HomeMy WebLinkAboutPermit Building 1992-8-13
LOCATION OF ~ROPOSJ.R ~l~_ ~...~f0. \P3\
ASSESSORS MAP: _I n ) rl."f _ ~
LOT: l.~ \ '- BLOCi<'
OWNER\ Q\f t\t\ip.~ {\r\ f11 11 0" (l'\~) PHONE: j)40",-~1
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DEMOLlS~ O~ER
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
011 ice: 726.3759
DESCRIBE WO
NEW Y REMODEL
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JOB NUMBER Cfl) /(5l..o1o-
225 Filth Slmel
Springfield, Ore[]on 97477
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TAX LOT: () ~YJJ
SUBDIVISION:bol(jQ~~ ,.
ZIP:~
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CONST.
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I'LUMBIN . _ ct ~~_.___ _' _ _ _________~Cb__l'LC{P.L___
MECHANICAl' 'n
ELECTRICAL: II A o"'{\,Sl P )
QUAD AREA: 4R.'S- G
. OF BLDGS: __~ .
OCCY GROUP: _~O" .N\ _.
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. OF STORIES:
WATER HEATER:
ITION
- OFFICE US;..,,-
LAND USE \ \ ~l )
. OF UNITS: \ . JJ
CONSTR. TYPE:_\L
HEAT SOURCE: t:=" 'C:...:,
S
RANGF'
-..
FLOOD PLAIN: I) )
ZONING CODE: ~IC.....I
. '7:>
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE: j LP'll)l1"
"
To fequest an Inspection, you musl 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
settl forms.
Electricall
Prior to cover.
Masonry - Steel location, bond
beams, grouting.
tfioundalion - After forms are
erected bu t prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underlloor Plumbing/Mechanical
_ Prior 10 Insulation or clecklng.
o Post and I;leam - Prior to floor
Insulation or decking.
.'
o Floor lnsuiation - Prior to
decking.
~anitary Sewer - Prior to flltlng
\~rench
I~Storm Sewer - Prior to fIlling
L2f _ ;rench.
rr/lwater LIne - Prior 10 '1Iling
( trench.
o Rough PlumblnfJ - PrIor to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - PrIor to
cover.
if~~,""~"
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover.
b Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
turbcut & Approach - After
forms are erected but prior to
placement of concrete.
Jz2 Sidewalk & DrIveway - Afler
excavation Is complete, forms
. and sub.base material In place.
D Fenco ......". .YVI~en c,ompleled.
~Stre~r~~c~: - Whe~qulred
l'Ptrees are planted. (~J
,
o Final Plumbing - When all
plumbing work Is complete.
~al Electrical - When all
/ electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
~'nal Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
rff9BloCklng and Set.Up - When all
~ blocking Is complete.
~Iumblng Connections - When
home has been connected to
water and sewer. .
nlectrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
r(JFinal - After all required
Inspections are approved a'nd
.' porches, sklrtln'g, decks. and
venting have been installed.
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I Lot faces
I Lot sq. ftg.
.,
.1 Lot coverage
'i
.,
, Topography
Total height
Lot Type .
Inlerior
Corner
Panhandle
Cul.dc.sac
l_._HE PROPOSED WORK!.N T!:!.~
~TORICAL DISTRICT, off ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by lhe Historical
Coordinator prior to permit issuance.
Setbacks
I P.L. HSE! GAR ACC I
I N I
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W
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APPROVED.
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT. = -4\~
Main
Garage 440 \4.10 ~~-
~ 4m)
"
Total Val ue
Building Permit Fee le,V~) ~
State Surcharge Qf;.'2:6
Total Fee (A)
SYSTEMS DEVELOPMENT CHARGE (SDCl~ ~
. . (B) ~ 19":/-.:1;, -
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
. Plumbing Permit
State Surcharge
Total Chafge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan N'
Wood Stove/lnsertl Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
\
:,
State sUrChargOo
Sidewalk (j1 It
M
Curbcut
It
Demolition
\ AJ,;)rr\r~r~"
Total Miscellaneous ~e)mits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
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~ :=s r::u
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f"'J5 .OU
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BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT '
This pcnnll is granted Oil the express condition 111<111110 5aid
constructlon stlall, in all respects. conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, rc{}ulating the construction and use of
bulldin{)s, and may be suspended or revoked at any lime
upon violation of anYA''R!lS~~ald ofdlnances.
Plan Check Fcc: _"t'r""J .
Date Paid:
Receipt Number:
Received By:
Plans Reviewed By
Dale
Systems Development Charge is due on all undeveloped
properlics within the City limits which are being improved.
ADDITIONAL COMMENTS
0J.~{ij)~.L~S
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. (J___.__ . . __b
0A +- \ \~~/-1ILi)
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By signature, I state and agree, that I have carefully ex?mined
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 tho State of OreUllll perlainlnu 10 the work described
hereIn, and that NO OCCUPANCY will 'be made of any
structure without pcrmi~sion or 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 aUlee 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 properly, and the approved set of plans will remain
f;:the slle at. all times during construcllo/1fJ
ature 4 /L' ~~(~/
Date .
VALIDATION: C:!..rl rYJ.
RECEIPT NUMBER --.J\V \
DATE PAID Y) L3~q ~
AMOUNT RECifV.=f {) mY ~
RECEIVED BY n~
.- .,..
..
S.NGFIELD
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726.3753
MANUFACTURED HOME SET-UP AGREEMENT
As required 'by the City of Springfield Development Code, I understand and
that wi th the approval of the attached. per'!l~s( OPf' of )thEt follololing
manufactured homes will be placed at ,~'-\ o:'l i\C\ \ rYI If))
Springfield, Oregon, City Job Number q~\()t 0\ t') .. - -
agree
.'
Type.I Manufactured Home. A multi-sectional (double wide or wider)
,. uni t wi th an enclosed floor area of not less than 1,000 square feet,
that has a nominal roof pitch of 3 feet in height for each l2 feet in
width, that has .no bare metal siding or roofing, and that has been,
certified by the manufacturer to have an exterior thermal envelope
meeting performance standards which reduce heat loss to levels
equivalent to the performance standards required of single family
dwellings constructed under the State Specialty Codes.
Type II Manufactured Home. A unit of not less than l2 feet in width
~ with an enclosed floor area of not less than 500 square feet, that has
a nominal roof pitch of 2 feet in height for each 12 feet in width and
that has no bare metal siding or roofing.
I further state, by my signature below, that I have been provided with the
following information:
- Manufactured Home blocking
- Vater line connection
- Street tree standards
- Sanitary sewer connection
- Electrical ~onnection
- Minimum requirements for permanent steps
I also understand that if I am installing a Type I Manufactured Home, the home
shall be enclosed at the perimeter with stone, brick or other masonry materials,
and with no more than l2 inches of the enclosing material exposed above grade.
~,
L.I_"'. ~AP~/
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Date
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. Jon NO. "'l'2..ID6>(P
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NN~E OR COMPANY: .A RCI-\ 'E::.. ~ N t>.1::> I N. E:. OWE.N
LOCATION: S,,\(,,"? KALMIA. \BC>7_o""::>'7_"":> - 07-100
DEVELOPMENT TYPE: L-O~ - t--1sw MANUFA.C1. t-\ON\E:. W IGA~GE.
\-\bME:- Pv-J-( &AIi'-
BUILDING SIZE: '2-1.,1(00. \~-I-??_ '2-o~Z7- LOT SIZE SQ. Ft.
I. STOm-! DRAINAGI;
c:~\lo 4i)
1I.1PEr~VIOUS SQ. FT. -z.CoqO X $0.] 92 PEll SQ. 1'1-
'--.. -----
2. SANITARY SEWER-CITY
NO. OF PFU'S 1'5 X $39.78 PER PFU ' C;;lloo;;
(See Reverse) '--.. -----
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TR]P
X \ .oC>? X $QO] .05 ~
X
X $QO].05
s
~
X _______ X $QOI.05 S
SUBTOTAL (ADD I TEt'IS 1,2, 2, 3) $ \ b -c,? ?e.
Q. ADMINISTRATIVE FEES
BASE CHARGE (SUI3TOTAL A1l0VE) X .05
G 'C>1'i)
~ .---
TOTAL-C!TY SDC $ II n ~
5. . SANITARY SEWER-Mlmc
NO. OF PFU'S IS x $]3.62 PER PFU + $]0 MWMC ADMIN. FEE $ "2??'~
(Use PFU Total From Item 2 Above)
;
,.
~'--~~
'-~ Kip Burdick
SDC Coordinator
<=6 ) '/~ 7-
$ -::z.:,9?.:!
TOTAL-MWMC SDC~?-T1:)
'- -----
JOTAL sac $ \ ""I?::' '.::
MWMC CREDIT ]1' APPLICABLE (SEE REVERSE)
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