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HomeMy WebLinkAboutPermit Plumbing 1998-7-21 SPRINGFIELD RESIDENTIAL PERMIT APPLICATION ,JOB NUMBE,R W 0 1'0 'f Inspections: 726.3769 Office: 726.3759 225 Fifth Street Springfield, Oregon 97477 IZZO t4 LOCATION OF PROPOSED WORK: 11-03-zv, S-re.-=--, Q o 3svo ASSESSORS MAP: TAX LOT: LOT: BLOCK: SUBDIVISION' ~ A~I '7 0...) I 'S.,- \ C, k:. c.,eR- l Y41 ~I( 9'1 t\), VAJ"~r;- I G?f:J&f.-77(P'Z- OWNER: PHONE: ADDRF~~' OR-.. Of I t.t 0 2.. CITY: STATE: ZIP: St::.~ \ ~tVr' ~ F-o,JJ~ S e:tZ.vlc..i=: ~~N~ DESCRIBE WORK: NEW REMODEL ADDITION OTHER ~~.'-'t~-r DEMOLISH CONST. CONTRACTOR # CONTRACTOR'S NAME ADDRESS ~~vA~\i-J<n lfV6 EXPIRES '.:" PHONE 3'-15 -rso'S ~evU) \...-7') GENERAL- PLUMBING: MECHANICAL: ELECTRICAL: - OFFICE USE - ATTEt:JTION:Oregon law re~uires yo~ tON USE' 1.1^"i"11\~. QUAQ01i6\}fr'U1es aaoplea DY me uregon utrrny D . -. I~~ FLOOD PLAIN: # oN~on CAnter ThO~A rulA~ are set.of<<D1huNITS: THjS PERMIT SHALLf*R~ I:fi:::IIiiE WORK oc).~O~a,~~~-001~0010through OAR 952cD8!"sTR, TYPE: __ AUTHORIZED UNDEIil~. liBEiaMlT IS NOT l>o9'<r'%u may omaln copies 01 the rules by # OF s:ml~~hj:! ('j:!nter....(Notj:!. thA telephofllllAT SOURCE: COMMENCeD OR IS~Q~~Q.s-: WATE~umPA~;wthe Oregon Utility Notifica~9..~GE: ANY 180 DAY PERIO~QUARE FOOTAGE: . Cemer IS l-tjuu-;;s;;s~-~;;s44). 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, Inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS D Temporary Electric D Rough Mechanical ...:. Prior to cover, D Final Plumbing - When all plumbing worl< is complete. . , D Site Inspection - To be made after excavation, but prior to setting forms. D RoughEleclrical - Prior to cover. D Final Electricai - Wilen all electrical work is complete. D Underslab Plumbing/ ElectricalJ Mechanical - Prior to cover. D Final Mechanical - When all mechanical work Is complete. D Electrical Service - Must be approved to obtain permanent electrical power. D Footing - After trenches are excavated. ' D Final Building - When all required Inspections have been approved and building is completed. D Fireplace - Prior to facing materials and framing Insp. D Masonry - Steel location, bond beams, grouting. D Framing - Prior to cover. D Other D Foundation - After forms are erected but. prior to concrete placement. D Wail/Ceiling Insulation - Prior to cover. D Underground Plumbing - Prior to filling trench. D Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Underfloor Plumbing/Mechanical -. Prior to Insulation or decking. D Wood Slove - After Installation. D Post and Beam - Prior to floor Insulation or decking, D Blocking and Set-Up - When all blocking Is complete. D Insert - After fireplace approval and installation of unit. D Plumbing Connections - When home has been connected to water .3nd sewer, o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home is connected to the service panel. D Sidewall< & Drivewav - After excavation is complete, forms and sub-base material in place. D Storm Sewer - Prior to filling trench. { '-\ .. . D Water Line - Prior' to filling , \ trench. . I, , ' D Fence - WIlen completed. D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed, D Rough. Plul'tlbing ...:.., prior to cover. .' , \ , " D Street Trees - When all required trees are planted. Lot faces Lot Type Lot sq. ftg. Interior Lot coverage Corner Topography Panhandle " Total height Cul-de-sac J BUILDING PERMIT 'j !. 'f ITEM SQ. FT. X $1 SQ. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) ~;-.: ; '~., ", 'I \. IS THE PROPOSED WORK tN 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. I P.L. IN Is Setbacks HSE GAR Accl I w E VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer FT. ~J Water 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 ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE ~~ /)0 z.~ OJ) /, ~'f. 1f Z:J-/Ol) APPROVED. " ',', '. ll. 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 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 during construction. Signature CUlM').. ~.fJ~ Date I - 2.1 ' CJ8 VALIDATION: RECEIPT NUMBER ~? () ~f)o '1 / L-r / '1 r AMOUNT RECE1VE~. ~7 11:' /} RECEIVED BY A)(' ~ DATE PAID