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HomeMy WebLinkAboutPermit Building 1993-10-18 ~ . RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 LOCATION OF PROPOSED WORK: 2/ ~ ASSESSORS MAP: //7 /? <: ~Z? LOT' . SPRINGFIELD I' · 0 JOB NUMBER ~\~ 225 Firth Streot Springfield. Orogon 97477 :- .1 4 r H-d/5, c::;;.,A:-:.c...~.,c;~ DA' ~r./ ' TAX LOT: 44 a-n BLOCK' SUBDIVISION' OWNER:;::r::..~ 7t#i2JZ,.7' ADDRESS: ~ <&>.?--7 "15" "7r CITY: S~ Jt,-, "},..;7 H~ 6- U DESCRIBE WORt<" /ZA 13>, ~ If,-,; ~ ~ ~~ ~ NEW L REMODEL ADDITION DEMOLISH STATF' ttJ~. PHONE:2-~7-??</ ;;> ZIP: 97~ 7,/ OTHER ~/'t.,/ /'"c.,~ '" CONST, CONTRACTOR'S NAME ADDRESS..... f.~" " CONTRACTOR' C _ ~,I I' = -S-?::. 0, ,/~ /7 L GENERAL: CA'-1!'Z"P-"T- PI r#' ~~t:3 ~tPAt-"'46'r , ~ 117 (;:? "J 0 ~ _/J- 1/_/ . i /I~~/ """~ 9?',u / //~ PLUMBING: C/(:,l5""V;ru - r-rfi-t2-/Z-/S: <Ot.J ;ft-..~~ 'l?-2.C4 ~-r-. :J MECHANICAl ,- ELECTRICAI,)k;/Z; "-nr?K tTZI3e-. 19,,):;-;;:"97/.fl>~ -S/'S 'J QUAD AREA _~~ 1. tJ . OF BLDGS' \ OCCY GROUP: ~~,\-}J\ \ . OF STORIES: 1/ WATER HEATER: - OFFICE USE - \\~ . OF UNITS' \ CONSTR. TYPE: ~~ ~<2~ LAND USE: HEAT SOURCF' V RANGE: EXPIRES PHONE ,,-/;"-14& 11f7-'1t:i'Ct! 6P9-??~~- '7;r1-/~ 1.. FLOOD PLAIN' ZONING CODE: ~_ O~ . OF BDRMS: - ~ - SECONDARY HEAT: SQUARE FOOTAGE: J4l ')q. To request an inspection, you must call 726-3769. This Is a 24 hour recording. All inspections 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 o Fooling - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical _ Prior to insulation or decking. o Post and Beam - Prior to floor insulation or decking. D Floor Insulation - Prior to decking, ~'Sanitary Sewer - Prior to filling ~ trench. o Storm Sewer - Prior to filling trench. rvl. Water Line - Prior to filling ~trencr\. o Rough Plumbing - Prior to cover. ~\ I REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to (acing materials and framing Insp. o Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - .After installation. o Insert - After fireplace approval and installation of ur-it. . 0 Curbcut & Approach - Arter forms are erected but prior 10 pl~cement of concrele. o Sidewalk & Driveway - After excavation Is complete, ferms and sub. base malerial in place. o Fence - When completed. o Stroet Trees .-- When all reqiJired trees are plantP-d. o Final Plumbing - When all plumbing work is complete, D Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. 1\71 Final Building - Whon all 7' required Inspections have I)een approved a1{ kli~dl~ completed, \:-W\"'t'"' I 1../ DO'her MOBILE HOME INSPECTIONS 1'\71 Blocking and Set-Up - Wtlen all ~ blocking Is complete. 'Ql Plumbing Connections - When ~ home tlas been connected to water and sewer. ~. Electrical Connection - When ~ blocking, set-up, and plumbing inspections have been approved and the home Is connected to the service panel. _ r/i Final - After all required ~ lnspect!ons are approved and porches, skirting, decks, and venting have been Installed. J . , , THE PROPOSED WORK IN T~E Lot faces Lot Type Selb~cks Lot sq, ltg, Interior I P,L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Panhandle Is I and approved by the Historical Topography Iw I Coordinator prior to permit issuance. Total height Cur-de-sac IE I APPROVED' BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT. VALUE Main Garage .~q~ \1) .\0 2iJ5:L Carport Total Value 2%i3 =a~~ ~LQL_ Building Permit Fee Stale Surcharge Total Fec (A) SYSTEMS DEVELOPMENT CHARGE (SDC ~, (B) ggLi~ J PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' c9SDO [).S,03 1~0J Sanitary Sewer FT, Water FT, Storm Sewer FT., Mobile Home Plumbing Permit I do r:u ~.a5 ,la!6~ State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS , cD In~. ~O.W -~ Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricJ;;..Q45:z.::5)_ (A. B, C, D, and E Combined) "-- \. o.C\lo40) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is wanted on the express condition that t said construction shall, in all respects, conform to tllC dinance adopted by the Cily of Springfield, i uding the Developmcnt Co(lc, regulating the constr ion and use of buildings, and may be suspended or voked at any time upon violation of any provisions said ordinances. Plan Check Fee: _# Date Paid: <v ;~ Receipt Numbt""/ R7 ~Ians Reviewed By Date Systems Devclopmcnt Charge is due 'on all undcveloped properties within the City limits which are being improved. " A~DITIq,NALA ~~I\fME_t-!TS. . . '* D.1-mYCf, ~ll\Ot t\\~ \ .:\f\~ (11 'l\\~D OYH O~ -l fYbn, _ ~':\ M-t- EJ)-t{\~ - 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 Stale of Oregon pertaining to the work described herein, and tllat NO OCCUPANCY will be made of any structure willlout permission of the Building Safely Division. I further certify tllal 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 strcet, ttlal the permit card is located at the front of the properly, and the approved set of plans will remain on the site at all times during construction. Slgna'urc ~.~ tI Oat... /t;~ Ig-- 9?:> VALIDATION' RECEIPT NUMBER r;DI'a~) \ r I (}(',~ / ) DATE PAID )81/f?/"i.~ \ W.tZ'l/':?) AMOUNT RECEIVED~~~'( ?-:;:-,) ~p'lI()4f)) RECEIVED BY \' , ~J'r"J~~~""W; . 11"11 . ~ ~.L~ . fl' . ~-e }!i!I.!?!!;,~!!! ....~',;f.~'$".. .iO',' . , I .. Job No. q5 1870, , SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME:~~ \\ L 0_l O~<no \\T) PHONE: (,4/I-M~' ADDRESS: .\.Q~f\ \~~\\\ODt ; ~p STATE:~ZIP CV\4'11 LOCATION OF PROPOSED BUI~D\IN~DSITE: l 0 ~ n.! 1'1 '1'\. ,LL r\ Ie:' Street Address if Known: C"\l ~ tN '\ \ \)\ \....,'--" -B- rt CJ Platt Nam~ f\\\i\'\r\ ,\{\~Tax Lot Number: \ f'\()3 ~ ~ \0 [M({) 'I 1. DEVELOPMENT TYPE (Check appropriate dwell i ng(s). SDC Calculations and dwelling type definitions are on the back,} A. Sinl!le Familv - Detached Single Family home NO OF UNITS B. Sinl!le Familv - Attached NO OF UNITS C Multi.Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS \ WPRD SDC _ Manufactured home not in a park X $400 PER UNIT = $ X $370 PER UNIT = $ X $277 PER UNIT = $ X $280 PER UNIT = $ Ilf[),UJ '; Af{)~ $JZf $ 9Pnr:D 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) .. \;.~;~~W~L) City of Springfield If) / IR/q~ Date .- ,.. CITY OF srrW;GFIELO SYSTU1S OEV[Lor:,\[ii1 C""-,i,u<.:. . WORl<SH~ET'. , (COlmERCI^L t, RESlOEllTI^L) ! rW1E' 0[( COi-ll'NIY: J:~Lo.'.,l':L0._,bQ,0,," Nlg.'o l':::.f:. ~o 1J\ I::. ' R,u ~ ~ l~ LOCi\TlOll: SI)C -to 17.:" Et.\)~Jl:!.vtJ 01.01"'.011-12- \-k:v\S I"? t-/\O":G;::>\~ ' OEVELOPMEllT TYPE: [JUILOING SIZE: ,LOT SIZE" SQ. F t. }, STORr,I OR^ HMGC H1PERVIOUS SQ. rT. . X $O.18G PER SQ. FT. Is & (See Rever~e ror R~noff Coefficients If Act~al I~~erv. Area I~ Unknown) 2. SMI lTN('{ S~,iFr~-c iT\' 1:0. 0:- pru's I Lj. . X $3S.55 PC:: P:-U (See Rcver~e To O,~Le17.lir.e Total PFU'S) Is ,?~f', '1~ I ,', . 1:~..':'~L~;~.~.:~i;~\ 1_;.G;:. r:~ C:. 1..'::!::; X T:::;' ::,:,n: X (CST r[~ TRU' \ .-----.- 1-.""'"': l..: ~: ~3:'::: _ c: I ..., ...... - '::'.. i .'i 1..:-';'-1 ---- ..-- ..-- '!. j:~S.0l 'J ____ :( S:::3..G~ (See j\--"c:.....,,.,.... l' '1'..\ 1\1;.-.........~r.' -,.....:... l:"'\-''-n...' l"....... ............... v 1,.......\.'..:. ...1.1.: I IJ-I ....;.-----j -' ) -( ...; ''::- SUBTOTi\L ' (1\00 IElIS 1, Z, & 3 S I,;) ~ 4. AorHlHSTPJ',TIVE FE~S 'nf,SE (HARGE (SUBTOTAL ABOVE) X ;05 h ,?s'::..1 TG7....~.-C~~.:. :::~~::. co ~ .. C.--I" ,- .........- - 5. SM1ITMlY SE\.IER-M'ril'\( 'H,IlO. OF PFU'S , r..f- x 513.25 PER PFU .+ 510 'H\.IHC mY&IN. FEE: 5 14 C; ~ " . .,~<;';:;,:hUs~ PFU T~tal from Item i Above) -"... . ,~~.'.. .. ....._..--.--,,~'. .:... :~: .~- . - - ..... -~.._.. .. .......... . -' .. . 0" .. - _.... -- .'-.; ., .-. . '. . - .. . . . '. ~.. .. - ...... ". ..[./7--'1/1'1--- .. , ., ,,,.... ,"5 <- ," TOTAl-H\.IHC S~~: Is 1"1 ') ~ 1 TOTAL socs qq ~ <I:!:- .~ ~lWHC CREDIT IF APPLICABLE (SEE REVERSE) . .::~~.: :~. :. -' ; ~Ho,.__". . ' .. .. . '.. U' .Kip Burdick. SOC Coordinator .f.. .: ~ . >, .. -..., -'.-.-:-" .. .... . . . .,..~ .. . ... .....:..-.-... ,. . -.-... ' . ~'. ...... '-. ..... . - . ..:,~... ..;-~; .-.. , ...'.'. :.~