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HomeMy WebLinkAboutPermit Building 1992-06-25ST'fl!^.(;FIELr) RESIDENTIAL PERMIT APPLICATION lnspections: i :'0'3769 Of lice : 72(:\-li"') -: -i JOi-} NUMBEFI I -:' h,225 Filth Street Springf iel(1, Oreg<trt 9747 / rAX.Lor: -1-?399 LocA.oN or pRoposr D worK: l5-8t1?t94)G-- ASSESSotIs t,rAP:-- J)43 <-S53 BLOCK:SUBDIVISIONLOT: - - PHoNE: '>za - ?7 a? zrP,ll!R?STATE: -- a< OWNFN crrv, _- !q.!'Sfrh3=D ADDRESS: i DESCRTBE_ w()RK: _$pU I o'1".*.-,t.,- NEW --- RF:MoDEL - ADDITION Y - t DEMOLISH OTHER 6D'NR Lc>--y':- 9?rtg Lttuoa l,l loNIN DDREI;S 18"'6roo EXPIRES; I"lqs COr.l I IIACI(jli '; NAMt CONST. CONTRACTOFI # MECIIN NIC:AI ELt:Cl R|CAL,: (]I'NI I:iAL t'tt,tltllr'l(; ouAD^-.CR!D[r) , OF BLDGS, T OCCY GR(-'U,, fu3 - ot'l- I AND USE: , OF I]NITS: ooNl,; I R. TYt't,: IlEAT l;OURCII, RAI',lC[: ,- t &qD ZONINO CODE FLOOD PLAIN c OF BDRMS: ICE USE -tIt_ UlO- Na:e SECONDARY lltiAT: SOUARE FOO'IAGE: , OF tlTOIllt , WAtf:t] llt:Ali ,ll t_l [j To request.rr ins;peclion, you rnust call 126.376g. This is a24 haur recording. All inspections recluested bt:fore 7:o0;-r.trl. will l)u macle th(..:;.11r,) working ctay, inspections rcqueste(l after 7:00 a.m- will be made the following work day. REOUIRED TNSPECTIONS t- | lerttp,rr,rr y Electt ir:LI | | Site' ltt:.l,ccti(llr - - ltr ht) trt.rrle t ',rfl,ir,;. ,v,tl1r,rt, lrrrl ptiot t,, 'j!:tlllr(l ,lllis. L_l x. r_J ,K fl Rorrgh Meclr;rtrical - Pri()r to <:ov,:r. lP/El Va)T ffJ:fl:l Ele,ctric:tl - Ptitir to Final Plurnbin{, - Wltrrrt ;rll lrltrtrtbing wclt k is cotnl rli rttl. Fin:rl Electrical - Wlr,'rt all clectrical worli is cotlllrl(-lc. Final Mechanical _ \ry'l;r,11 all rrter;hanical work is or)ntl.,lctrr Final Buildilrg - Wltt:tt ;rll required inspcctions lt:rvr: bt,'t:tr irpproved and lruilding ts completed. Other - A I< r_l L] ,X K F Under slrrb Plurrrl.:,i rrg/ Electrical I Meclralrical - [rtior to ct,t'er. FootinO - Allcr tr()nches are exc:lva t ( )(1. Masonry - Stt:cl locatioll, l)ond bear[rs,,lroutit'tg. Foundalion - After forms are erecte(l t)ut prior to concrele placen r(it lt. Undclgr ouncl Plttrrrbing - [)rior to filltttl; trencll. Undertloor Plumbing/ Mechanical - frri<-r to insulation or (lecking. Post an(l Beant - Prior to floor insu lilt ii.,11 or (,t.)ol(r ll0. Floor lrrsulation - Prior to declit tt< I Sanitary Sewer -' l'rior to f illing t rcnc l). Stornr Sewer - l)tior lo lillirtg trench. Water Line - Pricir to fillltlg trcnc lr. Rough f)lumbirrg - Prior tci covcl. r_l Fireplace - Prior to f;rcitrg rnaterials and framing lrtsP. f, tt''"t"g -- Prii>r lo covcr' Wall/Ceilirrg lnsulation - Prior to Eleclrical Service - Mtrst be a[)[)roved lo olrlait-t perll];lnent elet:trical [)ower. covcr. tJ [-_l Drywall - [)rior to taPir.tg [-l Wood Stove - After installation t_l lnserl - A{ter lirePlace aPProval an(l inst:illation of unit. rl Curbcut & Ap;rroach - After forilts are crected but l.rrior to l)lacement of concrete. I I Sidewalk & Drivcway - Af terl--J cxcavation ts (:()rrrl)lete, forms an(l sub-base tltirtcrial itr place. [ --l tu""" - w]re n cornPletecl. i_l Street Trees - Wlten all required trecs are [)l,irrtted. MOBILE HOME INSPECTIONS Blocking and Set-Up - Whetr ,rll blocking is ctitltplete. Plunrbing Cottttections - Wlt,,tt llome has bet.:tt connot:tt:cJ to water and sewcr. Electrical Contreclion - Whctr blocki rrg, set-U [), artcl ;-rltr tttbitt1.; irrspections lt;tve bet:tr atlr[)rov(j(i irnd the hotrte is corlticolod l() llre scrvice p;rtrel. Final - After iill rctlLrirecl inspections ate approvcd ancl porches, skirting, deck:;, and venting have been install(rd.t_l \ ( IDD tl tl fl P.L.HSE N S Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type. - lnterior - Corner - Panhandle ..- Cul-de'sac Setbac ; THE PROPOSED WORI( IN THE --l'-.ilsrontcAL DtsrHtcr, oFl oN THE HISTORICAL REGISTEB?,--- lf yes, ttris application must be signed and approved bY the [Jistorical Coordinator prior to permit issuance. APPFiOVED: GAR ACC q: E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condilior-r th.lt the said construction shall, in all rcspccts, conform to tlre Orclinance arlopterJ by ttre City o{ Springficld, ir.rcluding the Developtrtent Cocje, rclltrlatin-<1 the construcliorl antl use of buildirrtts, an<l rnay b<.' :rtlsl;ended or revol<crl at ;l11y tirllc upon violation oI any provisions of said otclitrarrces. -Lfi-s2 PI *'#'ewe uttt lte t Plan Chcck Fec Date Paid: Receipt N Received VALUE fi,aD fu (A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee J24,fo _ 5,2_? D?-te BUILDING PERMIT ITEM SQ. FT. Main Garage Carrport Systems Development Clrarge is due on all undeveloped properlies within the City limits which are bcing improved. SYSTEMS DEVELOPMENT C (B) HARGE (SDC)* oze ADDITIONAL COMMENTS y'eazf Ar€Al{ru< F"rV/t€e ftzsz4. -e4rt(@ ITEM Fix t u res Rcsidential Batl.t(s) S.lriitary Scwr:r Watr:r Stortn Sewer Mobile Home PLUMBING PERMIT FEE N FT. FT. FT. (c) Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsertl Fireplace Unit Dryer Vent 4tD- Mechanical Permit 7,(D)25, N0Verrt Fan /< oe _/o d0_ ,7tlssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exl-raust Hood By signature, I state and agree, that I have caref ully examined the cotnpleted application and do hereby certify that all information hereon is true and correct, and I f urtl-rer certify that any and all work perlormed shall bc done in accordance with the Ordinances ol the City of Springf ielcl, arrtl the Laws of the State of Oregon pertaining to the wotk described lrerein, ancl tlrat NO OCCUPANCY will t,re trt;trtr) of atry structulo witltout pertnissiorl of the Building S;rtcty Division. I further certify that only contractors and emllloyees who are ln compliance witl-t ORS 7O1.O55 will be rr:r(-'(J on lhis proiect. lfurther agree to ensure that all required in:;pet:tions are requested at the proper time, that each address is rea<Jable aL K a? from the street, that tlte p ermit card is locatccl at ttre f ront ti Date gnature pproved set of plans will rerrtainof the property, and t on the sit during construction. MISCELLANEOUS PERMITS Mobile Homc State lssuance Slato Surcharge Sldewalk *=-- lt Curbcut =-- ft Demolition State Surcharge Total Miscellaneous Permits (E) 5?r tq NECEIVED BY AMOUNT RECEIVED VALIDATION BECEIPT NUMBER DATE PAID TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, anct E Coml>lned) EA?I_ SI"ItNGFtELr) db 225 FIFTB STREEf, SPRINGFIELD, OREGON 97477 Ci ty Supervi sor cense Number Expiration Date Constr Contr. Number ,h.".71-LHp q \qa INSPECf,I0N REQI BST z 726-376 0FPICE: 726-3759 1 Permits are non-tr if vork is not sta d erable and expire vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COI.ITRACTOR INSTALI^O.TION ONLY Electrical Contractor Address ELECTRICAL PBRHIT APPLICATION Number rEB SCBEDULE BELOIJ ev Residential-Single or dvelling unit. Service Included: I tems 1000 sq.ft. or less Eaeh additional 500 sq. ft or portion thereo f Each Manuf'd Home or -Modular DveIling Service or Feeder Services or Feeders Installation, Alterations or Relocat ion: spei 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect 0nly SUBTOTAL OT ABOVB 5Z State Surcharge TOTAL '!i:Prui*,cl dcee nct Cos t $ 8s.oo $ 15.00 $ 40.00 s0.00 60.00 100.00 130.00 300.00 40.00 Sum B $ $ $ $ $ $ C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date Signature of Supervis Blectrician 200 amps or less $ 40.00 0ver 401 to 500 amps _ $ 80.00 Over 600 amps or 1000 volts see I'B'r above Owners Name Address Ci ty Phone 1 0h" {}1 D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit -....|_ $ 3s.oo e Each Additional Circuit or vith Service or Feeder Permit S 2.00OTINER INSTALI^ATION The installation is being made on property I or*rn vhich is not intended for sale, lease or rent. Owners Signature: DATE: E Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/0utline Lighting_ $ Limited Energy/Res _ $ Limited Energy/Comm $ not included) 40.00 40.00 20.00 0cl5 RECEIVBD B J0ti tio - clLolqG CITY OF J' T(INGFIELD SYSTEMS DEVELOPI'IT'TT CIlARGI. WORKSHEET (coHl'IERCiAL & RESIDENTIAL) NAI.IE 0R COI'IPANY, l(oW D \n lr Af, lNt g LOCATION:lb?,+(?-?- 3T. ll ou q%b l2boo LOZ - &sp rft or.tDEVELOPI'IENT TYPE: BUILDING SIZE: i. STORM DRAINAGE THPERVIoUS SQ. FT. (See Reverse For Ru ?. SANITARY SEI.IER-CITY .L7. .9 ?--7 TSI x so.186 PER SQ- FT. X 538.55 PER PFU - Ft. 2rZ s S. 'lb noff Coefficients I f Actual Imperv- Area Is Unknown) NO. OF PFU'S (See Reverse To Determine Total PFU'S) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x x s388-61 x _ x $388-6r s x x s388-61 s 4. A N RATiVE BASE CHARGE (SUBToTAL ABoVE) X .os s 2e) TOTAL-C iTY SDC S bZ 5. SANITARY SEI.'ER-H1.IHC NO. OF PFU'S X SI3.25 PER PFU .+ S]C MW'IC AOHIN. FEE (Use PFU Total From Item 2 Above) r'lr^,r'lc CREDIT iF APPLiCABLE (SEE REVERST) S s- s+ Ki p Burdick SDC Coordinator (See Attachment C To Detennine Trip Rates SUBTOTAL )'(ADD ITEMs 1,2, & 3)$ 6o23 TOTAL-HWMC SDC TOTAL SDC (" s 6"-1V