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Home My WebLink AboutPermit Building 1993-6-3 LOCATION OF PROPOSED WORK: c:D\..._ ASSESSORS MAP:.J!l~ 7J6 LOT: BLOCK: OWNE : _ nl D) 0 I~~~f'\--i J- PHONE: ADDRES: D -~ '1 k ,r;f') '-- c::>\. ~:..J A 0 0 A r - ~ DESd1l8EWOR~ \.4< ~.9~C\- \~J _\.IT-.J. NEW _ REMODEL,_ ADDITI\0 DEMOLISH OTHER CONST. . ~R~ I- tJ1S. l;;ll5:,;rd73:J ~/~BP+ ~ p,1Iiw 0 A<J'r.", 'D1J~1.oklm sf IPf14 I)'fJAf/g') .'~?\~It)~*\~~ LAND USE: OFF!r ,--9.,) . OF UNITS: \.) CONSTR. TYPE: j,L(V HEAT SOURCE: _r:::S RANGF' ~ "" RESIDENTIAL PERMIT~\PPLlCATION 'nspd~ns: 726.3769 Ollice: 72G-3159 . MECHANIC~ ELECTRICA . IJ\ OUAD AREA I Rn.l0 :JJ OCCY GROUP: L-<) . OF STORIES:--1 WATER HEATER: __P-.-/ " OF BLOGS: JOB NUMBER q~Df)tdt- ~ SP38 . -- ZIP: ct.tlLl * FLOOD PLAIN: U)f/) ZONING CODE: . OF BDRMS:~_ SECONDARY HEAT: 1~lh SQUARE FOOTAGE: 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 snmc working day. inspections requested after 7:00 a.m. will be made the followIng work day. o Temporary Electric o oling - After trenches are excavated. Masonry - Steel location, bond beams, grouting. o Foundation - After forms am erected IJut prior to concrete plilcernen!. o Undelground Plumbing - Prior 10 filling trench. o Underlloor PlumbingJ Mechanical - Prior to Insulation or decking. o Post nnd Beam - Prior to floor insulation or decking. o Floor Insulation - Prior 10 decking. r\6? Sanitary Sewer - Prior to fllUng ? trencll. o Storm Sewer - Prior to filling trench. ~ater Line - Prior to filling T trench. o Rough Plumbing - PrIor to covcr. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. ~ROU9h ,{'~c~rl~~ 10 ( _ cover. ~y , 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 10 taping. o Wood Stove - After installation. o Insert - After fireplace approval and installation of unit. o Curbcul & Approach - Aller 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 arc planted. o Final Plumbing - When all plumbing work Is cornplet.c. r]inal Electrical - WIlen all electrlcaw ~Ie. Final Mechanic 11 - When all mechanical work Is complete. ~!nal Building - When all ~ ~eQuired Inspections have been approved and ~U~dl~9 is.tJ- completed, Wl0r V o Other I. MOBILE HOME INSPECTIONS ~IOCking and 'Sel'Up - When all I ~IOCklng Is complele. rlumblng Connections - When home has been connected to water and sewer. lectrlcal Connection - When blocking, sel,up, and plumbing inspections tlave been approved and the home is connected to the service panel. ??)Inal - After all required Inspections arc approved and porches, skirting, decks, and \ venting have been Installed. r Lot Type . . , ..... IS THE PROPOSED WORK IN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? Lot sq. fig. I PL. , IN Is Iw IE Setb,cks I HSE GAR I ACC I I I I I Lot facos Interior Lot coverage Corner' Topography Total height Panhandle Cul-dc.sac BUILDING PERMIT ITEM SO, FT. X $/SO. FT. =4L~qE('D Main ) Garage ffi:7)UcD I Jrport ! \H\m~ . (f')~ Total Value c-:2/-;oQD, Building Permit Fee .~,:D State Surcharge +A4l Total fee (A) SYSTEMS DEVELOPMENT CHARGE (SD4b (B) CJC!(O, PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. f)<::;:' OU (\/< ) 'ex.) cPS. Water FT. Storm Sewer FT. Mobile Home Ir:;::;OO Plumbing Permit { oS ,CXJ (~,45 / oR ,45 State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge , VI Total Permit (D) MISCELLANEOUS PERMITS ~~ '- ~ _.2..'> Mobile Home State Issuance State Surcharge Sidewalk It Curbcut II Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE ~Udlng electrical)\ '~~.q/ (A, B, C, D, and E Combined) Cf4 ( 0.11 ') .If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition tllat the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, incllJding tll Development Code, regulating the construction and u of buildings, and may be suspended or revoked at y time upon violation of any provisions of said ordl nees. Plan Check Fee: "'. Date Paid: =-\~ V Receipt NUFllber'~~. " Rece7 ~s Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City liR(its which are being improved. \N\~ UH u11 n ~ LOJ. _ "l'A.S ~ \\A. \? W \ Q Jl f'lj... ;> ~l \ f-{ J:ti:.. 4$P 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 (Jone in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described h2rein, and that NO OCCUPANCY will be made of any structure without permi:,;sion of the Building Safety Division. I further certify that only contractors and employees who are In compliance with GRS 701.055 will be used on this project. I further agree to ensure that all required inspoctiot'\s arc requested at the proper lime, 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 the site at all limes during Fnstruction. . Slgnal~/JItA/IL(' '~ Date-7 VALIDATION: t) nc::e:::. RECEIPT NU"fBER _ .D' /, _ V DATE PAIr> \0" "') y\") AMOUNT RECEI~_-,'?;Q J RECEIVED BY(/\~C:O .J ~.~ ,.. . I ,. 'I ./ . SPRINGFIELD DEVELOPMENT SERVICES PUBLIC WORKS METROPOLITAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 '(503) 726,3753 : MOBILE HOME AND MANUFACTURED 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 thp\~pr~'~~f the att~Sge~Pr~ts for a home to be located at ~~( )(~~f).~J/' / , Springfield, Oregon, City Job Number "~'jOI/ frJ<f i ','ill meet or exceed the belo\! 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 )0 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 side\!alk 3 feet from an interior space line or rear space line I further state, by my signature below, that I have been provided \!ith the folloving information: Manufactured Home Blocking Requirements Minimum Requirements for Permanent Steps - Electrical Connection a~(J 'S;dtnt~ ~ature Date