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Home My WebLink AboutPermit Building 1995-4-25 RESIDENTIAL PERMIT APPLICATION . Inspections: 726-3769 Office: 726-3759 SPRINGFIELD . (\5001,\ .JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOS :D 12.R~: 513 /3.s ASSESSORS MAP: _ f) Ul--?-h.l[D 'J)~,~ I Lor .,.L 9?: ~/~~' 97t;f7t? TAX LOT' Ot2a) OWNER: ~~~ c;,)~;- ,-,.~~~, ADDRESS: .....s-02Y'" 4J~A/ CITY' <:;;;;;;' ,to / c::/ " ,LOT BLOCK: SUBDIVISION: l /-'!.."h_ ~.. PHONE: :7 .:z ~ - 2../ ., / STATE: o~ ZIP: t:?7011 DESCRIBE WORK: PL~_/hA-4L~.J_.r~~ _~(,.. .-::s- NEW V REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME GENERAL: G,jlIp~ "_ ~ k,,~ // PLUMBING: H MECHANICAL: ELECTRICAL:Q~H ADDRESS .~:z.c/ d~AL5r , ,,. , CONST. CONTRACTOR II 4~7Z. EXPIRES PHONE //-q_-r" ./~ -2./7/ ",. " " (,; .:1?R1'2.... t, 4 - - - QUAD AREA: ~ ~e....~ /I OF BLDGS' \ OCCY GROUP: ~-5 /I OF STORIES: \ WATER HEATER: C;./ - OFFICE USE - LAND USE: \ l SO I _ CONSTR, TYPE: V ~ HEAT SOURCE: F" L U FLOOD PLAIN: U)p '"~ - /I OF UNITS: ZONING CODE: II OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE:-LJ88 RANGE: 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 Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover, o Footing - After trenches are excavated, o Masonry - Steel location, bond beams, grou,ting, o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, o Underfloor Plumbing/Mechanical - Prior to insulation or decking, o Post and Beam - Prior to floor insulation or decking, o Floor Insulation - Prior to decki ng, o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling , trench, ' o Water line - Prior to filling trench, o Rough Plumbing - Prior to cover. '1..--...........-- ,._...... REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Final Plumbing - When all plumbing work is complet,e. o Rough Electrical - Prior to cover. o Final Electrical - When all electrical work Is complete. o Electrical Service - Must be approved to obtain permanent electrical power. o Final Mechanical - When all mechanical work is complete. o Fireplace - Prior to facing materials and framing Insp. o Final Building - When all required inspections have been approved and building is completed. o Framing - Prior to cover. o Other o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. MOBILE HOME INSPECTIONS o Wood Stove - After Installation, o Insert - After fireplace approval and Installation of unit. ~Iocking and Set-Up - When all blocking Is complete. o Curbcut & Approach - After forms are erected but prior to placement of concrete, ~Iumblng Connections - When home has been connected to water and sewer. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material in place, ~Iectrjcal Connection - When blocking, set-up, and plumbing Inspections have been approved and the home is connected to the service panel. ~al - After all required inspections are approved and porches, skirting, decks, and venting have been Installed, o Fence - When completed. o Street Trees - When all required trees are planted. 1 BUILDING PERMIT ITEM sa. FT. x $/sa. FT. = VALUE Main Garage ,.3rD ~DSO Carport Total Value jDW I\~.~ . ~." 1.1 ...j'f"7 ", \... J. ~_(._I ~ B. btlJ Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer Water FT. FT. Storm Sewer FT. Mobile Home \ t6 ,00 Plumbing Permit State Surcharge ~ ~ Total Charge \CSpU , ,aD It.o.W (C) MECHANICAL PERMIT Furnace Exhaust, Hood Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS ins.CD <9.0.CXJ 6.~5 ~.16 Mobile Home State Issuance State Surcharge ("-- - ~lijp.:..-._,...... .1:, :3Pb Curbcut It Demolition 'State Surcharge Total Miscellaneous Permits (E) , lUll) .' -".'7.-,,',,1 TOTAL AMOUNT DUE (excluding electrical) ~ l..l' (A, B, C, 0, and E Combined) , 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 City of Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. I 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. ADDITIONAL COMMENTS ~ . By signature, I state and agree, that I have carefully examined the completed application and do hereby certlly that all Information hereon Is true and correct, and I further 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 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 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 set of plans will remain on the site at all times during c~s~n. Signature...---..V ~.t:- '--/ ' - Date 4-.z.s;-- 9,,- VALIDATION: RECEIPT NU~ER ~ ,# .-: ~() 1'1 /I Y DATE 'PAID "f7~... ) AMOUNT RECfl~D M() .~-2 ~,\ RECEIVED B(/\ V)I) ) , i - " DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 FAX (503) 726.3689 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 shown by my signature on this form, that with the ap'proval of thQ atta~ped permits for a home to be located at t)~~ ~J~ct-, , Springfield, Oregon, City Job Number O(~~~, -----~ll 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 sidewalk 1 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 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 Home Blocking Requirements Minimum Requirements for Permanent Steps - Electrical Connection 4- 2-.<;-9~ Date