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HomeMy WebLinkAboutPermit Plumbing 1994-10-31 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK:- --..L/? I XSSESSORS MAP: / '? 0:3 7_ '3 OWNER' r1i!.tJr.ff'~ ADDRESS' lit (I Ililt~VL CITY: ~/7/:Vt.dA;U - 1/ -a/ DESCRIBE WORK: \. ^ i mrrl~~d ~ NEW REMODEL A~DDITIO~ LOT' 34 J BLOCK: STATE: ~m R - ,. v . DEMOLISH OTHER JOB NUMBER.9 C/)~ 00 , .,..._- '- . 225 Fifth Street Springfield. Oregon 97477 , TAX LOT: SUBDIVISION: (J9/~ PHONE: 1/1(1 - .2. ?-/5- ZIP: 97#71 CONTRACTOR'S NA~p /7 GENERAL: .~.r...< _ (/ AD~SS ' , fi1 {J ~Ir(k.,_ I ' .. r/ CON ST. " CONTRACTOR II, ~S-2 k.Ac.4 ;ra;,~e- 0"3# " I PHONE ~4'/ ;.. ?-2-.~ 5' PLUMBING: MECHANICAl' ELECTRICAL: Ot4J"/I.7~ . - EXPIRES f(5~~ r QUAD AREA" II OF BLDGS: OCCY GROUP: II OF STORIES: WATER HEATER: - OFFICE USE - LAND USE' .' FLOOD PLAIN: ZONING CODE: 1/ 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 made the same working day, Inspections requested after 7:00 a.m. will b~ made the following work day. .. '" REQUIRED INSPECTIONS o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical! 'Mechanical - Prior to 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 Underfloor 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. D Storm Sewer - Prior to filling trench. D Water L1ne,- Prior to filling trench. M Rough Plumbi~g - Prior to ~ cover. II OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: o Rough Mechanical ~.~rlor to COver. ,.:....' l'x1 Rou~'hElectrlcal - Prior to ~cover. o Electrical ServIce - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. rxr Framing - Prior to COver. / i o Wail/Ceiling InsJlatlon - Prior to cover. ~ryWall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approval 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 materia! In place. \'... . \. , o Fence - When completed. o Street Trees - When al} required trees are planted. . fV7f Final Plumbing - When all ~plumblng w()rk Is complete. ~ Final Electrical - When all ~electrlcal work Is complete.' o Final Mechanical - When all mechanical work Is complete. ~ 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 plu~blng 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;. I. Lot sq. ftg. Interior I' P.L. IN Lot coverage Corner Is Topography Panhandle Iw Total ~elght Cul-de.sac IE , .; ; ," ;~. ;;~:.~~,l~'<;':~;~'. HSE GAR ACe' I Setbacks ' IS THE PROPOSED WORK. tN THE - ' '-HISTORICAL DISTRICT, OR ON "THE HISTORICAL REGISTER? I f yes, this application must be. signed and approved by the Historical Coordinator prior to permit Issuance.' BUILDING PERMIT ITEM sa. FT. x $/SO. FT. VALUE Main Gacage " Carport APPROVED' BUILDING 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 Sprl!"gfield, 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. 2//~ Plan Check Fee: ~ Date Paid: Total Value ~2(O Receipt Number: Building Permit Fee /~3r/l~ Received By: State Surcharge "Total 'Fee" '(A) ,-,<~~/I' Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures / 4/V. , . NO Residential Bath(s) Sanitary Sewer FT. , Water FT. Storm Sewer FT. Mobile Home Plumbing Permit 15~ .7r State Surcharge ". ~f . , /C- ?-D Total Charge (C)/ MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lrisert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State :Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft It Curbcut Demolition State Surcharge tf/ U.l If? /!V/'27 A1 2/, / J Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ? 2 .14- Systems Development Charge Is d,ue on all undeveloped properties within the City limits wh.lch 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 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 wltnout 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. 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 permit card Is located at the front of the property, and the approved set of plans will remain on the ~Ite at all tim:s dU~ c~r"on. fsigna,",e,U? O,~~'"^_ Date VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY /C;2.~? )t!)/:J//~ r //h~2f ~ / ,