HomeMy WebLinkAboutPermit Plumbing 1992-11-18
.
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
LOCATION OF PROPOSED WORK: 2./5()
ASSESSORS MAP: _JD_D..3.d!J 10
.
l",,,J:,.A ";7.:tt 'Z I ~
OWNER: ~.N_fl.~S&fni.1!&I I .
ADDRESS: "(~ J () rl \SD (j (} LU/.()J (,'
CITY: . _~_rtl ) STATE:JUJ olJfm_,
DESCRI'~R~^'\\{\ f\lll ~mn(N CVl nfYJYh
NEW + REMODEL A~TION DEMO~OT~ER (14()'.(.~ I-k,.v
LOT'
CONTRACTOR'S NAME
GENERAL: ~&lI...:..HA~"I~'N
PLUMBING'
..
. .
BLOCK'
.
~
,.:
I;;'
I..
(~
h
i~
!,
~~:
'.
t..
.. .,' qlJ 1/1
. J,0B NUMBER' . . ~/5l.Pt
- 225 'FlfthStreet
Sprlnglleld, Oregon 97477
'.' f
~
i'
..
,.
TAX LOT'
SUBDIVISION:
(')14( D
I'
I>
PHON~' ,4'1 .
"
8l1O"1
r
L
:',
ZIP:
Cli 1]
~
i:
i'
I'
..
:,
I.
~
I;
t.
t
"
,
I.'
ADDRESS
C~~.5 T . f:1jLJh.".. "I 'H)
I
CONST,
CONTRACTOR'
Gb<f<t1
?,.D '2."''' p/J
EXPIRES
5-7.Cj-,
/I . 3c -'j.!
PHONE
08'1-"7761.
,-( II
"
"
"
MECHANICAl'
ELECTRICAL: 1:l..t:B...ft7'lJ..P: FA.-f:CTl.IL - RA....'#J Bu.""",
- OFFICE USK ..
QUAD AREA: j5Z \\ )\J..~ LAND USE: \ \ ~
FLOOD PLAIN' -
. OF BLDGS: \ . OF UNITS' \ AJ ZONING CODE: l J\k:0
OCCY GROUP:_\<3 CONSTR. TYPE: V. . OF BDRMS' ,~
. OF STORIES: ....-J HEAT SOURCE: F'G SECONDARY HEAT: \-\'/ ~'h
WATER HEATER: t"......I RANGE: _7.-/ SQUARE FOOTAGE:
To request an Inspecllon, you musl call 726-3769, This Is a 24 hour recording, All Inspections requested before 7:00 a.m. will be
made tho same working day. Inspections requested after 7:00 a,m. will be made the following work day.
o Temporary Eloctrlc
o Site Inspection - To be made
after excavation, but prior to
setting forms.
'Rh Underslab Plumbing I Electrlcal/
~ Mechanical - Prior to cover.
'-c!/-,' Footing _ After trenches are
~ excavated.
o Masonry - Steel locntlon, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to lIIIlng 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, .
,..,A Sanitary Sewer - Prior to IIl1lng
~ trench. _
o Storm Sewer - Prior to ;lIl1ng
trench.
rm Water Line - Prior to IlIlIng
,l.pJ. trench. _'
-0 ROUg~ 'Plilmblng' -: ~rlor t?
cover.. r 1. J .: ' r' ' i~~l!.'
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 Wail/CeilIng Insulation - Prior to
cover.
o Drywell - Prior 10 laplng.
IJ
o Final Plumbing - When ell
plumbing work Is complet.e.
"
,
,.
,.
o Flnel Electrical - 'When all
electrical work Is complete.
,
i
I'
I.
~
I.
r
~
r
..
!
o Final Mechanical - When all
mechanical work Is complete.
M FInal BUII'dlng - When all
L...P required Inspections have been
approved and building Is
completed. C())l~~'
o Other
MOBILE HOME INSPECTIONS
o Wood Stove.- After I~stallatl(>n. ..' ,~;:,';L~::~ ~..;.-: . '. '.' ~ 1 ,.,;.: ',.;.
if! BI~C. ki~g."nd Set.Up -. When all >
O Insert - After ftreplace approvai .~ bl,oc~I,ng Is'complete. .
and Installation of unit. ~ ' , :. . ~ . " ...
O " . 'Fii,pi.~mblng;_COnnectl~ns.- When
Curbcut &.Approech - After r home,has'been connected to
forms.~re..erected but. prior to. .. _ ,.water'and~sewer, "..t>. I
placement of concrete. . , '; . ~"""k' ":'. ,
."o1~~:'!""'~'-~l. ,:~" '" :.i~'
(71 Electrlc;i(Connectlon - Wtien"
o Sidewalk & Driveway - Aller ,~:bl.o'i:klnil;ts_et'up,'an.d,plumblng
excavation Is complete. forms- - ,~Inspectlons~have been approved
and sub.base material In place. ' and '.the home Is connected to
. '.' _ r . I :""~ . ~!'. ,ttiEfrserVice.paneL:~'('~: ..' ,,"':'
o Fence "- V"he.~ compi~~ed., '1,,~:/';L"'~;t;lrfi~~,-ii(:A"!<:"" . .
" ....' J, . ,t: .~ M.,~llia,IK~tt,~r.ial.I..r?qulre:d,;,'1i\:, . :'.
D .~.:~ ;'.:W. '!oo. '4' .:.,.'~~: '''''i,.,,~ ~,....\I~!!.J?e~_t.!~~I~r!'la~P'!OV~d',a~d:'1 ,. ," ....
I " S,I~e'!t.' :rre~s -' hen'. al.1 /equlp;~d"l_~;.... ~~:.,' p.orche~'I~.!i!!t1...ng;'\d_eC?~s, and 'I.' .;:' .
'. :' tree91are~planted. '."^: 1:~..:..7 ~:':, \:~~ ,", :)vent!ng-!nav~~bee'n;lri8talled:, l-~'1'"
. ' f"'. "-. .' '.". ; . h_'... ~. ':1'-' '
\
l
i
r
I
,
,
,
1
!
r
,
I
I
----;--"': ',':":: :,,~ot Ty~?:;'_;:';l ';:" Setba<:ks, , :.. '
~:':~:"i.~\~, .-':.y'-~'.f'~~:{" :IM't:....ib"'.': . ~;:,.P,"~ ~;p.l:.7'I:HSE' lG,AR: lAce.
~ --:- ' ~~~."")'1~\,~},,
iN~ "'~_" - \'f.';'{;,:~ h~ik'..
I ill"''', , ,. "f,"'"'; . :r.
',1 ~s~~12:.',~~p :::~:'1:~ :;-.~ ~.: .
I~'~(' .'
IE ':"1
:/;.,.;;~'
. '_. Cul,de.sao
,.~ '0."
;.."
"..:'"''
,'re" ~ .'.' p- ''V~'_ ~,.,:t. .".....
BUI(DING'PERMIjJ',~ ,.'.'
ITEM ." S,Cl~'J;t~:~x,,'. ~I~Q.'FT.
.' '
VALUE
Main
.'
. ,'-.
. .
Garage
~
\?>loO
):0\05
~
"(A)~""'~
.... '. c- ," .,. ..........;- f'<('''l .
SYSTEMS DJ;VELO,:J!f;J,E)Nf.:.;-f,liC, H, AR95-i~D~) /\
n1'II.r?;',q~~JNT1B;:"'~
\PLU'N!BING PER'Mji' " ,'.:. ;' ,
ITEM "..'
Total Val ue
Bull~lng Permlt'Fee .
State Surchar,ge
Total. Fee
.~ . .
'.
FEE
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
r{),~ _ CO
rOf-S,CXJ
10 aiJ
\'(jlC:)D-J
,~.d5
I.tfA dJ5
MECHANICAL PERMIT
Furnace
I "'- I 't,
Exhaust Hood' .'
Vent Fan NO
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit I- ;.
::, (D) ; ,
J2)
~06
, (j
~,
...C:S~
M ISCEL!-AN EOUS:PERM IrS.
Mobile Home;'" "" '{~-.. >i-l,
,",' . ' ".'
State Issuance
State ~ufch..~rge
Sidewalk
'l {.
.ft
f!
'.
., '
Curbout
Demolition'
" .
.:.
State Surcharge
., .~- "
."
Total-Miscellaneous Permits.~, ,; :.....(E) \ .
TOTAL AMOUr:;T':~U~'(eXcl,j~I~~"ele,';ctrICal), 1;~65,~
(A, B, C, 0, and E Combined)',,' .:;:; <6135,<1:\)
:...
'.S THE,F;>ROPO,SED WqRK.IN THE
HISPtlIGAL'PIST.RI8",P!' ()f:/ ..'
THE:HISroF,lICA~-REGISTER? . '::~.
".. .._ '.', . '.......".' '. ".r. . ,..,
"~.F,~t. "",J . ..... ",,,,.;:~,I(Ft:"~;"~"j. '....., .....
If yes;<thls;appllcatlon"rri"ust be signed
;' ~. . -. .' j.... ....'. ,', .: ~.
and. 'approved ,~y :,the ",I'!,storlcal
. coord~r,a..t'()rlprIOr t'o permit Issuance.
APPROVED;
!3,UllDING VA LU.E , PLAN CHECK
"AND BUILDING PERMIT
This permit Is granted on the express conditlon that tile said
constructIon shall, In all respects, conform to the Ordinance
adopted by the City or' Sp'rlngfleld, Including the
Development Code, regulating the construction and uso of
buildIngs, and may be suspended or revoked at any tlmo
upon vIolation of any provisions of said ~lnancos.
Plan Check Fee: 1 ~
Date Paid: \\ \C)././
Receipt Number' ).)X"
~.
~Plans Reviewed By Date
.9ystems Development Ch~rge is due on all undeveloped
properties within the City limits whIch are being improved.
~ I . . I
. ADDITIONAL COMMENTS
By signature, I s~(Jte and awee, that I have carefully examined
the completed Clpplicatlor 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 IIlal NO OCCUPANCY will be made of any
structure without permission of the Building Safety DivisIon.
I further certify ttla! only contractors and employees who
are In compliance with OFlS 701,055 will be used on this
project.
I further agree to ensure ~hat all required inspections are
requested at tho proper ttme,' that each address Is readable
from tile slreot, lhal tho p;.rmlt card Is located at tho front
of tho property, and tho approved set of plans w~1l remain
0. the site al,all times during conslructlon.
. '~ture~Jk..~__~/VQ~
D~te tHe -9z.
..' .'
'VALlDATION: dCJ.~
:F!ECEIPT NU~'ER ,Il f-..,.J
DATE PAID I --l - 0 "ri-. .
'~, ~OUNT R(tfEI n L -S IY'?{-)
RECEIVED (f "0.... )
/ -
(~~~ q3)
.,
..,
DEVELOPMENT SERVICES
PUBLIC WORKS .
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD. OR 97477
(503) 726.3753
MOBILE HOME AND MANUFACTURED HOME AGREEMENT
UNITS TO BE PU.CED 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
therfPprOVal~we attached .l1ermits for a home to be located at
rj J."') () I.LUJI~:frd/O , Springfield, Oregon, City Job Number
Cfc9 LOS/o 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 interior 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 sidevalk
3 feet from an interior space line or rear space line
I further state, by my signature belo., that I have been provided vith the
following information:
Manufactured Home Blocking Requirements
Minimum Requirements for Permanent Steps
- Electrical Connection
~, w;~
\~nature
r;. W /.IAA.I: -.
/1-18 .92.-
Date