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HomeMy WebLinkAboutPermit Plumbing 5-6-15 RESIDENTIAL......., PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: /7o~ ':2..S =' S- jC, // c::;.r- ,;: ~.:.i {. 9 q)7 7 / BLOCK: JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 , TAX LOT: O/Sc;C'} SUBDIVISION: OWNER: H-~\ ,{J\ ADDRESS: 2535 .:r CITY: S fR- V'~ <':'-K \;:: ~ ""'\"") ~\\~ '$iT; STATE: ~~ PHONE: x-lflt-OO'\C, ZIP: DESCRIBE WORI<: '5i N c,..u;;:_ NEW REMODEL EXPIRES CONTRACTOR'S NAME '. GENERAL: , ~'vV "-I E~ <:..a ~ r -:r-o R... ADDITION DEMOLISH S(:)l.....AR- W~ '\-\..~ OTHER R~F-\\ ADDRESS CON ST. CONTRACTOR # PHONE PLUMBING: _. , SO~ f\-S<;.\.."5::..,- /i ..,- MECHANICAUM5.....1 l~ r..."lt\ ,\lO>E2:rSr. ~ ELECTRICAL: I n~ ~;=t-\ f,7_-l-'15/4b\ -=S-3~ \... .-/ QUAD AREA: il OF .BLDGS: . OCCY GROUP: (I OF STORIES: WATER HEATER: - OFFICE USE - , , LAND USE: # OF UNITS: CONSTR. TYPE: \1" 'J ,,1 '" .'~. , FLOOD PLAIN: ZONING CODE: (I OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE:_ HEAT SOURCE: ,RANGE: 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, Insp~ctions requested after 7:00 a.m. will be made the following work day. REQUIRED INSPEC.TIONS ii<.~ D Rough Mechanical - ~jlor to cover. '.. :1', D T~mporary Electric o Site Inspection - To be made after excavation, but prior to , setting forrns, o Underslab Plumbing/ Electrical! Mechanical - Prior to cover. o Footing - After trenches are excavated, o Masonry - Steel location, bond beams, grouting, o Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to fillinQ trench, o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Bea~ - Prior to floor Insulation or decl<ing. o Floor Insulation - Prior'to decking. o Sanitary Sewer - Prior to filling ,trench, o Storm Sewer - Prior to filling trench. o '\ . .'. Water Line - .Priodo filling trench. , "-", \. Rough Plumbing ---. Prior to cover, ';. o . 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. )Z(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 approval and installation 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. I o Fence - When completed, o Street Trees - When all required trees are planted. . ~ Final P.lumbing - When all ~ plumbing W9rl< Is complete. o 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. D Othor MOBILE HOME INSPECTIONS o Blocking and Set. Up - When all blocking is complete. "0 Plumbing Connections - When home tlas been connected to wat:(W<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 inspections are approved and porches, skirting, decks, and, venting have been Installed. Lot faces '\. .., Lot Type '/ Interior \ Lot sq. Itg. Lot coverage Corner Topography Total height Panhandle Cul-de-sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. Main Garage Carport ~ A1ey~~SeJ7 fi'M ~-4L~" Total Value Building Permit Fee State Surcharge ,7.r+,~f Total Fee (A) (B) PLUMBING PERMIT ITEM Fixtures J Residential Bath(s) NO Sanitary Sewer FT. FT. FT. Water Storm Sewer Mobile Home Plumbing Permit State Surcharge , 7 j...,.,~..r :. Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition ,State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) \":. . Setbacks I P.L. HSE GAR ACC IN S W IE VA LU E " FEE ./thd.J IS'~ /, -:z.-e) /~.~. .3~.~;t:) - THE PROPOSED WORi~IN THE HISTORICAL 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 tile Ordinance adopted by the City .ot' Spring'field, including the Development Code, regulating the. cOl)struction and use of buildings, and may be suspended or revoked at any time upon v(olaiion of any provisions of said ordinances. Plan Check Fee: Date Paid: Receipt Number:__..__ Received By: _.__.._ AJ~'~~ 4~J.L?'L.L Plans~eviewed By ~pj/SF ( DJfe 6tJO,fO ~~ IS. 6f) / J.. () -L~ ?-AJ ,SYSTEMS PEVELOPMENT_CHAR~E'(SDC) Systems' D~velopment Cha~ge is' due on a I;' undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS :;. \/ &.TE';< mw 4l'l. ~/ /"1c.f774J 71fE. S;&f<::r ~ ;cLer:-1X?/~ -5f.~~-~./~ ~~t://A'b A.\ -~~- ~~~ ~L~~{/7 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 lime, 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 ~:u:~e~'~~ Date VALIDATION: RECEIPT NUMBER //}lq )' c;;,~0r %,~ ( """"'I DATE PAID AMOUNT RECEIVED ,. RECEIVED BY