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Home My WebLink AboutPermit Building 1992-3-9 RESIDENTIAL Pf!:RMIT APPLICATION InspectIOns 7263769 011 Ice 7263759 SPRINGFIELD,",,,,,,, LOCATION OF PROPOSED WORK ~ J' ~ /"/AA~ J ASSESSORS~rv;AP">/I7~l2, 2.S .$ ~ . V;' , ------------- . " - ~ LOT BLOCK OWNER -'?'Ab-/..., ~ 6~44..k ADDREss85;1'~?<J?~~L)r~jJ, CITY fi~C--<'i_r/(.c:d'L STATE /?/ DESCRIBEYOf1l,~~)n~ / be\ l$iLW-- NEW j-~_ REMODEL -~ :AbDITION DE~L1SH ", OTHER JOB NUMBm_CZ.2c:J3' J4 , I 225 Fifth Street..'-- . ~ Springfield, Oregon Y!477 ~- , ~ ~'\ TAX LOT rl~ ""? - SUBDIVISION PHONE 7d L --Lt< I /,' ~ ZIP '7 /-?~ ~~ ~ CONSr CON I RACTOH S NAMe: ,ADDRESS CON I HACTOn " , Ct:NI.I1I'<I_. 'd?v~-~___C:-':~:'OF_/!;J;-,~~d, _ __ -- - '_'U ... ~ " '- I , " .. '\ ~. '\ ('LUMHING _____ ___ _ -____ -~-~-~-------~- Mr:CIIANICAL ELECTRICAL OUAD AREA ~QJ$L0 " OF BLOCS tv' \- OCCY CROUP " OF STORIES WATER HEATER JOO ,- - OFFICE UyE - LAND USE -11L1 " OF UNITS CONSTR TYPE \/ f\J EXPlflES PHONE ?4-;I'-p/~_5>' >, I ~ '. 1 HEAT SOURCE RANGE FLOOD PLAIN lD!U ZONING CODE " OF BDRMS SECONDARY HEAT SQUARE FOOTAGE BLip To rcque~t an Inspection, you must call 7263769 This Is a 24 hour recording AlIlllspectlons requested befolC 7 00 a III will be made the same working day, rllspectJOllt:. requested after 700 a III will be made the follOWing worl< day CJ Temporary Elcclnc LI Site Inspection - To be made lfter CXCdv;ltlon Inil prior to &cttln{) forms o Underslab Plumbing/ Electncall MechanIcal - Prior to cover ~ Footing - After trenches are cxcavate(j o Masonry - Steel location, bond bearn&, {)routlng [Xl Foundation - After forms are erecte(j but prior 10 concrete placement o Underground Plumbing - Prior to fllltng trench o Underfloor Plumbing/Mechanical - Prior to Insulatlon or decl<lng o Post and Beam - Prior to floor JnSuldtlon or cJecl<lng - \ -, Floor Insulatton decktng ~.. .:- , , Prior to o , o r, Sanltdry Sewer - Prior to filling trench o Storm Sewer - Pnor to filling tren<..h o Water Litle - trench ~ ...... ".... Pnor to flllmg .. . ~, , . . )... r- Prior to o Rough Plumbmg cover -.. .:'" ':.. REQUIRED INSPECTIONS CI RouCJh Mechalllc.I1 - Prior to <..OVLr D Rough Electncdl - Pnol to cover D Electrical Service - Mu&t be approved to obtain perlllanf'nt electrical power o Fireplace - Prior to faCing matendls and framing Insp o Framing - Prior to cover o f Wail/Ceiling Insulation cover Prior to D Drywall Prior to tapIng o Wood Stove ~ After installation , D Insert - After fireplace approval and IIlstallat,?n of unit " \ -0 Curbcut & Approach - After forms ale erected but prior to placement of' concrete I D Sidewalk & Driveway - After excavallon IS complete forrTl& dnu sub bd.:>e lIld!erldl In pla<..e D Fence - When completed o Street Trees - When aJl r~qYlred trees are planted :. ~ .h " , D rlllal Plumbing - When '111 plumbing wall, 1& <..omplete I I Flndl Electllcal - When all electrical worl, I.... complete D FlIlal Mechanical - When at! mechanical worl< IS complete [8J Final Building - When all reqUired InspoctlOns tnve been approved and bUilding 1& completed o Other MOBILE HOME INSPECTIONS o Blockmg and 5el Up - When alt blocklllg IS complete o Plumbing Connections - WIlen home has been connected to water and sewer o Electrical ConnectIon - When blocl\lI1g set up, and plUHlI)lng Inspections hdve been ~pproved and the tlOllle I~ connected to ttle servIce panel o FlIlal - After all reqUIred I nspectlons are approved and porches, skirtIng decl<~, and venting have been Installed Lot (,CG...> ~ ~ ~ t2-:z1 Il.a Cui dc sac Lot sq rtq Lot rype -)t IntCllOJ Lot covClaqc Corne r 10poqnpllY Panlh.Indle Total hClght BUILDING PERMIT ITEM SO FT X $/SO FT Main Galage Cb/(, /4/0 Carport Toldl Vdl ue Building Pel/nit Fee Stite SUlCllcHgC Tolal Fcc (A) I /~~~ "THE PROPOSED WORK IN THE IIISI"OI1ICAL DISTRICT 011 ON l11E IlISIOH1CAL HEGIS I"EI1? If yes ttllS appllcallon must be Signed and "lpprovcd \)y tlH] HIstOrical C()ol<Jln.llor pllOI 10 pcrlllfl I<,'-,Uilncc . SctbaGks PL_ HSE _G^n_ ACQ. N ~- ------- W E VALUE --/.,1 '\1'')'<'- v<l c; :2 .'5'~ #~ q 7. )?> SYSTEMS DEVELOPMENT CHARGE (SDC) , JJ n ^ ~O (B) "lt~7- PLUMBING PERMIT ITEM FIxtures Resrdentlal Bath(s) NO San It ary Sewer FT Water FT Storm Sewer FT Mobile Horne Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fdn NO Wood Slovdlllsc.t/FIIPpl He Unit Dryel Venl Mcchanlc.J1 Pl.r !Tnt Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Horne State Issuancc Stale SUlcharge 51dewdlk It Curbcut It DemolitIOn State Surcllarqo FEE Tolal MI"ccllancous POllnlls (E) TOTAL AMOUNT DUE (excluding electrical) :::$0'1". '9:3 (A. B, C. D, and E Combined) \ 5" MMt.~ APPROVED BUILDING VA'LUE, PLAN-CHECK I AND BUILDING PERMIT ThiS permit IS granted on Ule express condlllon ttlal the saId constructIon shall In all respects, conform to the OrdInance adopted by the City of Springfield Including the Development Code, regulating the'conslructlon and use of i buildIngs, and may be suspended or revoked at dny tUlle upon VIOlatIon of any Plovlslons of said ordinances (00. I~ "3/~. q ': ~ ~/ - /. Plan Check Fee Dale Paid Receipt Numbcl /kBY 'PLtf~eVlcWCd ?-~~9:2. Date Systems Development CIlargc rs due on dll undeveloped properties Within Ule ClIy limits which are bClIlg Improved ADDITIONAL COMMENTS By signature, I stal8 and agree, ttlat I have carefully examIned the completed application and do hereby certl fy that all Information hereon IS true and correct and I further certify IIl3t any '1nd all war k pel for mod shall be done III ac{ orcJ;lncc With tile OrdlndnLv~ of the Clly of SJ]rtngftcld, dlld Ihe L,lWS of the Sldte of OrcCJon per (Rlnlng 10 thc WOI k ell.scrlbed hcrcln, and thaI NO OCCUPANCY Will IJC IlldrJe of dny structure wlthoul permission of thc BUilding Sdfety DIVISion I further certify lllat only contractors anel employl.cS who~..... are In compliance With ORS 701055 will be used on ttllS proJect I further agree to ensure that all reqUired lflspectlons are requested at the proper time, that each address IS readable from the street, that the permit card IS localed al the front of the property, and the approved set of plans Will remain on the site at all times dUring construction Slgnature-#~/::2 Dale ~ _/ <j ~ c-- / VAll DATION RECEIPT NUMBEH _ _ 3_'7_7" ?> DATE PAID ~-~~ '2.. AMOUNT RECEIVED _~"" C/, "9 "S' RECEIVED ElY //-~;Z # ~ , ,.-- . " JOB NO "f2-o:,~'I CITY OF S INGFIELD SYSTEMS DEVELOPM( CHARGE WORKSHEEf I (COMMERCIAL & RESIDENTIAL) NANE OR COMPANY: lAj14YNC C4f{PcNTcR.. LOCATION- ?,?{l,n CblTENN/4'L 170325'13 -O;b03 DEVELOPMENT TYPE: Lr)/<. - ?I-for /&A'MG-E INu,voE<o OVEIl.'l"''''(,-S BUILDING SIZE: 2.'b "-:.B LOT SIZE SQ. Ft 1. STORM DRAINAGE IMPERVIOUS SQ. FT. lOrd"; X $0.186 PER SQ, FT. ~ /<17CfO (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S X $38.55 PER PFU (See Reverse To Determine Total PFU'S) $ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ~ X .- X $388.61 X $388.61 $ r' X $ . X- --. X $388.61 $ (See Attachment C To Determine Trip Rates) SUBTOTAL (ADO ITEMS 1,2, &: 3) $ /"f7~ -- 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAl ABOVE) X .05 s 9 Cfo TOTAL-CITY SOC S Zo7 %0 5. SANITARY SEWER-MWMC NO. OF PFU'S - x S13.25 PER PFU + S!O MWMC ADMIN. FEE S --- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) s ~ ~L..k- \S Kip Burdick SDC CoordInator ~ Is /'17- , TOTAL-MWMC SDC S ~ TOTAL SDC S 2-07 ~