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HomeMy WebLinkAboutPermit Plumbing 1994-10-20 .. . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 C\ L\ \ 29/L JOB NUMBER TAX LOT: LOT' BLOCK: SUBDIVISION: OWNER: ~ ~'(.., ~ \\.~ 'C ADDRES~~'~ \\~ CITY: \" \)_ DESCRIBEWORK,\\)cfu~\_t (\Q ) fA \0 . (I'ftffi , PHONE: ~ , STATE: ~\ \) t\f11\ . \~~M~\N'QO~' - ~IP? ZIP: A .~ ~0NE NEW REMODEL ADDITION CONST. CONTRACTOR' CONTRACTOR'S NAME ADDRESS' EXPIRES q3a:i() ~ \0 ~ <14h \\\?- - OFFICE USE - QUAD AREA' LAND USE: FLOOD PLAIN' · OF BLDGS: · OF UNITS: ZONING CODE: OCCY GROUP' CONSTR, TYPE: . OF BDRMS: · OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANG'" SQUARE FOOTAGE: To request an Inspection, you must call 726.3769, This Is a 24 hour recording, All Inspections requested before 7:00 a,m. will be made the same working day, Inspections requested after 7:00 a,m, will be made the following work day, REQUIRED INSPECTIONS o Temporary Electric o Rough Mechanical ~ Prior to cover. o Final PlumbIng - When all plumbing w9rk Is complete, D Site Inspection - To be mado after excavation, but prIor to setting torms. D Rough ElectrIcal - Prior to cover. D Final Electrical - \N.hen all electrical work Is complete. C o Undera'ab Plumbing/Electrlcall Mechanical - Prior to cover. o Final Mechanical - When all mechanical ,work Is complete. o Electrical Servloa - Musl be approved to obtain permanent electrical power. o Footing - Aller trenches are excavated. ~ o FInal Building - Whan all required Inspections have been approved and building Is completed. o Fireplace - Prior to facing materials and framing Insp. o Masonry - Steel location, bond ,beams. groutlng. o Framing - Prior to cover, I o Wail/Ceiling InsJlallon - Prior to cover. o Other o Foundation - Alter lorms are erected but prior to .concrete placement. o Underground Plumbing - Prior to filling trench, o Drywall - Prior to taping, MOBILE HOME INSPECTIONS o Underfloor Plumbing/Mechanical - Prior to Insulation or decking, o Wood Stove - After Installation, . 0 Blocking and Set,Up ~ Whep all blocking Is complete, o Post and Beam - Prior to floor Insulation or decking, o Insert - After fireplace approv41 and Installation of unit, O Floor Insulation ,- Prior to deckl ng, o Plumbing Connectlons - When home has been connected to . water and sewer. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sanitary Sewer - Prior to filling trench. o Electrical Connection - When blocking, set.up, and pluroblng Inspections have been approved and the home Is connected to the service panel. o Sidewalk & DrIveway - After excavation Is complete, forms . and sub.base materIal In place. o Storm Sewer - Prior to filling trench. . ~ Water LIne - Prior to filling trench. Rough Plumbing - Prior to cove~ . o Fence - When completed. O. Final - After all required Inspections are approved and porchos, skirtIng, decks, and venting have been Installed. o Street Trees - When all requIred trees are planted. . Lot faces Lot Type Interior LOI sq, llg, Lot coverage Corner Topography Total ~elght Panhendle Cul.de.sac ,. lP.L, IN Is Iw IE BUILDING PERMIT ITEM sa, FT, x $/SO. FT, ~ VALUE Main Ga,age Carport Total Value Building Permit Fee State Surcharge Totel Fee (A) " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures . Residential Bath(s) N' Sanitary Sewer FT, - Water FT, Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge -\- Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical PermIt Issuahce State'Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. Co 0, and E Combined) FEE 4\).a.J ~ :\.2.0 ~ '32..0 4(~~ : ,~' V'l ;\:1' :t:;i . .. '~I. .. Setbacks, HSE GAR ACe' I I I ~,S THE PROPOSED WORK IN THE, . "HISTOJ:lICAL DISTRICT, OR ON "THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED' BUILDING VALUE, PLAN 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 ,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 Check Fee: Date Paid: Receipt Number' Racelved By: Plans Reviewed By Date Systems Davelopmenl Charge 15 due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the compleled 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 of lhe City of Springfield, and the Laws 01 the Slate of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made 01 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 are requested at the proper time, that each address Is readable from the street, that the permit card Is located at the front 01 the property, and lhe approved set of plans will remain on the site at all times during construction. Slg€Q-R D~~A~ oat..! I VALIDATION: \( ~?/ RECEIPT NUM~R B, .J DATE PAID n ~ I). eft AMOO", "'W~ 4'gTO RECEIVED BY ~ tL..7