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HomeMy WebLinkAboutPermit Plumbing 1993-5-13 RESIDENTIAL PERMIT APPLICATION Inspections 726-3769 Office: 726':l759 LOCATION OF PRqPq'f(' WORI$C- ,. '-~\~ \_) ASSESSOR~3 MAP: \q ID~~~~' LOT: , BLOCK: ;., q?/J~ JOB NUMBER OWNER (~c\i ~ bq\}...~ ILrt '_k .. PHONE \..9 ~~ -4"0& ~ ADDRESS:.\\.ob \~llDl_),\l\~r_CP\\I&J\lUU " / CITyn~_flL . j STATE' l~e' ZIP ~~I DESCRIBE WORK,~fI\ t()J\u./~J._tUX' \'l'ill\O l' J-. \LY\\ , r \ ~Q\. '10 ~ NEW ,REMODEL ADDITI~ DEMOLISH' OTHER ~ .i..1"\Q ~ CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: QUAD AREA: " OF BLDGS: OCCY GROUP " OF STORIES: WATER HEATER: ADDRESS CONST. CONTRACTOR. II EXPIRES PHONE , j _ OFFICE USE :.....J ' LAND USE: /I OF UNITS: CONSTR, TYPE: HEAT SOURCE: RANGE' FLOOD PLAIN: ' , ZONING CODE: II 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,m, will be mad,) the same working day, inspections requested after 7:00 a',m. wi/i be made the following work day, ' o Tempor<lry Electric D Site'l,nspection - To'be made after excav<ltion, but prior to ~etting forms, Cl Underslab PlumbinuJ Electric<ll J Mechanical - Prior to cover. o Footing - .After trenches are excavated, D Masonry - Steel location, bond beams, grouting, D Foundation ,- After forms are erected IJut prior to concrete placement. Cl Underground Plumbing - Prior to fillin~J Irencl), o Underfloor Plumbing/Mechanical - Prior to insulation or decking, o Post and Beam - Prior to floor insulation or dec!<ing, , .. .... \\ ~ .. . \ 'f Floor I.nsul~.t!;>_~co-:- Prior t<\ decking.. .;:\ "', ":.""~ .t' , .. \ ~.,.'->''''''''''.' Sanitary Sewer -'.p'rior to filling' trencl), .:.. '-.~ ,,;>, \ . I~ "\ \ D ~ o Storm Sewer - Prior to filling trencl), CJ Water Line - Prior to filling trenct], D Prior to Rough Plumbing cov!", REQUIRED INSPECTIONS D Rough Mechanical- Prior to cover. ' D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp, D Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to , cover, o Drywall - Prior to taping, o Wood Stov~ ..:.. After installation, D Insert ,- After fireplace approval , and installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete, \ ' ... O.'3ideW<llk & Driveway":"" After 0xcavation is comlJlete, forms and sub.base material in place, o Fence - When completed, o Street Trees - When ai: required trees are planted, D 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 completed, o Other MOBILE HOME'INSPECTIONS o 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 faces ' Lot Type Lot sq. 'ltg. Interior' Lot coverage Corner Topography Total height Panhandle Cul-de-sac BUILDING P~HMIT.. ITEM SO, FT, X $/SO. FT, Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) ;~ )...,. . Setbacks HSE GAR, ACC I P.L. IN 'I S Iw IE I" VALUE SYSTEMS DEVELOPMENT CHARGE (SDCf , .. ' , (B) illS L<b1: PLUMBING PERMIT ITEM Fixtu res Residential Bath(s) NO Sanitary Sewer FT. '. Water FT. Storm Sewer FT. Mobile Home I Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan , , NO Wood Stove/lnsertJFireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sipewalk Curbcut It ft Demolition State Surcharge Total Miscellaneous, permits (E) TOTAL AMOUNT DUE (excluding electrical) FEE L\t),LO ~.~ 4~,cD ryj-3'. At I I IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this ~pplication must be signed and approved by the Historical Coordinator prior to permit issuance, APPROVED' SW:ILOING 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 G9de, regulating the construction and use of buil9ings', 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 ~he Ordinances of the City of Springfi'eld, 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 pr()j ec t. I further agree to ensure that all required inspcction~ are requested at the proper time, that each address is readable .. .,from the street, that t ,epermit card is located at the front of the property, and e.approved 0 plans will remain , on the site II r e5"'(I ring cq5n tr ction, Signature l f ", Date r1 I"L /3, fIV{ (. / I , i , 75 , ,VALIDATION: n/).O"'\ RECEIPT NUMBER 'rr-~r)\ ",,' DATE PAID(.,ff\D...:.x~v\?J, Clo , AMOUNT R~C~IVjED.. \J ryCf3,G;1-' ".. /'=J lAD.J