HomeMy WebLinkAboutPermit Plumbing 1992-11-13
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DESCRIBE WORK: YY\IJ^^.I.A~'. ~
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CONTRACTOR'S NAM~ 0 ADDRESS CONTRACTOR · EXPIRES PHONE I
GENERAL: CACl..i~ \rVU:>V'ilL ~JJ() ::;,. "1i1~,:,r"R.-j,j 5:)391 '1ILJ/c,2, 14/-~( :
PLUMBING:_~\':C\"'-vV ~1.u~6~~~ IN. (.l~Jt.hA{ f,IIJ.tI"),,()/~/+2..c..,q IV{Cl/3 <-!9,4-f,-;J:u;
MECHANICA' . 0 ' .' I,
RESIDENTIAL
PERMIT APPLICATION
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. Inspections: 726.3769
Office: 726,3759
LOCATION OF PROPOSED WORI"
ASSESSORS MAP'
LOT:
OWNER:
ADDRESS'
CITY:
NEW
REMODEL
ADDITION
ELECTRICAl'
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,JOB NUMBER q ~ ISS.~
225 Flfth'Street. .
Springfield. Oregon' 97477
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STATE:
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TAX LOT:
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SUBDIVISION:
F
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DEMOLISH
OTHER
PHONE:
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- OFFICE USE -
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OUAD AREA: \~NvJ LAND USE: \ ISO FLOOD PLAIN"
. OF BLDGS: J . OF UNITS: I. I ZONING CODE: !-D~
OCCY GROUP: ":R:"2, CONSTR, TYPE: ~f\ . OF BDRMS: 3
. OF STORIES:_ I HEAT SOURCE: Fr SECONDARY HEAT:
WATER HEATER: z.. RANGE: E SQUARE' FOOTAGE: n310
To request an Inspection. you must call 726.3769. This Is a 24 hour racordlng. All Inspections requested.before 7:00 a.m. will be
made the same working day, Inspections requesled after 7:00 a,m. will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
D Sito Inspection - To be mado
after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrlcalt
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 Underlloor Plumbing/Mechanical
-.Prlor to Insulation or decking.
o Post and Beam - Prior to 'floor
Insulation or decking.
o Floor Insulation - Prior to
decking. .
~ Sanitary Sewer - Prior 10 filling
~trench. _
o Storm Sewer - Prior to filling
trench,
~ Water Line - Prior to filling
tpJ- trenCh: . I
. . '. ,'I' '-'.,' ','
"'0 Rough,Plumblng.- Prior to
cover., I
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Electrlcal.,ConnecUon - Whan
blocklng;'set.up. and plumbing
" Inspectlons..have been 'approvod
and the,home ,Is connected to
..the servlceJpanel, ,.:::.~.....i -' "'.'
O Fence":': rWhen completed. . ;:i.. . .: ;"::"t;l '~: ,', _~.,:.:I ~
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. I':~" , .' . 1'. ,; ,;.;.~ I~Firiah...;..j,A;tte'r.'a"~requlred; I '::.. '.:;
" . 1 ., "'1\ ,',,' ,''''' 'I' ",'(.'...,'-' -',_.. ..
,.' I \.'-,.l". ' "vLJ.;:'~'" ,." -'t... '.", nspectlons~are"approved and_ r'~' '
o Street: Trees .:... When 'all requlre:d~ .~, .~~o;.(~..:poJ'\ches;~ S~Ir:~!~g~'a.~i<s~~oand~' ~-, ", \
trees are planted. .' I'. . .;.,..,. ~ve~Unglhave!:been,lnstalledf.:'.'
o Rough Mechanical - Prior to
cover. .
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved \to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
D FramIng - Prior to cover.
,.
o WaIl/C'elllng"lnsulaUon - Prior to
cover.
o Drywall - Prior to taping.
o Wood Sto~e - After I~stall~tl~~~."
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 material In place.
o Final Plumbing - When all
plumbing work Is complet.e,
D Final Electrical - When all
electrlc~l. :work Is complete. . .
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D FlnalrMechanlcal -(.When ,all
mechanical work Is 'complete: .
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'0 Final Bullaln'g-' When all
. required .Inspections have been
approved 'and building Is
completed.
O'oiher
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MOBILE HOME. INSPECTiONS
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B'~;~c~ing~~n:d set.up' - ~~en all
. ;blocklng Is complete.
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~PluiTibi~g Con'nectlons - When
Lp'-home has been connected to
water and sewer.
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.S THE PROPOSED WORK IN THE
HISTORI.CAL'DISTRICT,.OR'ON.
THE HISTOFjICAL'REGISTi=:R.?
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If yes, thls'appllcatlon must be signed
and apj>r<:ived by the Historical
Coordinator prior to permit Issuance.
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Lotfaces~ ".\-"i-.~
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Lot sq,Htg,?' ~
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'LOCc:overag'e.,''-'-:- '
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Topography' .
Total height
.' ~.O~_.T~~~..:~",t;~.t: 'J 1"(" Setbacks
,,' . ~':Ir\t~'rl;"r:;n'.' ';':~ p,(:. HSE .GAR ACC
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BUltDfNGP'E'RMIT
ITEM SO: 'FT. X $ISO. FT.
Main
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Garage
Carport
Total Val ue
Building Permit Fee
State Surcharge
Total Fec
(A)
VALUE
. SYSTEMS DEVELOPMENT CHAR~ qStC~
(B) ,IV
PLUMBING PERMIT
ITEM
Fixtures
,
Residential Balh(s) N'
,
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
. (C)
MECHANICAL PERMIT,
Furnace
Exhaust Hood'
Vent Fan
N'
Wood Slovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
Stat~'S~r~~arge
Tota(:Permlt ...,;, _i
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MISCELLANEOUS PERMITS:, .
Mobile Home
State Issuance
State .~urcharge
Sidewalk
ft,
'ft
Curbcut
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C, 0, and E Combined)
FEE
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LCS. 00
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APPROVED: _-
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condillon that tho said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Sprlnglleld, Including the
Development Code, regulallng the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
^ J \A-
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Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properlles within tile City limits which arc being Improved.
ADDITIONAL COMMENTS
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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 Il1e City of Sprlnglleld, and the Laws
of the State of Oregon pertaining to the work described
herein. and thai .NO OCCUPANCY will be made 01 any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will bo used on this
project.
I further agree to ensure that all required Inspoctlons are
requested at the proper time,' that each address Is readable
from the street, that the p!3rmlt card is located at the front
of the property, an~e approved set of plans will remain
ifn t e slle at all t ,~s d~rlng construction.
nalure ':... / .4d0--" 32{.9't€ A~_
Dal~ (f
VALIDATION: I ~Cf) c::::,,(J!
RECEIPT NU",\Brn ,VI I '-;?-,
DATE PAID I . I ~-q ~,~
AMOUNT RECEI~A \V1 ~ . ~
RECEIVED BY ( A. ( [)()\J
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SPR'.'ELD
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726,3753
MOBILE HOME AND M~~UFACTURED HOME AGREEMENT
UNITS TO BE PLACED IN A PARK
As required by the City of Springfield Development Code and/or the State of
Oregon, I understand and agree, as sho.n by my signature on this form, that .ith
~. p~(~~f1.ttaS:)1e.@Ul~i y\..4J,;) a home to be located at
r ) J=t-r~oI~, Springfield, Oregon, City Job Number
. l,~~ I .ill meet or exceed the beloy listed minimum setbacks.
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Home Setbacks
10 feet from a park building
20 feet from any public street
5 feet from any rear space line or interior space line
5 feet from the edge of a park street
2 feet from the interior edge of a park sidevalk
Accessory Structure Setbacks
10 feet from a park building
20 feet from any public street
5 feet from the edge of a park street
2 feet from the interior edge of a park sidevalk
3 feet from an interior space line or rear space line
I further state, by my signature belov, that I have been provided vith the
folloving information:
Manufactured Home Blocking Requirements
Minimum Requirements for Permanent Steps
- Electrical Connection
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