HomeMy WebLinkAboutPermit Building 1998-5-21
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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
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//:/..?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 '/"
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- 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