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Home My WebLink AboutPermit Building 1994-4-28 l '~..":"':~ . . SPRINGFIELD C\4a\f)Gf RESIDENTIAL PERMIT APPLICATION JOB NUMBER 225 Fifth Street Inspections: 726.3769 Office: 726,3759 SUBDIVISION: LOT: / .-::,,?' ':"1~ A? , PHOrye:7_ vv.,)' ~~V ~ .) ~ ~ I ~-;'I '-I-O/~rJntJSt94tt. ,l '\ t. "~ Ifu..::s- . r - ~ ZIP: '-I'T ~~" STAT~' r') ~ &,zeC7"'IOI'? cJp /f/06/te. NfjIYJI!!- CITY: DESCRIBE WORK' "- 4 '\"'<<' .. ~r DEMOLISH OTHER REMODEL ADDITION NEW CONST, CONTRACTOR # ADDRESS EXPIRES CONTRACTOR'S NAME GENERA' ' b'EGt= PLUMBING' rtk.o~~\J'f., ~li\r\~ MECHANICAl' L~-'1I"Jt"4- >.I!".,;rJ.-~ 4' f"~,?'1" Hf~~,' " ELECTRICAL:~~^ ~AlJr-A' ~p ~/C+-~~t; '-~.~Htt~0 - OFFIC~~Sk LAND USE: \ I. ~ # OF UNITS' \ ' CONSTR. TYPE: I) ~) HEAT SOUR~ S RANG~' . ~~:DB::::: I Q~10 OCCY GROUP: \, Q~ ;\-N\. # OF STORIES' 1- WATER HEATER: _f .J # OF BDRMS' 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 Rough Mechanical - Prior to cove~ . o Final Plumbing - When all plumbing work Is complet.e, M Rough Electrical - Prior to Lp.l cover, ~~0{1- o Site Inspection - To be made after excavation, but prior to . setting f\(~, r\ ^ I)~ rtl Underslab ~/Electrlcal/ ~ Mechanical - Prior to cover. o Footing - After trenches are excavated. ~Inal Electrical -,When all ~eleClrl~~~lete. o Final Meohanlcal - When all mechanical work Is complete. o Electrical Service - Must be approved to obtain permanent electrical power. '1V"l Final Building - When all ~ required Inspections have been approved and building Is completed, ~~ o Other o Fireplace - Prior to facing materials and framing Insp, o Masonry - Steel location, bond beams, grouting. til. Fra~cover, o Wail/Ceiling Insulation - Prior to cover. o Foundation - After forms are . erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, o Drywall - Prior to taping, MOBILE HOME INSPECTIONS o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Wood Stove - After l~stallat'lon. r7f Blocking and Set,Up - w~en all f""!' blocking Is oomplete, o Post and Beam - Prior to floor Insulation or deckIng. o Insert - After fireplace approval and Installation of unit, ~ Plumbing Connections - When home has been connected to water and sewer. . o Floor Insulation - Prior to . decking, \r7'i' Sanitary Sewer - Prior to filling ~ trench. . o Curbcut & Approach - After forms are erected but prior to placement of concrete. ~Electrical Connection - When blooklng, set,up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Sidewalk & Driveway - After excavation Is complete, forms and s,ub-base material In place. o Storm Sewer - Prior to filling trench. . ~ Water Line - Prior to filling l.2SI trench. o Fence - Whe~ completed. ~ Final - After all required Inspections are. approved and . porches, skirting, decks, and venting have been. Installed. . o Street Trees - When 'all required trees are planted. o Rough PI~mblng - Prior to cover. ~ , . .I . ~.,.- A Lot faces Lot Type Setbacks l I.E PROPOSED WO!'1K IN THE '. Lot sq, ltg, Interior I P,L. HSE GAR ACC I ....HISTORICAL DISTRICT, OR ON IN I THE HISTO'RICAL REGISTEM? Lot coverage Corner Is I If yes, this application must be signed 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 SQ, FT, X $/SQ, FT, ~ VALUE Main Garage Carport , J'J'l U \(), \0 51t-)\' L Total Val ue tsl),~ ~ ;~j:::J 5--- ' .:..1-) Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHAR~~Dg..., (B) ~lo~ PLUMBING PERMIT ITEM FEE Flxtu res Residential Bath(s) N' Sanitary Sewer Water S'torm Sewer FT, FT, c!)'5,CV 6i '5 q.J FT, Mobile Home 1~.cx..J Plumbing Permit State Surcharge Total Charge (OS.LV ~?-~ ( o%S .A~ (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home InB(fJ - CO a'.Y) . ...s ,<:9 S State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Su rcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrlca~5'J .83 ) (A, B, C, 0, and E Combined). CC\Q(040 ) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City of Springfield, Including the Development Code, regulating the constructi and use of buildings, and may be suspended or revo d at any time upon violation of any provisions of sa' ordinances. Plan Check Fee: ) Date Paid: \ W" Receipt Number' \)->\ Received By: / Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMI\IIENTS \ Pu\O: h U\ f\ Do'rh-- ----c 0 r*i.)(\[) f\ 1,l N\ bQX ~ A.il tllu,l\'R ,c (\1\'1 ~ ~-\ \ f\ [)m ~rn---=:R'rJy-\ 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 oompllance with ORS 701,055 will be used on this project, I further agree to ensure that all required inspecttons 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 rem~ln on the site at all times during constructlon. ~turpO/~" . 'JtA.-71f11--" Datp tl VALIDATION: I~f'\ \flc'/C/ RECEIPT NUMBER , ~ \. l *' 0\, ')t ~ DATE PAIr> L\ . 7 X'J _ AMOUNT RECEI~. ~rf)f&Bq3-u- RECEIVED BY (-:^.\(J\ ') ~~ ,.. .... - . SPIGFI~L:' MOBILE HOME AND MANUFACTURED HOME AGREEMENT UNITS TO BE PLACED IN A PARK 225 FIFTH STREET SPRINGFIELD. OR 97477 (503) 726.3753 FAX (503) 726.3689 As required by the City of Springfield Development Code and/or the State of Oregon, I understand and agree, as shovn by my signature on this form, that vith t~lj! appro al of t. he ~ tt~~h~d permi ts for a home to be located at cY /"",~:,() (} jl/L~()/J--, , Springfield, Oregon, Ci ty Job Number , cr I vill meet or eKceed the belov listed minimum setbacks. Home Setbacks 10 feet from a park building 20 feet from any public street 5 feet from any rear space line or interior space line 5 feet from the edge of a park street 2 feet from the interior edge of a park sidevalk Accessory Structure Setbacks 10 feet from a park building 20 feet from any public street 5 feet from the edge of a park street 2 feet from the interior edge of a park sidevalk 3 feet from an interior space line or rear space line I further state, by my signature belov, that I have been provided vith the folloving information: Manufactured Home Blocking Requirements Minimum Requirements for Permanent Steps - Electrical Connection 'i",~~ ;;~ Date I,