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Home My WebLink AboutPermit Plumbing 1996-6-5 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD . bS ~07~ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: //-:?SS ,.A- ~7 ~ _ ASSESSORS MAP' /?"'It' 3~b' q / TAX LOT' .!7 <y'~o<:> OWNER: . /?~~ ~#/4. ADDRc"", fl. :a 7 - ~""',""-"'r ~ 7'Pr6J- DESCRIBE WORK: .7~ ~~---:--~ 7J?,;---:S-.v~ NEW REMODEL AODITION DEMOLISH OTHER LOT' CITY: CONTRACTOR'S NAME GENERA' . PLUMBING: /!P~~ . - /" , MECHANICAl' ELECTRICA' . QUAD AREA' , OF BLDGS: OCCY GROUP' . OF STORIES: WATER HEATER' BLOCK' STATC, 6/1'- SUBDIVISION' PHONE: 2_</'/ .Jfo/9'~ ZIP' 9::>7"':::>:::> .f"y~~~~ ~~;> ADDF;lESS CONST. CONTRACTOR' PHONE - OFFICE USE - LAND USE: ". OF1JNITS' CONSTR. TYPE: HEAT. SOURCE: RANGC, EXPIRES FLOOO PLAIN: ZONING CODE:_ . OF BDRMS: SECONOARY HEAT: ___. SOUARE FOOTAGE: _ To request an Inspection, you must call 726.3769. This Is a 24 hour recording, All Inspections requesled belore 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 o Slle Inspection - To be made atter excavation, but prior to setting forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - Atter (orms are erected but prior to concrete placement. o Underground Plumbing - Prior to fltllng trench. O Underfloor Plumblng/Mechanlcel - Prior to Insulation or decking. o Post and 8eam - Prior to floor Insulation or deckIng. D Floor Insulation - PrIor to decking. . o Sanitary Sewer - Prior to filling trench. ~ Storm Sewer - Prior to filling l,LlJ trench. , o Weier Line - Prior to filling trench. o Rough Plumbing - Prior to cover. 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 lnsp. o Framing - Prior to cover. o Well/Ceiling Insulation - Prior to cover. o Drywell - Prior to taping, o Wood Stovo - After Installation. o Insert - After fireplace approv~1 , and Installation of unit. o Curbcut & AI,proach - After forms are erected but prior to placement of concrate. o Sidewalk & Driveway - After excavation Is completo, forms and sub.base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing worl( Is complete. . . D Final Electrical - When all electrical work Is complete. o Final Mechanical - Whon all mechanical work Is complete. o Final Building - When all required Inspections have been epproved end building Is completed. OOlhor 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 ventIng have been Installed. l,',' .. Lol faces Lot TY. Setbacks ....IS THE PROPOSED WORK IN THE. i :L, I HSE I GAR' ACC i HISTORICAL DISTRtCT, OR ON Lot sq, ftg, Inlerlor THE HISTORICAL REGISTER? Lot coverage Corner I S I I I If yes, this application must be signed and approved by the Historical Topography Panhandle Iw I I I Coordinator prior to permit Issuance, . Total height Cul-de.sac IE I I I APPROVED: Garage " BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition Ihatthe 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 provisIons of said ordinances, BUILDING PERMIT ITEM SQ. FT, X $/SQ. FT, = VALUE Main Carport Plan Check Fee: Date Paid: Total Value Building Permit Fee Receipt Number- Stale Surcharge Received By: Total Fcc (A) Plans Reviewed By Oate SYSTEMS DEVELOPMENT CHARGE (SDC) Systems Developmenl Charge Is due on all undeveloped properties within the City limits which are being Improved, (B) PLUMBING PERMIT ITEM FIxtures Residential Bath(s) N' Sanitary S~wer FT. Water FT, Storm Sewer FT. ~t1? Mobile Home ADDITIONAL COMMENTS FEE :z s:-- Plumbing Permit p; 7~- I'~ . '?"> 7..? ~ State Surcharge Tolal Charge (C) MECHANICAL PERMIT .~ Furnaco Vent Fan N' By signature, I stato and agree, that I have carefully examined the completed application and do hereby certify that atl Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordlnancus of the City of Springfield, and the Laws of the Stato of Orogon pertaining to tho work described heroin, 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 aro In compllanco with ORS 701,055 will be used on this project. Exhaust Hood Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I rurther agree lo 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 properly, and the approved sel of plans will remain on the site at all times during ~structlon. Signature ~ ~~--: ~. . ./ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Date 6- 5- 9;:' Curbcul It Domolition TOTAL AMOUNT DUE (excluding eloctrlcal) (A, B, C, D, and E Combined) --=<7. .,,- VALlOATION: RECEIPT NUMBER _...,,6"/"7 .?~ .4 - "'5'. ?"~ AMOUNT RECEIVED ??. ~ C> ./ - RECEIVED BY ~~ . DATE PAIf' State Surcharg~ Tolal Miscellaneous Permits (E)