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Home My WebLink AboutPermit Building 1991-11-26 *' LDeAnONOF PROPOSED WORK, <K\ 0 \O()\n ~J:Ju.. ~ \.cD , AS$~SSORS,MAP: \~()~.~.l'~~\\ . '. , ... ,(} ,~f.-X ~OT~Q\()~\>~, LOT' I . BLOCK' SU BDIVISION: \~ \f ') \. Jl olD !-~RE!lDENTIAL PERMIT APPLICATION. Inspections: 726.3769 Office: 726.3759 - SPRINGFIELD OWNER'\ cA.. - \~ ADDR~SS:)~6Q~, ~ CITY:"l, i~. ~\ - - ~ ftltJ~O ~. DESCRIBE WORK: NEW \LJ ( REMODEL - STATE: ((})t 0_ lD\~ \1\ ti ADDITION OTHER CONTRACTOR'S NAME G EN ERAL:~ ' ,PLUMBIN.G,:~ DEMOLISH ,,^ ("\ ~DO~S~~ , Of) (:-,UJU'/-1~/U II )\ Q _SfJf\-) . . MECHANICAL: - ELECTRICAr~ '>r--.\ QX1} ~ 1/ ~ - . ~". > " q {)Ill JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 PHONE: lo)<.ln. 1\ld-1'd-> ZIP' t\,~\a\ JOR /I :-J ,"'1 Ci1XA~ (O@-17(OL. .:sJ () '/q 1 ~ , " Co,~\,3 ') 1'2..(27 R\ "~~i4.. /~ . , . , ,'... , .. -OFFICE USE - I QUAD AREA: ,,~~~0 -.. LAND USE:_I \ S() FLOOD PLAIN' - /I OF BLDGS' \ /I OF UNITS: ( ZONING CODE: WlL- 'R.~ .~ OCCY GROUP' CONSTR, TYPE: /I OF BDRMS: /I OF STORIES: \ HEAT SOURO:' F'E- SECONDARY HEAT: WATER HEATER' p~ RANGE: p~ 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. o Temporary Electric D ,Site Inspection - To be made after excavation, but prior to setting forms. r-YPnderslab, PIU~bing~ct;i'C~ ~Mechanical ....:. Prior~'~over, ".Y ~ooting - After trenches. are excavated. " o Masonry - Steel location, bond , beams, grouting. o Fo~ndation - After forms are , . erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. D .Underfloor Plumbing/Mechanical - Prior to insulation or decking. o Post and Beam - Prior to floor Insulation or decking. . o Floor Insulation - Prior to decki ng. I\7JJ Sanitary Sewer - Prior to filling ~ trench, . .. , ,~ . . . . .'. ..' .- r\Z1JStorm Se~er - Prior to filling LP trench. ~ater Line - P;lor fo filling P trench. o Rough Plumbing - Prior to cover. " REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover, D 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. 0' Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to 'cover. , o Drywall ,- Prior to taping, o Wood Stove - After Installation. o Insert ~ After fireplace approval and installation of unit. . ,.' o Curbcut & Approach - After forms are erected but prior to , placement of concrete, ,. . o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material in place. DFence .:.- When completed. '. ,\' o Street;r'rees --': "Wh'en all required trees are plant,ed. . o Final Plumbing - When all plumbing work is complete. ,- D Final'Electrical - When all electrical work is complete, o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS rD Blocking and Set-Up -' When all \ blocking is complete. ~IUmblng Connections - When home has been connected to water and sewer. . , ~Iectrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home is connected to the service panel. ' ~inal - After all required ," Lp Inspections are' approved and porches, skirting, decks', and venting have been installed, Lot faces Lot Type eJ Setbacks . _ T,HE PROPOSEq WORK IN THlr -. I P.L. ACC I HISTORICAL DISTRICT, OR ON .' Lot sq. ftg. Interior HSE GAR - IN I THE HISTORICAL REGISTER? Lot coverage 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-de,sac IE I APPROVED: BUILDING PERMIT ITEM sa. FT. X $/SO. FT. ~~rro Main Garage Carport \ rt~1 ~ , TO~Valu Building Permit Fee DXl- Q)35ro ~5(D '')5 J5.15 State Surcharge Total Fee (A) SYSTE~S ~EVELOPMENT(~HA~~ro PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. cLJC) ~c; As Water ' FT. Storm Sewer FT. Mobile Home Plumbing Permit. 'lS.O() '8.'J5 ') 8'. '7S State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge o PS=1ds rs. 'JS U~ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft ~~~~::ha,ge ~ ~~p1J , Total ~r~n~mlt' CJ{).W (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and, E Combined) , Of)' ).';5 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 limits which,are being improved, ) 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 requi red inspections are requested at the proper time, that each address i~ 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 construction, Signature fu_ ~~ Date .~ ?....le ,U-f VALIDATION: o~~/9? DATE PAID //~-9 /" _ AMOUNT RECEIVE~ _eio\ ,5\ RECEIVED BY -4~- ~. RECEIPT NUMBER " -.... e SPR.FIELD DEVELOPMENT SERVICES PUBLIC WORKS . METROPOLITAN WASTEWATER MA.NAGEMENT 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 D~velopment Code, I understand and agree per.E}i,ts, 0* o"f.,.. t~e f?llOw~cr ' 0' - a\o\ol) \~ x..u N{: La , ~ \f)\\-r. G ~ 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. / D 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 Vater line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps Signa~ ~A_~ lit f z-IO / Cf/ ' Date