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Home My WebLink AboutPermit Building 1993-12-10 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 . SPRINGFIELD ,..I., . ", -. JOB NUMBER C\~ \~ 225 Fifth Street Springfiel,l, Oregon 97477 LOCATION OF PROPOSED WORK: iLL.:;l..,~:-2_8 Q ~..s:"XJiJ A-.(}Je.;, V $/ Jf~/- f.;{,l , )<ASSESSORS MAP:J g - (;) 2 - (:; tj ;LJ D..Lf:..~: .:.:1._ TAX LOT' e>/f!O CJ LOT' ~t@ BLOCK' HU3mA- 0((.. , OWNER' J'"f-J(l'lt", ADDRESS 5::' ...,i- i:OQS 1. rl (fr <::;r ~I NO; Pi~ Id - DESCRIBE WORK' A [) C -0 rJ . ~ y I ij REMODEL 'x' CITY: NEW ADDITION ( S"I.PI-.. CJ ~_~ STATE: TO f:rA~Atrf:.. DEMOLISH OTHER SUBDIVISION' PHON~' 7'1t - 8{,2S- ZIP: .' / ; ,~ . CONST. CONTRACTOR'S NAME ". ,ADDRESS CONTRACTOR" EXPIRES PHONE GENERAL: _114.;) L u'-< ColI.:~. _-:;-Ib 3 I Vile. '" lJV 04. Av'f CC 8 ql/~,,) I' OC.7--N-ff?J./JI-26'1 p</45r/?/6 /7f?4J " Q-17/~' - .. PLUMBING: I MECHANICAl' ELECTRICA' . QUAD AREA: ...3~~ \ OCCY GROUP' f'.-.\. \ " OF BLDGS: . OF STORIES: WATER HEATER' - OFFICE USk LAND USE \ \ r::!j .J . OF UNITS: CONSTR. TYPE: V ~ HEAT SOURCE: RANGE: -.0.. 1. FLOOD f'LAIN: ZONING CODE: ill~ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: 11'rJ... To request an inspection, you must cali 726.3709. T~i5 Is a ~4 hour recording. All inspectlC'ns requested before 7:00 a.m. will be made the snme working day, Inspectfons requested after 7:00 a.m. will be made the following work day. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. [KJ Foundation - After (orms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical _ Prior to Insulation or decking. o Post and Beam - PrIor to floor insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trencll. o Storm Sewer - Prior to filling trench. , \ O Water Line - Prior to filling trenell. . . . o Rough Plumbing - Prior to cover. . , REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - PrIor to facing materials and traming Insp. 00 Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stove - After installation. D Insert - After fireplace approval and installation of unit. D Curbcut & Approach - Idter forms are erected but prior to placement of concrete. D Sidewalk & Driveway - Alter excavation is complete. forms and sub-base material in place. D Fence - When completed. D Street Trees - When all ,rcq'uired trees are planted.'. ~ .';,. .:.. o Final Plumbing'- When all plumbing work is complet.c. D Final Electrical -.When all electrical work is complete. D Final Mechanical - When all mechanical work is complete, KJ Final Building - When all required inspections have been approved and building is completed. DOther MOBILE HOME INSPECfIONS o Blockin!] and Set-Up - When all blockinU 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. D Final - After all requIred Inspections are approved and porches, skirting, decks, and venting have been installed. Lot faces Lot Type. Setb"cks ,_S THE PROPOSED WORK IN THE I PL I HSE GAR I ACC I HISTORICAL DISTRICT. OR ON Lot sQ. ftg. Interior IN I THE HISTORICAL REGISTER? Lot coverage Corner II yes, this application must be signed Is I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit issuance. Total height Cul-de-sac IE I APPROVED' . BUILDING PERMIT ITEM sa. FT. x $/SO. FT. VALUE Main Garage ~~\ \ \9\\J. \L\_~ \ c:::.~\ ~ (\1 t-\.- Total Value. Building Permit Fee ~~ ~ Slate Surcharge -I- -:J ~ Total Fee (A) ';l?' ~'3 SYSTEMS DEVELOPMENT CHARGE (SDC)1't5 , ,(B) lk~~ PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Horne Plumbing Permit State'Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood' Vent Fan N' Wood StoveflnsertfFireplace Unit Dryer Vent Mechanical Permi t Issuance State Surcharge Total Permit (D) ,', MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft " .'" , Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 5"1. ?/ 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 Springli.eld, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of an~rov~f said ordinances. Plan Check Fee: \ ~ \ - \a-7\l-C\~ Receipl Number \(''1'')(',\ \ ~ Date Paid: /:). ,? -~ Date Systems Development Charge is due 'on all undeveloped properlies within the City limits which are being Improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that 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 Slale of Oregon pertaining to the work described herein, and thaI NO OCCUPANCY will be made of any structure without pormission of the Building Safely Division. I further certify thai 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 of plans will remain )::,~:~:~YY1<~n: '7J:{;~ Date VALIDATION: RECEIPT NUMBER ///2 5' /2-/()-j3 C;-/,7/ ~~ DATE PAIl"' AMOUNT RECEIVEr> RECEIVED BY . .B NO. '13ICo'7S CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (CQMMERCIAL & RESIDENTIAL) NAME OR COMPANY: r~KKY J-I/!3tv1A LOCATION: 5nz Fa~SYII-nA DEVELOPMENT TYPE: Lp!?- - A[>-DI/I () N BUILDING SlZE: 9 t r.J !"661-0'-f2.1 - 0/8'00 LOT SIZE SQ. Ft. NO OF UNITS X TRIP RATE X COST PER TR1P X X $424,31 X $424.31 X $424.31 ~-) ~ $ X X $ 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 I~~ ........... SUBTOTAL (ADO ITEMS 1,2,3 & 4) $ 22 1~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~L~ 16/'Z-<1/&J'!;, U Kip Burdick I I SDC Coordinator <G9 TOTAL SDC $ Z ? ~