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Home My WebLink AboutPermit Building 1994-4-19 FlEblbENTIAL ; '" PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 . SPRINGFIELD .JOB NUMBER Cf4l::K)lQ 225 Fifth Street Springfield, Oregon 97477 41. JI. a".. ) IAt.lR~ .:5,... ~ ~p 2(.)7 LOCATION OF PROPOSED~K,^~I SO ASSESSORS MAP: \()U,-:yy J \() LOT: BLOCK' OWNER: VG'RLe>AI':D. .sP $AVJi!?P/,o ,,0. ~uD::S- , - / ADDRESS: ,(3SiC. V;""""~lcr CITY: --L:::;.f ,,Qr->f6,;r STATE: _-"!)-;:?, DESCRIBE WORK: ./l,AM"~Aa.rdRt:/1) NEW ~ REMODEL ADDITION CONTRACTOR'S NAME , GENERAL: ~ta'I'r'b/~,Q./ " PLUMBING: " MECHANICAL' ELECTRICAL: ~, -p~ 'ii'~).J QUAD AREA: \ Q I{\ )\;) . OF BLDGS: \J..3 \ 9'..) OCCY GROUP: . OF STORIES: WATER HEATER: SUBDIVISION: PHON E: -:r~-~ 7..:!l:7 ZIP' c;; ?4b-/ ;.hhJS PL.ArA:o?1...::o>,d y- DEMOLISH OTHER CONST, ADDRESS CONTRACTOR' S'0.24"aA-J~ ~/,./ 46472- " " - OFFICE US~ LAND USE: \ \ r;:={') . OF UNITS: ',\ CONSTR. TYPE: ~^') HEAT SOURCE: ~ U RA N G E: C(........J EXPIRES 1,/-/ z.-'i?<L PHONE 72'{'-2171 *- " " , FLOOD PLAIN' ZONING CODE: \f\V oQ, . OF BDRMS: SECONDARY HEAT: "f) \ 1\0\ SQUARE FOOTAGE: v-x 1J2.-- To req-uest 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. ~Il\ be made the following work day. REQUIRED INSPECTIONS o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting rorrnfl _ ~ .. r")~ rtl Underslab PI~ectrlcall ~ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grou,tlng. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumblng/ Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. " ! i I ! ~ Sanitary Sewer - Prior to filling ~ trench. . o Storm Sower - Prior to filling trench. ~Water Line - Prior 10 filling ~rench. o Rough Plumbing - Prior to cover. ..--...._~,_.......... , . o Rough Mechanical - Prior to cove~ . 'Kt1 Rough Electrical -:- Prl,or to ~over. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~Framing - Prior to cover. o Wall/Ceiling Insulati~n - Prior to cove~ . o Drywall - Prior to taping, o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcul & 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. o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing work Is complete, ~ Final Electrical - When all ~Iectrical work Is complete. o Final Mechanical - When all mechanical work Is complete. -rA Final Building - When all required Inspections have been . approved and building 15 completed. o Other MOBILE HOME INSPECTIONS ~ Blocking and Set. Up - When all blocking Is complete, '18f Plumbing Connections - When home has been connected to water and sewer. ~ Electrical Connection - When blocking, set,up, and plumbing Inspections have been approved and the home is connected to the service panel. ~Inal - After all required inspections .are approved and porches, skirting, decks, and venting have been Installed. Lot Type. " Lot faces Lot sq, fig, Interior Lot coverage Corner Topography Panhandle Total height Cul-dc.sac :~mHhr7;j ," ," : ~ ., "'1 Y', 'Setbacks i' , , I P..L~" HSE' GAR' ACe I IN "~I S \W IE BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, VALUE' Main Garage Carport 3~ \~,((),~ Total Value '14 ,S) ~ .A)~' 4lo.13 Building Permit Fee -,", .... State Surcharge Tolal Fee (A) SYSTEMS DEVELOPMENT CHAR~)?PC)4CI . (B) ~(J),"t PLUMBING PERMIT ITEM FEE Fixtures Residential Balh(s) N' AtC),cQ ~,~ ,UJ Sanitary Sewer FT. ~ater Storm Sewer FT, FT. Mobtle Home /5CU ~ Plumbing Permit Stato Surcharge LoS~ ~~,~~ Lr9J./{5 Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge .k3 Total Permit (D) MISCELLANEOUS PERMITS Mobtle Horne / ()..~po AO.W -, P{ ~ Stale Issuance State Surcharge Sidewalk II Curbcul II Demolition State Surcharge Total Miscellaneous Permits (El TOTAL AMOUNT DUE (excluding etectrlc~ I.~'\ " ti:J (A. B, C. D. and E Combined) (:-l\~~?-.' . THE PROPOSED WORK IN TH: '" ..HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed \ and approved by the Historical Coordinator prior to permit Issuance. APPROVED: 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 Cily of Springfield. Including the Development Code, regulating the construction and use of buildings, aOnd may be suspended or revoked at any time " upon vlolatlon 6f any~provlslons 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. l 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 certHy 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 ~mployees 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" on tho site at all times during cons ucUon. Signature Jh;x. Date VALIDATION: \ RECEIPT NUMBER )!l.~ DATE PAID ""11.\q.q.l AMOUNT REC~V ('~~l()f\q( '~i!.33 J RECEIVED BY . \ f'.. ~ \ ~ '-..\ 6lo ) '-' -- '~ 7"'" - ......,' . SPRINGFIELD MOBILE HOME AND MANUFACTURED HOME AGREEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 FAX (503) 726-3689 UNITS TO BE PLACED IN A PARK 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 ~a t;Q,va~the aj:tas,ge9,)te)Jl'i ts for a home to be located at ( ) ;.1~~LJ-/ , Springfield, Oregon, City Job Number ( ~\ . I vil! meet or exceed 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 QOMUf -/}lLftnu S~ture bate