HomeMy WebLinkAboutPermit Building 1993-1-8
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK'
CcS1,-'tlSlD (8-5~
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SPRINGFIELD
4431
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BLOCK'
ASSESSORS MAP'
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LOT:
La'1) "€,{'ll c:
ADDRESS' 4 \.\"') w-
f::ub rzNE:..
OWNER'
CITY'
DESCRIBE WORK' IV\Jl,tJ IJf1w","".lll..lGD
NEW V' REMODEL ADDITION
CONTRACTO'jS NAME (~I)I)
GENERAL: .:-.-",,~J-I'k.t~1
PLUMBI NG: 6x:oeu -1I14'1N15",oJ
MECHANICAl'
ELECTRICAI.13,'-, ~IC-.
QUAD AREA:.6~ r ..-
# OF BLDGS' a
OCCY GROUP: J~\<~-+ M
# OF STORIES: I
V
WATER HEATER:
\g -0.
il= 33
.
9!J/1AP-
STAT'"
do.. .
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
82.0,3
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SUBDIVISION'
PHONF' -~w--9""4~
lol....k :u.87-'l1S'(P (~-~"1
...
ZIP: q'l4oS
*
ADDRESS
/'14/ 11100'1 '3'3 AI.
€v~."""_ .,
N~/ Hw r '99.~.
'e!u.<F)o JIC' . ~ _
CON ST.
CONTRACTOR #
" b'ft/7
$/.0 -23b"8
PHONE
~9- 77~"L
6g'}-7J6'L
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Hough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Flreplaco - Prior to facing
materials and framing Insp.
~Framin9 - Prior ~
o Wall/cel~~I}.;;;'n' ~rlor to
cover.
o Drywall - Prior to taping.
o Wood Stove - After installation.
o Insert - AHer fireplace approval
and Installation of unit.
o Floor Insula lion - Prior 10 .
decking. ~c...,., D Curbcul & Approach - After,
forms are erected but prior to
-d1 Sanitary Sewer _ Prior t filling placement of concrete.
~ trench.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material in place.
DEMOLISH
OTHER
r.o. ,~X 'f>. I
"E,-""", '~A nil.
.20 -2'7 3 c...
EXPiRES
5-7-9-3
/1- ~D- Cj2,
9~--52./o
FLOOD PLAIN' ..., 1
ZONING CODE: ~K:-/
'-~
# OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: d'J.Q8/
- OFFICE USE -
LAND USE: ~/ / Qt.)
I
CONSTR. TYPE: \IN
HEAT SOURC'" r t::..,..
V
# OF UNITS'
RANGE:
To request an ln~pcction, you must call 726-3769. This Is a 24. hour recording. All inspcdions rcquosleu befure 7:00 .1.1),. wl:r be
made !tIC Silme 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.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
~ Fooling - After trenches are
lLS.J excavated.
D
Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms arc
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling lrench.
o Underfloor Plumbing/Mechanical
- Prior to insulation or decking.
o
Post and Beam - Prior to floor
Insulation or decking.
o Storm Sewer - Prior to filling
lrench.
~ Water Line - Prior to filling
~trench.
o Rough Plumbing - Prior to
cover.
D Fence - When completed.
o Street Trees - When all required
trees are planted. .
o
Final Plumbing - When all
plumbing work is complet.e.
o Final Electrical - When all
electrical work is complete.
o Final Mechanical - When all
mechanical work Is completo.
f'i-1 Final Building - When all
~reqUired Inspections have becn
approved a~i~\~Z~~
completed. '-~~ V
OOlher
MOBILE HOME INSPECTIONS
~Iocking and Set.Up - When all
~ bloc.klng Is complete. .
'~Iumblng Connections - When
~home has been connected to
water and sewer.
~Iec'trical Connection - When
~blocking, set-up, and plumbIng
inspections have been approved
and the home is connected to
the service panel.
~Final - After all required
nspections are approved and
porches, skirting, decks, and
venting have been installed.
Lot races
Lol SQ. IIg.
LOI coverage
Topography
Total heighl
BUILDING PERMIT
so. FT.
'ITEM
Main
Lol Type.
Interior
Corner
Panhandle
Cui-dc-sac
Gamge
~~ ~ffi
Building Permit Fee (~\D~ ")
Stale Surchar~le
Total Fee
~
.S THE PROPOSED WORK IN THE'
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, Ihis <:lppliclltlon IIlUGI be Giuned
and approved by Ihe Historic;'}1
Coordinator prior 10 permit issuance.
Setbacks
I P.L. I HSE GAR ACC
N
S
W
.,
1
I
l
E
. ,
----
APPROVED:
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
, -e- ~
(B) ~
PLUMBING PERMIT
ITEM
Fixtures
Res;denlial Batll(s) Nil
Sani tary Sewer FT.
Watcr FT.
Storm Scwer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Venl Fan
X $/SO. FT. ~ J!!)'t!rY't)
I '
\0 \r) ~~itJO
~
~~J23
rn~
(C)
Dryer Vl;nt
Wood Stove/ln:;erIlFireplace Unit
N'
.-.--.--
Mectwnical Perini t
Issuance
State Surcharge
Total Permit
Mobile Home
MISCELLANEOUS PERMITS
(D)
State Issuance
Stato Surcharge
Sidewalk
II
Curbcul
II
Demolilion
Slale Surch;ufJG
FEE
~q)
61Gm
AS,
r)~.oo
\~. '15
'I <6 \jS
Of
'7
(Cb~
c:1DJE
=O.cQS
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thnt the said
construction shall, in all respects, conform 10 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 al any time
upon violation of any provisions of said ordinances.
Plan Check Fee: ./
Dale Paid: ~_ V
Receipt Number:_
. Received By:
.Plans Reviewed By
Date
Systems Development Charge is due on atl undeveloped
propertieswilhin the City Ii mils which arc being improved.
ADDITIONAL COMMENTS
~ 15tti')\~~t
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By signalure, I stale and agrec, that I have carefully examined
the completed application and do he1cby certify thai illl
inforrn<ltion hercon h; true nnd corrccl, and Illlllh'~1 cr;llify
tlmt any and all WUI k jJ(;donned !;hall be <.Jone in :IGCOI(Jancf~
with the Ordinances of the City of Sprin~lficld, and the Law~;
of the Stale of OleWlll pntt:linino to tll(! w(,II( df::H~lihcd
hutein, ;1IIt! Ihat NO OCCUPANCY will be 1II;llle 01 allY
structUlC without pClIllission of the Buildin~1 Silfcly Divi5ion.
I further certHy !l1:11 only contractors ami employees who
are in compliance wllll ORS 701.055 will be usml on Ihis
projec l.
I furlher agree to unsule thai all required inspections are
requested at the proper lime, that each address is readable
from the street, thai the permit card is located at the front
of the property, and the approved set of plans witl remain
on the site at all limes during construction.
'\jSignalUre ~ Ha-u..':.--
!';;:Ie J - a - q ~
VALIDATION:
r
Total Miscellaneous Permits (E) _____
TOTAL AMOUNT DUE (cxcluuinu ClcctriCal)~_0~_53
(A, B, C, D, and E Combined) \
RECEIPT NUMBTI)?,,_~C-
DATE PAiD _I-U--O - J-:-
AMOUNT nEfEl\@I? _ _.,.;)._ _ _~_UJ3
RECEIVED BY~\.ffi. J
..
.
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 Dev~lopment Code. I understand and agree
that with the approval of the attached ~t:~i);~,~e of the fo~owing~
manufactured homes will be placed at -:\":l...., _~ f', \:Im[\l~
Springfield. Oregon. City Job Number ~/l n'r . . -
, \
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.'
Tr~e II Manufactured Home. A unit of. not less than 12 feet in width
WIth 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
- Vater line connection
- Street tree standards
- Sanitary sewer connection
- Electrical connection
- Minimum requirements for permanent steps
I also understand that if I am inslalling a Typ,e 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.
\!~j /.JfMM~
Signature
~
1-8-cr3
Date