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HomeMy WebLinkAboutPermit Plumbing 1997-11-24 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: 55'Z~~ 5"~:z.z ASSESSORS MAP: / 7..~~.. -=S-::S ~/rY ,I, -. -BLOC~: LOT: I,: JOB NUMBER 9 7 /~~ 225 Fifth Street Springfield, Oregon 97477 € -"5:r~r~r . TAX LOT:~~ SUBDIVISION: O~~ER:~e)~~' ~&~esR' , ADDRE:SS~' 9~~s Hq--F~S-,~.A? ,74.z::> CITY: L ~L /") ~ ' , " STATE: -;"7ttM. '/~, . " ,.~-;;;; -;j' .' /7~' .,. DESCRIBE WORK: ~ . , ~., ~, NEW REMODEL CONTFiACTOR'S NAME PHON E: ;'72tG-e::f'4if?-::> O./< . ZIP: ~?~ ?~~:~ .~/< .r1f~~r:~7- ADDITION . DEMOLISH OTHER ADDRESS CONST. CONTRACTOR II EXPIRES ''''''' PHONE GENERAL: PLUMBING:~ ~,~~/~~ MECHANICAL: ELECTRICAL: QUAD AREA: # OF BLDGS: OCCY GROUP: # OF STORIES: WATER HEATER: '~- ~" ~~ ~ ~9 L~ 'IV). JV..t'o ~. C I' -$-"" ~~ · ~ ~.;. -">7~ ~I' ~I' '~A~ 'Yl ~~ - ~ '~ 'eU:h;.~JJSE - ~O -<"l) ~ (~ LANi5f..Y~E9.-9 ~'9 :to~ II OF UN~ {s\ ~ ~(\. ~ t<-}. e> - .IV. n. CONSTR. TYF'E: ~O~ ~~I'JS'(C'/~ HEAT SOURCE: ~.~ 1s'4 ~""- 'V..s> 'YO;-" RANGE: ..,.~ '-"!' ;,~"""".." FLOOD PLAIN: ZONING CODE: # OF BDRMS: SECONDARY HEAT: SQUARE FO,OTAGE: To request an inspection, you must cellI 726-3769. This 1,5 a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the same working day,lnspections requested after 7:00 a.m, will be made the following work day. REQUIRED INSPECTIONS D Temporary Electric D Site Inspection - To be made , after excavation, but prior to setting forms. D Underslab Plumbing/ Electrical! Mechanical - Prior to cover. D Footing - After trenches are ,excavated; " '" o Masonry - Sleel.lbcatlon, bond , beams, grouting. ' , D Foundation - After forms are , erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. ,,' D Under/loor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. ' o Floor Insulation - Prior to decking. rut, ,Sanitary Sew~r - Prior to filling L..,.LJ trench. : ' D Storm Sewer - Prior to filling trench. n7l Water Line - Prior to filling 'L,.LJ trench. D Rough Plumbing .,.- Prior to cove~ ' D Rough Mechanical ~. Prior to cover. '0 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. o Framing - Prior to cover. D Wall/Ceiling Insulation - Prior to cover. o Drywall- Prior to taping. , D WoodStovo - After Installation. o Insert - After fireplace approv~1 and Installation of unit. o Curbcut & Approach - After , forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After , excava.tion is complete, forms and sub-base material In place. D Fence'~ ,When conlpleted. D'<St~eet Trees - Wh0n all required trees are p,lanted. o Final Plumbing - When all . ,plumbing wor\< Is complete. - , D Final Electrical ,...... When all electrical wor\< is complete. D 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 D Blocking and Set-Up - When all blocking Is complete. ' o Plumbing 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 required , i!lspectlons are approved and porches, skirting, decks, and venting have been installed.' ':f., " .~ '. ':.., :~ I Lot faces Lot Tn Lot sq. ftg. Interior I p.L. IN Lot coverage Corner Topography ~' Is Panhandle " Total height Cul-de-sac W E ;. BUILDING PER~IT R, . ,'~ '~ ITEM SO. FT. X $/SO. FT. VALUE Main Garage " Carport Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT, Storm Sewer FT. Mobile Home ,f'~~JP /~4rP , Plumbing Permit /6'. ~ ~' -7~ TJ ..y~ ./6- 2P- State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stovellnsert/Flreplace Unit Dryer Vent MechaQical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft ft Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comb'lned) -/6.~ ," '., '~,;: t ~':,~;~~(~'; .' Setbacks HSE GAR ACC: IS THE PROPOSED WORK tN THE. HISTO~ICAL DISTRICT, OR ON 1 THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. I, APPROVED: BUILDING VALaE,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: Received By: Plans Reviewed By Date 'Systems Development Charge is 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 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 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 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 of the property, and the roved set of plans will remain on the Slt~ :'~ tYre durl g construction. 'f,gnalU,e \ dJ.I! Date // -- Zy .;. '7 7 ------- -, VALIDATION: ~({ rO(J RECEIPT NUMBER )~Y\'- \ DATE PAID \\ .~ ''-1\) AMOUNT RECE,IViE? - '\ \Q ,~) RECEIVED BY 'EI'~ )