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Home My WebLink AboutPermit Plumbing 1991-8-27 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOT BLOCK: JOB NUMBER C\\D52- ~ 225,Fifth Street Springfield, Oregon 97477 - -- TAX LDT: rDLpCf.) SUBDIVISION: i :::::~~-~~~: \-1~\4t t ~L PHONE ?M-r~:~~ :::CRI:wo~~1tr\1~ ~~:~~~-~~ : II' ~ NEW REMO[ ~ ADDITI~ DEMOL,ISH OTHER CONST: CONTRACTO~;.."NAME .' ,~Q ADDRE~ ' CO~TRA~~# GENERAL: ~,\\rf(\d\L~ L_ ~_.., ,\.\.JAU\2u~ ~CT...---"' PLUM!3I'I';-:l'(;' MECHANICAL: ELECTRI~AL: ~\ ~ _Q 'S QUAD' AREA: \ \< \\ '\l J...~ # OFBLDGS: \ OCCY GROUP: ~~ , ,- # OF STORIES: WATER' HEATER: <:QJ35 } - OFFICE USE - \ \ \ \ # OF UNITS: '\ CONSTR, TYPE: V AJ. LAND USE: HEAT SOURCE: RANGE: EXPIRES 'PHONE ~ , t 4)?Lcs..I32-- FLOOD PL~IN: ZONING CODE: ~_DR- # 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.in, will be made the same working day, inspections req'uested 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. ~ooting - After trenches are , excavated, o Masonry -, Steel location, bond ,beams, grouting, ~~ciundation - After forms are . erected but prior to concrete placement: o Underground Plumbing - Prior to filling trench, D Underfloor Plumbing/ Mechanical - Prior to insulation or decking, o Post and Beam - Prior to floor insulation or decking. o Floor Insulation - Prior to decki ng, '. , / ~ Sanitary Sewer - Prior to filling , trench, lS<r Storm Sewer - Prior to filling ~ trench, ~ Water Line- Prior to filling trench. o Rough Plumbing - F:'rior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. , D Rough Electrical - Prior to cover, WElectrical Service - Must be - , approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. ' o Wall/Ceiling Insulation - Prior to cover.' ' o Drywall - Prior to taping, D Woo'd Stove - After install~tion.' '0 Insert - After fireplace approval and installation of unit: o Curbcut & Approach - After forms are erected but prior to placement of concrete. '0 Sidewalk,& Driveway - After excavation is complete, forms ,and, s,ub-base fnaterial in place, D Fence - When completed, ":.'" o S~reet Trees -'Wherlafl rEiqu'i"red" , trees are planted. , o Final Plumbing - When all plumbing work is complete, ~inal Electrical'- When all l..,.2S:J. electrical work is compl!3te, o Final Mechanical - When all mechanical work is complete, , , ~inalBuilding - When all required,inspe,ctiQns have been approved and building is completed, o Other MOBilE HOME INSPECTIONS o Blocking and Set-Up - When all blocking is complete, o 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 vf3nting have: been installed, Lot faces Lot Type Setbacks THE PROPOSED WORK IN THE Lot sq. ftg, Interior I P.L. HSE1GAR Accl HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit issuance, Total height Cul-de-sac IE I APPROVED: BUILDING PERMIT ITE~SQ' FT. Mai .J Garage Carport X $/SQ, FT. Total Value Building Permit Fee State Surcharge Total Fee (A) = VALUE C;I;' 55tD. I 44W eVci3 4.,' lo .'13 SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 5~$S .tS PLUMBING PERMIT ITEM Fi xtu res Residential Bath(s) NO Sanitary Sewer FT. 1 f I Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Su rcharge Total Cl)arge (C) MECHANICAL PERMIT Fu rnace !~xhaust 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 Cu rbcut ft Demolition ~er\0g~r; , "-k'\ - ~ Total Miscellaneous pen~it~ (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE r:9~ ~cs 6)5 05,00 , '--~. /}C) f) 8", ')~~ % 2,~q~ 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 Qrovisio~of said ord(nances, Plan Check Fee: &6 .~ ~ 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, ~I~;~ f~ ~rD 6-CU"t ~ ~ 1\ ~ e9.!1 'l/9-l t_OOfuI'It 0 -,lJUTi\J ~ J\ ~ "'-0 0L '\ -. , .. ~ - f' , ~~Aef\~~~,o 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 describe-d 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 perty, and the approved 'set of plans will remain s n~~~fJ~~{ ..-J VALIDATION: . I RECEIPT N~,.ER ~/Jr!),. , DATE PAI~trq C{)~j ICf!:i1 _) AMOUNT RE~a - A~ ~./0. b 'K RECEIVED B~~ .J!._) . -'j Permit No: q \rB9;=S. , Address:, ~'~~ ,J\~O 10 .lssUedbyc:)\M~ ~ate: B/2?/q/ 'STATEMENT: ',INFORMATION: NOTICE TO PROPERTY-OWNERS .ABOUT CONSTRUCTIONRESPONSIBIUTIES , , Note: Oregon Law, ORS 701.055(4); requires residentialbuilding permit applicants who 'are' not registered with the' Construction Contractors Board, to sign the following statementbefore the building permit can be issued. Licensed Architect and Engineer applicants,' exempt from registration under ORS 701.010(7), need , not submit this statement. This statement will be filed with the permit. Fill in the applicable .blanks, and initial box 1 and either box 2A or 2B: , ,\ n 1.~ 2.A. I I own, reside in, orwill reside in the ,completed structure. ,My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on " the structure must be registered with the Construction Contractors Board. ; / OB\~ I wi II be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and ao hire a Qeneral contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and understand the Information Notice to Property Owners about- Construction Responsibilities on the reverse side of this form. ' V~l~~lf!.-,~ ~-' 51 a,ure 0' "e""~ il'1l ~ari't · ~~ , , 1/1" _ ., t/ .- '. " " ~//4//;;:1. 2. ') .f49/ t1iy- / ;/ t' /j CONSTRUCTION CONTRACTORS BOARD " 0244J 10/24/89, ' .. 0,' ,\, \"\ G .., COPY TO ISSUING AGENCY pi ~ lJ ~Py TO APPLICANT ~