HomeMy WebLinkAboutPermit Plumbing 1995-09-01SPR FIELO 2RESIDENTIAL
PERMIT APPLICATION
lnspections:726'3769
Of fice: 726'3759
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LOCATION OF PROPOSED WOBK:e
?fi,
JOB NUMBER
225 Fitth Street
Springtlelcl, Oregon 97477
TAX LOT:-=ASSESSOFTS MAP:
LOT:BLOCK:
OOWNEB:
ADDRESS:
CITY:
PHON E:
STATE:ZIP:
liEfJ
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i:lEivlODEL ADDITION DEMOL|SI{ OTHEB
DESCBIBE WORI(:
ADDRESS EXPIRES PHONECONTBACTOR'S NAMF:
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERA
CONST.
CONTHACTOR /
- OFFICE USE -
WATEB HEATER:
FLOOD PLAIN
FIANGF.:
OUAD AFIEA:
, OF BLOGS
SECONDABY HEATi
SQUARE FOOTAGE:
, OF BDRMSI --
LAND USE:
OCCY GROUP:
I OF STOBIES:
CONSTB. TYPE
HEAT SOURCE:
# OF UNITS:ZONINc CODE:_
To request an inspection,
made the sanre worklng ,
' you must call 726'3769. Thls ls a 24 hour recordlng, All lnspectlons requested before z:00 a.r-n. iviii bcday, !nspeotions iequested aftor 7:00 a.m. wlil bo made the foilowrng worr< day,
REQUIRED INSPECTIONS
[--l Tornporary Etecrrlc Rough Mochanlcal - prlor tocover.Flnal Plumblng - When allplumblng work ls complete.
Slto lnspcction - To be mado
af ter excavalicln, but prlor tosettlng forrns.
Rough Electrlcal - prlor to Flnal Elsctrlcal - When alleleclrlcal work ls complete.
covor.
l-l Understab ptumbtng/ Etectricat/
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Mechanlcal - prloi to cover.Electrlcal Servlco - Must beapproved to obtaln permanent
electrlcal power.
I-l Flrral Mechanlcal - When all
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mechanical work ls complete.
Footlng - Af ter lrenches areexcavated.FInal Buildlng - When allrequlred lnspectlons have beenapproved and buildlng lscomptoted.
Masonry - Steel locailon, bondbeams, grouting,
Flroplaco - prlor to laclngmaterlals and framlng lnsI
Framlng - Prlor to cover.
Foundallon - After forms areerected but prior to concreteplacernen t.
Othor
Wall/Colllng lnsulatlon - prlor tocover,
Underground plumblng - prior
to fllllnq trench.
Underlloor plumblng/ Mochanlcal
- prtor to lnsulatlon or decl(lng,
Post and Boany. _ prlor to f loortnsutallon or docklng.
Floor lnsulation - prlor todeckl ng,
Sanltary Sower - prior to f llllngtrench.
Slorm Sewor - prior to llllingtrench.
Water Llne - prlor to fillingtrench.
Rough Plurnblng - prlor to
cover,
[--l Drywail - prtor ro raptng.
l--l Wood Stovo - Afror lnstaltarton
MOBILE HOME INSPE TIONS
[l Lnr:1, 1.{fter flreptace approval__. and lnstallailon of unlt.
[*l glocklng and Sot.Up _ When all.J blocklng ls compleie.
Curbcul & Approach - Afterforms are erected but prior toplacomont of corrcrete.
Plumblng Connoctlons _ Whenhomo lras been connected towater and sewer.
Sidewalk & Drlveway - Af terexcavatlon ls completo, lormsand sub.base materlal in place.
Electrlcal Connoction _ When
,U_t9cXt19, set.up, and ptumbtngtnspoctions have been approvedand tlre home ls connected tothe service panel.l-l fence - When compteted
w
[-l Street Troes - When all roqulred
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troes are planted.
FInal - Af ter all requiredtnspectlons are approved andporc.hes, sklrtlng, d6cks, andventlng havo been lnstailod.
€:ZUDO
SUBDIVISION:-
Z%z=y-
fl
Lol facos
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typo _
-- lnterlor
_* Corner
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Panhancjle
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Cul.de.sac
b . -J THE PHOPOSED WOBK IN THE
HISTOFIICAL DISTRICT, OR ON
APPROVED
THE HISTORICAL REGISTER? --__-lf yes, lhls applicailon must be signedand approved by t hc H i s tori calCoordinator prior to permit jssuance.
PL.HSE GAR ACC
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BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
Thls permrt ls grantecj on the cxpress co.crition that the saidconstruction shall, in all respects, conform to lire Ordinanceadopted by the City of Springfielcl, including theDevelopment Cocje, regulating the co4struction and Lse ofbulldlngs, and may lre suspended or revoked at any timeupon violation of any provisions of saicJ ordinances.
BUILDING PERMIT
(A)
Da tePlans Rcvlewed 8y
SO, FT. X $/SO. FT. = VALUE
Plan Check Fee:
Datc Paid
Rocelpt Nurnbcr:,_-. --..
Received Byl
ITEM
Maln
Garago
Carport
Total Value
Building Permit Feo
State Surcharge
Total Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge ls due on ail undeveloped
properlies wlthln the City linrits whiclr are being lmproved,
ITEM
Fix t u res
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
N0
FT.
(4i2.4
----..f_-rr_**a
FT.
_24(c)
4%
PLUMBING PERMIT
Plumblng Permlt
Stato Surcharge
Total Charge
ADDITIONAL CO MMEN
Wood Stove/ lnsert/Flreplace Unlt
Oryer Vent
N0Vent Fan
Mechanical Permlt
lssu ance
State Surcharge
IUtall i-giirrrr
MECHANICAL PERMIT
Fu rnaco
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby cerilfy that all
lnformatlon hereon ls true at'ld correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of thc Clty o( Sprlngf ietd, and the Laws
of the Stato of Oregon pertalnlng to thc work described
heroln, and that NO OCCUPANCY wilt be macJe of any
structure wlthout perrnission of the Bulldirrg Safety DIvislon,
I further certlfy that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
proJect.
I further agree to enEUre that all requlred lnspections are
requested al the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the f ront
of the property, and the approved set of plans will remaln
/
on the slte at all times duri tructionco
Slgnatu
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
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(t
Curbcut ' f,
Demolltlon
State Surcharge
Total Mlscellaneous Permlts (E)14
VALIDATION:
RECEIPT NUMBEB
OATE PAID
AMOUNT RECEIVED
BECEIVED BY
TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, C, D, and E Comblned)
Zzca
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CITY OF SPR OFEGO'V
SPRT.TGFIELD
DEVELOPMENT SERVICES
PUBL'C WORKS
METROPOL'TAN WASrEWATE R MAN AGEM ENT
If you have any questions Please
hours of 8-9:00 8r, L-2200 Pni or
225 FIFTH STF]EET
SPRINGFIELD, OR 97477
(50s) 726-3753
cer-,- i f i Letter
,laiuary !4, L992
F.oberc ancl I'Iorna leroi'
1E 12 l{orth 5th . S-ur€€t
Springf ie1d, Oregcn '>1 'ali
Dear Mr & Mrs Leroy*;
In reference to che l-etter our office sent to you dated
25 tLggL regarding the possible sanitary sewer problems
property, w€ have not receiyed any communication from
requested.
I need to hear frorn )'ou l,,rithin fifteen (15) days to determine whac
u.iiol you wil1 be undertaking to correct the potential health
hazards identifj-ed in our previous correspondence.
October
-!o. u yuu!
\uu a=
feel free to call me between "he1-430 pm at 726'3655.
.-r*^^-^1.-J:rrvE!Erl r
l,z*l-/L*,nalfh Shaw
P3-u.nbing InsPectcr