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HomeMy WebLinkAboutPermit Plumbing 1999-12-6 I RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 ~' SPRINGFIELD LOCATION OF PROPOSED WORK: /70'7 J/ c; j.y-c -r. ./- ASSESSORS MAP:-!7-tJ ~ :- f.IJ.z/ LOT: i', " 9.VIi~E~: . ,-'if" ",/Yt:.....,(. ADDRESS~' ~Or /30k CITY' .17 vt'y...._ /-: t1 ]07,&0 DESCRIBE WORK: 5-(......(... I........ NEW REMODEL JOB NUMBER 9-3 /~ '=3 V r r' 225 Fifth Street Springfield, Oregon 97477 5,(J (' ,l.(&,. .f (-< I'; u I C/'2 CI d BLOCK: STATE: . ./3 ~ , Il<,f~(c~ ~.,1 ADDITION DEMOLISH OTHER TAX LOT: SUBDIVISION: PHONE: ZIP: 97 Y/j:/ -r CONST. CONTRACTOR # /tJ )J Z<t' y'cO CONTRACTOR'S NAME ADDRESS GENERAl' /fr~v~/o Ol1s.).,-vclt--. jJ.or&'Ck:X77 .PLUMBING: MECHANICAl' ELECTRICAL' EXPIRES ,,7:'\ PHONE 5""' $-'/- 7 yt -SSyY - 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 E: 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',lnspections requested after "1:00 a.m. will be made the fOllowing work day. REQUIRED INSPECTIONS o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrical/ Mechanical '- Prior to cover. o Footing - After trenches are . excavated; , '0 Masonry :- Steel ,location, bond . beams, grouting.. . D Foundation .:... After forms are " " erected but- prior to'concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical -:- Prior to insulation or decking. o Post and'Beam - Prior to floor Insulation or decking. D Floor Insulation -::. Prior to . decking. ~ IYI Sanitary Sewer - Prior to filling trench. . o Storm Sewer '- Prior to tilling trench. o Water Line - Prior ,to filling trench. . o Rough Piumbing - Prior to . cover. . 1 "i' . ,I o Rough Mechanlciil - Prior to cover. . 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. o 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. ~ , l . 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. o Fence. - When cOi'llpleted. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing w~HI< 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. o Other MOBILE HOME INSPECTIONS o 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. D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed, r' .' , f Lot faces Lot Type Lot sq. ftg. Interior Lot coverage Corner Topography Panhandle Total height Cul-de-sac BUILDING PERMIT I 'r ITEM sa. FT. X $/SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) . h~ ~~. ,:} \:~. . '.,.1 -~ -j l( IS THE PROPOSED WORK tN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this applloatlon must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks I P.L. HSE GAR ACC I N S w E VALUE " (B) SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary S~wer Water FT. ~ '2.... FT. Storm Sewer FT. Mobile Home Plumbing Permit ?-~ State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut fl Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE LJO , rf~.,. /,~~ c.?l./. ~J , APPROVED: BUILDING if ALOE, 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 approved set of plans will remain on the site at all times durl g const ct Signature a Date~/o/6/9.~' ~ VALIDATION: RECEIPT NUMBER -:7~ ~ '-/~ . , /2" C~c3~ . . AMOUNT RECEIVED i../ C/ ~ RECEIVED BY r~~~ '~~-~ .r'kk' /-.......,;;.y, ! ~ ~" , DATE PAID