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HomeMy WebLinkAboutPermit Plumbing 1993-7-2 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 . SPRINGFIELD - JOB NUMBER ~~~ 225 Fifth Street Springfield, Oregon 97477 -,. LOCATION OF PROPOSED WORK: _~S- ,~/'Y;/"'.l<".v~ h~G ' ASSESSORS MAP:' ~ --"3"3'7/ , TAX LOT ~~/ -.7Y/~7:3'{"G T ~~.~ - . &~s-- ~~~ ~ ,/ r ,.. , J"" &:)?~~ V'r /' ~/" ~~.,P7~~' /~~~~~~/~ REMODEL ADDITION DEMOLISH LOT: OWNER: ADDRESS: CITY: DESCRiBE WORK: NEW CONTRACTOR'S NAME GENERAL: PLUMBING: ~~~A" MECHANICAL: ELECTRICAL: QUAD AREA: it OF BLDGS: OCCY GROUP: II OF STORIES' WATER HEATER: BLOCK: STAT 1=' ~7:5. SUBDIVISION: PHONE: 7~ -.5)'Y~ OTHER ZIP: ~- .....- /" /~.......:;>>~ ~ ,,- ADDRESS CON ST. CONTRACTOR 1/ EXPIRES PHONE 1 - OFFICE USE - LAND USI=' 1/ OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: FLOOD PLAIN: ZONING CODE: 1/ OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an inspect,ion, you mustcaIl726-3769.This is a 24 hour recording. All inspections requested before 7:00 a.m. will be made the same IfJorking day, inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric 0' Site Inspection - To be made after excavation, but prior to setting forms. 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. o Underground Plumbing - Prior ' to filling trench, o Underfloor Plumbing/ Mechanical ..:.. Prior to insulation or decking.' o Post and ,Beam - Prior to floor insulation or,.?ecking. , o o Sanitary Sewer - Prior to filling trench. o Storm' Sewer - Prior to filling, trench. . f/Y1 Water Line ~ Prior to filling V4-J trench. o Rough Plumbing - Prior 10 cover. REQUIRED INSPECTIONS D Rough Mechanical -- Prior to cover, " o Prior to Rough Electrical cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace -, Prior to facing materials and framing Insp. D o Framing - Prior to cover. Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to. tapi ng. o Wood Stove - After installation. o Insert - After fireplace approval and installation of unit. ,0 Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway -- After excavation is con,plete, forms ar.,j sub-base material in place. D Fence - When completeo. D ;'~e;t T~ee~ :-..VJflen ai: required ,fee" arl:: p,a..t..d. o Final Plumbing - When all plumbing work 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 comp:ete'd. o Other MOBILE HOMEINSPECfIONS D Blocking and Set.Up - When all blocking is complete. D 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 inspections are approved and porches, skirting, decks, and venting have been installed. Lot f?ces - Lot Type Lot sq. ftg. Interior Lot coverage Corner Topography Total height Panhandle Cul-de-sac~. . BUILDING PERMIT ITEM SO. FT. X' $/SO. FT. ''''> ,. ~ .:. ~'. Main Garage Carport '. . ....- To~al Value Building Permit Fee State Surcharge Total Fee (A) .. , IS THE PROPOSED WORK IN THE '. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? Setbacks HSE GAR ACC I P.L IN Is I WI, IE VA LU E . .- , SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. )?O FT. Storm Sewer Mobile Home Plumbing Permit State Sur.charge Total Charge' (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit, Dryer Vent Mechanical Permit Issuance ,State Su rcharge -Total -Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft D'emolition State Surcharge Total Misc'ellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and iE Combined) FEE ~~ ~~~ . ~ 7~ ' ~~ , If yqs, this application must be signed and approved by the Historical Coordinator prior to permit issuance_ ; I" I i'~ APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ' This permit"is,gr.:J,nted on the express condition that the said' construe'lion shall;in all respects, conform tothe Ordinance .adopted by,. the- City of 'Spring'(ield,i-ncluding the Development COde,regulatin-g the'construction and use of buildings, and ma-y be suspended or revoked at any time upon violation of'any' provisions of said 'ordinanc~s. PI~.r: Check Fee: Date Paid: Receip\ Number' Received By: ' Plans Reviewed By Date Systems Developme,nt Charge is due' on all undeveloped proper\ieswithin the City limits which a~e being improved: ADDITIONAL COMMENTS ::,;:':; . ......"" By signature, I state and agree, that I have carefully examined the completed application, and do hereby certify that all jnformation 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, arid that NO, OCCUPANCY will' be made of any structure without permission of'the Building Safety Division. . I further certify that onlyco-rftraqors arid employees who are in compliance wittl ORS 701.055 will be used on this project. I further agree to ensure that all required inspectiO,ns are requested at the proper time, that each address is readable from the stree't, that the permit card is located 'at the front. of the property, and the approved set of plans will remain I :~g~::~:~e:t#-;:vn ~ate ~~5,' " / 7"r~ " VALIDATION: RECEWT. NUMBERcr3L~ DATE PAID . /),h( 'CR 0 AMOUNT RECEI~Ef~~_. RECEiVED BY ~"fh.../ , ~, /0 '0