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Home My WebLink AboutPermit Building 1994-8-29 ~-' - - RESIDENTIAL . PERMIT APPLICATION Inspections: '726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP: /7t:)~ /"7--" ", LOT' BLOCK' OWNER~)..."" \_~J\ ~C'(\l\_m I ~ PHONF' ADDRE~{'o,'\~ ~\f\ A\ rt I CITY: \Jl\ tN"'\~ ~.rv STATE: 'ill~~.tJY' DESCRIBE WORK: p\(i W\1 ~ I \.' 1_ ~ o()iY\ lo\('\l\. \ ~ NEW REMODEL ADDIT~N' . DEMOLISH OTHER ."., 7 JOB NUMB~R q4 \ \ l dL 225 Fifth Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION' C jL\\YY ) 7"7'7- 8/'/S ZIP: lflLtrl --- CONST. Q)-lr~RACTOR . A . q~RES 14-1 p.:-8fYn CONTRAc;or.r~~~l.. \ n \ ..t~D~ESS', GENERAL~ \1\ \\\0 1 ~ \JJ lJL S PLUMBINf-:' MECHANICA' . ELECTRICA~: W I If\ ~ QUAD AREA: / ~ AlIi / · OF BLDGS: ~..;l., OCCY GROUP: . OF STORIES: ~I WATER HEATER: , .1, - OFFICE USE - LAND USE: · OF UNITS' CONSTR. TYPE: IIII -. FLOOD PLAIN' ZONING CODE:~JA" . OF BDRMS' v SECONDARY HEAT: SQUARE FOOTAGE: AjIJ , j-" v ^I. '. HEAT SOURCE: _ RAN~E: , , . 2.')2- 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 af~er 7:00 a.m. ~III be made the fOllowl,ng work day. REQUIRED INSPECTIONS o Temporary Electric O Slto Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. f';:/(Foollng - After trenches are ~ excavated. . o Masonry - Steel location, bond . ,beams, grouting. ~Foundatlon':"" After forms are ~~rected'but- prior to 'concrete placement. o Underground Plumbing - Prior to filling trench. . o Underlloor Plumbing/MechanIcal -.Prlor to Insulation or decking. I"'V"1"'"' Post and 8eam - Prior to floor ~ Insuletlon or decking. ~ Floor Insulation - Prior to .IC>l. decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. . o Water Line - Prior to filling trench. o Rough Plumbhig - Prior to cover. o Rough MechanIcal"':' Prior to cover. ~Rough' ElectrIcal - Prior' to 1.6l cover. ,~ o ElectrIcal Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Fra~lng - Prior to cover. f'V'1" Wail/Ceiling Insulation - Prior to L6lcover. ' ~ Drywall - prl.or to taping. 'fi71 Wood Stove - Alter Installation. =.!.. pULer o Insert - After fireplace approval . and Installation 01 unit. . 0 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 Fen~e - When completed. , O IS,treet Trees - Wh,en,all)req~lred trees are planted. . ~ . . -"\. . o Final Plumbing - When all plumbing work Is complete. . . 19I' Final Electrical - When all ~electrlcal work Is complete. o Final Mechanical - When all mechanical work Is complete. "'f\7f Final Building - When all ~requlred 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 to water and sewer. o Electrical Connection - When blocking, sel.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. Setbacks. . . HSE GAR ACC' "~S THEPROPOSED WO~K IN THE, ....HISTOI;lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. , I Lot faces , L~t~ype . :i~.i . .'i",~:,. ';f"':;;"(;"~'~ :~~v.s':~}~tf-'::', ~~1< \ :\:" : ~ ", ,'c' "~:" i:":~:~:,~":'" -J.L(7, So 6. S'3. .zi),.~"P. :;j',-;::' (A) -!i..5:. ~ SYSTEMS DEVELOPMENT CHARGE (SDC) 1C,2. S4 Lot sq. Itg. Interior Lot coverage Corner Topography Total height Panhandle CuI-do-sac BUILDING PERMIT SQ. FT. A~ ITEM X $/SQ. FT. - . S\o.1lJ' Main Garage Carport ,r-' Total Value Building Permit Fee Slate Surcharge Total Fee (B) ",;.:.,,:<' .PP.L. '-'1 N' Is Iw IE \4L~tot " PLUMBING PERMIT ITEM FEE Fixtures ' , Residential Bath(s) N' Sanitary Sewer FT. /\' Water FT. / StorlT! Sewer, FT. / Mobile Home ---., Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsertlFlreplace Unit \ \T~~~ (\, 'JIf)~") Mechanical Permit Issuance State Surcharge Total Permit . 1398 M/I?4(/. (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) / S "" //)~ ,7,J ,1:- ':2/~_?t1J 2<;>$. A1't . 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 violation of any ProVlsl~~f said ordinances. Plan Check Fee: '1 \ . :t:l}1 Date Paid: 'l . ty ---\1- Receipt Number:r-I \1 \'?1L R~7~~j Plans"Revlewed By /' h~ IY Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ~/("!/5-4 Jt~,~ ADDITIONAL COMMENTS .,4nJ~.' /972. -, . A---r /. -pA17f 1 ~~AY~ d.k.7: .#ti2vd6)' .61/5of',;?;1 / T ,/!- 5 . . 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 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. 4nat~r/L?~-~{ /~ Date P'if'Cf VALIDATION: IL - SQI R::Jc{~4 _ o r!Jr'P> \lJ L '\t\...-J - RECEIPT NUMBER . DATE PAID AMOUNT RE RECEIVED B r' . ATTACHMENT B1 . .o~ NO. .tiLlv 0 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: Jf. e.tt J....../I'jA LOCATION: 13(" oLZi ' DEVELOPMENT TYPE' ~ d.-..wL ,rt... ~ .. ~ ; . / ') BUILDING SIZE: H J'/~ f<J/&AVFS'IS I u'll 1. STORM DRAINAGE . LOT SIZF' SQ. Ft. .' , IMPERVIOUS SQ. FT. 2~S- X $0.209 PER SQ. FT. $ sr.s1 2. S8NlIARY SFWF~-r.ITY~ t0l NO. OF PFU'S X $43.26 PER PFU $ , (See Reverse) /1 3. IRANSPORTATTON NO OF UNITS X TRIP RATE. X COST PER TRIP X ~36.19 /' /X t X $436.19 $ X $436.19 $ SUBTOTAL (ADD ITEMS 1.2, & 3) $ Sf.S"7 4. S8NlIARY SFWFR-MWtjC ~. NO. OF PFU'S ~ $17.19 PER PFU + $10 MWMC ADMIN. FEE (Use PFU Total From(Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~ ]]!AI -MWMr. snc SUBTOTAl (ADD ITEMS 1.2',3 & 4) $?f I $ $ $ .Jr. S1 I' 5. AnMINTSTATIVE FEES Z'2 f~ ABOVE> X .05 '~ ' Date: / Mar ornig, E. SDC oordinator $ :2.. 'If ?-~-'1.p ]]!AI snr. $ ~.2, S-'f ,62: sac