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HomeMy WebLinkAboutPermit Plumbing 1995-1-26 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK' 1'1 'to / / '1'12. 17&3 '2../ ASSESSORS MAP' LOT' /VI.. PAcrso^, 42- BLOCK: I . I JOB NUMBER - q:~ I 225 Filth Street q ~ ' Springfield, Oregon 97477 pJIT-C-~ TAX LOT' SUBDIVISION' c9 <9 I' 8-D , A.J.-.'.... A--;, ..L'" v' 49~N<':y, uot7o OWNER:-HiJ..,I~"V'~ VI "()r~ 'Y 'to (.o,...,mV"';~/v S.?rV"~PHOm:: ..,((7- 1 -I ADDRESS: =?(')(') \AI r::A/lrVI;u.; Dr CITY: SpriNt} .fi<~.b< STATE: /"') '"'< ZIP: q 7 ':LJ_2_____ DESCRII3EWORK' Add Plvh\ b,..v.., --r-o'r WA:<::A,N" /v);rcA.i.tVe. NEW REMODEL ~ ADDITION DEMOLISH OTHER , CONS" CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES GENERAL: EA~BjC: .kk. fib 13500Ilttrli..,.,r t:....,,-., '17130 10/111<15 PLUMBING:!" A.....I ~crk.. rib /150 c/U-~b.!'4' E'''':''c....c "(7130 1(1/1'11'1.5 MECHANICA' ' ELECTRICAl' PHONE }'f'lb 902- 3 'N 6., "(o.2J - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN' I . OF BLDGS' . 0' "''''' _ ~ ZONING CODE: ____ \ OCCY GROUP: CONSTR. TYPE, _---; . OF BDRMS: \ . OF STORIES: HEAT SOURCE: SECONDARY HEAT: ___. WATER HEATER: RANG~' SQUARE FOOTAGE: _ i '-.V.IQ"'lUQQ'.C..."......,.................,-J _..~,. ........-...................""'. ....... .. II.... .... ... ....... ........., '........"". ...... '~. ...".~..........."'''''V' .;;.>...."'1............._~_....,.....,__..._~__.,.,.._......_......_ made the same working day, Inspectlons requested after 7:00 8.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlca" 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 Underfloor Plumbing/Mechanical . - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - PrIor to . decKI ng. ' o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water L1na - Prior to filling trench. r;t1 Rough Plumbing - Prior to ~over. . 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 approvlll and Installallon of unit. o Curbcut & Approach - After forms are erected but prIor to placement of concrete. o SidewalK & Driveway - After excavation Is complete, forms and sub.base material in place. o Fence - When completed. o Street Trees - When all requIred trees are planted. rw Final Plumbing - Whcn ull ~plumblng w<;>rk Is complet.c. D Final Electrical - When all 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. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connoctlon - When blocKing, sel-up, and plumbing Inspections have been approved and the home Is connecled to the service panel. o Final - After all required Inspections are approved and porchos, skirting, decks, and venting have been Installed. Lot faces Lot Type Interior Lot sq, ltg, Lot coverage Corner Topography Total height Panhandle Cul-de.sac BUILDING PERMIT ITEM SQ, FT. X $ISQ, FT., Main Garage Carport Tolal Value Building Permit Fee Stale Surcharge Total Fee (A) ,,:~. .... > :;:: "'1:: . . . \ IS THE PRQPOSED WORK IN THE _ . '''HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbaeks I P.L. HSE GAR ACC IN Is Iw I I I ~---LJ VALUE '. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures 2 Residential Bath(s) Sanitary Sewer Water N' FT. FT, FT, Storm Sewer Mobile Home Plumbing Permit I CJO -r- bO State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical PermIt Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and' E' Combined) , FEE 2.0 r~{? I. {.,~ ....:lL' b () 2-1. (,,0 APPROVED:. . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granled 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. Plan Cheek Fee: Date Paid: Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within tile City limits which are being Improved, ADDITIONAL COMMENTS By signature, I stale and agree, that I have carefully examined the completed'.applicatlon 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 of the Glty of Springfield, and the Laws of the State of Oregon pertaining to tho 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 701,055 will be used on this project. I further agree to ensure that all required Inspections ere requested at the proper time, that each address Is readable from the street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all tImes during construction. Signature ~O?l~ J~?-{' -q rz Date VALIDATION: RECEIPT NUMBER /~/c'/ ,Y2~1 2/,~O 4~~ DATE PAIt' AMOUNT RECEIVED RECEIVED BY