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Home My WebLink AboutPermit Plumbing 1995-4-12 " /' \.' 1.......-:' . RESIDENTIAL PERMIT APPLICATION SPRINGFIELD ,/ JOB NUMBER ?_~ y~ Inspections: 726.3769 Office: 726.3759 ,225 Fiftt1 Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: "39~ -:;;I ~'9~;2 . I. -- ASSESSORS MAP: J ?~"2-3/- ij,/ . . l. . LOT: -2 .41 -=? BLOCK: ( .., GLeE: ~~... -/ /~~/c-';-:> - 71-' , , ADDRESS: b''=3 q C 5~~ STATE: ~../9 ~ ZIP: ~ >.~:?? DESCRIBE WORK: P<h)-L.~( fY~-::~ ~~~ ';i'; Gj ~~p~~~ ~ "./ ,. I' ;- ,; ... 7 . .. , , - , C -~,. ~ REMODEL ADDITION DEMOLISH OTHER :7V~,~ Y"5$ OWNER: PHONE: CITY' NEW CONST. CONTRACTOR It CONTRACTOR'S NAME ADDRESS EXPIRES PHONE GENERAL: .-- . T.?"> Ir$~ PLUMBING: -I /C}J'~/~~ ~?~..7~,~~./<~~"*,.y'S;- MECHANICAL' y~;r3 //- :J'S'.... ---- r r ?"Y3'~<: ~ ELECTRICAl. - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN' It OF BLDGS: It OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: It OF BDRMS: It OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGr=. SQUARE FOOTAGE: 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, Inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric o Rough Mechanical '~ Prior to cover. o Final Plumbing - When all 'plumbing work is complete. o Site Inspection - To be made after excavation, but prior to setting forms. o Rough Electrical ...,. Prior to cover. o Final Electrical - When all electrical work is complete. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Final Mechanical - When all mechanical worl< Is complete. o Electrical Service - Must be approved to obtain permanent electrical power. o Footlng.- After trenches are excavated. " o Final Building - When all required Inspections have been approved and building is completed. o Fireplace - Prior to facing materials and framing Insp. o Masonry - Steel location, bond beams, grouting. o Framing - Prior to cover. o Other o Foundation - After forms are erected' but prior to concrete placement. o Wall/Ceiling Insulation - Prior to cover. o Underground Plumbing - 'prior to filling trench. o Drywall - Prior to taping. MOBILE HOME INSPEGrIONS o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Wood Stovo - After Installation. D Blocking and Set.Up - When all blocking is complete. D Post and Beam - Prior to floor Insulation or'decklng. D Insert - After fireplace approvlll and Installation of unit. o Floor' Insulation ~ Prior to decking. . o PJumbing Connections - When home 11as been connected to water and sewer. DCurbcut & Approach - After forms are erected but prior to placement of concrete. rPI' Sanitary Sewer - Prior to filling W trench. o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material in place. D Storm Sewer - Prior to filling trench. ' D Fence - When completed.' o Water Line - Prior 1'0 'filling trench. . D Final - After all required ins-pections are approved and porches, sl<lrting, decl<s, and venting have been installed. D Rough Plumbing ~ Prl<;>r to cove~ - D Street Trees - When all required trees are planted. _. \ : ". ..., , . Lot faces Lot Ty . Lot sq. ftg. Interior I P.L. IN Lot coverage Corner Is Topography Panhandle Iw Total height Cul-de-sac IE BUILDING PERMIT ITEM sa. FT. x $/SO. FT. VALUE Main " Garage Carport - Total Value Building Permit Fee State Surcharge Total Fee (A) SYST'EMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer , FT. -:z?~ Water FT. Storm Sewer FT. Mobile Home Plumbing Permit "'7~ ~ f~ "'1. c:> ?...1~ "7~ be:> State Surcharge ~f Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELL.t\NEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge $L./~~~~'5~>~e~ L.ff:~~ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) eD 7."2"1 (A, B, C, 0, and E Combined) -.. :. ;,;. , f;' :"';~)ii;ll)} - -. / Setbacks HSE GAR ACC ~ , IS THE PROPOSED WORK, tN THE _ HISTORICAL DISTRICT, OR ON THE ,HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical , Coordinator, prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the expr~s condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development 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. Plan Check Fee: Date Paid: Receipt Number' Received By: ' Plans 'Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the complete,d application and do hereby certify that all information hereon Is true and correct, and I further certify that any and ali 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 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. I further agree to ensure that all required inspections are requested at the proper time; that each address is 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 times during construction. Slgnature,~ ~~ k? ~ --- Date /f - /9, ~ q ,"J VALIDATION: /~939 //-/2 -9':;;;- AMOUNT RECEIVED &::::>:? '2. 5/ ,,~~-" RECEIPT NUMBER DATE PAID RECEIVED BY s~. ;...~ CllY.QF SPRINGFIELD IMPROVEMI?NT AGREEMENT AND APPLICATION FOR SEV\ER HOOKUP , VVe, the undersigned property owners, request permission to connect the following described property to the sanitary sewer owned and maintained by the Oty of Springfield. VVe therefore agree to pay a charge of $0.28 per square foot of the benefiting property for the first 150 feet of depth as a deposit against Mure assessments for sanitary sewer. Area in excess of the above mentioned 150 feet of depth is charged $0.14 per square foot. Tax lot No. 17 02 31 44 00900 (Dart of) . Receipt No. /h "13 9' .Address 3C\'ZD' ~o .3q3z. ALCONA STREET legal Description: The South 52.63 feet of Parcels 2 and 3 of Land Partition Plat No. 95-P0652 (County Survey Rle No. 32644) as platted and recorded in Lane County Partition Records in Lane County, O'egon. . Fee Calculation: , Sq.' Ft. at $0.28 per Sq. Ft. = $ 5.226, Sq. Ft. at $0.14 per Sq. Ft. = $ 731.64 Total $ 731.64 This agreement does not indude the cost of a house connection to said City Sewer, sewer user charges, connection fees, plumbing permits or other such costs to be assumed by the property owner. The applicant agrees to waive all right to remonstrate against an improvement project for sanitary sewer to be duly initiated by the Oty Councl, but not the right to protest the amount or manner of spreading the assessment thereof, if the same shall appear to Applicant to bear inequitably or unfairly upon said property of Applicant. . Now therefore, the City agrees that if Applicant complies with the terms of this agreement and with all other applicable laws of the State of O'egon, Lane County, and the Oty, the said applicant shall be entitled to connect the existing residence to the public sewer systems. The covenants herein contained shall run with the land herein described, and shall be binding upon the heirs, executors, assigns, adminbL ellors, and successors of the parties hereto, and shall be construed to be a benefit and a burden upon the property herein described. This agreement shall be recorded in the Lane County Deed Records. I ~ W1erefore, the parties have set their hand and seal this ~-z..;- day of A~RI L- , 1995. CllY OF SPRINGFIELD: By l~ ~ ~ ~')1..~ Director of Public V\brks APPLICANT: -,..4~ ~~~~ C/4ARLfZS AB}/kR Cot...r;: STATE OF OREGON) ss COUNTY OF LANE) On this IZ~~ day of APe.IL. applicant and signed the above document. , 1995, there personally appeared before me the above OFFICIAL SEAL TROY Me AlUSTER NOT ARY PUBLIC . OREGON COMMISSION NO. 009914 . MY alMMISSIOIl EXPIRES SEPT. Jl.l9!li ~~Y llJ~c~ NotarfPublic for O"egon My Commission expires :Se.t>t. 30, I qq 5" , / Rnance Department InfolllldUon: Trunk Sewer Lateral Sewer $ 731.64 Return to: CllY OF SPRINGFIELD - PUBLIC V\ORKS DEPT. - 225 FIFTH STREET - SPRINGFIELD, OREGON 97477