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Home My WebLink AboutPermit Building 1993-6-3 ~~..~ . RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 SPI1INGFIELD '. ,. .. LOCATION OF Pfl0PgSED ~ORK: 21 ~fl L~lJ~p. ASSESSORS MAP \ rJ () '2:>~ f\ \ n LOT- JOB NUMBER q~56 225 Fifth Street Springfield, Oregon 97477 \ ST. sf . 2'6 rMrO BLOCK' OWNER:_~ ~\U ADDRESS: -, -, 0 5R I~TI2.\ \)r..f"p.,\/~. CITY: j!! E.S--rf1~ DESCRIBE WORK: f'LAC.[, rY\~ NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAL: /'?OOQW' I-tAM{fi,J I, ., PLUMBING' MECHANICAl' ELECTRICAL: -':I:f.(.IlD\t,L-~ QUA~ AREA: 1 Q ~)\,,) . OF BLDGS: ~ ~ . OCCY GHOUf' }~6-\ 10.._ \ 7. . OF STORIES' WATER HEATER: STATF' tll<.- , TAX LOT: SUBDIVISION: PHON'" 782.. - 2.'=>00 ZIP: Q74('iz I~ ~ J.J-Oh'lF: DEMOLISH OTHER ADDRESS /4 <j I lJv.,y.'1 '1 Ii . f J)r. '. \ CONST, CONTRACTOR' &;G4<f7 20.2,3' fB PHONE ~8'l-77'Z REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. ill 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. o Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After Instal/alion. o Insert - After fireplace approval and installation of unit. o Curbcul & Approach - After forms are erected but prior to placement of concrete. ( ()~ \?rl - OFFICE US,- - LAND USE: \ \ c:fi.' ) . OF UNITS: l -. I CONSTR. TYPE: _~JV Fc;_ <P~ HEAT SOURCE: HANGE: EXPIRES 5".?q-q fl. 30 -''13 f. " \,-Q ':)'l.9~ FLOOD PLAIN: ZONING CODE: -lO.p . OF BDRMS: .. ~ SECONDARY HEAT:_ SQUARE FOOTAGE; .. \ f") 8:t._ 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 Eleclric o Site Inspection - To be made after excavation, but prior 10 setting form 1lO (]J']ndcrslab P nglElcctrical/ 'C:,CChanical Prior to cover. rc:.2IA=ooling - After trenches arc "T excavated. o Masonry - Sleel location, bond beams, grouting. o Foundtltion - Aflcr forms arc erectcd but prior 10 concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to insulation o'r decking. o Post and Beam - Prior to floor . Insulation or decking. o Floor Insulation - Prior to decking. mSanilary Sewer - Prior to filling r trench. O Storm Sewer - Prior to filling trench. . ['7I7Waler Line - Prior to filling T trench. . -' l... \ o Rough .r~lumbing -.Prlor-to cover. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. o Fence - When completed. o S~reel Trees - \iVhen ,all req~lred t.rees are planted. '.. " . . o Final Plumbing - When all plumbing work Is complet.e. o Final Mechanical - When all mechanical work Is complete. pY Final Building - Wilen all required Inspections have been . approved and building is",\/'t.. .4--- completed. COJL .JJV I o Other MOBILE HOME INSPECTIONS ~IOCking and Set.Up - When all ( ~blOCklng Is complete, ~PIumblng Connections - 'When home has been connecled to wilter and sewer. ~Eleclrical Connection - When blocking, set-up, and plumbIng Inspections have been approved and the home is connected to the service panel. ~Final - After all required Inspections arc approved and porches, skirting, (Jecks, and ventlng have been Inslallecl. Lot fnces Lot Typo . r._~ Lot sq. IIg. Interior P.L. Setbacks HSE GAR ACC . IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? Lot coverage Corner N Topography Panhandle :'. \ Cu"i-ae-sac S If yes. this application musl be signed and approved by the Historical Coordinator prior to permit. issuance. E W ---- APPROVED: Total helghl BUILDING PERMIT ITEM sa. FT. X $/SO. FT. VALUE Main Garage ~) ()HD 1, 1JiJ() j 3;~ro ~:a) -&.~~ L\-{O.!!3 SYSTEMS DEVELOPMENT CHARGE @DClAC I (B) ClL1/ Q...:.\ Building Permit Fcc Slale Surctlarge Total Fcc (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Balh(s) N' Sanitary Sewer FT.. FT. FT.. ..!)~ ,CO '-!'/ W Q~' Waler Storm Sewer \S~U Lr5,UO .3,;0 ~,~S Mobile' Home Plumbing Permit Stale Surcharge Tolal Clwrge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StoveflnsertlFircplacc Unit Dryer Vent Mechanical Permit Issuance State Surcharge o lID ,CD r4nOO 5,~~ Tolal.Permit (D) MISCELLANEOUS PERMITS Mobile Home Slate Issuance Slale SUrCl1<1rge Sidewalk II Curbcul II Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (\&eluding eloctricar-!1:~;/LW", (A, B, C, D, and E Combined) (;{q((7ffl/ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granl9d on the express condition 11'1<1 C said construction shall, in all respects, conform to th rdinance adopted by the City. of Springfield, eluding tile Development Code. regulaling the cons clion and ll5e of buildin{.ls, and may be SU5J nded evol(od nt Hny limo upon violation of nny provi~ ons said ordin;'1I1ces. Date Paid: /plans Reviewed By Dale Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. . ADDITIONAL COMMEN.TS (\0) ~ nW1--./ D'I H r+ ). ly1' p- O: - ffi1-l f\ 1 ro 1 I -JiV\. &~ rrY1 H , ~c{)-D \ t)ili~ _W) m~ 51f'1 on ) - -,~t:1)~~~ldllf By signature, I state and agree, that I have carefully examined the completed applicalion and do hereby certi fy that alt Information hereon is true and correct, and I further certify 1Il.1.t 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 worl( described herein, and that NO OCCUPANCY witl be made 01 any structure without permission of the Building Safely Division. I further certify tllat only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I furlher agree to ensure 1Ilat all required inspections are requested at the proper time, that each address is readable from the street, lhat the permit card is localed al the fronl 01 the properly. ;'lIld the npproved set of plans will relllain on I~al all limos during conslruclion. Slgn~ J1JA~.. p,~ Oatro VALIDATION: (") RECEIPT NUMCJER r o/f46 DATE PAID ((), :s. q =<) AMOUNT R~~3~8 :'~3 RECEIVED A .J ----,,-. .~\; . . SPRINGFIELD DEVELOPMENT SERVICES PUBLIC WORKS METROPOLITAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726,3753 MOBILE HOME AND M~~UFACTURED HOME AGREEMENT 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 sho.n by my signature on this form, that .ith the ?pproval~f the attached permits for a home to be located at AJ, \:?f1 0 )~!/ a ;it.~? 110 ' Springfield, Oregon, Ci ty Job Number D~ lli..'?) .111 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 side.alk 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 belo.", that I have been provided vith the fo11o."ing information: Manufactured Home Blocking Requirements Minimum Requirements for PermanEnt Steps - Electrical Connection .W;l1M-. jJ, Na~ Signature " -3 - 9J Date