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HomeMy WebLinkAboutPermit Building 1993-10-11SPrlI,'rGFIELc, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 J MB h,Spri ngfield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSoFTs vae: /?'22 A?-V/ rAX Lor:D,/?// LOT://BLOCK:SUBDIVISION PHoNE: 2:1&@2&4R 7 lt -V6// ZIP:STATE:2)qaCITY: ADDRESS: OWNER NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK MECHANICAL: , PHONEEXPIRESADDRESSCONTRACTOR'S NAME ELECTRICAL: CONST. CONTRACTOR # G EN ERAL: PLUMBING -Nry 3 t/.-) {-RANGE: IY OF BDRMS: WATER HEATER _ OFFICE USE _ LAND USE: Y OF UNITS: SECONDARY HEAT: SOUARE FOOTAGE: QUAD AREA: '{ OF BLDGS FLOOD PLAIN: ZONING CODE OCCY GROUP: r OF STORIES: CONSTR. TYPEr HEAT SOURCE: To request an inspection, you must call 726-376g. This is a24hour recording. All inspections requested before 7:o0 a.m. will be made the same working day, lnspections requested after 7:00 a.m. wilt be made the following work day' REOUIRED INSPECTIONS f--l Temporary Electric ll Site lrrspection - To be made after excavation, but Prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundalion - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Rough Mechanical - Prior to cover. Rough Electrical - Prior to C CVCT Electrical Service - Must be approved to obtain Permanent electrical power. Fireplace - Prior to facing materials and framing lnsP. Framing - Prior to t:over. Wall/Ceiling lnsulation - Prior to cover. Wood Stove - After installation lnsert - After f irePlace aPProval ancl installation of unit. Curbcut & APProach - After forrns are erected but Prior to placement of concrete. Siclewalk & DrivewaY - A{ter excavation is comPlete, forms and sub-base mate!'ial in Place. Final Plumbing - When all plumbing work is comPlete. Final Electrical - When all electrical work is cornPlete. Final Mechanical - When all mechanical work is comPlete'w w w w q Q t*n"" - When completed m W ffi w a a q E f7(1 Floor lnsulation - Prior totr! decxins. [--71 Sanitarv Sewer - Prior to filling Ly'J trenctr.- l-71 Storm Sewer - Prior to filling lAJ trench. l-17 Water Line - Prior to fillingt# trench. ffi Rougn Plumbing - Prior to - cover. Street Trees - When all required trees are Planted. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set'UP - When all blocking is complete. Plumbing Connections - When home has 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. Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been installed. t -ze42a3- *',7t /,sF I )) fTorY*ull - Prior to taoing. Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot TYPe v - lnterior -- Corner - Panhandle _- Cul-de-sac Setbacks P.L.GAR ACC N J H E l.SYrl E PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTEFI? .--- It yes, this application must be signed arrd approved bY the Historical Coordinator prior to permit issuance. APPROVED I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrnit is granted on the express condition that the said constructiorr shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Developrnent Code, regulating the construction and use of buildinqs, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Beceipt Number:--- DatePlans Fcviewed BY Plan Chccl< Fce: Date Paid Receive<1 By: Caroort* sqaaxr::< VALUE (A) BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee //a-P2_-aJ //7fr SQ, FT. X $/SQ. FT.ITEM Main Garage SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N'2/( 2 7za-a FT. FT. FT. Wood Stove/ lnsert/Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By signature, I state and agree, that I have carefully examined the completed allplication and do hereby certify that all information hereon is true and correct, and I f urther certif y that any and allworl< performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the Statc of Oregon pertaining to the work described herein, and tl.rat NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify tl-rat only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I f urther 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 v.rill remain on the site at al mes during co truction ./a-/t- ?uJ Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) t- -/7-Z $,2 e-G f-o DATE PAID AMOUNi RECEIVED RECEIVED I3Y VALIDATION: RECEIPT NUMBETI TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) *232.5a Systems Developn'rent Charge is due on all undeveloped properties within the City limits which are being improved. 4e,*Fiq/''tx,rtz =tq ': 25 Ptumbins Permit %Z'25 state surcharge -64 rotar charse (c) 7E- /€ 2,/ _/2_ _ _/€ 32.d ,/Dr'/-* SPRINRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER q3)s5 ) 225 Fifth Street Springfield, Oregon 97 477 LOCATION OF PROPOSED WORK:&o l- ).L',-R. S 'fn I r\t Q'tr., (7 I ASSESSORS MAP:/'1? L 3 2: LOT:BLOCK: TAX LOT: SUBDIVISION i\ ZIP: PHONE: STATE:(-"tu1 J tq I 36( CITY: ADDRESS OWNER: NEW\- REMODEL ADDITION DEMOLISH OTHER dDESCRIBE WORK: A'EAUANIIAAI. ELECTRICAL: PHONEADDRESS'ft\ CONTRACTOR'S NAME CONST. CON G EN ERAL: PLUMBING "38 o * OF BDRMS: WATER HEATER: ZONING CODE: FLOOD PLAIN * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE:RANGE: QUAD AREA: * OF BLDGS: LAND USE: OCCY GROUP: * OF STORIES: CONSTB. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. Thts ls a24hour recordlng. All inspectlons requested before 7:00 a.m. will be made the same working day, lnspections requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS [--l Temporary Electric Site lnspection - To be made after excavation, but Prior to setting forms. Underslab Plumbing/ Electrlcal / Mechanical - Prior to cover. Masonry - Steel locatlon, bond beams, grouting. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Fioor lnsulation - Prlor to decking. Sanitary Sewer - Prior to filling trench. Rough Mechanical - Prlor to cover. Rough Electrlcal - Prior to cover. Electrical Service - Must be approved to obtaln Permanent electrical power. Flreplace - Prlor to faclng materlals and framlng lnsP. [--l Final Plumbing - When alltJ plumbing work is complete. Final Electrical - When all electrical work is complete. Final Mechanlcal - When all mechanical work ls complete. '$lfootlng - After trenches are z'/ tl excavated. (tt'-tng - Prlor to cover' {--lzfoundation - After forms are lXerected but prior to concrete placement. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set-Up - When all blocking is complete. Plumbing Conneclions - When home has been connected to water and sewer. I Electrical Connection - When blocking, set-up, and Plumbing inspections have been aPProved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. E ,K Storm Sewer - Prior to filling trench. Water Llne - Prlor to filllng trench. Rough Plumbing - Prior to cover. WalltCeillng lnsulatlon - Prlor to cover. J--l Drywall - Prlor to taoing Wood Stove - After installation lnserl - After flrePlace aPProval and lnstallatlon of unit. Curbcut & ApProach - After forms are erected but Prior to placement of concrete. Sidewalk & DrlvewaY - After excavation ls comPlete, forms and sub-base materlal in Place. Fence - When completed. Streel Trees - When all requlred trees are planted. t-l cJn I '?. t-r 'P>,{-t ?o ;'--z* trw ) fl E E E E tl tl tl E tl Lot faces Lot sq. ftg. Lot coverage Topography Total hei Lot rype v X ,n,"r,o.. - Corner - Panhandle - Cul-de-sacK Irs rHe PFroPosED woBK tN THE. HISTORICAL DISTBICT, OR ON THE HISTORICAL REGISTEFI? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: GAR ACCP,L.HSE N S E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said constructlon 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 provisions of said ordinances. dBvP 4'zii , Receipt Numbe Date Paid: Received Plan Check Fee 4,e1 SQ. FT. x $/SO. FT. = VALUE -- a7L L2?o),p 05.c7(A) OzF o -2 /3D, BUILDING PERMIT.' Total Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport SYSTEMS DEVELOPMENT CHAR (B)TffiE Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Flxtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c)%o.?s No FT. FT. FT.15o z6,on PLUMBING PERMIT ?.8 Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certity that any and all work performed shall be done in accordance wlth 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 ln 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 tlme, that each address is readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remain K,"*" Date on the site at times durin struction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolltion State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (4, B, C, D, and E Combined)/37w a Z VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY JoB N0. 93t5hz CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE }JORKSHEET (C0NMERCIAL & RESIDENTIAL) NAME OR COMPANY:Surrr vAN LOCATION:7ot-2-o 9,attx L?. l7 0272-3t - lqll DEVEL0PMENT TYPE: /71 DL n C*aPo?T BUILDING SIZE: I. STORM DRAINAGE IMPERVI0US SQ. FT. ?. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) siz zz4 x $0.203 PER sQ. FT. X $42.08 PER PFU . Ft. 3 TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP x - x $424.31 x x x $424.31 x $424.31 s $ 4 SANITARY SEI,IER-Mh|MC NO. OF PFU'S (Use PFU Total From Item 2 Above) MuIMC CREDIT IF APPLICABLE (SEE REVERSE) $15.125 PER PFU + $10 MllIMC ADM FEE s TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4)$+e Y 5. ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL ABoVE) X .05 Kip Burdick SDC Coord'inator b 26 TOTAL SDC s 41t) CITY OF SPRINGFTBID, ORBGON 97 4J7,,. INSPBGIION RBQIJBST:. 72 OPEICE: 726-3759 6-3769. . BLBCTRICAL PENilTT APPIJCATION City Job 11v^6ss €'.9-/{5'.2 ol 3:(l,l .-t3D\qz l)- D 3. COUPI,BTB FBE SCBEDUIJ BBLOg or lng unit. tems Cost K S 85.00 1. LdCATION OP IAGAL DESCRIPTION ta .;a -:?ZtZ / 49 A. Nev Residentlal-Single MuIti-Family per dwell Service Included:I 1000 sq.ft. or Iess Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Hodular Dvelling Service or Feeder Sum JOB DESCRTPTIONk32' : ', dl ,fi2. .r-,'<=* - Permlts are non-transferable and explrelf work is not started vlthin 180 daysof lssuance or if vork ls suspended for 180 days. 2 CONIRACTOR INSTALI.ATION ONLY Electrical Contractor Address a /)? 0vners Name Address Cltv Phone OSNER INSTALI,ATION The lnstallation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: RECEIPT /u ?r 7 g ls.oo -zdrg s 40.00 urv 4o*<phone 6, F4- O4/5 Supervisor License Ndmber ,/29<" Explratlon Dut" /d- / - 45 Constr Contr. Nr b., 5443/ Exp iration Date q- 3d -76 Slgnature Supervlslng Electrician B. Services or Feeders Installation, Alterations or Relocation: c D 5. SIIBTOTAL OT ABOVB 5Z State Surcharge TOTAL 200 amps or less $ 50.00 201 amps to 400 amps S 60.00 601 amps to 1000 amps $130.00 0ver 1000 amps/volts $300.00 Temporary Services or Feeders Installatlon, Alteration or Relocatlon 200 amps or less $ 40.00 201 amps to 4OO amps - $ 55.99 -over 401 to 600 amps - $ 80.00 - Over 600 amps or 1000 volts see trBtr above Branch Circuits Nev, Alteratlon or Extension Per Panel One Circui t Each Additional Circuit or vith Service or Feeder Permi t s 3s.00 s 2.00 E. Miscellaneous (Servlce/feeder not included) -Each installation Pump or irrigation - Sign/OutIine Lighting- Limited EnergY/Res - Limited EnergY/Comm 00 00 00 00 $40 $40 s20 $36 RECEIVED --_4zid.rC/U%vT-@ ,a a as sulrmiited reguire sPeciiie SPFrINGFTELO 0ffi ce: INSPECTION LINE: 726-3759 7 26-37 69 BACKFLOI^I PREVENTION DEVICE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING, SAFETY DIVISION 225 Fifth Street Springf ie'ld, 0regon 97 477 Job Location: Assessors p# Owner: Addres City: \ State: rmi t is $15.00 + $0.75 State Surcharge ry Tax Lot #: Phone #: 7.1 p: Backf'low Pe Contractor: Address: By sign'ing this permi.t/qpplication, I ag"99 to call for an'inspection once the backfrow preventlon oevitL has been insialred and is visib'le for inspection iizii-iiagi. i a'tio state that aii information on this appfication/permit is correct. Phone #: State: ZiCity: - --p: constrJdtion Contractors Registration #:Ex pires: gna Date FOR OFFICE USE Date of Appf ication: Receipt #:Iss , 'Job #: Total Amount Collected: ti/no REgIDENTIAL - COT-TIERCIAL SIDEIIJALK / CURBCUT APPLICATIOT.{ / PER.,1IT SPFlINGFIELE 225 NORTH FIFTH gTREET gPRINGF IELD, OREGON 9'14'11 ENG INEERING D lvl I lol.l otrlcE No. 126-)1>3 INSFECTION LINE: 12b' 31bA JOts ADDREgg.7-o AeeEesoRs nae No.* | I ozzza.i,r I g l I TAX LOT NO. +ZD r (^ g,tlBDlVl9lON, OLl,|€R: I -lrr i-l S r,-lli vf!-r.ll,'^-lf ADDRE99,l4S 4i1"n A*< olL tn (d zt?z cl1Ll -l-l PHoNE No. 7 zb qa3 CITY: <1 a * CHECKED FOR DELNAUENCIEg wgb@t VgZO RECEIPT NO: cAs*{ cHEcK ./ SIGNED: DAE' UJOFK DE9CRIPTI6I: 9IDEIUALK, CURB-CUT, gECOND DRI\EUAY cuRS 9tDE _ RE9IDE}.iTIAL - sEE TRAFFTc ) v/ SETtsACK -COHI.IERICAL - o'Jl\tER, eAUlREg APPLICATIOII FoR A *coND DRI\€\IJAY(T-4.1a) OR A cO'JNTY APPLlCATlOl.l FOR FACILIT\r pERi-llT (C ab-2o)) IF IN THE UC.B. DATE # APFLICATION f/zo + uJOFK TO tsE PEFfuRIIED tsY: CONTRACTORX CO|TRACTOR =GI9TRATION NO.* ADDRE99 PHONE: PrccEDURE FOR IN9FECTION REAUEgT: Cil-L 12b.31bA (E,CO@ER ) STATE YOUR CITY DE9IGNAT=D JO3 NIJXS=B JO3 ADDRE99,TYPE G INSFECTION REAUESTED l.}.lD IIH=N YOU IjJILL B= READY FOR IN9PECTION, COT{TRACTOR9 OR OIjN=R9 NAF1E A\D PllohlE NI'J|13ER REaUEgTg EcEl\€D BEFoFE lzoO Atir TUILL BE HADE THE gAj'lE DAY, REoUEgTg r'FTE.R 1zo@ Al"1 IIIILL BE I'1ADE TI-]E NEXT IIJOR<ING DAY EX|9TitlG BtJILDING PEFB-IlT No. ( lF APPLI -i:l = )93tts.2) x gEE BOOK REaUIRED INgPECTlot lg YOUR CITY DE5 SIDEII]ALK / DRI\6I1JAY FOR ALL CONERETE PAVING UJIT|-.IIN THE STREET RIGHT OF IUAY, TO tsE T1ADE AFTER ALL EXCAVATIN6 19 CO|.1PLETE AtD FOB1 IiJOR< AND 5UB-BAgE HATERIAL 19 IN PLACE / AffiOACH APROII' AFTER rcF19 AE EREC'IED EUT PRIOR TO POURING C'oNCRETE. FEE9, SiDEl.tJALKg TOTA FERI'IIT FEE' jlO.OO + *O.lb/LF.( X ) OF TIJALK ,IO.OO+@.15/LF.(X) CO|.II.IERICAL DRI\,EIUAYg SHALL HA\€ 5'TO A'FLAIRg 3'- @'STI+'IDARD cuRts-cuT II,JALK X, t tt€ Crrtrs)3€' I HA\€ CAR=F'JLLY EXI"YINED ':'l-.l= Coi1PLETED APPLICATION FoR PEBllT, A\D DO HER=BY CERTIFY ;rtAT ALL INFOB1ATION HEREON 15 TR.]E A\D CORR=CT, AND I FURTI.IER CERTIFY'ii..lAT ANY AND ALL t!OR< PEtrOElED 5i]ALL BE DONE IN ACCORDANCE TIJITI-] TI]E ORDINANCES G TI-.{E CITY OF SPRINGF|ELD, A}.ID 1gg IAI.}3 G TI.]E STATE tr OREGON PERTAINING TO TIIE I.I'CRK DESCRItsED HER=IN, AND Ti]AT NO OCCUPANCY U.jILL BE IIADE OF ANY gTELICTURE IUITI..IOTJT PEB1IggION OF TI{E BUILDING DIVIgIOI'I I FURTI{ER CERTIFY TI]AT ONLY CONTR,ACTORg AND EMPLOTEEg UJHO ARE IN COYIPL IIJITH ORg IOIO>> LUILL BE UgED ON TI]I9 PROJECT t, A IE I I // Ix' 4 u 6d/o*t'q {f { kb '/-t CO,, f7o6r7-2 APPLICATION FOR A.-SS€ENTT DRIVEVAY la1 DATE: -S^t-c)- 7./ APPLTCANT (PR0PERTY 0IJNER) : ADDRESS OF APPLICANT: ADDRESS OF PROPERTY FOR 2ND DRIVEUAY: APPLICANT'S TELEPHONE NO. : 4). s). 6). 7). ZO lr. L.r6, O) z r-t The folloving conditions must be ansvered affirmatively in order for this application to be considered for approval: 1). Property is either a single family residence or duplex. YES\ NO- Z). The proposed drivevay viII take direct access from a minor street (not'a lollector or irterial street). YES X N0 -'3). The drivevay vill have a minimum setback of 30 feet from the curb return of an intersection (for corner lots)' YES Y N0-' ^5 Z-1Z b *alb z bne .a-0 sed drivevay (parking area) must have a minimum depth of etveen the front property line and the garage, carport' vall, if any (identical to setback for garage). NO The propo 18 feet b fence o,t/ YES <,/ The second drivevay must have direct access to a garage' carport, rear yard or the gide yard vhere the vehicle, trailer or boat vill be stored . \Es',/ N0 If the vehicle, trailer or boat is to be parked/stored in the side yard, there muit be a minimum setback of 5 feet betveen the stored vehicle and the side property }ine. This setback is for fire fighting access and to comply vith. the intent of the zoning code. Selback-satisfied? YES- N0-. (-lA The proposed parking/storage area must not create a vision obstruction to adja-ent property drivevays or to ;xry vehicular movement on a public street. Satisfied? YES ,/ N0 This application shall include an 8 L/2" x 11" draving -shoving existing ;;i;";;y", and the proposed drivevay. - P1ease-include dimensions, and measurements to road intersections and/or bordering drivevays' A1I applications outside the city limits of Springfield that are vithin the Urban brovth Boundary require a Lane County permit' ( 1 Lr.y I L--l,35 Applicant hereby agrees to install the requested drivevay to City of Springfield standards. The applicant further agrees to have 6'r of concrete in the sidevaLk area adjacent to the proposed drivevay and further agrees to pave the area behind the back edge of the sideualk, or drivevay apron, adjacent to the drivevay vith a minimum depth of 3n of asphaltic concrete or vith a minimum depth of 6" of portland cement concrete. The area behind the sidevalk sha1l be paved to the property line or for a distance of 4 feet vhich ever is greater. The applicant agrees that if he/she does not pave the area behind the sidevalk vithin 30 days of cutting the curb opening, the City of Springfield has the authority of close the drivevay access by the removal of the curb cut. A1I incurred costs shall be assumed by the applicant and if unpaid, said cost shall become a lien of the property. Ilhen this application is approved by the City, the applicant (property ovner) must obtain a drivevay permit from the Public Llorks Department Engineering Division. PERMIT FEE 0n an improved street (existing curb): 510.00 plus $.15 per lineal foot of curb cut. 0n an unimproved street (not curbed): $12.00 0n currently unimproved streets that are under construction: s12.00. DATE:9-Zo-'7{ a b c PROPERTY OVNER' S SIGNATURE / APPROVED BY: L L Ztc .tDATE: BUILDING PERMIT NO.: DATE: TRA 9-1 ATTACHMENT: v3/r5 z- City of Springfield Standard Draving No. 3-11 Dated 1O/8/82 I a I t t lt *