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Home My WebLink AboutPermit Miscellaneous 1991-6-6 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: ::)'7 OWNE'R' .Jer-/)7ne ADDRESS: ~'7I:z.. 7 CITY' fi~e.-?t<' / SPRINGFIELD H arhm.. ,JOB NUMBER 9/C)~< '1' 225 Fifth Street Springfield, Oregon 97477 Dr :;; oY'lmheld / I 5 cf j:) line J(. rnx Ho/ltJw f1,IJ7C?e Ref :# ? STAT~' 01'. LOCATION OF PROPOSED WORI<' Iff?O /~-6'3 -6::2, - 3<~ ASSE::;SORS M.AP: BLOCK: .:1 0;79 t'JD ~I/e TAX LOT' SUBDIVISION: 6/her'T PHON~' . ~ Slc,t '/'i?/ / ZIP' 9"7'7'0 S- DESCRIBE WORK' NEW .)\ '$,j!Js/a/J .4b/~" bY' /fg'"1 .-tftViD.talEJvl-'e.d home. REMODEL ADDITION CONTRACTOR'S NAME . GENERAl {$rea.1- (j)e...ifer/l' PLUMBING:~?;<tT !'f"A'/~~' MECHANICA' . ELECTRICAl' QUAD AREA: ~aD \ OCCY GRoup.\~3 \ ,9, # OF BLDGS: # OF STORIES' WATER HEATER' DEMOLISH . . OTHER ADDRESS 5ZJ:J..J.f da.h.5t CONST. CONTRACTOR # EXPIRES PHONE REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover, o Rough Electrical -. Prior to ~. cover, D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~rami~^i~Ovt: D Wall/Ceiling ~nsulation - Prior to cover. j o Drywall - Prior.,to taping. D Wood S'tove - After installation D In5ert"- After fireplace approval and installation of unit. D 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 Fence -:... When comp.leted, I!"h Street Tr~es - 'WhEm all'required" (1...2\J trees are planted. \,;...f.' .~ /'. FLOOD PLAIN: ZONING CODE: l f) 'f> 2:, - OFFICE USE - \ \ Sf) \ LAND USE: # OF UNITS: CONSTR. TYP~' HEAT SOURCE: f' f~ V RANGE: # OF BDRMS: SECONDARY HEAT: 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::wlll be made the same working day. inspections requested after 7:00 a.m, will be made the following work day, D Temporary Electric '. . D. Site Inspe.ction - To be made after .excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. i\--i'1.oo~ing - After trenches are L:fI'~xcavated. . D Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. D Underfloor Plumbing/Mechanical - - Pri.or 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 fifling trench. o Storm Sewer - Prior to filling trench. " I\7PWate~ Line - Prior to filling I trench. D. Rough Plumbing - Prior to cover. D Final Plumbing - When all plumbing work is complete. o Final.Electrical - When all electrical work is complete, D Final Mechanical - When all mechanical work is complete. ~inal Building - When all ~eQui.rl?d inspections tlave'been "; approved and building Is completed. o Other ~CJrtJ MOBILE HOME INSPECTIONS " rc:t?BloCking and' Set-Up - When all ~ blocking is complete. rWlumbing Connections - When ~ home has been connected to water and sewer. ~ Electrical Connection - When 'blocking, set.up, and plumbing inspections have been approved and the home is connected to the service panel. ~Final - After all required LfI inspections are approved and porches, skirting, 'decks, and ,venting have been installed, Lot faces Lot Type, Lot sq. ftg. Interior Lot coverage Corner Topography Panhandle Total height Cul,de-sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. Main Garage Carport 1.0 Jot? Total Value Building Permit Fee State Surcharge Total Fee (A) I PL, IN Is Iw IE Setbacks I I I I HSE GAR ACC I I I I ~ VALUE ,3\ fi.ct~ / c:-3'9' . - . /05"6 '2-595' (~Q() \.Q3 4- tJL\ 3 SYSTEMS DEVELOPMENT CHARGE ~SDC) (B) "I~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO SttR+~~. ~ :;:_..e&~Ib=T . FT. Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT ~ Furnace Exhaust Hood Vent ,Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut ft Demolition ssu~ . ~ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D" and E Combined) FEE 6)SCID ~S.C:O A~.oO f") CO .LD 3.f)~ V) 'G . 'IS (\fV PA .?_CS \ C;S.Il,> C). f) ~ \f\~~ l~~.~ ; THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR O~ " THE HISTORICAL REGISTER?\'J--L 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 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. Plan Check Fee' "2< 0 ~ 5' --Z:<,-"5' / Receipt Number' --::2..0/3'"':/ Received By: ~~ ~/ Date Paid: Plans Reviewed E?y 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 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 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 alt 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 SJ?f1struction. ~/2.~ . Signature ~-~- '. ~_ ~-~ Date ~ to -"lJ VALIDATION: n O'd-P 9-' RECEIPT NUMBE7 C)( - :::( () DATE PAin 0 . fn ,L( J" ~ AMOUNT RErr=I~/r=-..n(J ~3::S :-r ) RECEIVED B~ ')f j.'::)C' . / , -'. .' SPFn. ...FIELD DEVELOPMENT SERVICES PUBLIC WORKS . METROPOLITAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree that with the approval of the attached permits, one of the following _ . manufactured homes will be placed at)~ <60 ~t'\. f\~ <Q1LU..,.Q.J 'cpSPringfield, Oregon, Ci ty Job Number ....9.10SZ; I . , Class A Manufactured Home. A manufactured home of not less than 24 feet in width and 16% (not less than 2:12) roof pitch, with exterior . dimensions enclosing a space of at least 960 square feet, with roofing 'and siding materials that are commonly used or compatible with site bull t homes. / o Class B Manufactured Home. A manufactured home of not less than 12 feet in width and 16% roof pitch, with exterior dimensions enclosing a space of not less than 500 square feet,. with roofing and siding materials that are commonly used or compatible with site built homes. I further state, by my signature below, that I have been provided with the following information: - Mobile home blocking - Sanitary sewer. connection - ~ater line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps ~ t42ef bA/ftJ/ Date / / "" ,W ",.,<', _,'