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HomeMy WebLinkAboutPermit Plumbing 1999-4-2 RESIDENTIAL PERMIT APPLICATION LOT: OWNER' ADDRESS' CITY: CM-J DESCRIBE WORK' NEW REMODEL CONTRACTOR'S NAME G~ GENERA' . PLUMBING: MECHANICAl' ELECTRICAl' QUAD ARE'" . OF BLDGS' OCCY GROUP' . OF STORIES: WATER HEATER: . . JOB NUMBER Cj16l{3 '] 225 Fifth Street Springfield, Oregon 97477 ., . !./P...JVln.. TAX LOT:~4C OCJ c/ STATF'. ()It- ADDITION DEMOLISH OTHER SUBDIVISION' PHONE: 1 'La. ~ 2-1 "2..1 ZIP:_!!..:? C(7 Y ADDRESS Wb.Jh/l/>-. CON ST. CONTRACTOR' 9;2'1' "'" q,...... EXPIRES 0 PHONE 7U, :u 7/ '--... .........^ f~l~gt~t9rsu~o~;~~' b;;h~-o;~g~n Utility LAND l!l1''';H~~tinn Center. Those rules areF.~60Drt~LAIN' in nAR 952-001-0010 through OAR 9"'7-uv1- · OF UNIJS: u -'- --"',)$ of th~ZXi)NINGYCODE: OU1:1U. TUU ilia} .......~........ --r- one CONSTR. TxelM thp. center. (Note:t~e tel~~IJ5~i ~pRMS' IImher for the Oregon Utility Notlflca 10 HEAT SOIlRCE: .:,,,,,,,,,;~ 1 3:: ?"';>-2344) SECONDARY HEAl' RANGF' SQUARE FOOTAGE: To request an Inspecllon, you must call 726-3769. This Is a 24 hour recording. Alllnspecllons 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. D Temporary Electric D Sfte Inspection - To be made after excavation, but prior to setting forms. D Underalab PlumbIng/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Maaonry - Steel locallon, bond beams, grouting. D Foundation - After forms are erected but prior 10 concrete placement. D Underground Plu'!'blng - Prior to filling trench. D Underfloor Plumbing/Mechanical - Prior to Insulallon or decking. D Poat and Beam - Prior to floor Insulallon or decking. D Floor Insulation - Prior to decking. ;[] ~ltary Sewer - Prior to filling ~~Ch. D Storm Sewer - Prior to filling trench. r.-,D~ ater Line - Prior to filling ~~nch. \ O Rough PlumbIng - Prior 10 cover. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough ElectrIcal - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wall/C"alllng Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. D Fence - When cOinpleted. O S.r... Tr... - When all requIred treea are planted. D Final Plumbing - When all plumbing w9rk Is complets. D Final Electrical -- When all electrical work Is complete. D Final Mechanical .- When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building Is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set-Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After ell required InlllOQIIQIII lit apJlIQ...o 1II1l porohosh.klrtlng, deOke, end .enllno a.e .been Ineta leel, ,- Lot faces Lot sq. fig. Lot coverage Topography Total height BUILDING PERliiuT ITEM SQ. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Tolal Fee Lot l'ipe . Interior Corner \ Panhandle Cul-de.sac '~ X $/SQ, FT, _ (A) ',' " ((: : :.;~ " , . '( eTHEPROPOSED WORK IN THE. . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this appllcallon must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks I P.L. HSE GAR ACC 1:!...__..___ S I WT -- ----- I E I I 1 VALUE '. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S!3wer FT J'lu Water FT. /5 c) Storm Sewer FT. Mobile Home Plumbing Permit Slate Surcharge Total Charge MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan (C) Dryer Vent Wood StovellnserllFlreplace Unit N' Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fI Curbcut fI Demolition Slate Surcharge Total MlscellaneousPermlls (E) TOTAL AMOUNT DU!' (excluding electrical) (A, B, C. 0, and E Combined) FEE '" l./{) w <./t) ru . 'f,iJu, 2.'fP q'/;.{D APPROVED: BUILDING VALclE,PLAN CHECK AND BUILDING PERMIT This permllls granted on the express condition that lhe 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 oulldings, and may be suspended or revoked at any time upon vIolation of any provisions of said ordinances. Plan Check Fee: Date Paid: Receipt Number' Received By: Plans Reviewed By Dale Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS By signature, I stale and agree, that I have carefully examined the completed application and do hereby cerllfy 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 Ordlnanc~s of the City 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 Safely 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 la located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Signature ~ ~#//-.... Date VALIDATION: RECEIPT NUMBER ~ 5 ]J7 7 'DATE PAID c( / zi f)' 'I AMOUNT RECEIVED r;,bJ ~.t/ RECEIVED BY ~