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HomeMy WebLinkAboutPermit Plumbing 1996-11-6 RESJDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 LOT: BLOCK: OWNER:'. . . M. ~hvi1-' 53l.. /to./ NrM_ L ADDRESS: . 71)0 A .M ~J CITY 'irl~-fl~l - DESCRIBE WORK: NEW REMODEL CONTRACTOR'S NAME GENERAL: ~ PLUMBING: ~/Ylf)/ MECHANICAl' ELECTRICAL: STATE: rJe JOB NUMBER_26i22~ 225 Fifth Slreet Springfield. Oregon 97477 TAX LOT: SUBDIVISION: PHONE: ZIP: q7t(7E; ADDITION DEMOLISH OTHER ADDRESS CON ST. CONTRACTOR It EXPIRES .~ PHONE REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrIcal power. o Fireplace - Prior to (acing materials and (ramlng Insp. - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN: II OF BLDGS: It OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: II OF BDRMS: II OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: SQUARE FOOTAGE: To request an Inspection, you must call 726-376'9. This Is a 24 hour recording. All Inspections 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. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing / Electrical! MechanIcal - Prior 10 cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o 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 decl<lng. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. A/('stor'." Sewer - -PfI,,,I' I", ~1111,,~ P'\t,...-...:.h. . 0 Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. o Framing -'. Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stovo - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected bul prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete. 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. o Final Electrical - When all electrical worl< Is complete. D Final Mechanical - When all mechanical worl< 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. 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. Lot faces Lot TyJ'," ~ \, Lot sq., U~"" , . Lot coverage . '. Interior Corner Topography Totalhelgtif Panhandle ' Cul-de-sac ", ;.;"" \.i( i~;;, 'Setbacks HSE GAR Accl I I P.l. N S W E . IS THE PROPOSED WORK IN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. ~'}~\.., )...... ,"'~<:\ . ~ -~ r~J.i' ''::?~ BUILDING PERMIT APPROVED: ....: ITEM SO. FT. X $/SO. FT. Main Garage Carport' Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Resldenllal Bath(s) NO Sanitary S~wer Water FT. Storm Sewer FT. FT. zAO Mobile Home Plumbing Permit -I 3 '/0 Cly ~/YI (C) State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood StoveJlnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance _ State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcul ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (cxclueJlng clectrical) (A, B, C, D, and E Combined), VALUE '. , \ FEE ~r;. ()O (Jr;/(JU & BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted'on the expres,s condi.ilon that the said construc"tion'stwlI, in all re~pects, con'fo.im to the Ordinance adopted \by the ,CitYO:f :,SRrlng,fielq, including the Development Code, regula'tlng the construction and use of buildings, and may be suspended .or revoked ,.at any time upon violation or any provisions ot 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 appllcallon 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 described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further cerllfy 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 lime, that each address Is readable from tile street, that the permit card Is located at the front of the property, and the approved set of plans will remaIn on the slt.e fall times during construclloo. I Slgnatu}'I.._1 .~2 ~ 1~ ~ Dal~(J 1/- 0- 9<-. \ VALIDATION: 16/20 RECEIPT NUMBER _ DATE PAID {/.-- 0 -q 0 AMOUNT RECEIVED __;;?_7.0-0 .~ECEIVE~BY _~_______..