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Home My WebLink AboutPermit Building 1994-9-6 RESIDENTIAL PERMIT APPLICATION Inspections: '726-3769 Orflce: 726.3759 LOCATION OF PROPOSED WORK' >'ASSESSORS MAP' /70_~ LOT: . 761'i!!: '<.4 /r::. c::; A'lr:?t J ./7E- / 2.. BLOCK' OWNER:f:'J.C.f. fr--.~/laj) ,/f/l1lt1Il~ ADORESS:' --:JfJ?) f:;@11~/tJ. Ill. CITY: j(Ju1jif;dil DESCRIBE WORK: -.!J-drii1iJ:!:J...../);::: NEW REMODEL CONTRACTOR'S NAME WJ2etL. GENERAl' PLUMBING: MECHANICA' . i ELECTRICA' . QUAD AREA: \R,\\)0 \ OCCY GROUP' R~ . OF STORIES:_I . OF BLOGS' WATER HEATER' ADDITION STATE: .:... fJ.t' I bl / b falUfJl; trlffi-- )( . DEMOLISH OTHER . 9~/2~\ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION' ~?P~fi@fr)) kJco /') r') /I ~ PHONEL qj3) Ni:z:JiY()r ZIP: _Cf?-Cf1-1 ADORESS CONST. CONTRACTOR' PHONE o Rough Mechanical ~ Prior to cover. rYl Rough Electrical - PrIor to ~ cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior: to cover. CXI Wail/Ceiling Insulallon - PrIor to cover. I CfJ Drywall - Prior to taping. o Wood Stove - After 'I~stallatlon. o Insert - After fireplace approvlll 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 ma.terlal In place. o Fence - When completed. o Street Trees - When all required trees Bre planted. EXPIRES FLOOD PLAIN' ZONING CODE:.l()fU . OF BDRMS' SECONOARY HEAT: SQUARE FOOTAGE: A~Ie- - OFFICE USE - LAND USE: \\ \ \ · OF UNITS: \ CONSTR. TYPE:-1LJ..J HEAT SOURCE: RANGF' 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, Inspectlons requested after 7:00 8.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary ElectrIc o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. rYl Footing - After trenches are ~ excavated. o Masonry - Steel location, bond .beams, grouting. rvl Foundation - After forms are ~ erected.but prior to.concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. r-"ll Post and Beam - Prior to floor , Insulation or decking. rYl Floor Insulation - Prior to '-f"" decking. o Sanitary Sewer - Prior to filling trench. rVI Storm Sewer - Prior to filling L..-pJ trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prlor'to cover. o Final Plumbing - When all plumbing w~)(k Is complet.e. rY1 Final Electrical - w.hen all ~ electrical work is complete.' o Final Mechanical - When all mechanical work Is complete. IY1 Final Building - When all T required Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - Whep all blocking Is complete. o Plumbing Connections - When home has been connected to . water and sewer. o Electrical Connection - When blocking. set.up, and pluroblng 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 Lot ~ype. ~ Interior Lot sq. fig. Lot coverage Corner Topography Total tlI'lght Panhandle It (~?) BUILDING PERMIT ITEM sa. FT. Cul.de~sac , \'.t;' '; : ';i'i,i":,~ ~l"'~ '~~.~ ~1':~'~1.:~,~:'"'' Setbacks . I' P.L. HSE GAR ACC' IN Is Iw IE Main .2 S~ X $/SO. FT. = VALUE ~.~ /438 '2 ILl 3~1 ~ \O.S2-. ~~ -"t,~ \\C:.?~ SYSTEMS DEVELOPMENT CHARGE (SDC) $79~ Garage Carport Total Value Building Permit Fee State Surcharge ~er,. ~<\...;.. (A) Total Fee (B) PLUMBING PERMIT ITEM Flx~ures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit Stat~. Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent MechanIcal Permit Issuahce State'Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fI Curbcut fI Demolition State Surcharge ~Uw d..a!/Cl..} "'4Jp fT , Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) " FEE os 95 7-&t) !)f)b.~ .. THE PROPOSEO WORK IN 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. ., APPROVED: 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 Springfield. including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon vlqlatlon of any provisions of saId ordinances. ~' f!'~ ./ --/t:J3 Plan Check Fee: . r&1"'C, -----z.. ,.' Date Paid: ~.s;/5' i' Receipt Number' J<i 7: l-:-- 2- .~~ -\ (V"L~e<j- eviewed By Systems Development Charge Is due on all undeveloped properties within tho 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 certlly that all Information hereon Is true and correct, and" further certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield, and the LaVIs 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 site at all times during construction. Xgnature. ~~ 0 0 Q; ,~ch~~~ Date . q-(IJ .qy VALIDATION: . /<i~/"::' DATE PAID "5'/t;/?'7' AMOUNT RECEIVED -1l TV::-.l5... ~~~ RECEIPT NUMBER RECEIVED BY ATTACHMENT B1 . . .OB NO, 9~/2~S- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIOENTIAL) N#1E OR COMPANY: I?~ ~ 5~Lf )4t~ LOCATION: 'fa 'l G~~ ,j?~ DEVELOPMENT TYPE: ~ /~;"/c.' ~ ~ BUILDING SIZE: "'IeAtlES:20r/(':- 3(;0111 LoisIZF' ~. 1. STORM nRAINAGE IMPERVIOUS SQ. FT. SQ. Ft. 3c'O X $0.209 PER SQ. FT. $ 1S:.24 2. S8MlIARY SFWFR-r.TTY NO. OF PFU'S . ~ (See Reverse) 3. TRANSPORTATTON X $43.26 PER PFU NO OF UNITS X TRIP RATE X COST PER TRIP X ~$436.19 / /X X $436.19 X $436.19 $" d / $ $,,;{ / SUBTOTAL (ADD ITEMS 1.2. & 3) $ '1' 5"..2--/ 4. SANTTARY SFWFR-MWMC NO. OF PFU'S ~17.19 PER PFU + $10 MWMC ADMIN.FEE (Use PFU Total F~tem 2 Above) MWMC CREDIf:lF APPLICABLE (SEE REVERSE) .... IQIAI -MWMC SOC SUBTOTAL (ADD ITEMS 1,2.3 & 4) 5. ADMINISTATTVF FFF~ BASE CHARGE (SUBTOTAk-ABOVE) X .05 . ~ ~ - Date: 'il'-;:2-4--<?~ ~Mar H rnig. P.~ ~ SDC C rdinator . IQIAI snc. B2.SDC . $ / $/ f' $ r S'..2~ $ '3.7'- $ '1 9. o-D