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Home My WebLink AboutPermit Building 1993-10-08SPRINGFIELO RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOS WO ASSESSORS MAP: +1'\ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISIONr ^T. BLOCK: ZIPSTATE:\CD trr_ P ONEOWNER: ADDR CITY: ADDITION DEMOLISH OTHERNEW - FIEMODEL DESCRIBE WORK; PHONEEXPIRESADDRESSNAME GENERA CONTRACTO PLUMBING ELECTRICAL: MECHANICA CONST. CONTRACTOR '' A -L f\)r I LAND USE: 'I OF BDRMS: r OF UNITS: WATER HEATER ZONING CCDE: FLOOD PLAIN RANGE: OUAD AREA: # OF BLDGS SECONDARY HEAT: SOUARE FOOTAGE: OCCY GFIOUP: r OF STORIES: CONSTR, TYPE: HEAT SOURCE: To request an inspection, you must call 726-376g. This is a24hour recording. All inspections requested before 7:0o a'm' w made the same working day, lnspections requested after 7:00 a.m. will be made the following work day' ill be REQUTRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Site lnspection - To be made af ter excavation, but Prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is comPlete.cover Underslab Plumbing/ Electrical / Mechanical - Prior to cover' Electrical Service - Must be approved to obtain Permanent electrical power. Final Mechanical - When all mechanical work is comPlete. Footirrg - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.[--.l orywall - Prior to taoing MOBILE HOME INSPECTIONS Under{loor Plumbing / Mechanical - Prior to insulation or decking.I-_l Wood Slove - After installation. Post and Beam - Prior to lloor insulation or decking'lnsert - After firePlace aPProval and installation of unit. ocking and Set.UP - When all ocking is complete. Floor lnsulation - Prior to decki ng. lumbing Connections - When Curbcul & APProach - After {orms are erected but Prior to placement of concrete. home has been connected to water and sewer. Sanitary Sewer - Prior to f illing trenclt.lectrical Connection - When Storm Sewer - Prior to lilling trench. Sidewalk & DrivewaY - After excavation is comPlete, forms arrd sub-base material in Place. blocking, set-uP, and Plumbing inspections have been approved and the home is connected to the service panel. Water Line - Prior to filling trench.)inur - After all required pections are a pproved and decks, and Rough Plumbing - Prior to cover. Street Trees - When all required trees are Planted. porches, skirting, venting have been installed. I i ) _ OFFICE r E E tl E tf r E E r E tl tf E D tl Fence - When comPleted.tl E E Lot faces Lot sg. ftg. Lot coverage TopographY Total height Lot Type v - lnterior - Corner -- Panhandle -- Cul-de-sac Set ks PL.HSE GAR N S ACC iTHE PROPOSED WORK IN THE -HrsrontcAL DlsrRtcr, oR oN THE HISTORICAL REGISTER? -- lf yes, this application must be signed and approved bY the Historical Coordinator prior to permit issuance. APPROVED:E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrnit is granted on the express condition that the said construction shall. in all respects, conform to the Ordinance adoptecl by thc City of Springfield, including the Devclopntertt Cotlr-', regulating the construction and use of buildings, anci may be suspended or revoked at any time upon violation of any provisions of said ordinances. Receipt Num[.rer:- Plans Reviewed By Date Plan Check Fee Date Paid Received By: BUILDING PERMIT ITEM SO. FT. X $/SO. FT VALUE (A) Total Value Building Permit Fee State Surcharge Total Fee Main Garage Carport Systems Dcvelolrrncnt Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITTONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE r\ N0 FT. FT. r+ffire(c) Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By signature, I st:rtc and agree, that I have caref ully examined the complcted application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all worl< performed shall be done in accordance with the Orcjinanccs of the City of Springfield, and the Laws of the Statc of Oreg;on pertaining to the work described herein, ancJ tirat NO OCCUPANCY will be made of any structure without pertnission of the Building Safety Division. I further certify ttrat only contractors and employees who are in compliance with OBS 701.055 will be used on this proiect. I f urtlrcr agrce to ensure that all required inspections are requested at the proper time, that each address is readable f rom the street, that the permit card is located at the f ront of the property, and the approved set of plans will remain on the site at all times during construction. t-/ ,lonft3Dat ig natu re MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) a) (,D DECI VALIDATION: RECEIPT NUMBE DATE PAID AMOUNT R RECEIVED TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) t FT. --1 )B n 3 8-, *JPSP lo' C ,t /o .1. 5f R EE f b' OREGO'VCITY OF SPR SP. iFIELO DEVELOPMENT SERVICES DEPARTMENT As re 0rego the a r aloft afr,225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-s753 FAX (503) 726-3689 MOBILE HOME AND MANUFACTUP.ED HOME AGREEMENT UNITS TO BE PLACED II'J A PARK quired by the Citi,'of SpringfieLd De n, I understand and agree, as shovn i'el-opnent Code anC,'or the State of b1,, my signature on this f orm. that f i th a hone to be located at , Sp;ingfield, Cregon, CitY Job Number the bel-ov li.sted minrmum seI-backs. ts fcr nee or exce Home Setbacks - 10 feet frcm a Park building - 2-O fc+et from anY Public street - 5 feet from any rear space line or inte::lor snace l-ine - 5 feet from the edge of a park street -- 2 feet fron the interior edge of a park sidevalk Accessor-)' S t ruc ture Se t backs - 10 feet from a Park building - 20 feet from any Public stleet - 5 feet from the edge of a park street - 2 feet from the interior edge of a park sidevalk - 3 feet from an interior space line or rear space line I further state, by my signature be1ov, that I have been provided vith the folloving informat ion : - Ilanufactured Home Blocking Requirements - Electrical- Connectioir - Minimum Requirements for Permanent Steps ture C'TY OF SPRINGF'EL OREGO'U SPRINL .EL(, zoning, and approval. z Ar:thcrized mnot require ipecitic land use 225 PIFTE SlRBEf, SPRTNGEIBLD, oRBGoN 97477.' INSPECIION RE0llBSTz 72 oPPITt 726-375e 1 OP BIJCTRICAL PBRHIT APPLICATION \D Ac Qsi %3q permits are non-transferable and explre lf vork is not started vithin 180 days of lssuance or lf vork ls suspended for 180 days. CO}TI3ACTOR INSTALI.ATTON ONLY Ci ty Job Number 3.COHPLETB PEB SCBEDTILE BELOS A. Nev Resldentlal-Single or Hulti-Family per dwelling unit. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Hodular Dvelling Service or Feeder s 8s.00 s 1s.00 $ 40.00 Services or Feeders Installation, Al terations or Relocation: Sum B fl EIe r-ical Contractor Addres s ctt Supervisor Ll Explration Date Constr Cont Explra Omers Address Cl ty OgNER DATB: er 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ 0ver 1000 amps/vo1ts Reconnect 0nIY s s0.00 $ 60.00 s100.00 s130.00 $300.00 $ 40.00 c Temporary Services or Feeders Insta}lation, Alteratlon or Reloeation E. Hiseellaneous (Servi -Each installation Pump or irrigation Sign/0utIine Lightin Limi ted EnergY/Res Limited Energy/Comm 5. SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL aE6ilf not included) 40.00 40.00 20.00 36.00 t t'LrY 200 amps or less $ 40.00 201 amirs to 400 amps - $ 55.00 over 4b1 to 600 ambs - $ 80.00 Over 600 amps or 1000 voTts see rrDrr L D. Branch Circults Nev, Alteration or Extension Per Pane] one circui! $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 Phone The. installatloh is belng made on property I own whlch ls not intended for sale, Iease or rent. Ovners Slgnature: cel feeder sc-$ $ ture of Supervlslng Electr Date Number RBCEIVBD 33