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Home My WebLink AboutPermit Building 1995-4-21 OWNER' \. ~ ~\ ~ ~\. t)Qvt,'S , PHONE: ADDRE~)40Q ~. lo~ ...!1\Q9 t \ill-,- _un _, CITY ~~ '))\ Lf\r'\ N __ STATE ( ~ DESCRIBE WORK t ~r. ~ll ~q '/\.' ~.cllf\ ~ NEW~ REMODEL . AlclDITION D-~OLlSH ~ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 .) t QUAD AREA: \ \(NW ( "^- ( . OF BLDGS' OCCY GROUP: . OF STORIES' WATER HEATER: ~- SPRINGFIELD ~,.- . BLOCK' JOB NUMBER q:1 J4124 ; 225 Fiflh Street Springfield. Oregon 97477 (1../ TAX LOT: D(~~ SUBDIVISION: t4\.Olo~ ZIP: cn.:r\1 OTHER CONST, CONTRACTOR' REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtaIn permanent electrical power. o Fireplace - Prior to facing materIals and framing Insp. ~Framtng - Prior to cover. o Wail/Ceiling Insulation - Prior 10 cover. o Drywall - Prior to laplng. o Wood Stove - After Installation. o Insert - After fireplace a'pproval and Installation of unit. o Curbcut & Approach - After forms are erected but prIor to placement of concrete. CONTRACTR1l' NAME ..ll \~ ,L ADDRESS , GENERAlllll qR-l \AU. )QIT,1S . PLUMBING: (,J MECHANICAL: " '\ ELECTRICAl' \\.\~ \ '" ~. ..... 't-'. - OFFICE USE - LAND USE: \ \ \ \ . OF UNITS: 0 CONSTR. TYPE:.-Jl, HEAT SOURCE: RANGF' EXPI RES PHONE FLOOD PLAIN: '\ ZONING CODE:~...J . OF BDRMS: SECONDARY HEAT: _' SQUARE FOOTAGE: ~ To request an Inspection, you must call 726.3769. This Is a 24 hour recording. 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 (ollowlng work day. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. K/1Footlng - After trenches are ~excavated. o Masonry - Steel locatlon, bond .beams, grouting. 1"s'?'f Foundation - After torms are ~ erected but prior to concrete placement. o Underground Plumbing - PrIor 10 filling trench, o Underfloor PlumblngJ Mechanical - Prior to Insulation or deckIng. D Post and Beam - PrlOf_ to floor Insulation or deckIng. . \;' ' D Floor Insul~tlon -,. Prior to\. decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Waler Line - Prior 10 filling trench. D Rough Plumbing - Prior to cover. o Sidewalk & Driveway - Afler excavation Is compiete, forms and sub.base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing work Is complet,e. o Final Electrical - When all electrIcal work Is complete. o Final Mechanical - When alf mechanical work Is complete. ~Flnal Building - When all ~requlred Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set-up, and plumbIng Inspecllons have been approved ,and the home Is connected to the service panel. o Final - After all required InspectIons are approved and porches, skirting, decks, and venting have been Installed. Setbacks i :.l. I HSE I GAR' ACC i I S I I I .Iw I II ~-LLJ Lot faces lot TYP. V" Interior lot sq. ftg, Lot coverage Corner TOPOgraPh~) Total height \ ~' ( , BUILDING PERMIT Panhandle Cul-de-sac ITEM SO. FT. X $/SO. FT. VALUE Main Garage ,,~9-> \4.\0 "~ID Carport "--1, ~ A(\YO ~?O <::('1 73.9"1 SYSTEMS DEVELOPMENT CHARGE (SDC) 113 (B) fI, 1~","I4 Total Value Building Permit Fee Stale Surcharge 3 f7 + 2..~" Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Balh(s) N!' 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 ft Curbcul ft Demoll tfon State Surcharge Total Miscellaneous Permits IE) TOTAL AMOUNT DUE (excluding electrical) lA, B, C, D, and' E' Combined) :2.10. 't:s ;;-, ..... .. , IS THE PROPOSED WORK IN THE. ''''HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this applicatIon must be sIgned and approved by the Historical Coordinator prior to permit issuance. APPROVED: , 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 constructlon and u,se of buildIngs, and may be suspended or revoked at any time upon violatIon of an~ ~rovlsions of said ordinances. Plan Check Fee: <+-4. ~~ Date Paid: _'1~ .q"S- ::::::;"m~ Plan~~~ ~r ( ;'~e Systems Development Charge Is duo on all undev~loped properties within the City limits whlcha,e being Improved, ADDITIONAL COMMENTS HI!> ~~-.. /~~ . " 1'\ Q..l.~' ~ Dl. t'l'\ 10 . Ot1'l1 R) urn 1\ nlilG \_Gl{(lQ ~;JJh ~rtO(\?'Q ~ L, ,-'11lll'tuJ\...Q, \ u 0.QQ..(1O \ 5" , \ Y y\ l\ciqKt qn 11\ ~-\1 t 11' Ju l!JL \ lJ\ \ \ f\rt*:l 'f'<\o.o+ ~\rH..~.; 'f'f\~n.t-0.~1 \lJlD \\ooA.~o, , ~-~C'r~, By signature, I stale and agr ,that I have carefully examined the completed application and do hereby certify th~t 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 thai NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree to ensure that all regulred Inspectlons 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 propertyezthe approved set of plans will remain on the site at ~ tires dUMC/:~ X Slgnatur. /1' ~ ;2u/?/1' I! .;</- 9.~ ~ Date VALIDATION: RECEIPT NUMBER /7 rY'}/ DATE PAID t.( - 2-/ - '1.~ AMOUNT RECEIVED 7 j n ' q.~ RECEIVED BY ! ,; A A ~ "- , " , .B NO: '1'604-2-4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: DAfl.'\' L AL\~E:ILTS LOCATION: "'Z?:><;n" (.I.,!":-A-l2.VUf_ ) 7 () "3 Z- -, 1 '2- - 0 ~S" 0 DEVELOPMENT TYPE: L.Dj2... - A-DO G-A-AAU BUILDING SIZE: zr.. xVI- (;NCUJPe,S EAVE!>} LOT SIZE 1. STORM DRAINAG~ SQ. Ft. IMPERVIOUS SQ. FT. ~'2-4 X SO.209 PER SQ. FT. 0?O~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) X $43,26 PER PFU G '"'---- ) ,../ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $436,19 X S436.19 X $436.19 G -) x X ---- $ $ ---- 4. SANITARY SEWER-MWMC NO. OF PFU'S x S17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SDC $ ~ . '-. ------ ' $ lie 4"2.- SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~'~~Jc.. Date: +/",lqS (' Ki P Burdi ck ' TOTAL SDC SDC Coordinator G G,~) '- ----- $ 1'Z;,f.:, q4-