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HomeMy WebLinkAboutPermit Plumbing 1995-7-28 RESID.ENTIAL. _ PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 ASSESSORS MAP: LOCATION OF PROPOSED WORK: \i o'"\. .~lA LOT: BLOCK: OWNER: YA""T' tDAet.. ADDRESS: ~~~~~__.______~._._~_~~e., CITY: c:;..cr -F1::>_______ ___ STATE: '-. JOB NUMBER q'&sl-~ 225 Fifth Street Sprlng(leld, Oregon 97477 TAX LOT: ~ SU BDIVISION: PHONE: DESCRIBE WORI~: ~~4-P=> ZIP: ct141, NEW. 'it 'Dr'L -- t"Z... - Uo4 F1EMODEL __-"-_ ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ADDRESS GENERAL: _l::L~~._\(d:Pre.DP__ 4S\ i"l.,ni f>L CON ST. CONTRACTOR II 5f:rM,,:> G~"'74-~ PHONE ~47-1433 PLUMBING: MECHANICAL: ELECTRICAL: EXPIRES C1! t O/q r; I I QUAD AREA: II OF BLDGS: OCCY GROUP: _____ II OF STORIES: ___. WATER HEATER:_.. - OFFICE USE - LAND USE: I{ OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: FLOOD PLAIN: ZONING CODE: II OF BDRMS: SECONDARY HEAT: 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 sanJe worl<ing day, Inspections requested after 7:00 a.m. will be made tho (ollowlng work day. REQUIRED INSPECTIONS' o Ternpornry Electric o Slto Inspection - To be mado after excavation, but prior to setling (orms. o Underslab Plumbing/Electricall Mechanical - Prior to cover. o Footing - A(ter trenches are excavated. o Masonry - Steel location, bond beams, grouting, I o Foundation - After (orms are erected but prior to concrete placement. o Underground PllJfllbing - Prior to t111lnQ trench. o Undertloor Plumbing/Mechanical - Prior to Insulation or decl<lng. o Post and Bea~ - Prior to floor insulation or dec'<ing. o Floor Insulation - Prior to decking. o . "- Sanitary Sewer - Prior 'to (1lIIng trench. O Storm Sewer - Prior to (illlng trench. D Water LIne - Prior to (illing trench. ~ Rough Plumbing - Prior to JG1 cover. o Rough Mechanical - 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. D Wail/Ceiling Insulation - Prior to ~over. o Drywall - Prior to taping. D Wood Stovo - After Instal/atlon. , 0 Insert - After fireplace approval '- and Installation o( unit. - o Curbcut & Approach - After rorms are erected but prior to placemont o( concrete. o Sidewalk & Driveway - After excavation Is compieto, forms and sub-base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. "I7l Final Plumbing - When all ~. plumbing worl< Is complete. " ,/ D Final Electrical - When all t--' '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 Othar MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. ' o Plumbing Connections - When homo 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 - Atter all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces Lot Type Lot sq. Itg. Interior Lot coverage Corner Topography Total heIght Panhandle Cul-de.sac BUILDING PERMIT ITEM sa. FT. x $/SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) Setbacks I P.L. HSE GAR ACC IN Is Iw IE VA LU E " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures 0 Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge ~o~u 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 , (t Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) L..__ FEE '00 , 00.0() '2.4-0 ~z...4l> ,'... " ~2.4-0 ,-,. IS THE PROPOSED WORt< 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 IIlat the said construction shall, in all respects, conform to tile Ordinance adopted by the City of Springfield, including the Development Code, regulating the cOr)struction and use of buildings, and milY be suspended or revol<ed at any time upon violation of any provisions of said ordinances. Plan Check Fee: ____ Date Paid: Receipt Number:____._n_________.~_ 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 cmefully examined the completed application and do hereby certify that all In(ormatlon 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 heroin, 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 agme to Elnsuro that all required Inspections are requested at the propElr tI me, that each address Is readable from the street, that the permit card Is located at the front of the property, and the approved SElt of plans will remain on the site at~)~nstrucllon. Signature . 7 7/.47'/7'..5- / / Date VALIDATION: RECEIPT NUMBER 01 &t;c>"'2-- DATE PAID 7/2.6 Jq_? ___. f- I ~"2.. 40 AMOUNT RECEIVED _____.___ _ ~l-~. RECEIVED BY ..v ~