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HomeMy WebLinkAboutPermit Building 1998-5-21 r~ __ ...... SPRINGFIELD ~~ RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Flfth Street Offlce Sprlngfleld, OR 97477 Inspectlon Llne Locat1on of Proposed Work 3381 CHEROKEE DR Assessors Map # 18020621 Lot Block Tax Lot # 02300 Subdlvlslon Owner HAYDEN HOMES Address 1511 SW 33RD Phone # Clty/State/Zlp REDMOND, OREGON 97556 Descrlbe Work ENLARGED GAR UNDER 950380 ADDITION Contractor Const Contractor # Exp1res Phone General OWNER QUAD AREA 3RSC OFFICE USE LAND USE llll SQ FOOTAGE 320 BUILDING PERMIT '" Item Malll Garage Total Value $/Square Feet BUlldlng Permlt Fee Surcharge/Admln s~re Feet rlt!S:C~, -4Ur, ~R41lr Co ltORI<~ SIt-4ll ~41eM lJ UND E:J(PIR, -4Ny 180 D~eD OR IS 'CR rltlS p~/f: ritE: /tt1 y PeRla -48-4NDQ R41!r IS 'OR/( IQ i-ttE:D ,. NOr rn~ -'l '" MISCELLANEOUS PERMITS ,-, (A) x l6 27 TOTAL FEE SurchargejAdmln PLAN CHECK FEE SYSTEMS DEVEL CHGS TOTAL MISCELLANEOUS PERMITS (E) (Excludlng Electrlcal) unless otherWlse noted TOTAL AMOUNT DUE (A, B, C, D, and E comb1ned) -,- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ,,- Page 1 980577 726-3759 726-3769 Value 0 00 5,206 00 5,206 00 56 50 4 53 61 03 0 00 36 73 82 70 ll9 43 180 46 ThlS permlt lS granted on the express cond1t1on that the sald construct1on shall, 1D all respects, conform to the Ord1nance adopted by the Clty of Sprlngfleld, lncludlng the Development Code, regulatlng the constructlon and use of bUlldlngs, and may be suspended or revoked at any tlme upon vlolatlon of any provlslons of sald ordlnances \ SPRINGFIELD ~'" Job Number 980577 Page 2 Recelved By Plans Revlewed By Date BUlldlng Slte Revlewed By LISA HOPPER '" ADDITIONAL COMMENTS '" INSPECTIONS FOR THIS PROJECT CONDUCTED UNDER JOB 950380 By s~gnaturel I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon hereon lS true and correct, and I further certlfy that any and all work performed shall be done In accordance wlth the Ordlnances of the C~ty of Sprlngfleld, and the Laws of the State of Oregon pertallllng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure wlthout permlsslon of the Commulllty SerVlces Dlvlslon, BUlldlng Safety I further certlfy that only contractors and employees who are In compllance wlth ORS 701 055 wlll be used on thls proJect I further agree to ensure that all requlred lnspectlons are requested at the proper tlme, that each address lS readable from the street, that the permlt card lS located at the front of the property, and the approved set of plans wlII remaln on the s~te at all tlmes durlng constructlon __Z:4 ~~~ //:/..?VP/ /.;//./~ Slgnature /" ./ <;'" ~ ..? /~?)( Date Date Pald ~~qrL~ON f> ~t .~<i ~D 4(0 UYA I -. - Recelpt Number Amount Recelved Rece~ved By /" AITACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHAK~L WORKSHEET JOB NO (). C!hc:...-l----1 vV),J ) \ , . NAME OR COMPANY 1./ A 4'O{'!jN 1../" "-""'''7 LOCATION ~'9;, ~ I (\ I, " 1 '/" \" \; 1(1 \ l G f1 _ _~. - I/V ~ V --..y . DEVELOPMENT TYPE IMPERVIOUS SO FT 0,A 4L.. Co i5 :: D,IU vt:.L.7"~-:J hI 0...., 'k!C.J<", .10T SIZE <;0 Ft 116"" (2"",,,,,- 17 Y 2.0" -=- '31- ~ :''>4 8" _ X $0 226 PER SO FT .$ 715 /c::. BUILDING SIZE 1 2IORM ORA HlJ'.GF 2 .$ANfTARY SF'.JFR,rfTY. . NO OF PFU'S - (See Reverse Slde\ . X $'+6 86 PER PFU $ S - 3 - JRANSPORTAiiON o NO OF UNITS X TRIP RATE X COST PER TRIP . " X X $472 49 $ <3 x X $472 49 $ . X X $472 49 $ " 4 $ANfTARY SFWFR-M~iMr. NO OF FEU'S X PER FEU + $10 MWMC/ADM FEE $ 6- MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl ,MWMr. snc $ SUBTOTAL (ADD ITEMS 1 2 3 & 4) $. 78.it; 5 AOMTNTSTRATTVF FFF2 BASE CHARGE (SUBTOTAL ABOVE) X 05 $ 3.91- L9t Date 4, z.q-<f8" SDC Coordlnator TOTAL SDC; UZ,70