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HomeMy WebLinkAboutPermit Building 1995-8-7 ,.. SPA'NGF'ELD ~ . ," .. ~~. .- t'illfhIMJl:/~I.1I.)jr::(~.N" Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951046 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1804 CARTER LN , Assessors Map #: 17032532 Lot: Block: Tax Lot #: 15100 Subdivision: Owner: DAVE DILLARD Address: 1804 CARTER LANE Phone #: City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: BEDROOM ADDITION ADDITION Contractor Const. Contractor # Expires Phone General: CARLIN 0024600 r 1266 N 7th Springfield OR 974770000 Plumbing: ROYCES 0066455 549 N 9th St Springfield OR 9747700 Mechanical: CARLIN 0024600 1266 N 7th Springfield OR 974770000 Electrical: OWNER 12/10/95 747-5977 05/07/96 726-6096 12/10/95 747-5977 QUAD AREA: 2RNW # OF UNITS: 1 CONSTR. TYPE: VN OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 1 # OF BLDGS: 1 OCCY GROUP: R3 SQ FOOTAGE: 420 To request an inspection, call the 24 hour recording at 726-3769. 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. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. POST AND BEAM - Prior to floor insulation or decking. UNDERFLOOR PLUMBING - Prior to insulation or decking. SANITARY SEWER LINE - Prior to filling trench. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover WATER LINE - Prior to filling trench. ROUGH MECHANICAL - Prior to cover. ROUGH PLUMBING - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Total Height: 14 Lot Type: INTERIOR Secbk From NPL: 15 Solar Approved: Y Item Main BUILDING PERMIT --- Square Feet x $/Square Feet Value 0.00 Job Number: 951046 Page 2 Garage ADDITION Total Value 420 56.20 0.00 23,604.00 23,604.00 Building Permit Fee Surcharge/Admin 164.50 13 .17 TOTAL FEE (A) 177 . 67 PLUMBING PERMIT --- Item Fixtures 4 Fee 40.00 Plumbing Permit Surcharge/Admin 40.00 3.20 TOTAL CHARGE (C) 43.20 Vent Fan MECHANICAL PERMIT --- I 3.00 Mechanical Permit Issuance Surcharge/Admin 15.00 10.00 1. 20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin SYSTEM DEVEL CHARGE 0.00 423.30 TOTAL MISCELLANEOUS PERMITS (E) 423.30 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 670.37 --- 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: Received By: DON Plans Reviewed By: BOB Building Site Reviewed 106.93 MOORE BARNHART By: LISA Date Paid: 06/28/95 Receipt Number: 18084 Date: 08/03/95 HOPPER --- ADDITIONAL COMMENTS --- REQUIRES SEPERATE ELECTRICAL PERMIT DRIVEWAY REQUIRED TO BE PAVED 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 Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS ,701.055 will be used on this project. SPR'NG""'''' ~ ~ ~ '. tiJrlh'M2/~~.~.)rl::t.~.Ji"4 Job Number: 951046 Page 3 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. A/}/~ Signf~ ~ ~_. ?, RT{ --- VALIDATION Date Paid: {J/ ~O:1 - /' ( /1 (CiS I . , l.R1 () . I/) 1 tfftfJJAil Receipt Number: Amount Received: ' Received By: DB NO. 90-(o4-Lo CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: PA'-I E:: D \ l-LA R- D LOCATION: \ '304 CA~"'t.~ LAt-J.E:: DEVELOPMENT TYPE: LDR.. - Apt/l'"T\6t-J. \.\.b~"2..C;?'2- - \ S \ D 0 BUILDING SIZE: -ZA-~ 7-o(,NC.(,,(){)~~ Ul/e.~) LOT SIZE 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) SQ. Ft. 460 X $0.209 PER SQ. FT. Eo'?~ 7 (~b7- V X $43.26 PER PFU 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X X 4. SANITARY SEWER-MWMC NO. OF PFU'S ~. ~ . x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) X $436.19 X $436.19 X $436.19 G-) '--- ~ $ $ $ -e- TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ ~ ~ '---. ------ $ 4o?~ MWMC CREDIT IF APPLICABLE, (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) k!' ,,~~ .'~ (j Ki P Burdi ck SDC Coordinator X .05 Date: ~ /?-b/a..S , ( (7-0V TOTAL SDC $ 4-L.-?:J ~~ . .