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Home My WebLink AboutPermit Plumbing 1993-2-19 .'...." RESIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK' 2. IS' () ['7n,~f) In ASSESSORS MAP: LOT: OWNER: J 1\ Ir ",. A'/ vI,Q. A /1\ rtJ vi-€. ADDRESS: . 758 _ And" vSo.. L.. CITy:~(tVly+r.{> I J 0, . a / {JI are Wlellr-r. DESCRIBE WORK' NEW X ADDITION REMODEL MECHANICAl' ELECTRICAl' OUAD AREA: J.R\\.'J...D . OF BLDGS: - \ 'K~ OCCY GROUP: . OF STORIES: I WATER HEATER: ~f .J SPRINGFIELD La u. /4 . C\ :iJ\~ \ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 BLOCt<'. TAX LOT' SUBDIVISION: "- r )~'U STATE: 0" CONTRACTOR'S NAME /..4,u.,.e..:, .!r~Ac.6{J~U-ULV. gg~~~ACTOR . GENERAL: E Mf..V 6.. I J LI . J~1Lv1!' ( :JUc /,j 7SZ) f PLUMBING' 1)+= MCi fA fA ~ ("-IZl/' .P J. PHONE: ---.:zlf/l-Olfftt -I-I~h1r? ZIP: _32.Y17 tl. * 'f \ f ~ DEMOLISH OTHER EXPI RES s-fc Iv PHONE "7f7-l.foc(" - OFFICE USE - LAND USE: _! \ ~ -'I VrJ CONSTR. TYPE: HEAT SOURCE: FE-- <Z-/ . OF UNITS' RANGE: --- FLOOD PLAIN: ZONING CODE: I JlV . OF BDRMS' ~ SECONDARY HEAT: / f)U'i SQUARE FOOTAGE: {c<-~ 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, Inspectlons 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 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 '0- Prior to filling trench. o Underlloor Plumbing/Mechanical _ Prior to Insulation or decking. o Post and Beam - Prior to floor insulation or decking. o Floor Insulation - Prior to decking. fJ o Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. ~ Water line - Prior to filling ~ trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o 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. o Framing - Prior to cover. . o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After installation. o Insert - After fireplace approval and inslallation 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. D Fence - When completed. o Streot Trees - When all required trees are planted. o Final Plumbing - When all plumbing work Is complet.e. o Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS iaBlocking and Sel'Up - When all ,~blocklng is complete. c--z)?Plumbing Connections - When c:P home has been connected to water and sewer. ~Ieclrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home is connected to the service panel. r-il"linal - After all required b{:d'inspectlons are approved and porches, skirting, decks, and ventIng have been Installed. ;.~t ,- Lot faces Lot Type . Setbacks .HE PROPOS'ED WORK IN THE ~ Lot sq. fig. Int2rior I PL. HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner Is I II yes, this application must be signed Topography Panhandle and approved by the Historical Iw I Coordinator prior to permit issuance. Total height Cul.de,sac IE I APPROVED' BUILDING PERMIT ITEM sa. FT. x $/SO. FT. VALUE Main Garage Carport < ,1-'. . .., Total Value Building Permit Fee State Surcharge C2f Total Fee (Al l SYSTEMS DEVELOPMENT CHAR~9C) (B) LfLf(f)3fi) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. FT. C).0z:3 C1~, Water Storm Sewer FT. Mobile Home IS~ Plumbing Permit loS OU 3'd:S lt2P> ,~Q State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge ()f \D5~ d){)p0 -0.A~ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut fI Demolition State Surcharge Total MIscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricai ~U.l (A, B, C, 0, and E Combined) ,', Gr~() BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said const~uction shall, in all respects, conform to the Ordinance adopted by the Clly of Springfield, Including the Development Code, regulating the construction and use 01 buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee' vY Date Paid: "'- Receipt Number' 5> Received By: /" Plans Reviewed By Date Systems Development Charge is d.ue on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS By signature, I stale and agree, that I have carefully examined the compleled application and do hereby cerlify 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 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 be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address 15 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 site at all limes during construction. Signat~~A J~~ ~~ Date _(;f ~/ i!lJ-13 VALIDATION: ""'~ RECEIPT NUM~R ') <..Y:::l ~ DATE PAID r-,/, IY, L{... ~ - 7"""\ AMOUNT RECE~\ \S1...q. ,Y.t ) RECEIVED BY \ _1\1 ~ J - .-.... ...'-'.. . . SPRINGFIELD DEVELOPMENT SERVICES PUBLIC WORKS . METROPOLITAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726,3753 MOBILE HOME F~D MF~UFACTURED HOME AGREEMENT UNITS TO BE PLhCED IN A PARK As required ~y the City of Springfield Development Code and/or the State of Oregon, I understand and agree, as shovn by my signature on this form, that vith th~p'proval oj the attached permits for a home to be located at I ~DC"ACl'.1.1Jl.r) ;th,<J O?--, , Springfield, Oregon, Ci ty Job Number ,jfjlC\. \ I .'ill meet or exceed the belo", 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 in terior space line 5 feet from the edge of a park street 2 feet from the interior edge of a park side.'alk 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 in terior edge of a park side"'alk 3 feet from an interior space line or rear space line I further state, by my signature belov, that I have been provided vi th the folloving information: Manufactured Home Blocking Requirements Minimum Requirements for Permanent Steps - Electrical Connection (lt1/t1/J'JA l. Sit1ture ~;rLUi J'J .,/ ;2) 11/93 Date