HomeMy WebLinkAboutPermit Plumbing 1992-9-25
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RESIDENTIAL .
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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SPRINGFIELD
LOCATION OF PROPOSED WORK: _J,r-;"iO -1/.'"::> ;-, IC-
ASSESSORS MAP' 1?-03-:2.')- ~~
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LOT:
JOB NUMBER _2A1a~
225 Filth Street
Springfield, Oregon U7477
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TAX LOT: --'2 :::'7c::::s-C>
BLOCI<"
SUBDIVISION:
OWNER'
ADDRESS:
~r~~
-:2 / '< S?.:v~ /~&-~_$'~
E~6F~ STATE: ~~
CITY'
PHONE: _6.~ -~-=c.. ~
ZIP:
DESCRIBE WORK: _~P'f"""'L"? /"~//& ~F.5~_p 4~'7._2!t, -....~
NEW
REMODEL
ADDITION
OHIER_
CONST.
CONTRACTOR'S NAME ~RESS i2~ CONTIlACTOIl' EXPII1ES I'HONE
~_ 7) _/' "~...r---~' ~ ~
GENERAL: ,L-fA"'#Y-tt"?' '- , . 1ff/f4f,,,,, ~~~zZ//---2-7~__-uz:z.~-
PLUMBING:~~4~~~ ~~,.....-~_AC:>~~i!? 1'~4 b1I'''-~i2.7
MECHANICA' .
ELECTRICA' .
QUAD AREA'
. OF BLDGS:
OCCY GROUP'
. OF STORIES:
WATER HEATER'
DEMOLISH
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE: ____.
HEAT sounCE:
RANG".
FLOOD PLAIN:
ZONING CODE:
",OF 80RMS:
SECONDARY HEAr: ______
SQUARE FOOTAGE: __
To request an inspection, you must call 726.3769. This Is a 24 hour rccordin{l. All in~llf.:clilnls Icqllcslc<.J herOIC 7:00 a.m. will be
made the same working clay. Inspections requested after 7:00 a,rn. will be lJIade thu luJlowi/ltl worl< tiny.
o Temporary Electric
o Sito Inspection - To be made
after cxc;lVation, but prior to
setting forllls.
o UndersJab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches arc
excavated.
o
Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
D
Underground Plumbing - Prior
10 filling trench.
o
Underlloor Plumbing/ Mechanical
- Prior to Insulation or decking.
D Post and Be3m - Prior to floor
Insulation or dccl~ing.
o Floor Insulation - Prior to
decking.
rJ7l Sanitary Sewer - Prior to ruling
~ trench.
o Storm Sewer - Prior to filling
trench.
o Waler L1no - Prior to filling
trench,
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanicnl - PliOI" II)
cover,
O Rough Elccllicnl - PI lor 10
cover.
o Electricnl Service - Must be
approved to obtain pennnnenl
electrical power.
o Fireplace - Prior 10 facing
materials and framing Insp.
o Framing - Prior to cover.
D Wall/Ceiling Insulation - PriOl to
cover.
o Drywall - Prior to taping.
o Wood Stove - Arter inr.tnll:ltion.
D Insert - After fh(~place applI)val
and Installation 01 unit.
o Curbcut & Approach - After
forms arc erected but prior 10
placement of concrete.
o Sidewalk & Driveway - Arter
excavation is complete. form~:;
and sub-base malerlal in placr:!.
o Fence - When completed.
o Street Trees - When all required
trees arc planted.
1_]
r-illal Plul1lhinu - Wilen ,III
pllllllblnn wOlh I~ cOlllplolu.
1_.--1 Finnl Etcclricnl - Wllon nil
--- 1~lcctrlc<J1 \vUlh i~> cU/llplcle.
I~ Final Mechanical - Wilen all
mechanical work is complete.
o Final Ouilding - When all
required Inspectiono have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
l-J Blockinu ami Set.Up - Wllf~fl nIl
- IJlocl<lnu I~: COlllplcll~.
I~ Plumbing Connections - Wilen
home lIas been connected to
waler and sewer,
I~ Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been npproved
and the home Is connected to
the service panel.
{~ Final - After all required
Inspections {lre approved nnd
porches, skirting, decks, and
venting have been installed.
J
Lot faces
Lot sQ. Itg.
Lot coverage
TupourapllY
Total tleight
Lot Type
Interior
Carnln
Pantlandle
Cul-de-~ac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garage
Carport
Total Value
Bullejjng Permit Fcc
State Surclwrge
Total Fcc
(A)
.
l. IS. PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this applicallon musl be signed
and approved by the Historical
Coordinator prior to perml! Issuance.
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Setbacks
fL. _ ..!i.SE GAl!. ACC
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_5 ___.____
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E
VALUE
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
RcsleJonlinl Balll(s)
Sanitary SewfJl
Waler
'Storm Sewer
Mobile Home
PlumbIng PermIt
Stale Surctwlue
Total Charge
(Fl)
~~_._--
FT. II'C?_
fT. ________
FT.
Furnace
MECHANICAL J;lERMIT
(C)
Exhaust Hooel
Vel'll Fan
Dryer Vent
WooeJ Stovcllnscrt/Flreplace Unit
N'
Mecllanlcal Pennlt
Issuance
Slate Surcllarge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
Curbcut
Demolition
State Surcharge
II
II
Total Mlscellaneo'us Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, 8, C, 0, ,111(1 E Cornblned)
FI,E
-'t-~ -
___~C?. <n?
_ Z,_'"
-12'-
'1
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted.on the express condition that the said
construction shall, Yn all respects, confonn to'the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and usc of
buildings, and may be suspended or rcvol~ed at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Dale Paid:
Receipt Number.
Received By:
Plans Reviewed By
Dale
Systems Development Charge is due on all undeveloped
properties wIthin Ihe City limits which arc being Improved.
ADDITIONAL COMMENTS
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By signature, I state CJnd agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon Is truc and correct, and I further certffy
that any and al/ work performed shall be done in accordance'
with the Ordlnancus of the City of Springfield, and the Laws
of the Slate of Oregon pertaining to the worl~ described
herein, nnd that NO OCCUPANCY will be madc of .lnY
structure without permIssion of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with CAS 701.055 will be used on this
project.
I furthcr agree to ensure that all required inspections arc
requested at the propcr 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 9 construction.
SignalureJJL .
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(/~;;;.... t;'--- /';2
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DatE"
VALIDATION:
h '3/5
"7 -.2'5-9"2..
AMOUNT RECEIVEr> '1'7... c>rr?
RECEIVED BY _~~
RECEIPT NUMBER
DATE PAin
,
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CITY OF SPRINCrI~LD
Al'PLICATlON AND AGR~EHENT FOR SEHER HOOKUP
Application is her"by made by the undersiened prop"rty owner for permi.:>si.on
to connect the follOl,in[; described property to a city sani.tary sewel' line, ol.med
and maintained by the City of Sprinefield, and 1 agree to pay "uch a hookup charge
of $1..50 per front foot of the property for the first 150 feet in depth to be
served by such city sewer line in lieu of an assessment against the described
property. An additional $0.03 per square foot ',1ill be charged for any addi.tional
property beyond the first 150 feet.
Property Description:
Address: 1550 & 1552 Prescott
B"ginning at a point 30 feet West of a stone monument on the East line of the
Robert. g. Campbell Donation Land Claim No. 59, in'tOlVllship 17 South, Range 3
West of the WilL;lmette Heridian, which is 21.68 chains North of the Easterly
Southeast corner of said Donation Land Claim and run thence West 100 feet; thence
South 119.4 feet; thence East 100 feet; thence North 119.4 feet to the point of
beginning, in Lane County, Oregon.
Sewer hookup chargc:
lateral
119.4
front fcet@$4,50pcrfrontfoot=!LX1.7..3.L_fJ.J.:/:16
il'
squarc feet @ $0.03 per sq. ft. =
This agreement has been computed as being one..half (Ij) of the equi.valent cost
of an ei.ght (8) inch lateral sanitary sewer at the rate of $4.50 per ahutting
front foot and docs not include the cost of a house connection to said city sewer,
sewer user charges, plumbing pennits or other such costs to be assumed by the
propedy o;mer.
CITY OF SPRINGFIELD. OREGON
By: " /)/ /VI ('I/1L;-/1( (fJ/ta/)~
Date: l{l.o.U. V /Ll'15
PROPERTY. Om,ERS:
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'/?l'AA J)7L-t-1/lf!4
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;f~tCt0..-(..(_d iNV
(j
STATE OF ORloGO)l )
) ss
County of Lane )
BE IT REHEHllERED, that on this 4th
before lee J the undersigned, a Notoxy
personally appeared the within named
day of
Public in .:lnd
Hrs. James
November
for the said
R. Fergus0n
19 75
County and Statc,
identical individu.:ll dc:scribcd in
and :1cknOldedged to me that she
kno\\'tl. to me to b~ the
and \..rho executed the \.Jithin illstrtn:h.'llt
executed the S.:.1Illi.:!. freely and yolul1t"rily.
HnN~SS my hand nile! seal this day and year last above "ritten.
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