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Home My WebLink AboutPermit Building 1991-5-9 .t" ~,,I' "-"'-:: ~ -- ~ RESIDENTIAL PERMIT APPLICATION .e . q\~:~ SPRINGFIELD JOB NUMBER Inspections:.726-3769 Office: 726~3759 LOCATION OF PROPOSED WORK: tJ\J2\oD ASSESSORS ~AP: ~ O'~,83 ~:i. OWNER:\ J\ U7\lUfu ADDR~S; , \ _ ~ 00 QJ\ L9- . ~(\ n CITY: ~ <:.JJ ,uN.. . STATE' ( \.l.JtJ --=--, ,: -\) - - DESCRIBnW~RK JJOJJ.)LL rn H NEW \.LJ REMODEL ADDITION DEMOLISH I '"'\ LOT: CONTRACT)U1'S NA GENERAL:<,J( *' fl)9.[)lJv o ~ 1()". TAX LOT: 141 ~. . SUBDIVISION: ~ \LLQJ u' \Jl)D PHONE: c4r-RlJJ 225 Fifth Street Springfield, Oregon 97477 . --. '. BLOCK: ZIP: 474,r7 OTHER CONST. CONTRACTOR # lolo\4'1 \ 0 ld\'\-f") ADDRESS . n f)J ~N1.J \\ PLUMBINf::' , - " EXPIRES PHONE ---p)It-f /q2- LD~-11102 o)r({q-v LD~ .11~-z.) MECHANICAL: eo ELECTRICAL~()] D~ ~f()\{Jn " ., QUA~ AREA: ,,~-0Q.. , OCCY GROUP: ~ '=) \ # OF BLDGS: # OF STORIES: WATER HEATER: p.., l.o~\ (37 \ Q. \ 'd'J fq I 34-4.. \SJ) . , . . , , , - OFFICE USE - , 1 E)() ( LAND USE: FLOOD PLAIN: ZONING CODE!l1lf!-- PUD 3 # OF UNITS: CONSTR. TYPE: HEAT SOURCI=' RANGF' . & # OF BDRMS: FL SECONDARY HEAT: 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 Site Inspection - To be made, after excavation, but prior to setting forms, O Underslab Plumbing/Electrical/ Mechanical - Prior to cover. rtA Footing '- After trenches are LP 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 Underfloor Plumbing/Mechanical - Priortq insulation or decking. o Post and Beam - Prior to floor insulation or decking. .. o Floor Insulation - Prior to deckl ng. rP1 Sanitary Sewer - Prior to filling \ trench. . .,' . . ." I v2 Storm Sewer - Prior to filling L(:J trench, r--70water Line - Prior to filling L4:f ;;ench, o Rough Plumbing - Prior to cover. '. ,'; .' ", o Rough Mechanical - Prior to cover. o Final Plumbing - When all plumbing work Is complete. .0 Rough Electrical - Prior, to cover, , D Final Electrical - When all electrical work Is complete. o Electrical Service - Must be approved to obtai n permanent electrical power. o Final Mechanical"":' When all mechanical work is complete. o Fireplace - Prior to facing materials and framing Insp. o Final Building - When all required Inspections have been approved and building is completed. o Framing - Prior to cover, o Other o Wall/Ceiling Insulation - Prior to . cover. o Drywall - Prior to taping. MOBILE HOME INSPECTIONS o Wood Stove - After installation. , , ~1~Cking ~nd Set-Up -' When all LfI blocking Is complete. o Insert - After fireplace approval and installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. ~IUmbing Connections - When home has been connected to water and sewer, D' Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. r<=2!?Electrical Connection - When ~ blocking, set,up, and plumbing inspections have been approved and the home is connected to the service panel. D Fence"":" When completed. rr7"lA:inal - After all required ~ Inspections are approved 'and , porches, skirting, decks, and ' venti ng have. been installed. ~ Street Trees":": When' all required ~ trees are planted. ~ -----~ Lot faces Lot Type ~ Interior Lot sq. ftg. Lot coverage Corner . .. ' .,--. q~ ~ THE PROPOSED WO~K IN THE HISTORICAL DISTRICT, OR 9_N1l\ f) THE HISTORICAL REGISTEVll "''' If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Setbacks I P.L. HSE GAR ACC I N I, Is I Iw I I'E I Topography Panhandle Total height Cul-de-sac I . J. ; ..1 . J BUILDING PERMIT' " ITEM SQ. FT. X $/SQ, FT. McI1n m M Garage Carport ~~ <:9104 . Total Val u Building Permit Fee State Surcharge Total Fee (A) = VALUE (JJ ~ Il)CO/ I Wl ~ QDD . c931~5lXJ ' 8,B.~) 1.~3 ~D~:~ SYSTEM~ DEVELOPMENT(~HARM~~ PLUMBING. PERMIT ITEM Fixtures ( ) . -".. ..... . Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home " Plumbing Permit State Surcharge " Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsert/Fireplace Unit Dryer ~ent , Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) FEE c05. CD Q5.Cfl <95.00 q 6.'00 l~~5 1] <;) I '}S " r25 e,~ J5.~ 1C:).~5 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) 5~l-33 , APPROVED: I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express 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 Ijmits which are being improved, ADDITIONAL COMMENTS . ~D,()\ .\ \ ;C;.fl)JlP r l'DllmQ \(\t \ )\llitsLLcl-\()() ~ ~<L ~\Crv\9v(\~ ~ ~tDfdtcl \ OJ) 1 OY -h)~~D~_)( m.tL~. 1\ AO (\01 ,t,pdJ 5 Ala \ . . 'I( ~ 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 pertai ni ng to the work descri bed 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 requi red 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 sit all times during construction, JeAA- rV/VJ7 C -~-q I Date v VALIDATION: ~ RECEIPT NUMBER t1~\....;' \ DATE'PAID 5 .q .q I AMOUNT R~CEI~I' B.$-OB RECEIVED BY ~ l/) CA......J - t" ..." , ,'---.. . . 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 per~t~, one 0 the'foJ.lowinlI,? . OlP&n . ~-'YU xr- agree , ,0 Class A Manufactured Home. A manufactured home of not less than 24 feet in width and 16% (not less than 2:12) roof pitch, with exterior dimensions enclosing a space of at least 960 square feet, with roofing and siding materials that are commonly used or compatible with site built homes. ; o Class B Manufactured Home. A manufactured home of not less than 12 feet in width and 16% roof pitch, with exterior dimensions enclosing a space of not less than 500 square feet, with roofing and siding materials that are commonly used or compatible with site built homes. I further state, by my signature below, that I have been provided with the following information: - , - Mobile home blocking - Sanitary sewer' connection - Yater line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps ~CLe @VV) g-~q-q / Date