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HomeMy WebLinkAboutPermit Building 1993-8-20 OWNER: ,Vejl/IV/~ T fYll'IRf"vH ADDRESS:' / 14 L.f Kell'1 fJ //1/1). CITY: ~RIA/,! Jj7",t..c1 DESCRIl3E WORKt,,:i~)9 r\ )\~\. cNtr\,~h~ NEW REMODEL ~ADDIT10N ~ DEMOLISH RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT' CONTRACTOR'S NAME GENERAl' ('J 1-0 IV e.'1f? " PLUMBING: MECHANICAl' ELECTRICA' . \ ~ 1\)0 QUAD AREA: . OF BLDGS: -ty,..l-. OCCY GROUP: no .' OF STORIES: _ \ WATER HEATER: ~""~ CONST. CONTRACTOR' wo,fk . SPRINGFIELD \. . JOB NUMBER Cl3\()qQ BLOC~' tfJo1doN STAT~' eJ "e. 225 Filth Street Springfield. Oregon 97477 ~f~J^,,4f'/t':LeC oR Q7'fC)1) ~. TAX LO~: n?fY'Y'J SUBDIVISION' PHONE: '7Lft -" 1730 7Y/~ 5~~ W~. ZIP: 90 {f (J I'} ADDRESS -to po EXPIRES PHONE - OFFICE USE -- LAND USE: \ \ \, \ . OF UNITS: \ CONSTR. TYPE: jJJ\J HEAT SOURCE: n~. RANG'" FLOOD PLAIN: ZONING CODE: WU- . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: ;)CY"J To request an inspection, you must call 726.3769. This is a 24 hour recording. Alllnspeclions reQues~cd before 7:00 a.m. will be made the same working day. Inspections requested .after 7:00 a.m. wilt be made the following work day. o Tcmpora-ry Electric r I Site Inspection - To be made after excC:tvn!ion, but prior 10 setting forms. o Underslab Plumbing I Electricall Mechanical - Prior to cover. M Footing - After trenches aie ~ excavated. o Masonry - Steel location, bond beams. grouting. . ~ Foundation - After form~ arc: ~ erected but prior. to concrete placement. . o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical _ Prior to insulation or decking. 1M Post and Be'am - Prior"to Hoor ~ insulation or decking. . rN' Floor Insulation - Prior to t.p decking. :' o Sariitary Sewer - Prior to filling trench.' . O Storm Sewer,- Prior to filling trench. . O Water Line - Prior ~o filling trench. o Rough Plumbing -..:. Prior to cover, . REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. r"'sfr Rough Electrical - prior to ~ cover. o Electrical Service - Must be approved to obtain permanent elt~ctrical power. o Fireplace - Prior to fa<:ing materIals and framing Insp. ~ Framing - Prior ~o cover. r?( Wall/Ceiling Insulat'ion - Prior to ~ cover. ~ Orywall - Prior to tapi~g. o Wood Stove - After install2.tion. o Insert - After flrcplar.e approval and installatIon of unit. o Cmb::ut & Approach - After forms arc erected but prior to placemcni of concrete. o Sidewalk & Driveway -. )otter excavation is comp!e!e, forms and sub-base maieri2i in place. o Fence - When completed. o Streot Trees - Wt\ert an r,~quired tr0~S arc planted. . o Final Plumbing - When all plumbing work is complet.e. ~ Final Electrical - When all ~electricar work is complete. D Final Mechanical - When all mechanical wor:.. Is complete. ~Inal BUilding - When all P~eqUlred inspections have been approved and build:ng is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blockIng is complete. CJ Plumbing Connections - When home ~las been connected to water ;:;;nd sewer. C' Electrical Connection - V.Jhen .--' block.;ng, se:.up, and plllfllblng in5pe::tions have been approved and !hc hornc is t;onnectco to the service pant;!. o Final .- After a!! required Ir'\scect!ons arc approved Qr.d porchl1s, skirting. decks, and venting have be;:.n installed. Lot faces Lot SQ. fig. Lot coverage Topography Total height BUILDING PERMIT ITEM SO. FT. Main Garage Carport fl,RW\. &38 Total Value Building Permit Fee State Surcharge Total Fee . Lot Type Interior Corner Paphandle Cul.de.sac x $/SO. FT. Setbacks HSE GAR ACe! . i. IS THE PROPOSED WORK IN THE HISTORICAL DiSTRICT, OR ON THE HISTORICAL REGISTER? NI? I P.L. I,; r~-- VI' -~-- I E I ~-, VALUE ~.~ J.3~ (A) jtyt5) D.~'6 \rY\.~?J SYSTEMS DEVELOPMENT CHARGE (SD"!>C)1f=, (B) /I So U . PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sower Water Storm Sewer Moi.Jii~ Hom~ Plumbing PermIt State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' FT. FT. FT. (e) Dryer Vent Wood Stovellnsertl Fireplace Unit N' Mechanical Permit Issuance State Surcharge Total Permit Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk Ii Curbcut ft Demolition State Surcrlafge Total Miscellaneous Permits (E) FEE TOTAL AMOC!"JT LJU~ (excluding electrical) (At 9, (:;, 0, and E Comblnod) II nDIi?J:U; ':,,: -i 'J If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perl1lit,is granted on the express condition that the said constru~ction shall, in all respects, corlform,to the Ordinance adopted 'by the City ,of Sprinqfield, including the Develop:nent Code, regUlating the construction and use of buildings, and may be suspended or revoked at any time upon violation of a11' ,gr?\isi'ons of said ordinances. Pia" Check Fee: :'--)C ~q~ Date Pairl: 1]-.:A!' ~~ T Receipt Numb 'r:_ _3--;-,.(J Ll---- ~(Y\ J ~ R~d By: .~~eviewe ~r'?-5'~ Date Systems Development Charge is due' on all undeveloped properties 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 Jnformation hereon is true and correct, and I further certify that any and all work perform~d shall be done i.n accordance with the Ordinances of the City-of Springfield, and the Laws t of the Stale or Oregon PQrtaining to the wO,rk described herein, and that NO OCCUPANCY will be made of any stwcture withnut pern~;ssion of the Building Safety Division. I furl her c:ertify that only cornractors and employees who arc in compliance with ORS 701.055 will be used on ttlis, project. I further agree to ensure that all required inspectio,ns are. requested at the proper time, that each address is readable from the street, that tile permit card is located at the front of tho property, a d..t,be approved set of plans will remain on the site at 1 tl cs durin~truction, Signature. 'M~",,- '~i)hl,;i.V'J_ Date t/ iJa;/93 VALIDATION: RECEIPT NUMBER ..J.117~ IOD~ ;;)'() 0.' DATE PAID -ftTJ.-.9 '3 AMOUNT RECEIVED I Cf-1 .~~ I /W.laJi.U ~ RECE'VEC BY f"I'fiW'" " '. .... .:,.;_;'J. .. . .OB NO. '13/ Qq3- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE ',' ',' WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: f)f3..IJN/S I M/U?-/IIJA R/~/u)ItN. LOCATION: /3J./lf Ket.-L.'1' 'f5I-VP, /7032-7<ft-f-03oo6 DEVELOPMENT TYPE: LP,L - AiH> I ,,~ N BUILDING SIZE: N~n LOT SiZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 'Z",;>B X $0.203 PER SQ. FT. C lfs ~0 2. SAN1TARY SEWER-CITY NO. OF PFU'S X $42.08 PER PFU ( ~) (See Reverse) ../ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 ~ ~ ') .......... ;./ X X $424.31 $ - X X $424.31 $ 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 ~ . ~ ----' SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ '-f '6 ~-'- 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 Ie::'..:..... ~L...L .., /1-'1 j1? U Kip Burdick f I SDC Coordinator ~ TOTAL SDC $ c 7~ ;.>0 - A "-...