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HomeMy WebLinkAboutPermit Plumbing 1995-8-25 RESIDENTIAL PERMIT APPLICATION , LOT' . SPRINGF~ELD ", . C\~L\4- BLOCI" JOB NUMBER 225 Filth Slreel Springfield, Oregon 97477 TAX LOT: n \'5'W " SUBDIVISION' OWNER: J.\l~rH\' X~ ~\DYl>. \J, PHONF' ADDRE~'~.-;~'\\-()S Vs\.~lJlO W U\()Jlo ~ CITY: ~'l..l)JU(\C\i~n 011 ~ STATE:~\\fJlf\rt(\ \ ~~ 1\ ,\ _ DESCRIBE WORI<\_ ~ a -\)~ \ ~I::\\l M c.\- \ f\.D~ NEW REMODEL ADDITION CONTRACTOR'S NAME DEMOLISH OTHER " ~.~~+ Y l'tl-' - A ~l()tWt&LY ZIP: CONST, CONTRACTOR' PHONE ADDRESS ::~:':G:mflLLCiD~ 0\ Jl1l1OllQr MECHANICAl ' ~\ ELECTRICAl' \1;{\P?.;t EXPIRES e'\5Lfo ?ft6.@1-~ - 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 HEATEn: RANGE: _ SQUARE FOOTAGE: _ To request an Inspection, you must call 726,3769, This Is a 24 hour recording, All Inspections requOSled beforo 7:00 a,m, will be made the same working day. Inspections requested after 7:00 a.m. will be made tho following work day. . ..0 o Tornpornry Electric o Slto Inspection - To be mado after excavatIon, but prior to sOiling forms. o Underslab Plumblngl Electricall Mechanical - Prior to Cover. o Fooling - After trenches are excavated. o Masonry - Steel location, bond beams, grouting, o Foundallon - Atter forms are erected but prior to concrete placement. o Underground Plumbing - Prior to IIIl1nQ trench, o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Boa~- Prior to floor Insulation or docking. r\:"1...,itoor Insulallon - Prior to ~clecklng, ~nltary Sewer - Prior 10 tilling tronch. ~lorm Sewor - Prior to filling trench. ~ator Line - Prior to filling trench. ~ROU9h Plumbing - Prior 10 cover. REQUIRED INSPECTIONS o Rough Mochanlcal - Prior to cover. o Rough Electrical - Prior to cover. ' o Electrical Service - Must be approved to obtain pcrmanent electrical power. o Flroplace - Prior to facing materials and framing Insp, o Fram,lng - Prior to cover. ,0 Wall{Celllng Insulallon - Prior to cover. , o Drywall - Prior to taping, o Wood Stovo - Attor Instal/allon. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After (orms are (Hocted but prior to placemont of concrolo. o Sidewalk & Driveway - After excavation Is completc. forms and sub.base material In place. o Fence - When com~leted. D Stroot Troes - Whon all required trees are planted. III ~ Plumbing _ Whon all Lifr;;~;blng w9.rl< Is complot,e. D Final Electrical - Whon 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 Sel.Up - When all blocking Is complete, o PlumbIng Connoctlons - When homo has been connected to water and sewer. o Eloctrlcal Connocllon - When blocking, set.up, and plumbing Inspecllons have beon approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porches, sklrllng, decks, and venting have been Inslallod. .' ,,. Lot faces Lot Type. Setbacks . THE PROPOSED WORK IN THE Lot sq, ltg, Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this appllcallon must be signed Is I and approved by Ihe Hislorlcal Topography Panhandle I Coordinator prlor 10 permit issuance. Total height Cul,de.sac W ,E I APPROVED: BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, = VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " This permit is granted on the express cor,dition IIlat the saId construction shall, In all respects, conform to Ihe Ordinance adopted by the City 01 Springficld, including the Development Code. regulating the cOf)$truction and use of buildings, and may be suspended or revoked al any time upon violation of any provisions of said ordinances. Main Carport Plan Check Fee: Date Paid: Total Value ReceIpt Numbcl:__. Building Permit Fee Slate Surcharge Received By: Total Fee (A) Plans RovlcWC'd"'Oy..m______-- Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City Ii mils whicl1 Brc being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FIxtures ~ FEE PO Residential Bath(s) N' Sanitary Sewer FT, Ae:; AS ~s Water FT, Storm Sewer FT, Mobile Home Plumbing Permit cO I~S, State Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Vent Fan N' . By signature, I slate and agree, thai 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 of the City 01 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 wllh ORS 701,055 will be used on this prolecl. Exhaust Hood Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Sltrcharge Total Permit (D) Date I further agree 10 en MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk Ii Curbcul Ii Demollllon TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) l\.Q11tJ VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT REC RECEIVED BY \~3f_ A'~S."t'\ - ~1O State Surcharge Total Miscellaneous Permlls (E)