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Home My WebLink AboutPermit Building 1992-7-22 \, RESIDENTIAL PERMIT APPLICATION - SPRINGFIELD " e JOB NUMBER Cf!r51~~ , -- Inspections: 726-3769 Office: 726.3759 LOCATION OF PROPq~ WOr\ 40~\ ASSESSORS MAP: \ \ ()d. 38..~ ...~ 225 Fifth Street ~,I Springfield, Oregon 97477 ~~SmOOr - \\ TAX 'LOT: ()( 0 \() ~ SUBDIVISION: OWNER~ L ,v\'\\ ~ ~ !)~~:t \: '~4 . Sf- ADDRESS:_ - 'p..,{\ ~ CITY: 1 )l ) DESCRIBE WORK:: '"Y1..~ ,\~[\ nW ~Q REMOD~L ADDITION DEMOLl~ ' LOT NEW CONTRACTOR'S ~~~ , GENERAL:~~~'\ BLOCK: STATE: OTHER PHONE::18..lo' ~ \1.1 ZIP: L1\4t3 .~ (' , CONST. ADDRESS M CONTRACTOJ:)/I .A EXPIRES PHONE '~Od\~'U\. "\10\ l~_ \\'\2.~'Wl PLUMBING: MECHANICAL' - ELECTRICAL: ~C\JL ~ \..~t1..0~ QUAD AREA: .sRC:S~ /I OF BLDGS: ~ OCCY GROUP: ~d-:-\ J\f\., I r./ 1/ OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: \\ ccfJ f ) CONSTR, TYPE: \IN HEAT SOURCE: t:?S S /I OF UNITS: RANGE: \o3\3~ \&.~1\.q2- 344l~~) FLOOD PLAIN' ZONING CODE: ill V ~~ II OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: )1..* 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, o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms, ~ l,;,..L.~~~:" ::::_..::..mg/Electrical/ I.CI Meehil~;"i/I - Prior to cover. m Footing - After trenches are p excavated, o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling 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. F;(l Sanitary Sewer - Prior to filling ~ trench, ~ Storm Sewer - Prior to filling ~ trench. (Q Water Line - Prior to filling ~ trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. Gl 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 Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - Afte,r Installation. o Insert - After fireplace approval and Installation of unit. 1:29 Curbcut & Approach - After forms are erected but prior to placement of concrete. J. Sidewalk & Driveway - After l6l, excavation is complete, forms and sub.base material in place, o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing work Is complete. .. ~ lX.1 Final Electrical - When all ~ electrical w~~ o Final Mechanical - \IIhen all mechanical worl< is complete. 7") Final Building - When all m required inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS 1'-.tf Blocking and Set-Up - When all ,/blocking is complete, l";(rPlumbing Connections - When , home has been connected to water and sewer. ~Iectrical Connection - When '-1-' ~Iocking, set.up. and plumbing inspections have been approved and the home is connected to the service panel. Q Final - After all required ~ inspections are approved and porches, skirting, decks, and venting have been installed, .. ~ Lot faces Lot TYP~ Setbacks I P.L. Lot sq. fig. Interior HSE GAR ACC IN Lot coverage Corner Is Topography Panhandle Total height Cul.de-sac W E BUILDING PERMIT ITEM SO, FT. X $IS0. FT. = VA LU E 8!JfW -:F)~ lo5LP ~?i r[j .m - .D3 BL\. ._5e: Main Garage !5LD() /O.I() C rporl Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) ~I~~?~ (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO !lS~ ~OO AJ(0 AS. Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit 'J~~ 8.'75 '7f5.75 State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnserl/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge -9'5 iDS c;:o .t90pJ (~.~ \ l{ ,'15 \~.~O Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State surctao~ Sidewalk ft Curbcut M It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C, D. and E Combined) '_S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK D BUILDING PERMIT / This pc Iii is granted on Ihe express conditi fi Ihallhe said construcli shall. in all respects. conforr 0 tile OreJinance adopted by he City of Spring!' d. including the Development Co '. regulating th, onstruction and use of buildin~Js. and may 'susper ed or revol<ed nt any time upon violation of any p v ons of said ordinances, Plan Check Fee: ~ Date Paid: ./ Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~,,\\\<uc l:n:h-}~ ~qlJf) ~ sA~ T ',_ C\~6J )_ 5~ By signature, I state and agree, that I have carefully examined the completed application 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 thai NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I furlher 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 al Ihe fronl of the property. and the approved set of plans will remain on the sitedimes during construction, Signature ~ U,~ 7 /-Z7-/Jq? --- ( , Date VALIDATION: RECEIPT NUMBER ,_ 5~ ~:5 DATE PAID _' ~ _ ~ 2. /7 2-_ AMOUNT RECEf'VE# ~~ I RECEIVED B0(fY).. ~ -I - ~ , \ - e SPRI.IELD DEVELOPMENTSERWCES PUBLIC WORKS METROPOLITAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD. OR 97477 (503) 726-3753 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield that with the approval of the attached manufactured homes will be placed at Springfield, Oregon, City Job Number . Development Code, I understand and agree J(~~~ \ o~ of the f,ollowing \'q1l.ly.{S.~ 6 Type I Manufactured Hom~. A multi-sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce heat loss to levels equivalent to the performance standards required of single family dwellings constructed under the State Specialty Codes. Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor area of not less than 500 square feet, that has a nominal roof pitch of 2 feet in height for each 12 feet in width and that has no bare metal siding or roofing. I further state, by my signature below, that I have been provided with the following information: - Manufactured Home blocking - Uater line connection - Street tree standards - Sanitary sewer connection - Electrical connection - Minimum requirements for permanent steps I also understand that if I am installing a Type I Manufactured Home, the home shall be enclosed at the perimeter with stone, brick or other masonry materials, and with no more than 12 inches of the enclosing material exposed above grade. ~ Signature 7 /? 2..-/ r z..- Da t e f