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Home My WebLink AboutPermit Building 1993-12-28 · RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK: /?'n5:""? 4,.7J"'V)';;::> ASSESSORS MAP' /-R-CJ_"?-OZ-3?. LOT' /~ OWNER: ]?~, /h_'V8' .;:::;v 7....A -f /A / ~ /}?, -/vh~ VZ- ADDRESS' CITY: ~/2./ -trh'/-- / Fe..:/) c:')P.z/,(~PL" TAX LOT- ?C?t9() SUBDIVISION: hL..R,t::ErG1E/lV~ 7l.F BLOCK' z.. STATE: __t'?? . JOB NUMBER q3 \~ l J 225 Fillh'Slreel Springfield, Oregon 97477 PHONE: .,4.1- ,fSe::.Z4. ZIP' C?~77 --- - NEW...lt..-- REMODEL ADDITION DESCRIBE WORK: /?7/9A/r)~At".'rTYR.""'"Z> ~~ [;??T-/?LAc?,c$/??-?(7; .J '-.. -=- -- DEMOLISH OTHER CONST. CONTRACTOR'S~NAME, ADDRESS CONTRACTOR' CENERAL: ~ J S?7z.4d",,8f. ~d. A6<{?2. "U/~;"f:H7.~ , AP UiL.eJ'eiCd J;I'C. n /~ .'SH.- 9'9v"'1" PLUMBING: MECHANICAL' Ii ELECTRICAL: '"];kc.../'J'-/ XRn-w-/ OUAD AREA: J:::;RI.':U) . OF BLDGS: ..:L OCCY GROUP: ~~ "-^-- - \ r/ . OF STORIES' WATER HEATER: " - OFFICE USE - LAND USE: -1/ S() ( CONSTR. TYPE: V A.J HEAT SOURCE: Fv G . OF UNITS: RANGF' EXPIRES /1' 'f 4 II;",Y PHONE 7Z6-Z/7/ F~~-- ~7F'" " FLOOD PLAIN' ZONING CODE:-.illV . OF BDRMS: ,1 SECONDARY HEAT' SQUARE FOOTAGE: //13 To request an inspection, you must call 726-3769, This Is a 24 hour recording. Alllnspectlofls 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. ~oting - After trenches are Txcavated. o Masonry - Steel location, bond beams, grou.Ung. ~oundalion - After forms are erected but p~r to concrete placement. G!CVlt1QO / o Underground Plumb~n~ -..(;rlor to fillIng trench. o Underlloor Plumbing/Mechanical - Prior to insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filting trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. ?~~~:'1W~ to o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. praming ~ Prior to cover. o wall:liling Insul cover. o Drywall - Prior 10 taping. o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. . ~ I I D Sidewalk & Driveway :- After excavation Is complete, forms and sub-base material In place. .0 Fence - When completed. o Street Trees - When all required trees are planted. . o Final Plumbing - When all plumbing work is complet.c. [2fFinal Electrical - When all ~ electrl~""work Is complete. o Final M ~ all mechan cal work \1 complete. )1.nal Building - When all required Inspections have been approved and building Is comPleted.(]Ofi J7 /'Je.-J o Othcr -j - - "'\./V71 MOBILE HOME INSPECTIONS O.-BIOCking and Set.Up - When all / blocking Is complete. ;zrPlumblng Connections - When home has been connected to water and sewer. (~Iectrlcal Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. ~inal - After all required Inspections are approved and porches, skirting, decks, and venting have becn installed. ':;Jfir.'},li1, .;,.. .... Lot Type. . " Lot faces . Setbacks i' THE PROPOSED WORK IN T~E Lol sq. IIg, t. Interior I P.L. HSE GAR 'ACC I ISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage _ Corner Is I If yes, lhis application must be signed I and approved by the Hlslorlcal Topography I Panhandle Iw Coordinator prior to permit Issuance. Tolal heighl Cul.de.sac IE APPROVED' BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE M;lO '~~ l\f1"O I ~ __~,)D 4,q3 [/)~ .4~ Main Garage .:5Ld0 , lfi/1fU Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDe) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Balh(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Moblie Home -b ,00 Plumbing Permit /:).00 J]S )5.1.'S State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Verit Fan NO Wood SlovellnsertlFireplace Unit Dryer Vent Mechanical Permit Issuance Stale Surcharge Total Permit (D) (/) ID500 ;-JD CO ~i:) ;JS MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permlls (E) TOTAL AMOUNT DUE (excluding cleclriCal)~ (A, B, C, 0, and E Combined) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition th he said construction shall, In all respects, conform to t Ordinance adopted by the City of Sprlnglleld, cludlng the Development Code, regulating the cons cllon and use of buildings, and may be suspended revoked at any time upon violation of any provisions said ordinances. Plan Check Fee: /' Date Paid: )'fans Reviewed By Date' Systems Development Charge Is due on all undeveloped properties withIn the City limits which are being Improved. ADDITIONAL COMMENTS ~ ~G1--'\. ~ f:'.= 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 done In accordance with the Ordinanc~s of the City of Springfield, and lhe Laws of the Stale of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission 01 the ,Buliding Safety Division. I further certHy 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 InspecUons are requested at the proper time, that each address Is readable from the street, that the permit card Is localed at the front of the property, and the approved set of plans will remain on the site at alhtlmes during construction. Signature A 1,0__ --yY\ '?w-- - -17-\:;/'~ 1 '1. -z, Date VALIDATION: (\ 11 In RECEIPT NUM~R , q d\') , DATE PAID '/)8'~ - I . AMOUNT REC,EIVr/P,rYq~( P.S RECEIVED B@\/f't)._ ) <' " . . . SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 , (503) 726.3753 FAX (503) 726.3689 MANUFACTURED HOME SET~UP AGREEMENT .' As re'quired by" the Ci ty of Springfield Development Code; I" understand and a'gree that ~ith the approval of the attached permit~ on~?J !~~!?~l~~ng~) . manufactured homes ~ill be placed at _I/-::()\) \ '!UJl)'YJY"J...lLlij() " Springfield, Oregon, Ci ty Job Number L!31'?f} '1 . :::t- Type I Manufactured Home. A multi-sectional (double ~ide or ~ider) unit ~ith an enclosed Uoor area of not less than '1,000 square fee t, 'that has a nominal "roof pitch of 3'feet in height for-each 12 feet in ~idth, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards ~hich reduce heat loss to levels equivalent. to the performance standa~ds required of single family d~ellings constructed under the State Specialty Codes. Type II Manufactured Home. A unit of not less than 12 feet in ~idth ~ith an enclosed tloor area of not less than 500 square feet, that has a nominai roof,pitch of 2 feet in height for each 12 feet in ~idth and that has no bare metal siding or roofing. I further state, by my signature belo~, that I have been provided ~ith the follo~ing information: _ Manufactured Home blocking - Vater line connection _ Street tree standardg - Sanitary se~er connection - Electrical connection _ Minimum requirements for permanent steps I also understand that if I am installing a Type I Manufactured Home, the home shall be enclosed at the perimeter ~ith stone, brick or other masonry materials, and ~ith no more than 12 inches of the enclosing material expos~d above grade. ) 't.<:Tn X \A.L.. / ,<:,.gna ture ,,--v '/Y1aw,....;... ~ 12../28'/53 ba te / I ',' . I,'