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Home My WebLink AboutPermit Building 1993-8-12 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 . Office: 726.3759 LOCATION OF PROPOSED WORK: IASSESSORS MAP: /7(/7, LOT- SPRINGFIELD &:'(;'5 :~4 . v',Ct.U cli11 J_4- BLOCK. .. lZe.rJt.L b . ~~ 6T-1dlE.t- ADDRESS ___~. {!/77..-/. J//~ , CITY - 6PPD OWNER. JOB NUMBER 9 ~/ tI&> 1- 225 Fi Ith Street Springfield, Oregon 97477 TAX LOT: 4(0 tY t'J SUBDIVI~ION: PHON". tCI2- ZIp. 9/}L,/-77 \( c rom Q~ ~ c:Nl~J ITei\ ) STATE: W oDkip n b(1 U DESCRIBE WORK: NEW REMO~E~;i..- .'~DDITION L . . . --'.\ ,.., ,L~CONST. CONTRAcrOR'S NAME. . ADDRESS .e=uf, PJ-r= CONTRACTOR # GErJiRAL (l/C;(4../ 3!:f-~.'. $'l2p ::h/bK~ w,y .aW53 PLUMBING. Alft. ' MECHANICAL: H/rt ELECTRICAL: ?;X oAi~E:,LEL...~/t:.. OUAD AREA _\ Q :\\ lu _# OF BLDGS: I . . OCCY GROUP P:3 # OF STORIES:_\ WATER HEATER: DEMOLISH OTHER ,,~o ,~,.,,~ ,j;,,' ;;...(, .F=.u- .' - - OFFICE USE - LAND USE \ \ \ \ # OF UNITS: . 1 CONSTR. TYPE: j/ N HEAT SOURCE: RANG". . .. EXPI RES f~~ PHONE ~Bq-1/7;~ !.,hJ?94 S~~,.43 1. J FLOOD PLAIN: ZONING CODE: '\ i\'e- # OF BDRMS: SECONDARY HEAT: SQUARE FOOTA~ cq,~,:S To request an inspection, you m'ust call 726.3769. This is a 24 hour recording. All Inspections requested before 7:00 a.m. will be .m<1de the same working day, inspections requested after 7;00 a.m. wi!: b'3 made the following work day. o Temporary Electric, ,0 Site Ins'pection - To be made after excavation, ,but prior to selting forms. o Unr!:Jrslab Plumbing! Electrical/ Mechanical -' Prior to cover. o Footing - After trenches are excavated. D Masonry - Steel location, 'bond beams, grouting. " . r\7l Foundation - After forms arc lLLJ erected but prior to concrete placement. o Underground Plumbing -..l.. Prior to filling trench, o Underfloor Plumbing/Mechanical - p'rior to insulation or decking. [Z] Post and Beam - Prior to floor insulation or decking. .' r7l Floor Insulation, - Prior to , lll-I decking. '.. :0 Sanitary Sewer -'- Prior to filling trench. o Storm Sewer - Prior' 10 filling trench.._ 1 o Water Line...- Prior' to filling trench. -' o R'ough Plum~~~g ..:... Prior to covr:r. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover, ~ Rough Electrical - PrIor to cover. . o Electrical Service - Must be approved to obtain permanent electrIcal power. o Fireplace - Prior to facIng materials and framing Insp. ~ Framing - Prior to cover. [Z] Wall/Ceiling Insulation - Prior to , cover. ~ Drywall - Prior to taping, o Wood Stove - After installation. r llnser' - After fireplace approval and installation of uniT. D -Curbcut & APproa~h - After forlns are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation is complete. forms al](j sub-base materia: in place. o Fence - When complete'J. o SI:-c'Jt Trees - When all required It!~es ar<.: plDllted. . o Final Plumbing - When all plumbing work is complel,e. o Final Electrical - When all electrical work is complete. o Final-Mechanical - When all mechanical work is complete. rt7l Final Building - When all ~ required Inspections have been approved and building is completed. OOlher MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking is complete. D Plumbing Connections - When home has been connected to water and sewer, o Electrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service panel. o Final - Arter all required inspections are approved and porches, skirting, decks, and venting have been installed, Lot faces Lot Type Setbacks Lot sq, ftg. Interior I P.L. IN Is HSE GAR Lot coverage Corner Topography Total height Panhandle Cul-de-sac Vv E BUILDING PERMIT ITEM SO. FT. X $/SQ. FT. VALU E Main Garage Carport ~~()ff / tf:h Or;)C!:) Total Value Building Permit Fee /.?8.S::> Stale Surcharge 6. </3 Total Fce (A) /3 ~..t}? SYSTEMS DEVELOPMENT CHARGI; (S~;:) If:> (EO) II '5 - PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing PermIt State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit .(D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combfned) IVt'.26 ,-- '. . IS THE PROP.OSED WORK lr,fTHE HISTORICAL DISTRICT, OR ON THE !-l1~TORICAL REGISTER? If yo's, this application must be signed ane] approved by the Historicar' Coordinator prior to permit issuance. ACC I I I APPROVEb: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ThiS perrrlit ;5 granted on the express condilion that the said construction shall, in'all rcspuc:5, confcir;-n t:) ihe Ordinance adopted by the City of' Springfield, including the Qeveloprncnt Code, re~lulating the construction and use of buildings, and may be suspended o~ revo)<cd a.t any time upon violation of any pr~visions of said ordinances. . Plan Clleck Fee: 9 3.5"3 Date Paid: . ~-7h..7- 3/9 s. Rcceipt NUll1ber:_ _~~2.7-..,. Roce;v d BY" ~ " Revfewe<('Sy ~ ~-a-7? Date Systems Dcv<;lopment Charge is (lue.on <.Ill undeveloped properties within the City limits which tire bcing'improved. ADDITIONAL COMMENTS By signature, I state and agree,'that I h.av,e carefully cxamined the comp!et"ed application and, do ~ereby. certify that all I.nformation hereon is true and correct, and I further certify' that any and all work performed shall be done in accordance . with the Or.dinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANC:Y will be made of any structure ,without permission of ttle Building Safety Division, I further certify that only contraclors and employees who are in compliance with ORS 701.055 will be used on this project. Date VALIDATiON: RECEIPT NUMBER ~25' ~ -/2 -'7J ':gx: DATE PAID AMOUNT RECEIVED RECEIVED BY ~.: . JOB NO. Q3/0b7 .., .. ,. - \, Ii y , , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: f(/E.Y^,' SUSAN S-rAFF6L LOCATION:_ (",~'7 w -r Y VilE_IN ! 70 3 ~'-f I '-f - '-IbOO DEVELOPMENT TYPE: /... (),e - A1>o 1/1 MJ I" I BUILDING SIZE: 2 (. X 10 LOT SHE SQ. FL NO OF UNITS X TRIP RATE X COST PER TRIP X X X X $424_31 X $424_31 X $424_31 c:- -) '-- ---- $ $ 4. SANITARY SEWER-MWMC NO. OF PFU'S x $15.125 PER PFU + $10 MWMC ADM FEE $ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SDC ~ ~ -/ SUBTOTAL. (ADD ITEMS 1,2,3 & 4 r $ 5 ~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ---r3 .L..~ 7A"/93 . (T Kip Burdick. I I SDC Coordinator . ( OZ~) .:: >_?> TOTAL SDC $ -.;