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HomeMy WebLinkAboutPermit Plumbing 1993-3-17 \Ai/UIh1 L. P~Le ADDRESS: iP72 A.A..Jl)~D!..) 1-1/. ~A?.R/AM?/~ - , ~ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3.759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: )703 LOT: OWNER: CITY: 97-f'77 (;f'~)~ /6eh.?/~} SPRINGFIELD ('p.7Z ~~ ) ,~~/}f_) 4 ~ BLOCK' STATE: ~. DESCRIBE WORK: S;. ~. /~/.A4).z.; ~/)z """oU/.//lp o _ ~~ _ ""''''T j/~- NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAL: oWa6< /'iu'1i1 ,.~/.) PLUMBING: MECHANIC~L: ELECTRICAL:. DEMOLISH OTHER u,Cr ID , .~ .O~-'7. ? /' JOB. NUMBER / LJ~ __ b:::' 225 Fifth Street t?J /0077 Springfield, Oregon 97477 U)_ TAX LOT: ~ SUBDIVISION: PHONE: 72~- z..~7 CJ ZIP: ADDRESS CONST. CONTRACTOR It. EXPIRES PHONE '. - OFFleE USE - QUAD AREA: LAND USE: FLOOD PLAIN: It OF BLDGS: It OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: It OF BDRMS: It OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: .RANGF' 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, inspections requested after 7:00 a.m. will be made the following work day. o. Temporary Electric D Site Inspection - To be made after excavation, but prior 'to setting forms.. D Underslab Plumbing I Electricall Mechanical - Prior to cover. o Footing - After trenches are excavated. . . . . D Masonry - Steel location, bond . beams, grouting. D Foundation - After forms are . . erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. .0 Underfloor Plumbingl Mechanical - Prior to insulation or decking. D Post and Beam - Prior to floor insulation or decking, o Floor Insulation - Prior to . decking. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. .. o Water Line ---: Prior to filling trench. , " , r><lRough Plumbing ..;..: Prior to " ,cover , ',. REQUIRED INSPECTIONS o Rough Mechanical -. Prior to cover . D 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 Wall/eeiling Insulation - Prior to cover o Drywall - Prior to taping. o Wood Stove - After installation. o Insert - After. fireplace approval and installation of unit. . o Curbcut & Approach - After . forms ,are erected but prior to placem(;nt of concreto. D Sidewal'< & Driveway - After . excavation is complete, forms and sub-base material in place. o Fence - w~en completed. o $treet Trees - .Whcr> a~1 required trees are p!anted.. , '\ . o Final Plumbing - When all plumbing worl< is complete. D 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. .rxlOther /#~A- bF ~Fm_ :.-~~~I MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking is complete, o Plumbing eonnections - When home has been connected to water and sewer. o Electrical eonnection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. L~' Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Lot faces Lot Type Setbacks I HSE ACC I Lot sq. ftg. Interior I P.L. GAR IN Lot coverage Corner Is Topography Panhandle Iw Total height Cul-de-sac -.-- IE I BUILDING PERMIT ITEM SQ, FT. X $/SQ. FT. VA LU E Main Gar~ge Carpor.t t. . ,~ i c:::,f)() cv /?/r,(J, -Jf-i fYD .7r _I b- '75' SYSTEMS DEVELOPMENT CHARGE (SDC) Total Value Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM FEE Fixtures I ~, Residential Bath(s) NO Sanitary Sewer FT, Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge J5,t)D .7J /5,?S Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan . NO Wood Stove/lnsert/Fireplace Unit Dryer Vent MechaQ,ical 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) 3l 'fi"O .HE PROPOSED WORK IN THE 1'f/STORICAL 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 ttle said construction shall, in all respects, conform to ttle Ordinance adopte9 by .the City of Springfield, including the Development Code, regulating. the construction and use of buildings, and may be suspended o~ revoked at any time upon violation of any provisions of said ordinances. PI?n Check Fee: Date Paid: Receipt Number. Received By:. . -U~ Plans Re:;(~ci 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 ttlat 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 ttie street, lIlat the permit card is located at the front of the property, and the approved set of plans will remain ~~::":~~:"~~ / Date '3 liP /9.$ / /. VALIDATION: RECEIPT NUMBER 7~2..~ 3/17/9~ , , /S/,S-D ~~ DATE PAID AMOUNT RECEIVED RECEIVED BY