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Home My WebLink AboutPermit Building 1992-7-14 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ollice: 726.3159 LOCATION OF PROPOSED WORK: _/:276 ASSESSORS MAP' / 7~ 3 7l.f LOT: - '. SPRINGFIELD ZSUNfJ '2.2.. , <:T:. SIn 11 BLOCK' OWNER: J)fiIJIEl.. If.. ~OiU 11/1T1EIJ!b.Pe"";l<!!. ADDRESS: '_/~ "},( .:LQA""",:J 5';-. CITY: ~~;:L.,.tJ__ STATE: 0 "- DE,~CRIOE WORK: __ ,~J"'_ yo ~ NEW __ _ REMODEL ' ADDITION...x..... DEMOLISH CON'I RAe-lOll'S NAME OTHER · - 9zeJ9$ d,._ ~B NUMBER "T- 225 Fifth Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION: 002/2- PHONE: _Z~/) 9'1'/3' ZIP: __72!tZ.7 ADDIlESS CONST. - CONTRACTOR N PHONE GENERAL:_ ()W'o~---- ----- ------- PLUMBING: _ MECHANICA' - ELECTRICA' - QUAD AREA: \ ~N uJ N OF BLDGS: _..J-;--:?-.., QCCY GROUP: R:- ) -r . OF STORIES: WATER HEATER: ~. - OFFICE USE - LAND USE: JiJ-! . OF UNITS: \ ) CONSTR. TYPE: J.LA HEAT SOURCE:_jdP RANGE: EXPIRES 1 FLQOD PLAIN: ~ ZONING CODE:W.f ) . OF BDRMS' SECONDARY HEAT: -jj1Cl,;"'.. SQUARE FOOTAGE: -=r.r.l J To rcqllcst 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 ~alTlc working (lay. inspections requesteu after 7:00 a.m. will be ma<le the following work day. { I Tcmpol'nry Elccltic , I SHe Inspection - To be rn3de niter (lx(:avution, hut prior 10 selling IOlnlS. o Undcrslab Plumbing/ Electrical/ Mechanical - Prior to cover. "Nf Fooling - After trenches are ~xCaVale(l. o Masonry - Steel location, bond beal11s, grouting. 1':If Foundlltion - After forms are ~crectcd hul prior 10 concrete placcmcnl. o UnderglOund Plumbing - Prior to filling Irencll. 1':71 Undcrtloor Plumbing/Mechanical ~ _ Pliol 10 insulalion or decking. D Posl and [lellm - Prior to 1I00r in~Hllali,)n or decl~ing. o Floor Insulation - Prior to dcCklflU. o Prior to filling SanitalY Sewer trench. , o Storm Sewer - Pdor 10 filling trench. o Watcr Line - Plio! to.fllling trench. . lv1 Rough Plumbing - Prior' to ~cover. REQUIRED INSPECTIONS I~ ROllgh Mechanicill -. Prior to cover. , l'V1" ROllgh Electrical - Prior to P cover. o Electrical Service - Must be approved 10 obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. ~Wall/Ccilin{J Insulation - Prior to ~ cover. 15<( Drywall - Prior 10 taping. D Wood 51.ovc - Aller installation. D Inserl - After flleplace approval amJ Inslallation 01 unit. o Curbcul & Approach - After forms are crectc(J but prior to placement of concrete. I~ Sidewalk & Driveway - After cxcavation is completc, forms and sub-base material In place. I~ Fence - When completed. [=t Street Trees - When all required treeS are planted. . ~Finnl Plumbing - WluJI1 all ~lulllblng worl< is complete. IVf Finnl Electrical - When all ~ electrical work is cOlllplete. o Finnl Mechanical - Wilen all mechanical work is cOlllplell:. ~ Final Building - When all ~requlrcd inspections have bt:cn approved and building is completed. DOlhcr MOBILE HOME INSPECTIONS D [)locking and Sel-Up - 'Whull :.11 1)locl<lng I~ cornplclC. o Plumbing Connections - Wlwn Ilome has been connected 10 water and scwer. D Electrical Connection - When blOCking, sel.up, and plumbino inspcction~ Il<we been npproVt:(l ilnd the home is connected to the servlcc panel. o Final - Alter all rcquiw(j inspections are approved ami porches, sldrting, (jecl~s, and venting havt) been insl,dlcd. LOI faces Lot Type. Selbacks Lot sq. fig. Interior I P.L. HSE GAR ACC - IN Lot coverage Corner Is Topography Panhandle Total height W' Cul.de.sac Iw IE BUILDING PERMIT ITEM SQ. FT, X $/SQ, FT. VALUE Main Garage Carport Ai)i)';7IJJU ~-D- . ,<r~7o ~n"'t. .(10 Total Value Building Permit Fee ....t1rJ.50 '7. 03 /17.6'3 Slate Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) /4S (B) 'it II (~ 13:: - PLUMBING PERMIT ITEM FEE Fixtures 1 MIN, Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT, Mobile Home Plumbing Permit 15. ()O .75 15.7S State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsertl Fireplace Unit Dryer Vent ~lf-C ?JtJ..c1~ &//fJ. /56-0 1060 .7~ 2<:::;7.r Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Domolitlon Slale Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrica~~O</S (A, B, C, D, and E Combined) . THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, thIs application must be signed and approved by the His(orical Cooruinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition th:ltthc said construction shall, In all respects, conform to tile 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 ;my lime upon violation of any provisions of said ordinances. C?-: 33 Plan Check Fee: I" Date Paid: 7/7/92- Recelpl Number: ~-1 Received y: _ :o~ 4J1-~- Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS -eA-rfj 1 r~p2/~ ~tL~8- ....e'6ip~. By signature, I state and agree, that I have careflJlly 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, :mcllhe Law~,; of the State of Oregon pertaining to the worl{ de3cribucJ herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safcty Division. I further certify that only contractors and cmployecs who are In compliance with QRS 701.055 will bc used on ttlis 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 locate{j at the fronl of the property, and the approved set of plall~, will ICllltlin ~~::u:~ctV;:?fflruction. / ' Dale 7- Iz/-C?.z.. , VALIDATION: RECEIPT NUMBER c:;sc;s /1/1.../ /o/? ~S".,~ ~ DATE PAID AMOUNT RECEIVED RECEIVED BY '. .JOB NO. q1.,.oQ?'-I CITY OF SPRINGFIELD SYSTEMS DEV~LOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: DA-tJle=.L~ Ln~1 UM~tJl-l-C>\=O~l2.. LOCATION: \ 'l.. It... "1:.,\.. A->-I t> S..-. \ (" ~ -:z., ,-'- "2.. 7.. - 00 '-I '2- DEVELOPMENT TYPE: L.D"- - A---ot>,.1 0 "-'- BUILDING SIZE: -z..{-t1..-o.t 1l-l"-....UbE... E-AVI'-<;' LOT SIZF SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. FT. l7iCo X $0.192 PER SQ. FT. C:'lOs.g) -- --- 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) X $39.78 PER PFU c -) ........ --- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $401.05 ,G -), -- --- X X $401.05 X $401.05 $ ~ x $ SUBTOTAL (ADD ITE~lS 1,2, & 3) $ \ \ D Sj. 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 c;- t; "'~ ~ TOTAL-CITY SDC $ I \(." I; 5. SANITARY SEWER-MWMC NO. nF PFU'S x $13;62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2.Above) , ' MWMC CREDIT IF APPLICABLE'~SEE REVERSE) . '~~~'J....- U Kip Burdick SDC Coordinator 7 /8 Icy'1- I ,/, $ TOTAL-MWMC SDC~ ~ ~ -- --- TOTAL SDC $ 1 \(o'~ ,);