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HomeMy WebLinkAboutPermit Plumbing 1992-11-13 S'lrJIAO~A 'D).1 V\(JD~ ~ \c:..() fti.n.,l.A/)O ~ .-;jI- I <......,....,; ,lAC. Q...eJ rf2 ~f-L" -....J DESCRIBE WORK: YY\IJ^^.I.A~'. ~ " CONST, I 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 ~ ~.-"" " . Inspections: 726.3769 Office: 726,3759 LOCATION OF PROPOSED WORI" ASSESSORS MAP' LOT: OWNER: ADDRESS' CITY: NEW REMODEL ADDITION ELECTRICAl' . ~~. . ,JOB NUMBER q ~ ISS.~ 225 Flfth'Street. . Springfield. Oregon' 97477 I' II:' ) .: 'l ,. " I ~ ::J I sn L 0U A /"10 II 0:<' ,:}'I I n --FI f:.&' <. '-' ~ct)~ OI./-l.J.('J{) .. " ;, BLOCI" STATE: ()~ TAX LOT: .. SUBDIVISION: F a.. ~. DEMOLISH OTHER PHONE: ILfh' LfSC;'i( , '. - OFFICE USE - f ZIP' q-llf JI '* , . , '" i , , , 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 ~. . 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 ~ . . I , ~ . ~ I _" "",'\ ,', - ' "";'-...... '. '} . 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. . . .... ,.. . D FlnalrMechanlcal -(.When ,all mechanical work Is 'complete: . . . , . . I ~.: . , : I '0 Final Bullaln'g-' When all . required .Inspections have been approved 'and building Is completed. O'oiher .. ' .,:<t., MOBILE HOME. INSPECTiONS c',~,.,~,~o, '~~" "'p-. .:'."~ ,-' 0,\" ~ ,',,'. "'~\""" ." B'~;~c~ing~~n:d set.up' - ~~en all . ;blocklng Is complete. . . ~,',. ~PluiTibi~g Con'nectlons - When Lp'-home has been connected to water and sewer. " J " .S THE PROPOSED WORK IN THE HISTORI.CAL'DISTRICT,.OR'ON. THE HISTOFjICAL'REGISTi=:R.? , " If yes, thls'appllcatlon must be signed and apj>r<:ived by the Historical Coordinator prior to permit Issuance. . 'oj'.". '". "''"2 ,~ Lotfaces~ ".\-"i-.~ . ;"'~"~~'l~~"\!;.' . 'f;,'~ ~~"v;..:.'..t~~~.f " .,.,. Lot sq,Htg,?' ~ ,;.,,;:J~,.:...:, , ,:' '. ,-"r.l.. . I',' --'......."., . - '>, ~ 'LOCc:overag'e.,''-'-:- ' ~. ~:~~.;:. ~.' . Topography' . Total height .' ~.O~_.T~~~..:~",t;~.t: 'J 1"(" Setbacks ,,' . ~':Ir\t~'rl;"r:;n'.' ';':~ p,(:. HSE .GAR ACC ,.':,(:,~,~~~~;:_~c.: !\;'>'~..~~ r>t+~ " r" ,~'C~rner ..'. .'" N . :'p~h-;ndle . S \W IE Cu!:de'sac BUltDfNGP'E'RMIT ITEM SO: 'FT. X $ISO. FT. Main < ' 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 h ' " . ~)1i"1~ ~ ~.. . (0) t .t\_' .~ . ""I"'J'l'; .,", , .~,. t, 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 r){'5,OU r!:)~,CV LCS. 00 (p~_aJ /3.&5 ~~'dS lrJ~C:O c90 ,CO ,~jJ~ - 1/!-f1!iO (1Cff33::J 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- I 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 \ Q 9 ~:" (l' f) () ( J lJ.XY\'1; t. - ~ (\af\) J\ (J13fJ \~ 1 . - I 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 " . ......, . . 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. . 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 ~\ {,J ~~hh '\ ~na~ o,/V- V W ,~.-f/V1"'" .dfiA v Date