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HomeMy WebLinkAboutPermit Building 1994-11-28 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 OUlce: 726.3759 LOT' . SPRINGFIELD c:: <.0 ,/ to R. leAf' BLOCI'"' '. :1 AM€-;<;: 6. l AR~\:r. 1/7 S (.).. (l,1!.;<.L<. r<Q OWNER' ADDRE"'" CITY' /7. U 'I '" A;JJ DvPL-<<:..'I. DESCRIBE WORK: 'NEW)( REMODEL ADDITION STAT'" oe. DEMOliSH OTHER i.. Qc1fJ<)'p'Z"7<j~.2 , (YZ.. 9 Cf..7 i TAX LOT: .:! ~~~..,...... ' : "':' r -, -, T'" / ~/ .1 SUBDIVISION: -6.R.-C\.JA OA f!PAo.~E 1k. PHON'" '<</7~S~<'f':l. ZIP: q 7 4-0 l CONTRACTOR'S NAME ADDRESS . GENERA" ':"l~,^", e.- <:... f>.. _ LA(>~ \~ 117S Jk'.~e(C7 e{) PLUMBING' tJ,.1 L~..u~, A"-"'-'1t:"L1 MEGHANICA" LAP... ~ Ih ~A-Lt / (7r 4<,)2,o:..L LV) ELECTRICAL: ~J( t-- d-.Hltw.m..R I: ie.c."". CON ST. CONTRACTOR' S:5'3"K" 1../ ~~m\o S<;' 38"'f '8=l41..~ EXPIRES PHONE /-1/- 9$ 1'fJ-S{9:J.... Lo'\\')'C\:'\ \~'iS. \C\.~ /-(( - 9 S' ']y?-5tCJ.;l.. ~.S.q,\,., \~\\\QS - OFFICE USE - QUAD AREA' \\<.l\J\tj LAND USE: \,\1[\ FLOOD PLAIN: . OF BLDGS: t · OF UNIT~' ~ ZONING CODE: ~~ OCCY GROUP' R~-\ M CONSTR. TYPE:.....J.\ tV . OF BDRMS: '--0 d.. HEAT SOURCE: U ')~ ~ . OF STORIE'" SECONDARY HEAT: _1 I~':....... WATER HEATER' G RANGE: ~ SQUARE FOOTAGE: .In't '6- I To requesl an inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a,m. will be made the same working day. Inspections requested after 7:00 a.m. will be made the followIng work day. o TemporarY Electric o Site Inspection - To be made after excavation, but prior to setting forms. O Underslab Plumblng/Electrlca" Mechanical - Prior to cover. ~ Footing - After trenches are \ excavated. o Masonry - Steel location, bond .beams, grouting. 9'{ound8uon - After forms are erected.but prior to concrete placement. o Underground Plumbing - Pllor to filling trench. m ~nd~rfloor Plumbing/Mechanical ~ -.Prlor to Insulation or decking. ~ Post and Beam - Prior to floor ~ Insulation .or decking. ~ Floor Insulation - Prior to \;:--.J decking. . . ~ Sanitary Sewer ~ Prior to filling ~ tr~nch. ~ Storm Sewer - Prior to filling Lf-J trench. ~ , . ~Water Line - Prior to filling ~ trench. I!dl'ough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS ~ROU9h .Mechanlcal - Prior to cover. Rough. ElectrIcal - Prior to cover. ~ . lectrlcal Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. t:P1 WalltCefllng Insulation - Prior to ~ cover. 'f'ryWall - Prior to taping. o Wood Stove - After I~stallation. o Insert - After fireplace approvlll and Installation of unll. ~ Curbcut & Approach - After forms are erected but prior to placement of concrete. ~Sldewatk & Driveway - After T excavation Is complete, forms and sub.base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. IJCPFlnal Plumbing - When all \ plumbing wQrk Is complet.e. ~ Final Electrical - \.f\lhen all ~ electrical work Is complete.' ~ Final Mechanical - When all l mechanical work Is complete. I':Pl Final Building - When all l required Inspections have been approved and building 15 completed. DOther MOBILE HOME INSPECTIONS o Blocking and Set. Up - Whe[l all blocking Is complete. o Plumbing Connections - When home has been connected to . water and sewer. o Electrical Connection - When blocking, set-up, and plufT,Jblng 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. Lot faces Lot Type . Setbacks "CttTHE PROPOSED WORK IN THE , -X'" Interior I P.L. HSE GAR ACC I ISTORIGAL DISTRICT, OR ON Lot sq. ftg. IN I THE HISTORICAL REGISTER? Lot coverage Corner Is I If yes, this application must be signed Panhandle and approved by the Historical Topography \w 1 Coordinator prior to permit Issuance. Total h!llgh,t d.!}::: Cul-de-sac IE I APPROVED' BUILDING PERMIT SQ. FT. ~ 4"lL. X $/SQ. FT. = VALUE 5g J[) l'J2:1Q. \ \~. \() -V;"\()5S I ITEM Main '. Garage Carport Total Value Building Permit Fee State Surcharge +39'0 Total Fee (A) I~~. $-\:t:{.o \~~~,\\ (B) SYSTEMS DEVELOPMENT CHARGE (SDC) 13~W.S'''' PLUMBING PERMIT ITEM Fixtures NoA"'/...d Residential Bath(s) Sanitary Sewer Water FT. Storm Sewer FT. FT. Mobile Home Plumbing Permit State Surcharge -\ '~:P 10 Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnserl/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge -! '5D '0 Total Permit (D) MI$CELLANEOUS PERMITS Mobile Home StatS Issuance State Surcharge Sidewalk It It Curbcut Demolition :E~e~e \,,c . 0 Total' Miscellaneous pell TOTAL AMOUNT DUE (excluding electrical) (A, a, c, D. and E Combined) FEE ~d.\')~ ?,A'G ~ ~ :::) .\JJr:J 3l\ '5.\J() q~ \a.CO lope ~ '1.00 10.00 c9. \ LP 2>~.\l~ ~.co (E) 1+27.13 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 Gity of Springfield, Including the Development Gode, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provIsions of said ordinances. Plan Check Fee: Date Paid: -. q , ) - J ~~:::vJ- \\).2t)~ Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~ ~-\- \', l~h'OO \~\,,, U<\ M ())(, ''U.ll..> '. \ C\ \.DC) ,,>>M1<\ \ -::. By signature, I state and agree, that I have carefully examined the compleled application and do hereby certify that all Information hereon Is true and correct, and I further'certlfy 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 that 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 required Inspections 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 property, and the approved set 0/ plans will remain on the site at a~es during construction. Slgnatur~ .?--.- rl_ "2. /' ?/ / t"- 2. "K' - cr '-I Oatp VAliDATION: ~ RECEIPT NUMBEr ' \ ~'L DATE PAID --L. . z;.-?'~ AMOUNT RE~ I , 2J. ~J J "" 3 RECEIVED aD') ~ 1 v -e ATTACHMENT B1 .' . NO. 9-'11-/93 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . (COMMERCIAL & RESIDENTIAL> NAME OR COMPANY: r.. M~ LOCATION: 14-ok '11-2 /l. ~.~ rd> DEVELOPMENT TYPE: ~ . }' 1 BUILDING SIZE: lOT SI7F SQ. Ft. 1. STORM nRATN~ IMPERVIOUS SQ. FT. UC.2 X $0.209 PER SQ. FT. ~~ 2. SBNTTARY SFWFR-r.TTY . (iI3::0J NO. OF PFU'S (See Reverse) 32 X $43.26 PER PFU 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP L ~(,0 $ X/d) / X $436.19 X X $436.19 X X $436.19 $ SUBTOTAL (ADD ITEMS 1.2. & 3) $.$"179. ji'? 4. SANTTARY SFWFR-MWMC NO. OF PFU'S ?2 x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ 5~o, 0";1 (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ --It>. ~'? IQIAI -MWMr. snc $0/9. (;" ') SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 3.z.J?? sf' 5. AnMTNTSTATTVF FFFS BASE ?HARGE ~~T~r ABOVE) X .05 ~~' M.. - Date: /t:' -.?7-r-'fL / Mar H rflig. P.V . SDC ordinator . ~,~ $ 3?'-~-f.S~ IQIAI snr. B2.SDC .' . . ~?"YA Wi llama lane 't-g' Palk & Recreation District SYSTEMS DEVELOPMENT CHARGE NAM" ,\tl\Qf) ~ 1.l7~KSHEIT PHONE ADDRESS: \\1 S \\)\)\\\~L 0 . J Job No.Q4 \4:l3 .5ld1~ l STATE: QtJZIP .9:J4(J L. - I LOCATION OF "'ROPOSED B~L,\J~G SI1EiA () .'. r\ . Street Address if Known: '\'1\)~' \'"1' L-- '-t\. \.' ~ C"\ J. 0 (\ 0 (,L~_) Platt Name:G.~ 1[ Tax Lot Number: iry)3~~ ~ - 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the backJ A. SinQle Familv - Detached Single Family home Manufactured home not in a park NO OF UNITS X $400 PER UNIT .= $ . B. Sim,le Familv - Attached NO OF UNITS .J- X $370 PER UNIT = . $1J(),cO C. Multi-Familv Aoartment NOOFUNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $1JD ,ClJ $Rf $ '74D.etJ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) ~c~ Community Services ~~ r:--.......( c........:..........f;^l....t l\ I_j~ e I~ Date