HomeMy WebLinkAboutPermit Building 1993-7-7
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
LOT:
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SPRINGFIELD
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JOB NUMBER
Q'?1R f)Q.
225 Fifth Street
Springfield, Oregon 97477
BLOCK:
SUBDIVISION:
TAX LOT"
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QWNER:,--'f4t\f\ c::\- ~1l~ Nn ~ t J.-- f\ "cJytYu PHONE: ,,~l/J- (()q '7 ,3
ADDRE~~ (~li.Y0' fll t' }\ ..~ ~ ~ -
CITY:~I)\ \(\T\foO~l r - STATE:~r;~/ ZIP: ~r,I~lll
DESCRI13E~OR~~~\J~QJ1C<\ n!2D1o. ct .,~~SJLUj~
NEW REMOI'L~ A\DITION OTHER J {'flJI~
CONTAACT~'S ~AME
GENERAL:~~Oq-Q
PLUMBING:
CONST.
.b~t'i(1~:~bSS\4-~Q rr;)n_l;,ONg~~
EXPIRES
~.:.D ,Q4-
G~l~~
MECHANICA' .
ELECTRICA' '
OUAD AREA ~ (( f\)Ll)
. OF BLDGS. _ ~
'OCCY GROUp:_e:-? ik'}..i\
\
~
. OF STORIES:
WATER HEATER:
- OFFICE USE -
\\SO
. OF UNITS: \
CONSTR. TYPE: V f\}
LAND USE:
HEAT SOURCE:
RANGE:
FLOOD PLAIN'
ZONING CODE:~
. OF BDRMS:
SECONDARY HEAT:
SOUARE FOOTAGE:
4-C( )
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
o
Site Inspection - To be made
after excavation, but priol' 10
setting forms.
o Undcrslab Plumbing/Electrical!
Mechanical - Prior to cover.
fG7"l Footing - After trenches are
~ excavated.
o Masonry - ~tccl locatlon, bond
bearns, grouting.
rvf Foundetion - Arter forms arc
? erected but prior to concrete
placement.
o
Underground P"lumbing - Prior
to filling trench.
o
Underlloor Plumbing/Mechanical
_ Prior to insulation or decking.
D. Post and Benm - Prior to flour
insulation or decking.
, '..
~
o Floor Insulation - Prior to
decking.
o
Sanitary Sewer - Prior 10 filling
trench.
o Storm Sewer - Prior to filling.
trench.
O Water Line - Prior to (1lIlng
trench. .
o
Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical -. Prior to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
I'f1 Frami7\" P~IO~
D WaIlIC~O~ ::prlOI to
cover.
o Drywall - Prior to taping.
D Wood Stove - After ins!nllation.
D Insert - After flrep!ac~ 2pproval
and installation of urit.
o Curbcut & Approach - After
fo:rn~ are er~cted but ;;ricr Ie,
placement of concrete,
D
Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material in piace.
o Fence - When completcl:.
D Strc~t Trees -- V"hen ail (~Quired
trees are plan tee.
o Final Plumbing - When all
plumbing work Is complet.c.
D Final Electrical - When all
electrical work is complete.
o Final Mechanical - When all
mechanical wor!< Is complete.
rFinal Building - When all
required inspections have been
approved and building ~
completed, QltJL.t"" I I
o Other
MOBILE HOME INSPECTIONS
o Blocking and.Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water ond sewer
o Electr:cal Connection - When
blocking, set.up. and plumbing
inspections have been approved
and the home is connected to
the service panel.
D Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
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Lot faces Lot Type Setbacks \ IS THE PROPOSED WORK IN THE
I PL HSE GAR Accl HISTORICAL DISTRICT, OR ON
Lot sq, ltg, Interior IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes,' this application must be signed
Is I a~d approved by the Historical
Topography Panhandle I~ I Coordinator prior to permit issuance.
Total height Cul-de-sac
IE I APPROVED:
BUILDING PERMIT
ITEM sa. FT, x $/SO. FT.
VALUE
Main
Garage
\4, \0 6lZ4O
t)\{)().
\q'140 ,-
" B{p.::C
- 4'-33
rf0 ~~
'-1l..-./ ..,_'~
SYSTEMS DEVELOPMENT CHARGE (SDC.k.
(B) ...q- 1'Y
JJ'D
Building Permit Feo
State Surcharge
Totai Fee
(A)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Resldentiai Bath(s)
N'
Sanitary Sewer
FT.
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 Surc,harge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk a
Curbcut g
It
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL' AMOUNT PUE (excluding electrical)
(A, B, C, D, and E Combined)
~().f52>
BUILDING VAlUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thLlI the said
construction shall, in DB respects. conform to the Ordinance
adopted by the Cily of Springfield, including the
Development Code. refJulaling the const'ruction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said prdinances.
Plan Check Fee:
Date Paid:
Receipt Number:
Recci ved By:
Plans Reviewed By
Date
Systems Development Charge is due. on all undeveloped
properties withIn the City limits which are being improved.
ADDITIONAL COMMENTS,
(
) ( m 11 J'it
liMXfJ'
By signature, I state and agree, that I have carefully examined
the completed application and dO' hereby certify that all'
Jnformation hereon is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordinancl;;!s of the City of Springfield, and the Laws
of the State of Oregon pertaining to tho 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 Gor1'tractors and employees who
are In compliance with 'ORS 701.055 will be used on this
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project.
I further agree to ensure that all required inspectio.ns arc
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, a d the approved set of 'plans will remain
on the site at Ii s during construction.
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7- 9:3
Datp
VALiDATION:
RECEIPT NUMBER
9~97
7-7"") :J
, 7$..3. (;",3
~~,
DATE PAID
AMOUNT RECEIVED
RECEiVED BY
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DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726,3753
FAX (503) 726,3689
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, ~e of.tpe fo~wing
manufactured homes will be placed at Ilop,(o ~C\O(\~l )
Springfield, Oregon, City Job Number q~0, ~ .
~ Type I Manufactured Home. A multi-sectional (double wide or wider)
unit with an enclosed floor area of not less than 1,000 square feet,
that has a nominal roof pi tch of 3 feet in height for each 12 feet in
width, that has no bare metal siding or roofing, and that has been
certified by the manufacturer to have an exterior thermal envelope
meeting performance standards which reduce heat loss to levels
equivalent to the performance standards required of single family
dwellings cons truc ted, under the Sta te Special ty Codes.
Type II Manufactured Home. A unit of not less than 12 feet in width
with an enclosed floor area of not less than 500 square feet, that has
a nominal roof pitch of 2 feet in height for each 12 feet in width and
that has no bare metal siding or roofing.
I further state, by my signature below, that I have been provided with the
following information:
- Manufactured Home blocking
Vater line connection
- Street tree standards
- Sanitary sewer connection
Electrical connection
- Minimum requirements for permanent steps
I also understand that if I am installing a Type I Manufactured Home, the home
shall be enclosed at the perimeter with stone, brick or other masonry materials,
and with no more than 12 inches of the enclosing material exposed above grade.
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7- ? - 1'...3
Date