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HomeMy WebLinkAboutPermit Plumbing 1993-4-13 RESIDENTIAL PEHMIT APPLICATION Inspectioflt:: n6-37G~) o If ice:: 7 2G':l" :',9 LOCATION ()I" PROPOSED won,,: ASSESSORS f'MP: __L?"'?;>~_'3;I,/-4:.:> LOT: -'770 t1s1eY B LOCI<: OWNER:__,~Y.M~F '-; ~~~. 6A~ ADDRESS: _,., 1400_, CAt.J o Lt::. LL6-H-r .J/tf. :2l 238. CITY: ~U6ENE: I 01< . STATE: DESCRIBE WORI<: M~\J~'Wtro NEW V REMODEL ADDITION ~i\A~, ~Mt==JL)r ~ ~~ I DEMOLISH OTHER CONTr~ACTOri'S NAMI': ADDFIESS GEr~I:11AL _~~-/l~,g~,~,---~~~~-~~~-~~~' ) "II / I 'r/ itl ' r I.UMI:IINC.: , CONST. CONTRACTOR II ..,_..._ ~4!l7 ~_*:_ Z:~_~ I!_~__ MECHANICAI_ - -~ ,. ...'----- #o.~X-'371..--' E L Eern IC/\ L: "B.!l~.,_";l.IEZ- I.. ----...-'EU14i/J~3; ~ _'_ _____,_,66 7QC; _ ," .c:O n )(~ ') QUA l.J An EA.._.......J,p;:.....u .. :~;yB~~::pR3j-N1._. it OF STOntE::;: ...___(_______ ' WATER HEATER: _~ ~ - OFFICE USE - LAND USE: ~t.-L0() , 'II OF ~NITS:, --.:-:-t- . _ ) CONSfR, TY-PE: _V L\../ HEAT SOUI;~~: F P- r" c2 El.A:NG-E: r ~ / JOB NUMBEFl..g3-Q~J12 225 Fillll Streel Sprinu1iulel, Ore\Jon 97,177 TAX LOT: 6'~~ SUBDIVISION: PHONE: 6Efs- 2&1.9-_ ZIP: 9740 '2- UJcllL~- ~D +eA-MG ~. , EXPIFIES PI'IOI'IIC ___..,!ZbI93____ ~." ~-7761.. !.IL~"-/9 3.... ,6B9-776Z- _, 9 "!n..:/f7-/C/ FLOOD PLAIN: __,_,._ ,. -- ZONING CODl:: W_e....::2_..,.. 1/ OF BDRMS: ~~_-_ _ SECONDARY HEAT: --n-~uD SQUARE FOOTAGE: _ t~____,__ To requcst an inspection,you IlIUst c~lil 726-3769, Tl1is is a 24 hour recording, All inspections requcsted before 7:00 ;t,m, willl:>c'" --.-' made the same world ng (lay, I nspec'tions reques tecl after 7:00 a,rn, will be made tile followl ng work day, o Temporary Electric o Site Inspection - To be made after excavation, I:>ut prior to sclti1lfJ iorms, ,~ ~Unclerslilb Plum,bi,~ IElectric:'I~' L..E:I Mecl131t1cal - 1"1'101' ' ' 'Cp o Footin9 - Afler trenches are excava I ,:el. Masonry - S\("ol location, bond bearns, ~Irouting, q;ouncl<Olion - After forms are ereclecl IJut prior 10 concrete placerlJ(:;nt. ' o Under~Jlound Plurnbing - Prior to fillino trencl), o '",,- Undcrfloor PlumbiflgIMechanical - Prior to insulation "o'hlecking, o Post and Beam - Prior to floor insulation or eJecldng, I, 0 Floor Insulation - Prior to decl,lng, l7f);anitary Sewer - Prior to filling \ lrencll. C/1storrn ~:;ewer - Prior to rillin~J l'trencll. r;7)7water Line - Pri,:>r to fillinD ~'tren<.:ll. o ROUDh f'lumbinD - Prior to covel, REQUIRED INSPECTIONS [=:J Rough Mechanical - Prior to cove~ , ~~:'hElq~ [rti)lectrical Service - Must be \' :pproved to obtain permanent electrical power. ~ I=:J Fireplace - Prior to facing materials and framing Insp. ~Framing - Prior to cover. o Wall/C'eiling Insulation - Prior to cover. ' D Drywall - Prior to taping, o Wood Stove - After installation, o Insert - After fireplace approval ancl installation of unit. l=:l Curbcut & Approach - After forms are erected but prior to placement of concrete, I=:J Sidewalk & Driveway - After excavation is complete, forms and sub,I;:lc;e Illalerlal i,n place, \ Fellce - Will'" completed, [J 1=:J Street Trees - When all required trees are planted, o Final Plumbing - Wilen an plumbing worl, is complete, ~I Electrical - Wilen all L..J7j;~ trical q~~te,.) o Final Mechanical - ~en all ,mecl1anical worl( is complele, /7 I \.Lf.)'inal Building - When all ~ required insp'cctions have bl,:<:,n approved and buildin'J is completed, qo.A~, o Other MOBILE HOME INSPECTIONS ~IOCking and Set-Up - Wlkn all T' ~IOCking is complele,' ~IUmbing Connections - Wlll~n Lt-l ;)ome has been conn0.cted to water and sewe~ 74leClriCal Connection - Wilen blocking, set.up, anci I'lull1binn ~nspections Il,we been "'1.1provt:t1 ancl lite 110me IS connected Il' the service panel. ~' inal - Afler all requir';,! inspections are approved anci porches, skirting, clecl<s, and venting Iwve I)cen in~;liJlleel. Lol faces Lot Type Lot sq, ftg, Interior Lot coverage Corner Topography Panhandle Total height Cul-de-sac BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT. Main /~ur~tF-YjJ_~e Garage 5/br , Carport ~~~ Total Value Building Permit Fee State Surcllarge Total Fee (A) Setbacl<s P.L. HSE GAR ACC ,~THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? N S Iw ~- VALUE ~_.....~ 7 ~~ ~ ~7:? SYSTEMS DEVELOPMENT CHAR~~ JSEE) (B) l)(;]k) LP 'It (f){) (IQ,CfX)) 9!).r;3) , 'T. , D13 ~.(~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit Stale Surch,IITle Total Cllarge (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 Stale Issuance State Surcharge Siclcwall< -0 (j5 fl ft Curl.lcut Dernol; lion Slate Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE ~f)% c<J5. , CJ 0'CO 'l~.06 ~~ t?5 ---;; L(J'S~ ~(). ~5~ J;tJh -':s 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 thai 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 qr revoked at any time upon violation of any provisions of said ordin;lI1ces, , r-' Plan Check Fee:'. ' _ __, ~_".J Date Paid: Receipt Number: Received By: - ........ _ 7~ "M~v Plains Reviewed By (- ~/f-',I2.L, &i-~ Systems Developm,ent Charge is due on all undeveloped properties within the City limits which are being improved, ADDITIONAL COMMENTS ~?~ ~p ~~r~ J "\ ~~~1JTL(' ) W5\~l ") . - ,- $- 1C1 (' 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 willloul 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 plan:,; will rernilin on the site at all tirnes during cOIl::;truction, Signalu'. /~ I '-t.f--- . Da Ie ___~LV.9...3.._,_,__,-.__-.--- VALIDATION: t:l '6)Di DATE PAID '-if e) 03 AMOUNT RECEIVED _..._4~.......(p__,~3 rn RECEIPT NUMBER _ RECEIVED BY