HomeMy WebLinkAboutPermit Building 1991-11-26 (2)
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LDeAnONOF PROPOSED WORK, <K\ 0 \O()\n ~J:Ju.. ~ \.cD ,
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LOT- I 'BLOCK' SU BDIVISION: \~ \f ') \. Jl olD
!-~RE!lDENTIAL
PERMIT APPLICATION,
Inspections: 726.3769
Office: 726.3759
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SPRINGFIELD
OWNER'\ cA.' - \~
ADDR~SS:)~6Q~. ~
CITY:"l, i~'
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DESCRIBE WORK:
NEW \LJ
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REMODEL
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STATE: ((})t 0_
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ADDITION
OTHER
CONTRACTOR'S NAME
G EN ERAL:~ _
,PLUMBIN.G,:~
DEMOLISH
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MECHANICAL: .
ELECTRICAr~ '>r--.\ QX1}
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
PHONE: lo)<.ln. 1\ld-1'd->
ZIP' t\,~\a\
JOR /I
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1'2..(27 R\ "~~i4.. /~
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-OFFICE USE -
I QUAD AREA: ,,~~~0 .... LAND USE:_I \ S() FLOOD PLAIN' -
/I OF BLDGS' \ /I OF UNITS: ( ZONING CODE: WlL-
'R.~ ..~
OCCY GROUP' CONSTR, TYPE: /I OF BDRMS:
/I OF STORIES: \ HEAT SOURO:' F'E- SECONDARY HEAT:
WATER HEATER' p~ RANGE: p~ 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 ,Site Inspection - To be made
after excavation, but prior to
setting forms,
r-YPnderslab, PIU~bing~ct;i"C~
~Mechanical ....:. Prior~'~over, ".Y
~ooting - After trenches' are
excavated. "
o Masonry - Steel location, bond
, beams, grouting,
o Fo~ndation - After forms are
, ' erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench,
D 'Underfloor Plumbing/Mechanical
- Prior to insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking, '
o Floor Insulation - Prior to
decki ng,
I\ZD Sanitary Sewer - Prior to filling
~ trench,
. .. , ,~ . . . . .'. ..' .-
I\Z1JStorm Se~er - Prior to filling
LP trench,
~ater Line - P;lor fo filling
P trench.
o Rough Plumbing - Prior to
cover.
"
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover,
D Rough Electrical.- Prior to -
cover,
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
0' Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
'cover, ,
o Drywall ,- Prior to 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, ,.
.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material in place,
DFence .:- When completed.
'. .\'
o Street;rrees --': 'Wh'en all required
trees are plant,ed. ,
o Final Plumbing - When all
plumbing work is complete,
,- D Final.Electrical - When all
electrical work is complete,
o Final Mechanical - When all
mechanical work is complete.
o Final Building - When all
required inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
rD Blocking 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 connected to
the service panel. '
~inal - After all required
," Lp Inspections are' approved and
porches, skirting, decks', and
venting have been Installed,
Lot faces Lot Type eJ Setbacks . _ T,HE PROPOSEq WORK IN THlr --
I P.L, ACC I HISTORICAL DISTRICT, OR ON ..
Lot sq, ftg, Interior HSE GAR
- 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 SQ. FT.
X $/SQ, FT,
~~rro
Main
Garage
Carport
\ rt~1 ~
, TO~Valu
Building Permit Fee
DXl'
Q)35ro
~5(D
'')5
J5.15
State Surcharge
Total Fee
(A)
SYSTE~S ~EVELOPMENT(~HA~~ro
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
NO
Sanitary Sewer
FT.
cLJC)
~c;
As
Water '
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit,
'lS.O()
'8.'J5
') 8'. '7S
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
o
PS=1ds
rs. 'JS
U~
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
~~~~::ha,ge ~ ~~p1J
, Total ~r~n~mlt'
CJ{).W
(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and, E Combined) ,
Of)' ).';5
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 Development Charge is due on all undeveloped
properties within the City limits which, are being improved,
)
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 all requi red inspections are
requested at the proper time, that each address i~ 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,
Signature fu_ ~~
Date .~ ?....le ,u..r
VALIDATION:
o~~/9?
DATE PAID //~-9 /" _
AMOUNT RECEIVE~ _eio\ .B\
RECEIVED BY -4~-
~,
RECEIPT NUMBER
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SPR.FIELD
DEVELOPMENT SERVICES
PUBLIC WORKS '
METROPOLITAN WASTEWATER MA.NAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726-3753
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield
that with the approval of the attached
manufactured homes will be placed at
Springfield, Oregon, City Job Number
D~velopment Code, I understand and agree
per.E}i,ts, Q~ o"f.,., t~e f?llOw~cr ' 0'
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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
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
Vater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
Signa~ ~A_~
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Date