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Home My WebLink AboutPermit Building 1993-7-9 -oJ> RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726-3759 . SPRINGFIELD LOCATION OF PROPOSED WORK' 2~"-6 f)~ ''"2.:;>.,....-.0 ASSESSORS MAP: LOT' '/ , BLOCK' OWNER:ji~#~~ ~fl!:?A1J?./~,J_~~ ADDRESS: CITY: STAT'" . JOB NUMBER "":?~2t!:S 225 Fifth Street Springfield, Oregon 97477 " J J4- , TAX LOT: ~ yV~ SUBDIVISION' PHON"- 4l ZIP: DESCRI-BE WORK: /_~~.o( ~-iJ'~"". NEW REMODEL ~~~fl?e, r~9~-~.A7 /~~: ADDITION DEMOLISH OTHER CONTRACTOR'S NAME GENERAL:4 -~~.I'f-,cl"'" ,. . PLUMBING' CON ST. . AD~. . CONTRACTOR' EXPIRES _ PHONE ~::. -~. ~yV"? ~-~r~ ~?-;::>~- MECHANICAL: ELECTRICAL:~~~~" ~ QUAD AREA: \ Q\\ )\0" . OF BLDGS: \ ' . OCCY GROUP: ~~ \ y.-/ . OF STORIES' WATER HEATER: - QFFICE USE - \\8:) 'V' ) CONSTR. TYPE: /V LAND USE: . OF UNITS: HEAT SOURCEf-t"~ ~.At. . '. RANGF' 't.-) FLOOD PLAIN' ZONING CODE: 1j\\L .3 . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: { 344-_ To request an inspection, yo~ 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 '~nderSlab Plu bing lectricall ( Mechanical '- Prior to CUVt::I. ,'0 Footing - After tr'enches are excavated. . o Masonry - Steel location, bond beams, grouting. . o Foundation'- After forms are erected but prior to conc'rete placement. . D Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/ Mechanical _ Prior to insulation or decking. o Post and Beam - Pdor to floor Insulallon or decking. O Floor Insulation - Prior to decking. '. o Sanitary Sewer ~ Prior to filling . trench. . '~Storm Sewer - .~rior'to filling trench. .. . - ~Vater Line - Prior:to,fitling~. T trench.. . o Rough PI!Jmbing - Prior t.? cover. . . " ~...... ....' REQUIRED INSPECTIONS o Rough Mechanic.<:1 - 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. D Framing - Prior to cover. o Wall/Ceiling. Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After installation. D 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 ir: I1lace. o Fence - When completed. o S~rect Trees - When all required trees 3re planted. o Final Plumbing - When all plumbing work Is complelo. D Final Electrical - When all electrical work is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspectlons have been approved and building Is completed. OOlhor MOBILE HOME INSPECTIONS locking and Sct,Up - When all blocking Is complete. ~ umblng 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 ~al - After all required t,LI r~~I~cctlons are approved and porch~s, skirting, decks, and venting have been installed. . Lot faces Lot Type Setbacks Lot sq. Itg. Interior I P.L. HSE GAR ACC I IN I Lot coverage Corner Is I Topography . Panhandle -,". , ~ Iw I Total height - ~ .Cul-de:sac IE I DEVELOElMENT CH~qSDCl1) -0 'jsystems 'Development Charge is due' on all un'developed na..- \~O tJ, I ^. ropertles within the City limits which are being improved. ~'J ~ ~'. '. ....... - BUILDING PERMIT ~ ITEM Main Garage Carport ~,/,~ ~ S;;~ Total Val ue Building Permit Fee State Surcharge Total Fee SYSTEMS PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan X $/SQ. FT. VALUE ~ -?';;;>";?C'> ,S\IX /y~ .// t1!f::::> (aoCD") -3R,5D ~ (A) FEE N' FT. 8~.Ct) A5, o)U \Op0 FT. FT. (C) ." lJfj (].) 0.~.d.S l r:B ~S Dryer Vent Wood Stove/lnsert/Flreplace Unit N' Mechanical Permit Issuance State Surcharge Total Permit Mobile Home MISCELLANEOUS PERMITS (D) ..0 \DS.cO ,,')[) CD S_~ State Issuance State $u rcharge Sidewalk c:?5 Curbcul 't?1J It It Demolition State Surcharge Total MIscellaneous Permits (E) J TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) . IS.THE PROPOSED WORK iN THE . HiSTORI,GAL 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 ail respp.cts, conform to the Ordinance adopted by the Cily of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time I upon violation of any provisions of said Qrdi~ances, Plan Check Fee: ___ Date Paid: , Receipt Number:~. '~. J Received By: ~_ \" , '- Plans Reviewed By Date ADDITIONAL COMMENTS ..5 ~ C-::--..?j~~")-~~ ~--~l _, ,..- By signature, I state a~d agree, that I have carefully examined the completed application and do hereby certify that all lnformation hereon is true and correct, ~,nd I furthe'r 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 herei~, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I further certify that only cortlractors and employees who arc in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspeclio.ns are requested?t the proper time,'that ea~h address Is readable from the st'r' t, that the'permit card is located at the front of the prop r y, and tile approved set of plans witl remain on the sit .1 '~II times during cons~ruction. : . . Signature iI1"il' ~ . "".tA I q. 11~~-2 VALIDATION: RECEIPT NUMBER 9~'::: DATE PAID ~- ?'~~ 3 AMOUNT'REC E ~~S,~~ RECEIVED B __~- ./ -' ---J- l' ~-~~~ - .-~' . . DEVELOPMENT SERVICES ADMINISTRATION PLANNING / BUILDING PUBLIC WORKS METROPOLITAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 . (503) 726-3753 MOBILE HOME AND :1ANUFACTUR3D HOME AGREEMENT UNITS TO BE PLACEu li"J A i'ARK As required by the City of Springfield Devel0pment Code and/or the State of Oregon, I understand and agree, as shown by my signature on this form, that with the approv~o the attaG~e~~~its for a home to be located at ,..() l~( 1/.{.t_4:t- , Sprir,gfield, Oregon, City Job Number . - '-1:...,) J4 r I will meet or exceed the below listed minimum setbacks. Home Setbacks 10 feet from a park build ing 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 sidewalk Accessory Structure Setback~ 10 feet from a p'l.rk building 20 feet from any public street 5 feet from the edge of a park street 2 feet from the interior edge or a park SIdewalk 3 feet from an interior space line or rear space line I further state, by my signature below, that I have been provided with the following information: Manufactured Horne Blocking Requirements Minimum Requirements for Permanent Steps LJ.~~~, - Electrical Connection r .AM IZ, J '1~""'\_ C~\I t '.