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Home My WebLink AboutPermit Plumbing 1998-11-24 STATE:,~~ \::::s~u\~ ~ ( ~. ' "'--.. . SPRINGFIELD RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 (~.~ _ fl Office: 726-3759 ~JI LOCATION OF PROPOSl1' ~KC ,~3~~~u ::U. \41 ASSESSORS MAP: \ \::j'~600 (J LOT: . i.; ; 1"' l~ ~t . '. . BLOCK: - OWNER: ~ \..A.\'; u. )~ \ \ \ CU'()... ~ ADD~S: ~ac::a. ~~~M CITY: ~'Q~li . , - \ \ ' . DESCRIBE WORK: toll n~\A ~O Q NEW REMODEL ADDITION . ' JOB NUMS~R _Qs(L\5:) 225 Fifth Street Springfield, Oregon 97477 TAX LOT: Ol2{)O, SUBDIVISION: PHONtJ'\D "" ~a. \ ZIP: QY\4f\B , CON ST. \~:3;~~ # \ \ .a:~iX) "~iDO,08lcO ~~\\O . B \\.qq q~.:l2.5C3 LAND t1Sl:~ lIl'Ollo ~1lI~ ~.h(j~t~N /1tlt <.. 01' "0 c~t,. 'SS '0 ~(}11V~:?~~:qry't"'S.~rli-' . y, v~'n" sl'}t, 'f6ry IqloJ, I'}I~~ ggijJ]"OO:..- st: ."~ 6vlb "1Q~ . SECONDARY HEAT: v~h_ '{J /1). ~ vo, , OoS' 'S 0 (,(1"& WATER HEATER; RAlQ'6-'5: S,,~ 06"'e;.Ot1. S"~b. "'~3ai'oS'yO~ SaUARE FOOTAGE: ,... 'l'1h. 'l7/1Q" 'I'} f',.. v~DJ.. 'oS',.::) '.. 'I) I b to '-Y}1. ~ U . (/LI, :JjJl& Vt'& 11'11, To request an Inspection, you must call 726.3769, Thl~lf*a ~O~@~o-~gJ~ ~S'ff?t~~lons requested before 7:00 a,m, will be made the same working day,lnspectlons requested aftel7lOO':-P.r6~i' it&~e ~e~t.m..~owlng work day, . -VO':l1 'I.~S{~:.%VU1. RE~.u I RED I N&~ OO'J~~6 'oS' 6y , ,0 ~ c. o Temporary Electric ~~RO,li91i Mechanical - (lor rhoI'} 0 Final Plumbing - When all , ..c' CAver. plumbing worl< Is complete. , '", ~ . . ~ . ,,~ \)<<:- D Site Inspection - To be made ~<v L&<<-r Ro"'ughElectrical - Prior to after excavation, but prior to ~<<~ ~~,q,o'ver. setting forms. <VI"' ~C:> ~~ . ~ ~ ~(j "'~..R'- ~~ o Underslab Plumbl~gJEle~trlc~.J/ ~D Electrical Service - Must be Mechanical - &!;at t~~cov~~ ~ approved to obtain permanent . ,.....,~ ,.,<<<f!' A,4i> ,0<<- :--.(~' electrical power. D Footing - Aftertrenc~~s~.) k<f excavated. "'>:' ,p ~G _'\<<- 0 Fireplace - Prior to facing . ." ,f<.' <. ,~' materials and framing Insp, o Masonry - Steer\'lo,~atlon!bond beams, grouting.> '- , CONTRACT,\!\S NAME . ~~~ESS GENERAL~ J\..f') - \\~ ~ \.~ PLUMBING: -~o.--~ MECHANICAL' ELECTRICAL\ .t\\l\ ~V~ ('i\ ~ - OFFICE USE - aUAD AREA: # OF SLOGS: OCCY GROUP: # OF STORIES: , \. o Foundation - After forms are erected' but- prior to' concrete placement. o Framfng - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Underground Plumbing - Prior to filling trench. . . , o Drywall - Prior to taping, O Underfloor Plumblng/Mechanlcal - Prior to Insulation or decking. o Wood Stovo - After Installation. o Post and Beam - Prior to floor Insulation or decking. o Insert - After fireplace approval and Installation of unit. D Floor Insulation - Prior to decking. 0' Curbcut & Approach - After forms are erected but prior to placement of concrete, D Sanitary Sewer...,.. Prior to tilling trench. : o Storm Sewer - prior to tilling trench. . o Sidewalk & Driveway - After excavation Is complete. forms and sub-base material In place, o Water Line - Prior to filling trench, I o Fence - When cor.lpleted, D Rough Plumbing....,.. Prior to cove~ . D .Street Trees - When all required trees are planted. i .I I FLOOD PLAIN: ZONING CODE: # OF BDRMS: D 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 ~Cklng and Set-Up - When .11 blocking Is complete. ~Umblng Connections - When home has been connected to water and sewer, ~ctrlcal Connection - When . blocking, set.up, and plumbing Inspections have been approved and the home Is connected to 1e service panel. [Ej :~nal - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed, I Topography Total height , Panhandle . I P.L. IN Is . , .~ l:. ;. - .:. :', \.' I' , ..' ,. . t I ,_ t:.~ I . , . ,:'" '~~t:'~CI~~".~r: ~'ii.'~i.. :'. :Is ;HE' PROPOSED ~ORK.'tN TH~ , , HSE GAR ACe' "'HIST08ICAL DISTRICT, OR ON . THE HISTORICAL REGISTER? If yes, this appll~atlon must be signed and approved, by the Historical Coordinator prior to permit Issuance. , .~ Lot faces L~t'~yP. Interior ',;, . - " ' . '" . . Lot sq. ftg.. Lot coverage Corner Cul.de'sac w '.' E APPROVED: \. I"i rj BUILDING PERMIT :;!i. .'~ '~ ITEM sa, FT, x $/sa. FT. = VALUE BUILDIt'fG ~t~E 'P'LAN CHECK . "" AND BUILDING PERMIT Garage . . This permit is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City of Springfield, Including the Dovelopment Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Main Carport Plan Check Fee: Date Paid: Total Value Receipt Number' Building Permit Fee Received By: . State Surcharge' Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. Storm Sewer FT. FT, Mobile Home ,;)~ Total Charge (C) tQ.co .,'"' .4~ \lo.2.b Plumbing Permit State Surcharge MECHANICAL PERMIT Furnace Vent Fan NO By signature, I state and agree, that I have carefully examined the completed application and db 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 Ordlnancl:ls 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 of 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. Exhaust Hood Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge 51 J",.. ",I;, SDJo 1D5. 00 30fO -5,2-5 ~.\5_ I further agree to ensure that. all required Inspections are requested at the proper. t}me, that each,address Is readable from the street, that the permit card Is located at the front of the pro3-e y, and the approved set of plans will remain on the Ite at all es during construction. L~~L ~ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home ,,' State Issuance . State Surcharge Curbcut ft Demolition TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) 5-~ VALIDATION: Q.. ~ RECEIPT NUMBER /l) l\ Lp DATE PAID \ \ . . q <s _ RECEIVED BY \_ )~_/ State Surcharge Total Miscellaneous Permits (E) , . \ J~. "' .. .,:\ - ....-- ,.. ; .~ . ';,' > , .. .' . ~ -, -. . .,. DEVELOPMENT SERVICES DEPARTMENT I " 225 FIFTH STREET' SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 MOBILE HOME AND MANUFACTURED 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 shown by m)' si~ture on !his fonn, that 'Y~ the approval of the attached pennits for a home to be ~~\'haf, 5~~ l ~\ ~ >, ~ J , Springfield, Oregon, City Job Number ~ \TCC5S I will meet or exce~e below 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 sidewalk 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 sidewalk _ 3 feet from an interior space line or rear space line I further state, by my signature below, that I have been provided with the following infonnation: _ Manufactured Home Blocking Requirements _ Minimum Requirements for Pennanent Steps - Electrical Connection . Wk,J;A gnatfe / ~5~ L-I' //ftrho Date