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HomeMy WebLinkAboutPermit Building 1992-4-2 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' LOT: .:#..s 7 OWNER' h J"..... 6 /..;o.....~ ..J HJ... M.e fo(,,,,- ~- ADDRESS: CITY: F "---V--.. I DESCRIBE WORI<' s-":::'~ . NEW x REMODEL CONTRACTOR'S NAME GENERA" f{.L. B If.-..- PLUMBING: r:.~ :r;:.'. 6"7U:;j MECHANICAL: ~~ d~~ ELECTRICAl - ~ r.P...-IJ} (J \R-\\ '1.0 . OF BLDGS' 1\ OCCY GROUP \.z~N\ . OF STORIES: _' - T-.-/ QUAD AREA: . WATER HEATER' . . {{W3fJ!- SPRINGFIELD 8d:l. .::)"...uN< tic . C,,'-<--.....f-- JOB NUMBER 225 Filth Street Springlleld,Oregon-97477 TAX LOT: SUBDIVISION: Ro..!!,""" G!s- {. 1..,- 7...d.. .Q1"~tal PHONE: ~'-I ~!':- J U b ZIP: t:7l/0 ( BLOCK: STAT~' 6}-L,,,,--./ V ADDITION DEMOLISH OTHER ADDRESS .J-t;'~ J-- }1-.R;t,,; c....~.1J CONST. CONTRACTOR' .5'''' off 9 PHONE 'fd S"J17 Go it 'f:.J//</0 REQUIRED INSPECTIONS rY1 Rough Mechanical - Prior to ~ cover. ~ Rough Electrical - Prior to~ ~ cover. D Electrical Service - Must be approved to obtain permanent electrical power. . D Fireplace - Prior to facing materials and framlng.lnsp: C!l Framing - Prior to cover. r:;;;'I Wall/Ceiling Insulation - Prior to lA.J cover. 141 Drywall - Prior to taping. , D Wood Stove - After installation. o Insert - After fireplace approval and Installation of unit. [l] Curbcut & Approach - After forms are erected but prior to placement of concrete. r;.7l Sidewalk & Driveway - After W excavation is complete, forms and sub-base ~aterlal In place. lZl Fence - When ~ompleted. ~ Street Trees - When all required' trees are planted. t.... .. . EXPIRES fo/<13 ~/9 L- <<1'13 71,,2...- 1 V/_()OD Z-- ., "l...-,H Z L- dOll ..; .51"70 J<J /'If4 C. ,,)cJLyc) '7tf7fD? ,hI s..J..a.. 0 -, -3N.5G. - OFFICE UfE - LAND USE: \ \ \ \ . OF UNITS: \ J CONSTR. TYPE: V f\j HEAT SOURCE: ~~ y./ RANGF' FLOOD PLAIN: \ D t) ZONING CODE: .I '- ~ . OF BDRMS' L\- SECONDARY HEAT: . y'f-J SQUARE FOOTAGE: & XX~_ To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested befC?re 7:00 a.m. will be made the same working day. InspectIons requested after 7:00 a.m. will b!3 made the following work day. ~ Temporary Electric . 0 Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/ElectricalJ Mechanical - Prior to cover. [JJ Footing - After trenches are excavated. . o Masonry - Steel location, bond beams, grouting. r:;l Foundation - After forms are LA.J erected but prior to concrete placement. [2l Underground Plumbing - Prior to filling trench. G(] Underfloor Plumbing/Mechanical - Prior to Insulation or ~ecklng. ~ Post and Beam - Prior to floor Insulation or decking. f71 Floor Insulation - Prior to L4J decking. r7l Sanitary Sewer - Prior to filling ~ trench. rh7I Storm Sewer - Prior to filling lL.\-J trench. r:vl Water Line - Prior to filling V4-J trench. IAJ Rough Plumbing - Pr!or to i ~over. IZJ Final Plumbing - When all' plumbing work is complete. "rYl Final Electrical - When all IL..\-J electrical work is complete. [2J Final Mechanical - When all mechanical work is complete. I rVl Final Building - When all lL\-J required Inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D 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. D Final - After all required inspections are approved and porches, skirting, decks, and venting have been installe;d. Lot faces .s o..TI-. Lot Type. Setbacks . THE PROPOSED WORK IN THE Lot sq. Itg. ~ ~ Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage ~ Corner ZI.9:~ If yes, this application must b Igned p-~ Is I&-i-#P. I and approved by he 1St rical Topography Panhandle Iw I I Coordinator prior to p It issuance. ,~ 71 Total height Cul-de-sac IE I~l I I APPROVED: BUILDING PERMIT ITEM SO. FT. Main ;.1.;1(.0 X $/SO. FT. X 37, fO 1'-1</./0 VALUE ~.5&.r<{ .- f? ~SS'" Garage (qJ-Y Carport -.!i.iSt) 't . - 41/ J<i _ oe:- zttJ. 9.0 Y-::J~~ SYSTEMS DEVELOPMENT CHARGE (SD~i 18 (B) -t"Z:Z:2-9 :-- Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO :::2 Sanitary Sewer FT. Water FT. Storm Sewer FT. ~tC> Mobile Home ~~Z;;cWCe /~- /A:7. en:> gSc> /?R.. ~ Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT 6-~ l.f. So q.-=- /6: -e> '"3. -=> Furnace Exhaust Hood Vent Fan NO -:;J~ ":3 CWood Sto>jY Insert/ Fireplace Unit Dryer Vent Mechanical Permit ?7-,~ /~. CSl:> /.8}5 t./ '9. 3P. Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ..sgf? It Curbcut ~ It D.a.......~:::: _.. r~#cc \~OO "2::z..~ /q. --5"?> ~~ State Surcharge Total Miscellaneous Permits ~:2. -:zs- (E) TOTAL AMOUNT DUE (excluding electrical) ~3S.. 76 (A, B, C, 0, and E Combined) 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 Sprlnglleld, including the Development Code, 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:;;' 1/. 10 . Date paid:l~' \ ~~ Receipt Number:~ ~ R~ By: . ( .I'!!) ,/" ~""?-"""""" ~.,-.., ~,P6'1'leviewed ~ .. ~ "7--2 ?-7'"2.... Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS rcl,\fl4 : ~ . ;:f7~ .I \ G(' {(O By signature, I state and agree, that I have carefully examined the completed appllcallon 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 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 of plans will remain on the sitZSJ;at mes during construction. ~ #/:- Signature ,:)---, - ....... Date _~//3 /~ L- VALIDATION: A f) III RECEIPT NUMBER I~I DATE PAIP ,4, 2-. L.f ~ AMOUNT REtf/iE '-:V~~ ~ . G::>/ RECEIVED B (j Y1 ) I - t JOB NO. ""'2-0"""+ CITY OF SeINGFIELD SYSTEMS DEVELOPM. CHARGE WORKSHEET 1 , (COMMERCIAL &. RESIDENTIAL) NANEOR COMPANY: Fv-rv!(.e 1:> ~Me." LOCATION: . ~~'l- :!p....a,.IF--r-re CotJ~T DEVELOPMENT TYPE: Loe- - ME:.W -:'"FR BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ~, c..., X SO.186 PER SQ. FT. ~ fOO ~ (See Reverse For Runoff Coefficients If Actual Imperv. :Area Is Unknown) , LOT SIZE SQ. Ft. 2. SANITARY SEWER-CITY NO. OF PFU'S 20 X S38.55 PER PFU (See Reverse To Determine Total PFU'S) $ 11\ O-,! 3. TRANSPORTATION. NO OF UNITS X TRIP RATE X COST PER TRIP \ X \. oce;. X $388.61 $'~6...t; . ~ X' .. X $388.61 .""-' '.', ",.- X~ ,'--=, X $388.61 ,...., (S~~ Attachmen~ ~ To, Determine Trip Rates) , , .... , " "" ." SUBTOTAL '(ADD ITEMS 1.2, $' - . , .. ',. $ - &. 3,.: S ]B~l ~':"- 4. ADMINISTRATIVE FEES 'BASE CHARGE (SUBTOTAl ABOVE) X .05 $ Cf"'::>~ TOTAL-CITY SDC $ 19c::.Lf~ 5. SANITARY SEWER-MWMC NO. OF PFU'S Zo "'....0<:..,-_ .x S13.25 PER PFU + SID MWMC ADMIN.. FEE $ v I ~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) \:::::"'-,,~&.. .----(f Kip Burdick SOC Coordinator ~ /" /0,'1- / S TOTAl-MWMC SDC $ 1.1S<>.e TOTAL SDC S '2."2-'2-9 ~