The URL can be used to link to this page

Home My WebLink AboutPermit Building 1991-11-26 "..... -- "" .. ~r^ ""- ' , e., RESIDENTIAL PERMIT APPLICATION SPRINGFIELD . , C\ \(')\\5 . JOB NUMBER Inspections: 726-3769 .~ Office: 726-3759 . 'aJI LOCATION OF PROPOSED WORK: 0\ otO() ~\- I\~ ~ ~,S '-' ASS.ESSORSMAP: \C\~~0~~. ....:.. ," '.~. Tf'.X~OkQ\4\,,\~ . LOT: BLOCK:'" SUBDIVISION: \ \ \;\ J.;l ~ ') OWNER: t ~ ADDR~C:~' \4. ( CITY \_~{1 DESC~IS7JWORK: NEW \LJ REMODEL / , STATE: _(0 f} 0 ,.\ t ')~ rt (1__ \'(\. ADDITION . DEMOLISH OTHER 225 Fifth Street Springfield, Oregon 97477 PHONE: C\L\.ln. ~ ~?( ") - cn4'1 ZIP: CONTRACTO~ ~M~.....fI n (\ ... \. ADDRES~ r-.._~ GENERAL' D( 'X" 1..AJLX \ l\.~(\ ')\S\ ~t::JlU .PLUMBING: ,~~"i\ )\ ~~ ) . CONST. crQ\~l CO\ ~1 MECHANICAL: ~ I' , . mdR}CALlV'\Q X\~~ 5i1R~SZ G[2{=17ro:. , Z-&/f)Q.-71fo ~ lR'f1~RI ~~'~IS1) ( ,.. - . .. . " t 00\31] -' OFFICE USE - QUAD AREA: o'?-~ LAND USE: --L( f=j) , FLOOD PLAIN' /I OF SLDGS: ~ /I OF UNITS: I ZONING CODE: ~.>C)f) , OCCY GROUP: .~.~ CONSTR. TYPE: II OF SDRMS: ~. - {='E- - \ II OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' ~--l RANGE: E- 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. 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' ~ite Inspection - To be made after excavation, but prior to setting forms. ~nderslab Plumbing ~ctrical; ""("" ~eChanical - Prior ~V'CI. .; ~ooting --After'trenches are L 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 de~klng. o Post and 'Beam - Prior to floor insulation or decking. . o Floor Insulation - Prior to decki ng. ~-sanitary Sewer":'" Prior to filling trench. , .' '. . ~. . l' m Storm Sewer - Prior to filling ~ trench. .rn Water Line - Prior to filli~g ~ trench. .' . o Rough Plumbing - Prior to cover. , REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Electrical - 'Prlor to cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D. Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D :Wood Stove - After Installation. D Insert - After fireplace approval and Installation of unit. . o Curbcut & Approach - After forms are erected but prior to placement of concrete. . D Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. 0' Fence - When completed. ~ Street Trees....;. Whe"ri all required trees are planted. .. . ." '.. o Final Plumbing - When all plumbing work Is complete. '" D Final Electrical - When all electrical work is complete. D Final Mechanical - When all mechanical work Is complete. o Final Building - When all required .Inspectlons have been approved and building is completed. D Other MOBILE HOME INSPECTIONS " " cpBlocking and Set-Up - When all blocking is complete. ': . ~Iumblng Connections - When ~ home has been connected to water and sewer. . . ~Iectrical Connection - When blocking, set-up, and plumbing . Inspections have been approved, and the home is conne.cted to . the service panel. ~Inal - After all required . I n~pectlons C\re: approved and' porches, skirting, decks, and - venting have been Installed. e / eTHE PROPOSED WORK IN THE'4' __L. ... Lot faces Lot Type Setbacks Lot sq. ftg. Interior I P.L. HSE GAR Accl HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit issuance. Total height Cul-de-sac IE I APPROVED: BUILDING PERMIT ITEM sa. FT. x $/SO. FT. = VALUE Main L8-; (yD Garage Carport ~c;~r:J) oeD Tota:Jlue J !6.C() Building Permit Fee .l~ State Surcharge ~.\CS Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) , .. '(B) cOf)'l. ro PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. A~ 6)5 Q5 Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge f)S~O 3 . f)') IJR .t)S Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Su rcharge /" (ZJ Total Permit (D) MISCELLANEOUS PERMITS <6q;a~ \ 5. '1<:) ~.~ Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition ~ ~a* Surcharge '"'"" U ~ k)f) j J1Jt).; Total Miscellaneous ~ltS 0'0 o nJO,CO (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 50~:d5 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: Date Paid: Receipt Number' Received By: Plans Reviewed By Date Systems Develo.pment 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 th~ City of Springfield, and the Laws of the State of Oregon pertai ni ng to the work descri bed 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 construction. Slgnat"," _iJ ]<',.414' 0-1",- -- Date r/ Nb tJ 9/ ~ VALIDATION: - ~6 ~/?;;:; / /- '".:2c&:' ~ /' AMOUNT RECEIVED- flBh .R~ RECEIVED BY ~~- ~ - ... ,f{'/- RECEIPT NUMBER DATE PAID .~ ..:-::-"" ., e SPR_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 ag~ee that wi th the approval of the attached pe)mi.ts. 'l o~ ~ j;.Qe: (ollowipW ~ manufactured homes will be placed at ~ l 0 OlJJJUl.;{'U J +:t: '" , Springfield, Oregon, City Job Nuinber '~]i1ZJ"115 . - G - (2g 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 built homes. ~ D Class B Manufactured Home. A manufactured home of not less than 12 feet in width and 16% roof pitch, with exterior dimensions enclosing a spac~ 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 - Water line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps Si~a~t-;e-"'?(/I t3U'L~H J 6 #~ v 9/ Date