical - When alt electrical work Is complete o Final Mechanical - When all mechanIcal work Is complete o Final Building - When all requIred Inspections have been approved and bUilding Is completed D Other MOBILE HOME INSPECTIONS o Blocking and Set Up - When all blockIng Is complete o PJumbing Connections - When home has been connected to water and sewer o Electrical ConnectIon - When blocking, set up, and plumbing Inspections have been approved and the home IS connected to the service panel o Final - After all requl red Inspections are approved and porches, skirting, decks, and ventlng have been Installed f,"'.., """',,~ i " ' . ,I , Lot faces lot Ty Setbacks IS THE PROPOSED WORK IN THE , I Pl HSE GAR ACC 1 HISTORICAL DISTRICT, OR ON Lot sq Itg Interior IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit Issuance Total height CuI de sac lE ~ APPROVED BUILDING PERMIT ITEM SO FT X $/SO FT VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " This permit is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City 01 Springfield, Including the Development Code, regulallng the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances Marn Carport Plan Check Fee Total Value Date Paid , BUilding Permit Fee Receipt Number State Surcharge Received By Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped propertIes within the CIty lImits which are beIng Improved PLUMBING PERMIT ITEM Fixtures / Residential Bath(s) N' Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home ADDITIONAL COMMENTS FEE /:?4l) , Total Charge (C) /s b'O 1,'2.'0 1(""" ;z.,o Plumbing Permit State Surcharge ,7'> -r4j- MECHANICAL PERMIT Furnace Vent Fan N' By signature, I state and agree, that I have carefully examIned the completed application and do hereby certify that all InformatIon hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances 01 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 permission of the BuIlding Safety DIVision I further certify that only contractors and employees who are In compliance with ORS 701055 will be used on this project Exhaust Hood Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical PermIt Issuance Slate Surcharqe Total Permit (D) 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 permit card Is located at the Iront 01 the properly, and the approved set of plans will remain on the site at all times during construction Slg~~ ~~ Date rJ1"'2 f!(i. \" MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge VALIDATION RECEIPT NUMBER Total Miscellaneous Permits (E) DATE PAIr> /7CJ~1 ((2-1~1?r /~,:i'1J /~ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ~24) AMOUNT RECEIVED RECEIVED BY