HomeMy WebLinkAboutPermit Building 1995-3-23
LOCATION OF PROPOSED WORK: ~ I-j () \ Q
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DESCRIBE WORK: 3A'I'\; lu
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REMODEL -A-
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
LOT'
OWNER:
ADDR~SS:
CITY'
-:)flBr\./ U~? Y
TAX LOT: ~I) ~ ()()()
SUBDIVISION: UJ~D~
;4" -so,5f:,-
.
SPRINGFIELD
BLOCK'
STATE:
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~
((idW'l ILddl'1-t C<I\.
ADDI~ION 'f
NEW
~~l'\
DEMOLISH OTHER
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.
JOB NUMBER
'7"'5' ~,4{;';. 7'
225 Filth Street
Springfield, Oregon 97477
PHONF'
ZIP: .A:LLf71?"
'?/-i-d"lf-f"-.--
CON ST.
CONTRACTOR'
7,')()(j q
CONTRACTOR'S NAME - - . ADDRESS
GENERAL: flri r (,j ).L/ ci. ClMu'fru.{j\}1v
. -,0 100 x "'0'1'; I . tnd,o"-
PLUMBING:
MECHANICAl'
ELECTRICA' . itA,) ~wnJ a:t l?.Af5.e.-n +-
QUAD AREA: .3 c:::0 -'"
\
\J-.~
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE: \ '- \ ,
\
CONSTR, TYPE: V]V
HEATSOURCE:~ ~.
· OF UNITS'
RANGF'
EXPIRES
'7-5-%-
PHONE
91J-{,f L/,')'
*
FLOOD PLAIN'
ZONING CODE: ~
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE: ~.oC)
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requested before 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
D Site Inspectlon- To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlca"
Mechanical - Prior to cover.
rv1 Footing - After trenches are
'-fV excavated.
o Masonry - Steel location, bond
.beams. grouting,
rv1 Foundation - After forms are
~ erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
r>f1 Under"oor Plumbing/Mechanical
F - Prior to Insulation or decking.
r:;:;n Post and Beam - Prior to floor
'T"" Insulation or decking.
r::;a Floor Insulation - Prior to
T decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to fillIng
trench.
o Water Line - Prior to filling
trench,
~" Ro.ugh Plumbing - Prior to.
cover,
. .
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
rYl Rough Electrical - Prior to
T cover.
IVl Electrical Service - Must be
~ approved to obtaIn permanent
electrical power.
o Fireplace - Prior to facing
materials and framing lnsp,
~ Framing - Prior to cover;
r;jt Wail/Ceiling Insulation - Prior to
LfJ cover.
I$J Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete,
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
o Fence - When completed,
o Street Trees - When all requIred ,.
trees are planted, . . .
m Final Plumbing - When all
~ plumbing work Is complet.e.
f':7j] Final Electrical - When all
'\ electrIcal work Is complete,
I\lI Final Mechanical - When all
\ mechanical work Is complete.
I"iJ Final Building - When all
1 required 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 10
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 - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces
LOI Type.
Interior
V
Corner
Lot sq. Itg.
Lot coverage
Topography
Total height \ \(
(' \!:t.]
BUILDING PERMIT
ITEM SQ. FT.
Panhandle
Cul-de-sac
. X $/SQ. FT _
Main
Garage
Carport
/fz>
~a
"'56. ::>t::> ?<:?,..... ;>.,c. - >
Total Value
Building Permit Fee
State Surcharge
c,.8e -t-3.~
Total Fee
(Al
PLUMBING PERMIT
ITEM
Fixtures
.tL
Resldenllal Bath(s)
N'
Sanitary Sewer
FT.
Water FT. .
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
\.~-l,. '3.~
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk It
Curbcut
It
Demolition
Slate Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. D, and' E' Combined)
. " i:' '~';:'
~
....,..
"",: ".
. THE PROPOSED WORK tN THE. .
. . HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks
I PL. I HSE IGAR ACC I
I N I I I
I S I I I
Iw I I I I
lL.LLLJ
VALUE
"
FEE
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APPROVED:.:..
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granlcd on the express condition that the said
construcllon shall, In ail respects, conform to the Ordinance
adopted by the City. of Springfield, 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: ~-:<"3
'"? -:< '9S-
Receipt Number: /6 ~Bo
Received By: ~
~\'R. /'"
~~ewed By
Date Paid:
?:.b!:l.I'i,u
~
Systems Development Charge Is due on all undeveloped
properties within the City limits which are belng.lmproved.
ADDITIONAL COMMENTS
L~ .Q..(, , .: .~_
~~
"''Ull...o.~
,
~
By signature, I stale and agree, that I have carefully examined
the compfeted appllcallon and do hereby certify that ail
Information hereon Is true and correct, and I further certify
that any and ail 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 mada of any
structure without permission of tha Building Safety Division.
J further eartHy that only contractors and employees Who
are In compliance with ORS 701.055 will ba used on thfs
project.
I further agree to ensure that all re~ulred 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 tho approved sot of plans will remain
on the site at all times during construction.
Signature .1Mwl. <be J~
h-d-~-qf)
Date
VALIDATION:
RECEIPT NUMBER / /~ 7/2.. .
::T:U:A~DRECEIVED~/ ~~-::; ~/") .&?(>
RECEIVED BY ~~ - -
.
. ATTACHMENT B1
.6 NO, Q':'0'2c,,9
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
"
NAME OR COt1PANY: D.t>.Il\D.J1 ^-flE:-LV/>.. Sc..u.\H^^,C~IC~
LOCATION: 44010 I<....L.rv\\I\. S\', l<isO'2-oS'ZA -o=?OOO
DEVELOPMENT TYPE' L..D g., - "'Dvn\O~
EA.,,€-? .
BUILDING SIZEJ\q,,.:: ZO\-+('OlL"z-)l.2-'\ I.OT SFF
SQ, Ft,
1. STORM ORAIN~ , (~\ q~ )
IMPERVIOUS SQ, FT. ?:Jq'2- X $0.209 PER SQ. FT.
2. S8NlIARY SFWFR-CITY G )
NO. OF PFU'S X $43.26 PER PFU
(See Reverse) ---- ..--/
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X X $436.19
X X $436.19
c-)
----- --------
$
X
X $436.19
$
SUBTOTAL (ADD ITEMS 1.2, & 3) $ <6\ ~
4, SANITARY SFWER-MWMC
NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADMIN,FEE $
(Use PFU Total From Item 2 AbDve)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
IOIAI -M\,Mr. snc
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
$
($
.$ 'i'- l ::z.
)
5. ADMINISTATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X ,05
c ~~)
---- --
~~LuL
~. C_. ..1". i7::f:
SDC Coordinator
Date: "';)/14-/'" S
MAl SDC
$ 'CCo02..
-
B2.SDC .