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Home My WebLink AboutPermit Building 1992-11-19 Inspections: 726.3769 Office: 726.3759 LOCATION OF PAOPPSEIl WRAA 4-.:)2.5 ASSESSORS MAP: \ f\ \)~c9.4~ RESIDENTIAL PERMIT APPLICATION LOT: SPRINGFIELD [(ID ! NUMBER q!JJ5ej) 225 Fifth Street Springfield, Oregon 97477 - ~~ -' BLOCK' OWNER: 6.~) U\)~ c.t\(){1\ol\ PHONE:.=J1lLo~IJIV ADDRESS" ,-'S,OA4 1\ ~ ' . CITY' '-~111K(1'; STATE,~jJJliqhlJ_ ZIP' :1418 'JJjJlJfl) cllom 0 / ~ ( 'ilJL{JJJgjr. 'DEMOLISH - OTHER { DESCRIBE WORK: NEW j / " REMODEL CONTRACTO(,\S NAME GENERAL: lll\ ~ PLUMBING:l} ~wl )ilQ.t.-. MECHANICAl' ELECTRICAL:~Ofl~ QUAD AREA: ~ S R.s~ d. ~3kM \ ~ # OF BLDGS: OCCY GROUP: # OF STORIES: WATER HEATER: ADDRESS CON ST. CONTRACTOR # EXPIRES PHONE - OFFICE USE - LAND USE: -L1 ~ l CONSTR. TYPE: V fl} HEAT SOURCE: ~ f.- T__ '. # OF UNITS: FLOOD PLAIN: ZONING CODE:l1)!2J '--~ # OF BDRMS: SECONDARY HEAT: \t:tcl,p RANGE: SQUARE FOOTAGE: C"'. ;.......: To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All InspecUons 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. . ";' '. , .' ~~.ll;< REQUIRED INSPECTIONS': ' .:~ Site Inspection - To be made after excavation, but prior to setting forms, rVi Undersl~b PIUmbing/~t~cal? ) 0 Electrical Service - Must be ~ Mechanical - Prior ~~'~)Ve~ approved to obtain permanent electrical power. ~ Footing - After trenches are excavated, D Fireplace - Prior to facing materials and framing Insp. D Masonry - Steel location, bond beams, grouting. o Temporary Electric o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. . ~ Sanitary Sewer - Prior to filling trench. . fil Storm Sewer - Prior to filling I trench. ' ctf Water Line - Prior to filling ~trench. o Rough Plumbing - Prior to cover. o Rough Mechanical - Prior to cove~ ' DFlnalPlumblng - When all plumbing work Is complete, D Rough Electrical - Prior to cover. D Final 'Electrical - When all electrical work Is complete.. . o Final Mechanical - When all mechanical work Is .complete. ~ F..mlno ~0Ye o Wail/Ceiling Insulation - Prior to cover. , ~,. Final Building - When all . requlred}nspectlons have been . approved land building Is completed: ' o Other. o Drywall - Prior to taping. MOBILE HOME INSPECTIONS . ' o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. ~ .BIO. cklng'and Set.Up - When all blocking Is complete. , , . '~' ..Plumblng Connections - When . ' .. home has been connected to . 'i.. .' " water,and sewer., . , .... .., ~,e-' .:':~~.;ic'~: . . ... ., . " -" ~V""- .' "." ',' . " l(11e'ctrlcal.cormectlon - When . locklhg,:set.up, .and plumbIng . ... Inspections have' been approved and the home Is connected to the service panel. ' _ ~:~~c~~~~~::.I.~&~~~~:~ ,and .,~ porches;;sklrtlng, decKs"and venting ,have: been. Installed:. " rvr Curbcut & Approach - After r forms are erected but prior to placement of concrete. rvT Sidewalk & Driveway - After f excavation Is complete, forms and sub.base material In place. o Fence - When completed. o Street. Trees - When 'all required trees are planted. . . !-.}'l tV ~ ';.' , < , .. ! ,,~: ~ . )1, l;"~ 1;,', . 1;1 r; " . I"" ~ l~' , l " t":. ;.",: "~.. ;:.": ,. , , ~.- ,! L',l jL". 11,. ~ .. ~ ' ~!.' " ,~ ~l , .. t. , ,,'; I', I' .' ., :'". l.:' , , " \' " " ~'. . I ,,' , i . , ~':: :~' ,. . ~ ~. ,.. ,. > \., ,. ", " ,~:. :.0,.; ','''' I;" ~. . i'h ..' .. ~~ ;~;:: ',', t"!! '", , ,<< ., , I () I .' , 0, , " ~. : r, ~ ~ , ~ , ',. , i:: {I', . I:", . . .' ( . I, , " o' " \ " :,t ", ~, ~ ,; '. ,.. - ~ ~~- ',j" '.~ 0 .. .- .. ..... ,. . " " c, , .. .' ,~. L ~" J ',:- r ,of ~; .>r,. ~ . \~ ~;~ i~ :;; .. !"~ r'- ,~ot !~C:,es, " e.'.:. ~ot, TXR~_" ,,' " Setbacks :,,,,,~;,,~~itri;;~.',.. ,< '.:!-""~::J~i',!,*,"'i.!$:''-.~~;P,'';~~'~'~.'':\ -' 'PoL:;'. HSE I GAR I ACC I . Lot.sq "ftg 0,1;'" .. ',;"":;:'., , Interior":' .""7, ,,"I' -' '. ' '. .. ~ _ .-:0.....,' l~~""" "\ .."Io.O.:..".~ " ........w,. H, ...: .,'~~'" '..~ ' . "........;~, ' " ," ,", ~... "T~" J' .' > ' '. ,'/ ,tt ;~. ,'1,'1 ",,:.~ " >'~~.h'-'*..';"Jl'~" ';...~ ?:. 'N ~:t,-' . Lot'~:iv~~age. "'/~.9.e"rr'~r ....' . }::c:'1 '. . '. ", . ,......, S Topography Panhandle Iw LL- , Total height BUILDING PERMIT ITEM sa. FT. Main <f ' Garage Carport 0- \ I qJ1r- Total Value Building Permit Fee State Surcharge Total Fee Cul.de.sac X $fSa. FT. = ~ t~cD I \4.~ 1;.g!Jb'V:. (A) . !:J, 7 LIJ{J. ( f) ~d. ,'-~c 4.0:3 q'i, L3 SYSTEMS DEVELOPMENT CHA~GE (SDC) lJ2 . A ~1 ~ (B) 'I"\1c"B - PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge FEE ~. /)cC).OC) n(1 - 00 ~- 6L5,C9 (C) 7,s.O-J '-~. ?5 I) rz. 1....~ MEqHANICALPERMIT Furnace 1~, .' Exhaust Hood Vent Fan NO Wood Stoveflnsertf Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit ;. (D) o ( Cf5PO C90W -5.;:]5 &W) 7~,1Q . ",,' MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 4 ft Curbcut --L0 ft Demolition State Surcharge Total Miscellaneous Permits (E) .' TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) -. THE PROPOSED WORK IN ~HE 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 express condition that the said construcllon shall, In all respects, conform to the Ordinance adopted by the City of Springfield, Including the Development Code, regulating the construcllon and use of buildings, and may be suspended or revoked at any time upon violation of any prOVisions of said ordinances. / Plan Check Fee: Dale Paid, ~ Receipt NU:ber:/\ Received B/, Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~~(~'bOO \~n} lC, DL\Ju " \ C\ \oC) 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 that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify 1I1at 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 con ~~ nal"ed--/ r:- / - ate //-/9-t?7_ VALIDATION: (/ n (1 RECEIPT NUMB~R ~ 0 (') l-- '-'I DATE PAID ( 1- ,q - Cf/l AMOUNT R~~_~D~)Jd I 8)~ ,~() RECEIVED Y (! Y1 ..............,,-~ , ".-." ... -- SPRI"ELD DEVELOPMENT SERVICES 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 Pkr3iJsb-o~AO~ the foA9.wing. ~'lf\';~ ~ I\.l.l\l~ u~ 'qr9/~) lj . agree .' Type I Manufactured Home. 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. . L/Y'c} ~ ~ture //-/Q-9,L Date