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HomeMy WebLinkAboutPermit Plumbing 1997-6-4 RESIDENTIAL PERMiT APPLICATION Inspections: 726.3769 Office: 726.3759 ._, LOCATION OF PROPOSED WErlY . / J ") 'i PI..,J''''~ ~ ASSESSORS MAP' I 7 :)u\:, ~ 2 . Lor: OWNER: .... ,Jj,~..) {.IJ~ _, / ,71" ,c.~ I ADDRF'"'' (1 ") ~ CITY' Sr '; ('4 Ij DESCRIBE WORK' "",1,_ f<~v"'''' NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAl' PLUMBING: Ic.~v:", Ir.',t._ MECHANICA' ' ELECTRICA' ' BLOCK' ", I JOB NUMBER 'q70~~7 ----- STATF' . f9.r< 225 Fifth Street SprlngCleld, Oregon 97~ / '. , ;J 0 t (\..e. 070 fm '=' . . TAX LOT: , ' SUBDIVISION: PHON'" ZIP: DEMOLISH OTHER 17'1"4/- D Rough Mechanical -.:. Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping, D Wood Stovo - Arter Installation. D Insert - Arter fireplace approval and Installation 01 unit. D Curbcut & AI>proach - Arter forms are erected but prior to placemont of concrete. D Sidewalk & Drlvewav - Alter excavation Is complete. forms and'sub.base material In place. D Fence - When completed. D Street Trees - When all required' trees are planted. ADDRESS CONST. CONTRACTOR . EXPIRES ~ PHONE l-jhs ~8'1-n II J(..&lut?/CIL"'_~"'" ;. '{Sf d. '';e.-. j:J1J~ o;C/12 T yO - OFFICE USE - QUAD AREA' LAND USF' FLOOD PLAIN' 1 1 , . OF BLDGS' . OF UNITS' ZONING CODE:_ or OCCY GROUP' CONSTR. TYPE: . OF BDRMS' . OF STORIE'" HEAT SOURCE: SECONDARY HEAT' WATER HEATER' RANG'" SQUARE FOOTAGE: To request an Inspection, you must call 726,3769. This Is a 24 hour recording, All Inspecllons requested before 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. REQUIRED INSPECTIONS D Temporary Elec~rlc D Slto Inspection - To be mado after excavation, but prior to setting forms. D Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. o Footing - After trenches are excavated. -' D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench, , D Underfloor Plumbing/Mechanical - Prior to Insulation or decking, D Post and Boam - Prior to floor Insulation or decking. D Floor Insulation - Prior to deckl ng, D Sanitary Sewer - Prior to tilling trench. D Storm Sewer - Prior to filling trench. . ~ Water Line - Prior 10 filling l....AJ trench. D Rough Plumbing, - Prior to cover. D Final Plumbing - When all plumbing work Is complete, D Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building la completed, DOther MOBILE HOME INSPECTIONS D Blocking and Sat.Up - When all bl~cklng Is complet,e, D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set,up. and plumbing Inspections have been approvod 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. 1- LOI faces ,'. LOI Type Lot sq, ftg. Interior Lot coverage Corner \' Panhandle' Topography Total height Cul'de-sac BUILDING PER~IT ,~, ,;,!~ ITEM SQ, FT. X $/SQ, FT. ~ Main Garage Carport Total Value Building Permll Fee State Surcharge TOlal Fee (A) , "';"" .{'ii'''' i'I~",1 '':P. --'r ~:I ~\J';"f',~.j, .j;'tj.,::(i'L ~t. '\~.\ '~::'. '. . . !', .t.:!;];.....,. :. " " Selbacks" ' I;L i"'T^'i Mel Iw I I I I lLLLLJ BUILDIN'G VAulE, PLAN CHECK AND BUILDING PERMIT ~ " VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Resldenllal Bath(s) N' Sanllary S~wer FT. Water FT. AI Slorm Sewer FT. Mobile Home TOlal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unll Dryer Vent Mechanical Permit Issuance Stale Surcharge Total Permll (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk It Curbcul It Demollllon State Surcharge Tolal Mlscellsneous Permlls (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0; and E Combined) , l. is THE, PROPOSED WORK tN THE, HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? " yes, Ihls appllcallon musl be signed and approved by the Hlslorlcal Coordinator prior to permit Issuance. APPROVED: ' This permllls granted on the exp,ess condlllon lhalthe said construction shall, In all respects, conform 10 the Ordinance adopted by the Clly, of Springfield, Including the Development Code, regulating the construction and use of buildings, and may be Suspended or revoked al any time upon violation of any proviSions of said ordinances. Plan Check Fee: Date Paid: Receipt Number: Received By: Plans Reviewed By FEE ,.lL) ,tlz) :27. On Dale Plumbing permll' ;20(/rJ Slale SurCharge 131p c''!'I.4tk,u.\ r~ l,?f. 21,0-0 Systems Development Charge Is due on all undeveloped properlles wllhln Ihe Clly II mils which are being Improved, ADDITIONAL COMMENTS '" I' " By signature, Istelo end sgros, Ihstl hsve csrofully examined Ihe completed appllcellon and do ,hereby Cerllfy Ihel ell Informstlon hereon /s Irue and correct, snd I 'urther c.rtlfy that eny and all work porformod shsll be dono In aocordsnoe with the Ordlnsnces of Ihe City of Sprlngflold, end Ihe Laws of the Stote of O,ogon pertaining 10 the work desc,lbed horo'ln, snd thsl NO OCCUPANCY will be mado 01 eny .tructure without permission cr the Building Ssfety Division, I furlher cerllfy thaI only conlrsctors snd emplOyee. who ara In complianCe with ORS 701,055 will be used on Ihls proJect. I further agree to ensuro that all required Inspections are roquested at the propor tlme,lhst each eddressls resdsble from tho street, thsl the pormlt card Is locsted at the front of the propexy, end Ihe approved set 01 plans will remain on the site Ifr,..,s du~constructlon, ~/d~ Signature t; Date .~ t; /'117 ) I VALIDATION: 2t o;z 7 RECEIPT NUMBER _ 11---, 1_-1./1 ~-{ / DATE PAIr" rv AMOUNT RECEIVED ill~7 , RECEIVED BY