HomeMy WebLinkAboutPermit 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
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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
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# 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__
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# 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. .
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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. . .
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,~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' -' '. '
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. Lot'~:iv~~age. "'/~.9.e"rr'~r ....' . }::c:'1 '. . '.
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Topography Panhandle
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LL-
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Total height
BUILDING PERMIT
ITEM sa. FT.
Main
<f '
Garage
Carport
0-
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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
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/)cC).OC)
n(1 - 00
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6L5,C9
(C)
7,s.O-J
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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
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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
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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