HomeMy WebLinkAboutPermit Plumbing 1987-3-9
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.. RESID.IAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building. Division
726-3753 '
Bt/7C/Oc;
Job Location:
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ABceS30rc Map #
Subdivision:
OI.mer:
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Address:
City:
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AMi tion
Remodel
!1obile Home
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?t,L{!tt:.u~
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'Date of Application
Contractors
General
i PZwnbing ~dd
Electrical
f.fechar.ic.:J.I
Constl"tlction Lender
Pr.one:
Zip:
Describe flork:
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Signed:
Date:
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Address
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Lisc.H
Expires
Phone
It is the responsibility of the pe~t hoLder to see that all inapections are made at the propel' tim€~ that each ~ess is readabLe
from th8 8treet~ and that the permi t card is located at the front of the property.
J;Bui!di~ Divicior: approved plan s.hall remain on tha BuiZding sits. at all times.
PROCEDURE POI? TNS!,_EC'l'ION RE9UEST:CALL 726-3769 (recorder) state your City designated job nWi7ber, job ad6-ess, type of inspec-;icn
requested a~d when you ~ill be ready for inspection, Contractors or Owne~s ncme and phone number. RequBsts received befere 7:00 ~
...'ill be made the scune day, requests made afta' 7:00 am wiU be made the next :.rJOl'king day"
Raaui~~1 TnRnp~~ir.nR
D. SITE INSPECTION: To be rrade after
ezaavation~ but prior to set up of
. forms.
D: UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
. work is t:!ovcred.
O FOOTING & FOUND,1TION: To be rrade
after trenches are excavated and
forms are ereated, but prior to
, : pouring aanareto. )1..'" ").y "
Fe/( UNDERGlWUND P['~ING/ SEWER,W,1TER,
~ DRAINAGE: To be roode prior to fi l-
.Zir.g trenches.
D. ;' UNDERPLOOR PLUftfBING & MECHANICAL:
To be made prior to installation of
~oor ~nsulation or decking.
POST AND BEAM: To be made prior to
installation of floor insulation or
, decking.
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I .
D
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
'.w:til these inspections have beer.
made and approved. .
FIRE:PLACE: Prior to pkair.g facing
matenaZs and before framing inspec-
tion.
O FRANING: Must be requested after
approval of rough plwr.bing, electri-
.ool & mechanical. AU rOOfing
bracing & chimneys, etc. nr~st be
;' completed. No work is to be con-
...",.cealed until thin inspection has'
:be~n made and approved.
D
....-
Your Ci ty Desigr.ated Job Nwnber Ie:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insukti::m w.d
. . required vapor barriers are in place
. : but before any lath, gypsum board or
. . wall covering is applied, and before
. . "fIJ,!Y innulation is concealed.
O DRYWALL INSPECTION: Tc be made
after all drywall is in place,
but prior to any taping.
O. MASONRy': Steel location, bona.
beams, grouting or verticals in
accordance with V.B.C. Section
2415.
D
WOODSTOVE:
ccmpZeted.
After installation is
<610157
I DEUOLITION OR :~fOVED BUILDIi-lCS
=:J Sani -=a1'y 8e!..ler C!apped a.t Px:..OPc.ro~d lir.e
==:J Septic tank p~~ed and fill€~ with gra~el
I Final - r{hen above items are cc.-:rpletBd
~ and when demolition is complete or stru~-
ture moved and prcmises cleaned up.
I Nobile Hcmes
:J Blocking and Set-up
:J Plumbing connections -- s~er ar~ water
~ Electrical Connection - Blocking, set-up
---1 and plumbing connections rrr...st 1;e approved
. before reque8t~ng elec-=rical inspectio~
=.J Accessol"J Building
~ Pinal - After porcr.es, skirting, decks,
~ etc. are comple~c.d.
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FIliAL PLUMBIIIG
---:- ~.-
All project conditions, such as the installation of street trees, c~~letion of the
required l.a.ndscapir.g, etc., ~st be satisfied before the BUILDING PINAL can be requ.est&d.
FINAL MECHANICAL
o
PINAL BUILDING: The Final Building Inspection must be requested after the Pinal Plumbing
Electrical, and Mechanical Inspections have been made and approved.
FINAL ELECTRICAL
D
CURB & APPROACH 4P80N: After> forms
are erected but prior to pouring
concrete.
/tALL MANHOLES AND CLEANOUTS MUST BE ACCESSIB['E, ADJUST/lENT TO BE WtDE AT NO COST TO CITY I Page 1 of 2
D
SIDEWALK & DRIVEWAY: For all con-
crete paving within street right-
.of-way, to be made after all exca-
vating complete & form work & sub-
. base material in place.
D
PENCE: k'her. compl;;te -- Provide.
gates or movable sec~ions through
P,U.E,
o
'-,
I JOB
I Zona:
Lot Sq. Ft{;.
Z of lot C.:A)erag~
# of Stories
Total. Height
Topography
NO,
~1()157
SOLAR ~SS
Oc~panc_~ G~
I
lITEM
IMain
I Cc:rrzae
I CarvOl't
IAccp.8S01'U
I
I
SQ,FTG
x
TOTAL VALUE
Is.D.c.
{va.LUe}
1.5 x
Building Permi t
State SurchCD"ge
Tota! Charges
ITEM NO. FEE
Fixt:ures
Residential (1 bath)
I Sanitary SeWer
I Water
'Plwnbing Perrd t
State Surcr.arge
Total Charaes
ITEM NO'1 FEE
Res. Sa. fto.
NelJ/Extend Circuits I
Temporary Service I
I I
Electrical Permit
State Surcharqe
Total Cha:rc;es
ITEM
I NO. FEE
I
I-
I
Furnace BTU'::;
Exhaust Hood
J Vent Fan
I Woodstove
Pernrit Issuance
Mechanical Permit
State SurcharGe
Total Charaes
-- ENCROACHMENT --
Se~~ri~ Deposit
Storage
I Maintena,we
Permit
Total Char>qes
I Curbcu;
I Side1.Ja! k
I Fence
I Electl'ical Label
IMob~le Home I
I ~Jt1, .LJA) fj /UlLU-IId2If/'
I '~
t TOTAL AMOUNT DUE: *
WT TYPE
Interior
Corner
Panhandle
Cul-de-sac
Value
CHARGE
rage ~
REQ.-
L-COG"l;
l.
c
.
BedPooms:
Type/Cor...at:
I Lot Faces -
I
I P,L.
North
I
Access. I
I
I
II
II
F:nera,u 8rYl..t"'(!~8
Heat
Water Hp.atp.p
Range
Fireplace
Woodotove
TUDe
Setbacks
House Carage
East
South
IWest
Fees
Building Value & Permit
This permit io granted on the express condition that the said_construction
shall, in all respects3 conform to the Ordinance adopted by the City of
Springfield3 incLuding the Zoning Ordinance3 regulating the construction
and use of buildings, and m~y be suspended or revoked at cr.y time upon vio-
lation of any provisions of said Ordinances.
,
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I
I '
IPlan Check Fee:
I Date Paid:
IRec"ipt #:
ISigned:
Plumbing Permit
No person shall construct3 install, alter or change any new cr existing
plumbing or drainage system in ~hole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is owned, leased or operated by the appli-
cant.
30, iJO -<;;'
1-20 I
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CHARGE
CHARGE
;,
Electrical Permit
Where State Law requires tr4t the electrical work be done by an Ele~trical
Contractor, the electrical portion of this permit shall not be valid. until
the label has been signed by the Electrical Contractor.
,
Mechanical Permit
,
P"Lan EXClTnner
uar;e
I HAVE CAREFULLY EXA1>1INED thE completed application for pePmit3 and do
hereby cel'tify that all infoY'mation hereon is true and corrcct3 cmd I
f..J.rther certify that any ar.a all work perfo1";T/ed shall be done in ac~or-
dance with the Ordinances of the City of Springfield, and th;: Lcr..;s of the
* State of OregQn p~rtaining to the work described herein3 end that NO OCCU-
PANCY will be made of any structUl'2 without permission of the Building Di-
vision. I further certify that ~ly contractors and employees who are in
compliance with ORS 701.055 wilZ be used on this project
~~
Signed (I
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Date
.,.
CITY OF SPRINGFIELD
IMPROVE_AGREEMENT AND APPLICATION FO~ER HOOKUP
We, the undersigned property owners, request permission to connect the following
described property to the sanitary sewer owned and maintained, by the City of Springfield.
We therefore agree to pay a charge of .17~ per square foot of the benefiting property for
the first 150 feet of depth as a deposit against future assessments for sanitary sewer.
Tax Lot No.
TL.1000
Receipt No.
Address: 2'1'2..r d6:2-r /h~ L.n
Property Description:
.
This agreement does not include the cost of a house connection to said City sewer, sewer
user charges, connection fees, plumbing permits or other such costs to be assumed by the
property owner.
The applicant agrees to waive all right to remonstrate against an improvement project for
santiary sewer to be duly initiated by the City Council, but not the right to protest the
amount or manner of spreading the'assessment thereof, if the same shall ~ppear to Applicant
to bear inequitably or unfairly upon said property 'of Applicant;
NOW THEREFORE, the City agrees that if Applicant complies with the terms of this agree-
ment and with all other applicable laws of the State of Oregon, Lane County, and the City,
the said Applicant shall be entitled to connect the existing residence to the public sewer
systems. .
The covenants herein contained shall run with the land herein described, and shall be
binding upon the heirs, executors, assigns, administrators, and successors of the parties
hereto, and shall be construed to be a benefit and a burden upon the property herein described.
This agreement shall be recorded in the Lane County Deed Records.
, WHEREFORE, the parties have set their hand and seal this~~ day of ~ , 19~
CITY OF SPRINGFIELD ~PPLICA~ '
By xf...--.,( ,~ ~ ~/2-
Director of Planning and. Development.. 'f
STATE OF OREGON)
) ss.
COUNTY OF LANE )
On this day of
above document.
, 19~, there personally appeared before me and signed the
NOTARY PUBLIC
My commission Expires:
For Finance Department
Trunk Sewer
cis ED 120
REV 2/81
Information:
Lateral Sewer
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SPRINGFIELD ~.,~~.,~....~,
CITY OF SPRINGFIELD
Department of Public Works
1885,1985 Springfield Centennial year
I December 10, 1986
/
Mr. and Mrs. Victor D. Nielsen
2429 Clear Vue Lane
Springfield, OR 97477
Subject: Sanitary Sewer Connection
Dear Mr. and Mrs. Nielsen:
The letter sent to you in 1970 by the City Engineer at that time, Mr. L. T. Eison,
has been reviewed by both the Public Works Department staff and the City Attorney's
Office and we have agreed the,City made a commitment at that time to allow you to
connect to the sewer for the connection charge in effect then.
Even though the City Code has been revised and the connection charge is now much
higher, you will be allowed to connect to the sewer at the old rate of $3.40 per
front foot of your property.
It will be neccessary for you or your contractor to pay the connection charge and
obtain permits prior to making the connection.
Our records indicate the frontage of the lot to be connected is 75 feet. If this
is correct, your City costs are estimated below.
$3.40 per foot x 75 feet
Sewer permit and inspection approximation
Street opening and inspection
Approximate Total
$255.00
35.00
20.00
$310.00
The actual cost to you will be determined by the length of sewer lateral to be
installed and will be determined when the permits are issued, but $310.00 should
be very close.
Very truly yours,
Charles H. Campbell
City ,Engi neer
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CHC~'l c
225 North 5th Street 0 Springfield, Oregon 97477 0 503/726-3753
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