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Home My WebLink AboutPermit Building 1993-4-6 -~ RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 . SPRINGFIELD . JOB NUMBER Qco4 10 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSEO WORK:-4.~-!~4'"'~;... 0.... ASSESSORS MAP: / '7 a ,"f ~ ,<:" TAX LOT- ~:71!h!:> LOT: BLOCK: OWNER: /J11'9-1fJ/~ :RR740.-# AOORESS: ~/..., .$?J-4"& ~A-/A/ ~. ~ / ' CITY: ;;;->~/7:>. STATE: ~. OESCRIBE WORK:~~J~-A::1:::!Z7~A"'3b /,(~'?1g NEW REMODEL ADDITION OEMOLlSH OTHER SUBDIVISION: PHONE: 77./f!. -2..//Z4 ZIP: 9~6p r, {., 1. -~e:..~/H~ CONTRACTOR'S NAME ~ AODRESS GENERAL: ~A9r& 'Lu...Jt.l .?-~/ ~ I( p CONST CONTRACTOR . ~V7~ EXPIRES PHONE //-~.Jf 7.z.1!.~~/ 7J PLUMBING: MECHANICAl. ELECTRICAL: ~ .lIP".,.. rr;>. ~. .... ~.A./ ~~\\\h ) - OFFICE USE - QUAO AREA: LANO USE: \ \ \ \ FLOOO PLAIN. . OF BLOGS. \ . OF UNITS' I ZONING COOE: WP- OCCY GROUP: ~~ CONSTR. TYPE: J..LA) . OF BORMS: A . OF STORIES: - \ HEAT SOURCE: F'G SECONDARY HEAT: WATER HEATER. S RANGF. r~ SQUARE FOOTAGE: 14C() 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. D Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electricall Mechanical - Prior to cover. ~ Footing - Atter trenches are T ex.cavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. . REQUIRED INSPECTIONS D Rough Mechanical - Prior to covef. ~ ~~:e~~w:t~or to D Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~Framfng - Prior to cover. o wall/c;;&~n - Prior to cover. D Drywall - Prior to taping. D Wood Stove - After Installation. D Insert - After fireplace approvQI and Installation of unit. D Floor Insulation - Prior to decking. . 0 Curbcut & Approach - After forms are erected but prior to 1ifI Sanitary Sewer - ~rlor to fHlI290ptic...,Placement of concrete. ~ trench. (\r-w'111 n"';': J'W\ +0 (J- \...VIUll/A.A(VI' D Sidewalk & Driveway - After D Storm Sewer - Prior to filling excavation Is complete, forms trench. . and sub-base material in place. D Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. D Fence - When completed. D Street Trees - When all required trees are planted. D Final Plumbing - When all plumbing work is complete. . , f:::zrFlnal Electrical - When all T electrlca~ork Is complete. D Final MeCha~ mechanical work Is complete. ~Inal Building - When all required Inspections have been approved and building is comPleted.~~ DOther MOBILE HOME INSPECTIONS ~ocking and Set.Up - When al/ { blocking Is complete. ~IUmbing Connections - When home has been connected to water and sewer. r Electrical Connection - When blocking, set.up. and plumbing Inspections have been approved and the home is connected to the service panel. PFlnal - After all required inspections are approved and porches. skirting, decks, and venting have been installed. , "- ,'. Lot Type. I l. THE PROPOS EO WORK IN T~E' -.. Lot faces Setbacks Lot sq. ftg. Interior I PL. HSE GAR ACC I HISTORICAL OISTRICT, OR O~ IN I THE HISTORICAL REGISTER.- Lot coverage :fZ Corner If yes. this application must be signed Is I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit Issuance. Total height Cul-da-sac. IE I APPROVEO' BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE .rso cd) " (() 100 ) Main 4-PO l4.,\D Garage ~ '. ~ . lo I Cj'70 CII/q'lLo' q/J.ro J ~<1',l03 SJ'/,/';) Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHAR"'~ASDC) (B) J..bQ-v PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge ,~.CP . fJ~ 1~.rQ Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnscrt/Flreplace Unit Dryer Vent Mechanical Permit IS5uance State Surcharge (j ; Irb pD ~D.UJ f).as Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electriCal)~() .,-\ (A, B, C, D, and E Combined) 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 prOVlSionS~f said .nances. Plan Check Fee: Date Paid: Recel pt Number. Received By: Plans ~eviewejl;Ely Oate L----'" Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS 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 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 at the front of the property, and the approved set of plans will remain he site at all times dUrin~~tiOn. atura, L/.~ C/-. - ~-~~ DatE" VALlOATION: RECEIPT NUMBER F3()~.I) OATEPAID 4'0.q~ AMOUNT R~~ED rJt)l fJ.~ RECEIVED If"i!.-Ij(ffi .J ..- '. ~~ . . SPRINGFIELD 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 Development Code, I tha t wi th the approval of the attached perl!!}!1' ,.J>n~ of the manufactured homes will be placed at. ~:.J\-')\J l '"il1:Yw Springfield, Oregon, City Job Number Cl,-""S(HI() . )( Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed tloor 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. understand and agree fo1~owing e'~A - '0/)J2 J11- fl./, Trpe II Manufactured Home. A unit of not less than 12 feet in width w1th an enclosed tloor 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 - ~ater 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. ~(~/ /.6-9d Date