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HomeMy WebLinkAboutPermit Building 1997-12-17 ,,-,:." if . SP'GFOELD DEVELOPMENT SERVICES DEPAHTMENT 225 FIFTH STREET SPRINGFIELD. OR 97477 (541) 726-3753 FAX (541) 726.3689 Manufactured Home Placement Permit Application City Job Number: 97/ 7,t/2..... ~ '1...r"'" ~.4 S-(::rJ:. .I~Q Placement Location: ;>:>" ~ v '7'"1 ~ '1 ' v 7 . Assessors Map Number: J 7 · ~ ~ ~ ~ .. 00 Tax Lot Number: t::'/~"'ir:=> Lot: Block: Subdivision: Partition Number: Parcel Number: Has Partition Been Approved?: --OWNER-- Name: AN6-t;'t... WG"H:..H Mailing Address: ~~ ~) 1>At ~'1 -4/0 9 , Phone Number: ~ Z. -/WJ(J City: SI"~c./J State: o-t. Zip: f17cf 78 Installer: S''t1nJs ~~ Plumbing: M III ~ ,to",}."", Electrical: t~t n,14J11I1l. --CONTRACTORS-- CCB#:-OJ '4.orlO\. Exp: z..-"..fi Phone: ~'l7" ') -.., I CCB#:~Exp: 1-11-~ Phone: ,~~...oS-,.., CCB#:_IU"'L Exp: J -/7-YB Phone: 7') a.... ~'1 General Contractor: (if applicable) Mechanical Contractor: (if applicable) CCB#: Exp: Phone: CCB#: Exp: Phone: --LENDING INSTITUTE-- Business Name: ~"t) Co..., )Ge.- ,- .b. -l J; #UA.UUG Phone Number: ~O. J~~ -/S-f{'l.. Mailing Address: Attention: City: State: Zip: --PERMIT INFORMATION-- Value of Home: tfo. ()f!J{) , Value of Footing/Foundation: Sq Footage of Home: <;iq I Type of Heat: P J A Heat Pump Installation?: ~ 6 Sq Footage of Garage/Carport: -:::J /'?- 8K/~ ~/~,?r x /::?~ JS'~-:7 Application Received By: Date: Plan Check Fee: Receipt Number: .. " " ,..-. ~ , \-. RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: , . LOT: OWNER: , ADDRESS' CITY: :> DESCRIBE WORK' . SPRINGFIELD . JOB NUMBER 225 Filth Street Springfield, Oregon 97477 ~; BLOCK' TAX LOT: SUBDIVISION' -. . PHONE: STATE: ZIP: NEW REMODEL ADDITION OTHER CONTRACTOR'S NAME GENERAl. .PLUMBING: MECHANICAL: ELECTRICAL' QUAD AREA' # OF BLDGS: OCCY GROUP: /I OF STORIES' WATER HEATER: DEMOLISH ADDRESS. CON ST. CONTRACTOR /I EXPIRES 0 PHONE - OFFICE USE .... . '.."',,'" "Y'''' l LAND USE: FLOOD PLAIN: ZONING CODE: , /I OF UNITS' CONSTR. TYPE: /I OF BDRMS: SECONDARY HEAT: HEAT SOURCE: RANGE: SQUARE FOOTAGE: To request an Inspecllon, 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 . D 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, grouting, 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 decking. .... . O Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to trIllng trench. .. o Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover, . REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Final Plumbing - When all .plumblng w9rl< Is complet.e. D Rough Electrical - Prior to cover. D 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 Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. MOBILE HOME INSPECTIONS o Wood Stovo - After Instal~atlon. o Insert - After fireplace approval and Installation of unit. o Blocking and Set-Up - When all blocking Is complete. . 0 Curbcut & Approach - After forms are erected but prior to placement of concrete. o Plumbing Connections - When home has been connected to water and sewer. o Sidewalk & Driveway - After excavation Is complete, forms and .sub.base material in place. o Electrical Connection - When blocking, set-up, and plumbing Inspecllons have been approved and the home Is connected to the service panel. o Fence. - When completed. D,street Trees - WIlen all required .. trees are planted. . o Final - After all required . Inspecllons are approved and porches, skirllng, decks, and venting have been Installed.. , '~~: '; .":\ L~t ~ype.. . . ., . .. Lot faces Lot sq. ftg. Interior I P.L IN Lot coverage Corner Is Topography ,. Panhandle' Total height Cul-de'sac W E ; ;.... ,. ;;"':..', .', \: f!~:~j:;;{~:~:;. .. Setbacks . HSE GAR ACe' " . . ~~ THEPROPOSED WORK tN TH;._ HIST081CAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. .~ APPROVED' BUILDING PERro1lT '!'j .& '~ ITEM sa. FT. x $/SO. FT, = VALUE BUILDING ~Lt1E,PLAN CHECK AND BUILDING PERMIT Garage " 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. Main Carport Plan Check Fee: Date Paid: Total Value Building Permit Fee Receipt Number: State Surcharge Received By: Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. Storm Sewer FT, FT. Mobile Home I/~vr , ,t.~ 1'"3 '5-~ / .- .., ?/.;- ,( Plumbing Permit , , State Surcharge Total Charge (C) /6t 2t5> MECHANICAL PERMIT , ! Furnace Vent Fan NO 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 Ordinancl:ls 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. Exhaust Hood Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit MISCELLANEOUS PERMITS ~ 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 constructlo Signature ~ 7....... Date. /2-1/ 7/' ') I . I (D) State Surcharge Sidewalk ft '~I'- ~ ~" 2~ S.2~ 7'/~ Mobile Home State Issuance Curbcut ft Demolition State Surcharge VALIDATION: 2~2-'L-. /L//? /9) f l~y,~1J ;~, ( . RECEIPT NUMBER Total Miscellaneous Permits (E) /~3. ~t!> ./-5(.9. dJ f) DATE PAID TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Comb'lned) , AMOUNT RECEIVED RECEIVED BY