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Home My WebLink AboutPermit Building 1992-10-28 RESIDENTIAL PERMIT APPLICATION . Inspecllons: 726.3769 Office: 726.3759 LOCATION OF PRO PC/SAD W9-E!K: 1\0 J1) () _ ASSESSORS MAP: " I ():"'\~\n OWNER: \l~ o..D.rC1\J\ ) \..\~o Q 1\{\.f'\ ) PHON'" ADDHES~ c:u'-~() ~(JldbLJ - . CITY: ~ 1 - ([;!J !1) STATE: h O?f11l-, LQ{ ( If} n.JY1j7[J DEMOliSH ~- OTHER LOT' BLOCK: DESCR~E ~OU NEW \. /) REMODEL / ~BNUMBER~J~L , ,''I !", .' ., .' '> 225 Flflh SIreet Springfield, Oregon 97477 i~ \1 TAX LOT: SUBDIVISION' rr\~ r~ " ~ '. r: ~', .. " I. r.' I. :' ", ,. '>i ZIP:~) I,: /:, * EXPIR'n. PHONE ~.\~V-11 ~, f\ ,C\6 r :';.: CONTRACT9:fil'S NAME . \~JDDnESS GENERAL: ~cL,Ol4-..s- _,.. 0 J\ PLUMBING: G.~~ ,. ." -- CONST. CONTRACTOR · ~.Q\O~ ~r> \ o\M~ MECHANICA' . ELECTRICAL: ~.~ f'I\r\ \~(ll.)!'\ , - OUAD AREA: _~\0\1 ') . OF BLDGS: l OCCY GROUP: _~~lV\ . OF STORIES: _l ____. WATEn HEATER: -f -' \.O~\~I) - OFFICE USE - \ \5CJ \ VU ~S LAND USE: . OF UNITS' CONSTR. TYPE: HEAT SOURCF' E- RANG'" \ \, ", \9."d/)q~ FLOOD PLAIN' ZONING CODE: nLDR... . OF BDRMS' ......"") SECONDARY HEAT: SQUARE FOOTAGE: J:1f.21) To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requesled belore 7:00 a.m. will be made the sarno working day. Inspectlons requested after 7:00 a.m, will be made the following work day. 1=1 Temporary Eloclrlc i-I Silo Inspection - To bo m:lclo - <:Iller excavation, bul prlQr II) setting forms. ,'rI}, Underslab Plumblngl eClrlcnl1 ~ Mechanical - Prior to o Footing - After trenches arc excavated. o Masonry - Steel location, bond beams, grouting. CI Foundation - After forms arc erected but prior to concrete placement. [J Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior 10 Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior 10 decking. . k-tl?sanllary Sewer - Prior to filling F t-rench. ~ O Storm Sewer - PrIor to filling trench. ~Wator Line - p~lor to f11l1ng~ t' trench. ... . o Rough Plumbing - Prior to cover. ,. , REQUIRED INSPECTIONS :' '-I Rough Mechanical - Prior to 0 Final Plumbing - When all - cover. plumbing work. 15 complete. r",_4/]nougl1 Electrlcnl - Prior 10 r.-Jf'JFlnnl Eleclrlcal - When all -~ TV~wi t- -\-0 CDJl Itl.l.lf electrical work Is complete. O Electrical Service - Must be r 0 Final Mechanical':"" When all approved to obtaIn permanent mechanical work Is complete. electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulallon - Prior to cover. o Drywall - Prior to taping. o Wood SIOVO - After l~stallat'lon. o 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 In place. o Fonce - When completed. o Stroot.Trees - When' ~1I'fequHea trees are planted. fFlnal Building - When all required Inspections have been approved and building I~ .....l-- completed. 0If\ n ffi'{ V o Other '-VI~ ,. 1" '. ..' \. MOBILE HOME INSPECTIONS ;., . . OBIOcklng and Set.Up - When all T blocking Is complete. . . ~IUmblng Connections - When home has been connected to water and sewer. ~:: ~'ectrlcal Connecllon - When blocklng,'set.up, end,plumblng Inspections have, been' approved and the home Is connected'to . the service-panel. .1 " ~ " ; 11:1\ l.~.~ ;, I: r: ~' ...", 'f""l;;<' . Inal~Alie~ all~recjulred' . _.' .,.. .",;.!nsp.e.ctlo,:,~;a~e.:a.pp~~o~e?..a'0d porchesj skirting, ',decks, and venting have. been.lnstalled: c. I r:' r;: " ,~ ~ )' J Lol faces Lol Type . Setbacks ,'. ~Inte'rlor" I GA:,'ACC I Lot sq. ftg, p.L. HSE - IN . Lot c~verage. ~. COrner . ~,I)l ,.:.,: ....... -I'~.. , I Topography Panhandle " I~ I " Total height - Cul-de,sac IE .1 " .' I ~ BUILDING, PERMI,T . ITEM" SO. FT. X $/SO, FT. ~ VALUE Main . ' Garage Carport \4fi~.uo Total Value Building Permit Fee Stale Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHAR9-.E,..(~D9)" ?~R,?!;rk{~C-(B) ~ PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' rJ~ro ~ '2=;.CU Sanitary Sewer FT. FT. FT. { syu Waler Storm Sewer Mobile Home Plumbing Permit (DO ,CD \, ~,c!l "') [ot).cQ5 State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood SlovellnsortlFlreplaco Unit Dryer Vant Mechanical Permit Issuance State Surcharge ~ \ lJ0,cO f)() ,en ~,~~ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issu.ance State Surcharge Sidewalk ft Curbcut ft Demolition State Surchargo Total Mlscollaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) . fs!lB,5fi-) \__ THE PROPOSED WOHI< IN' THE ''''I!!''STORICAL.: DISTRICT, OR ON THE H'ISTO'RICAl~REGISTER? II yos, this application must bo signed and approved by tho Historical Coordi~lator ,;r1or to permit Issuance. , . . APPROVED:. BUILDING VALUE, PL'AN CHECK . AND BUILDING PERMIT This permit Is granled on the express condition t the said . '. 'constructlon shall, Inall respects, conform t e Ordinance adopted' by the City' or Sprlngflel , Including the Development Code, ragulatlng tha c Iructlon and usa 01 buildings, and ma~uspende or revoked at any time upon violation of :y . rVISIO of said ordinances. Plan Check Feo\, f\ ; Dale Paid: ~ V , \,; \ /plans Reviewed By Dato Syste~s Development Charge Is due on all undeveloped properties within Iho City limits which are being Improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined tho completed olJplicalion and do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work performed shall bo done In accordance with the Ordinances of the City of Springfield, and tho Laws 01 tllO Slalo of Oregon pertaining to tho work described heroin, and thai NO OCCUPANCY will be made of any structure without per/nlsslon of the Building Safety Division. I further certify that only contractors and employees 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 sot of plans will remain on the site at all limos dur:n?-con~t~tion. SlgnaIUr~~ ~ Dale '\ () IlrdLQ1.... VALIDATION: RECEIPT NUMBER .___~___--=' .wilY 06f ,?}3) DATE PAID /L) - ~8 -"lg., AMOUNT RECEIVEDJ.305.IoCQ ~s_ - RECEIVED BY ./ , ,~. . ~ . . SPRI.FIEL~ . DEVELOPMENTSERWCES PUBLIC WORKS METROPOLITAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726,3753 MOBILE HOME AND MP~UFACTURED HOME AGREEMENT UNITS TO BE PL.~CED IN A PARK As required ~y 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 t~~.p r~a~Jf the attacheA~mits for a home to be located at ()(7I/tJ.I/lJ) ~;f:tC;J h , Springfield, Oregon, City Job Number \~()\' I .ill meet or exceed the below 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 s tree t 5 feet from the edge of a park street 2 feet from the interior edge of a park sidewalk 3 feet from an interior space line or rear space line I further state, by.my signature belo., that I have been provided wi th the follo"ing information: Manufactured Home Blocking Requirements Minimum Requirements for Permanent Steps - Electrical Connection ~tnnu' ~-&krr- /Si\~ure /{r d-o.9 2 Date