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Home My WebLink AboutPermit Plumbing 1995-1-26 RESIDENTIAL PERMIT APPLICATION Inspecllons: 726.3769 Office: 726.3759 .. LOCATION OF PROPOSED WORK' tJ 0 b.l /, 08 ASSESSORS MAP: /7/0 "3- 2. ') LOT: .---- q~QO JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 vVe'sT {;)uIN""IT ~ 2- . TAX LOT: SUBDIVISION' BLOCK' DESCRIBE WORK' Ad"/" PI"""/)!,,,,.,-H,y NEW REMODEL ~ ADDITION OWNER:liaL'S'N~ Avf/"".,.,fy If (.0""""1/"'-'''''7 .S<:'rvlC..... A"IeM'7'PHONF' ADDRESS' :~O() \AI rAIl- \.I'1<:/oV D t- CITY- .<;prIN~-rIe.I,( STAT"" Or<- CONTRACTOR'S NAME GENERAl' ? A""/ BJeY'k<1- PLUMBING: /' A.,.I RJ <: r'~... MECHANICAl' ELECTRICAl' Wltd IAr" /"JA.,...h ,.,;"... DEMOLISH OTHER /9;Q ,/ CZ:/) b'l7- ~OC;() ZIP' q7 if 7 7 Plh Plh ADDRESS I'/SO LhR-t>lbo..s" I'/SO Ch.Hnher.s '17 q 30 1/7130 CON ST. CONTRACTOR' EXPIRES /0//'/ /95 /0//<1 / '}..5 PHONE 3'1~ 6102 3 '1'1 {" q 02... - OFFICE USE - QUAD ARE'" LAND US". FLOOD PLAIN' · OF BLDGS' · OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANG'" SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. Thl$ !s 03 24 hour recordIng. All Inspections requested before 7:00 a.rn. will be made the same working day. Inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric O Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcall Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams. groutl ng. D Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. O Underlloor Plumbing/Mechanical - Prior to Insulation or decking. O Post and Beam - Prior to floor Insulation or decking. O Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. r::n Rough Plumbing - Prior to ~over. REQUIRED INSPECTIONS o Rough MechanIcal - Prior to cover. o 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 Wallle'elllng Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approve! and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. O Sidewalk & Driveway - After excavation Is complete. forms and sub-base material In place. o Fence - When completed. D Street Trees - When al/ required trees are planted. ~ Final Plumbing - When all ~plumblng w9rk Is comp/et,e. D Final Electrical - When all electrical work [s complete. o Final Mechanical - When all mechanical work Is complete. o FInal Building - When all required Inspections have been approved and building Is completed. DOlher MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connoctlons - 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. D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. '~, : Lot ~yp. co__ : Lot faces Lot sq. Itg. Interior h~L. IN Lot coverage Corner Topography Panhandle S Total height Cul-de-sac W IE ';-1' - -: ,~' .: i ;: l; ~j~~ ;~.~~;::~~- << THE PROPOSED WORK IN THE - '''HISTOJ;lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this appllcatton must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks. HSE GAR' ACe' I I I APPROVED' BUILDING PERMIT ITEM SO. FT. X $/SO. FT. u VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " This permit Is granted on the express condltton that the said construction shall, In all respects, conform to the Ordinance adopted by the City of Springfield, Including the Development Code, regulating the constructton and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Main Carport Plan Check Fee: Date Paid: Total Value Receipt Numbe" Building Permit Fee Received By: State Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped prepertles within the City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS Fixtures 2. FEE ?t),OO Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit / ""./- I 6 tI Total Charge (C) I, GO '2..1. btJ State Surcharge MECHANICAL PERMIT Furnace Vent Fan N' By signature, I state and agree, that I have carefully examined the completed appllcatton and do hereby certtfy 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 that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Exhaust Hood Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) 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 pormlt card Is located at the front of the property, and the approved set of plans will remain on the site at all times dur~ c~nstn#tlon. Signature I' ~O~ MISCELLANEOUS PERMITS Mobile Home State issuance State Surcharge Sidewalk It It Date I -)....6 - q-S" Curbcut Demolition State Surcharge VALIDATION: TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D. and E Combined) 21. &0 /~/// DATE PAIDY?,,?/9_r AMOUNT RECEIVED -2../ ;:. 0 ~/J~ RECEIVED BY RECEIPT NUMBER Total Miscellaneous Permits (E)