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Home My WebLink AboutPermit Building 1995-07-07z - lt?- SP FIELD 3? BLOCK h. tb,z L €_ <- 2LOT: JOB NUMBER SUBDIVISION TAX LOT: LOCATION OF PROPOSED WOFIK ASSESSORS MAP RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726.3759 225 Fif th Street Springfleld, Qregon g7 4Zl PHON E:j/,€ STATE:ZIP: LZ./o2< -/?7zf7 6o tt OWNER ADDRESS: CITY: ADDITION € 4-DEMOLISH OTHER DESCRIBE WORI( *r*@ REMoDEL ADDRESS EXPIRES PHONE CONTRACTOR'S NAME MECHANICAL ELECTBICAL CONST. CONTRACTOR # G EN EBA L: PLUMBING 6N,o L WATER HEATER - OFFICE USE _ RANGE: ZONING CODE: FLOOD PLAINLAND USE * OF UNITS: SECONDABY HEAT: SQUARE FOOTAGE: / OF BORMS: _ OCCY GROUP: I OF STORIES: QUAD ABEA: , OF BLDGS CONSTR. TYPE: HEAT SOUBCE: To qu an n CC o n OU ut u S c 26 S reqthe sante working day, lnspection Temporary Electric Site lnspection - To be madeafter excavation, but prior losetting forrrrs. U-nderslab plu mbing/ Electrical /Mechanlcal - prioi to cover. Footlng - Af ter trenches areexcavated. Rough Plumbing - prior to cover. 769. Thls ls a 24 hour recording. Alluested af ter 7:00 a.m. wlll be made REQUIRED INSPECTIONS n pe c ion S re q U e te d be o le 7:00 a.m be Se S p v 7 m ad h e owl n s wor k d ay. Rough Mechanlcal - prlor tocover. ft;t1 Electricar - Prior to Electrlcal Servlce - Must beapproved to obtaln permanent electrlcal power. [-l Ftreptace - prtor to facing.- materlals and framing lnspi pftut'ng - Prlor to cover. xLyi,:i:olllns lnsulatlon - Prror to Curbcut & Approaclr - Afterlorms are erected but prior toplacemont of concrete. Sidewalk & Drtveway - Afterexcavation ls completc, formsand sub.base malerial in place. Fence - When completed. l--l Ftnat ptumbing _ When ail - plumbtng work ls complete. X5,,;;; ;,,";*:",?', ;"yff L il I [-l Ftnat Mecharrical _ When alt - mechanical work ls complete. ffi finat Buitdtng - When aill\equlred lnspectlons have beenapproved and building iscompleted.l-l fUasonry - Steet tocatton, bond - oeams, grouting, .&;;Ui'tT ; #lr J3il,'",T"placement. X.l Posl and Boarry.- prior to floorf.4 lnsulation or decklng. F:::ll;;suration - Prror to Sanltary Sewer - prior to flllingtrench. Storm Sewer - prior to fillingtrench. l-_l Warer Line - prior to fiiling'J trench. Other [--l UnOerground ptunrbing - priorL-lto tirrtig irencn - I r'v' ,D(i 1rv*utl - prtor to raptng. Underlloor plumblng / Mechanlcal - Prior to insulatlon or decklng. | | wood slovo - After lnstallatlon MOBILE HOME INSPE TIONS lnsert - After fireplace approvqland lnstallation ol unlt. [--l B]ocking and Sor.Up _ When ail - btocklng is complete, Plumbing Conneclions _ Whenhome lras been connected towater and sewer. Electrical Conneclion - When p_t9cxi1g, set.up, and ptumbinttnspections have been approvedand the home is connecied tothe servlce panel. I--l Stroet Trees - When ail requtred - trees are planted. Flnal - After all requiredtnspections are approved andporches, sklrting, decks, andventlng have been lnstailed. : ta{ P L?2,1- l7 ]E I ti ilfoll E E E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type / lnlerior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E E -',6 THE PROPOSED WORK tN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls application must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED BUILDING PERMIT ITEM SO. FT. X $/SQ. FT Tolal Value Building Permit Fee State Surcharse g.?3 f Z?r' VALUE Total Fee (A) a,z35z- 41,,** //Zr z- ln- s*o Main Garage Carport 56 zo_ G^?4 BUILDING VALUE, PLAN CHECK AND BUILD]NG PERMIT Thls permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the con$truction and use of buildings, and may be suspended or revol<cd at any time upon violation of arry provisions oI said ordinances. Ptan check r"", 4O,69 7,8o ulc ewed t3y Date Pald Recei pt Numbcr:--. Recei ved 49./t- /o.a3 SYSTEMS DEVELOPMENT C (B) HARGE (SDC) bzeY# Systems Development Charge is due on all undeveloped properties withln tlrc City limits which are being improved. ITEM Fixtu res Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE (c) No FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permlt MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I statc and agree, that I have caref ully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, ant.l I f urther cerilly that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work described hereln, and that NO OCCUPANCY will be made of any structure wlthout perrnission of the Bulldlrrg Safety Dlvislon. I further certlfy that only contractors and employees who are In compllance with ORS 701.055 will be used on thls prolect. lfurther agree to ensure that all required Inspections are requested at the proper tlme, that each address ls readable from the street, that the permit card ls located at the f ront c-Date na re of the property, and t h pproved set of plans will remaln on esi I uring construction. M ISCELLAN EOUS PERM ITS Mobile Home State lssuance Stale Surcharge Sidewalk - ft Curbcut f t Demolitlon State Surcharge Total Mlscellaneous Permits (E) 90r/futrfura'6+us Z-r?7 VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned) //a2/ , aa# __74P'<?7_ P"'/7 #r cB N0. c15017-l CITY OF SPRTNGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (C0MMERCTAL & RESIDENTIAL) NAME OR COMPANY : MARK DCCUAU LOCAT ION :(aD AIOA D LAN E D2 lt 0\2-G2-z- ob200 DEVELOPMENT TYPE: L?R- - AeeT TToN BUILDING SIZE: 4*>Z LOT SIZ a. Ft. 1. STORM DRAINAGE IMPERVIoUS SQ. FT.tbL x $0.209 PER SQ. FT. NO. OF PFU'S (See Reverse) X $43.26 PER PFU 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X x x $436.19 x $436.19 x $436.19 $ $ 4. SANITARY SEWER-MWMC NO. OF PFU'S $17.19 PER PFU + $10 Ml^lMC ADM FEE $ (Use PFU Total From Item 2 Above) MI^,MC CREDIT IF APPLICABLE (SEE REVERSE) 5 ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .0s Kip Burdick SDC Coordinator $21 Date:aftbfqE TOTAL SDC $ za! 2. SANITARY SEI,IER-CITY TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) x SPFlTNGFIELI, 1.LOCATION '(d I,EGAL DESCRIPTION QB ab aza3uz) C) ON Permits a[e non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. COIIT&ACTOR INSTALI.J\TION ONLY ical Contractor Add ress Ctty Supervisor Lic ber Expiration Da. Constr Co r . Number Expi on Date ture of Supervising rlcraln It4ru?ut2 lus the follovrlngepecific,and ueo BI,ECTRICAL PERHIT APPLICATION Ci ty Job Nurnber q5 o%7 BELOU Nev Residential-Single or Multi-FamilY per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home. or Modular 'Dvelling Sertice or Feeder s 8s.00 s 1s.00 $ 40.00 Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less 20L amps to 400 amPs - 401 amps to.600 amPs - 601 amps to 1000 amPs- Over 1000 amPs/volts - Reconnect OnIY The followin zoning, and approvai. g, projoct oces not as eubmhed 225 FIFT,E STREET SPRINGFIEI,D, OREGON 97 477 INSPEGTION REQTESTz 726-37 OPEICE: 726-3759 Data A B c D- Branch Circuits E Temporary Services or Feeders Installaiion, Alteration or Relocation 200 amps"or }ess 201 amps to 400 amps - 0ver 401 to 600 amPs 0ver 600 amps or 1000ETEs Sum s s0.00 s 60.00 $100.00 s130.00 s300.00s 40.00 $ 40.00 s ss.00 $ 80.00 see ttBlt a ffi- Ovners Name Address62 fidQtat /r OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Nev, Alteration or Extension Per Panel one circuit 1- S :s' oo 35,-e Each Addi tional :l';:::.:'r:ill.Servic7 s z.ooiq':' Miscellaneous (Service/feeder not included) -Each installation '! ' Pump or irrigation - S 49'99 iieizoutrine Lightins- q !!'99iiilit"a Energy/[es -- $ zq.qq - Ci ty Signa Phone 7F+ ["EZ( SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTALRBCEIVED re 5 fo htz SP'rINOFIELO The toltowing proje,:t as subraFled has tho loll 225 }'IT'TH STREET SPRTNGFIELD, OR.EGON 97477 INSPECTION REQUEST: 726- OFFICE z 726-3759 1. LOCA'TI OF INST LEGAL DESCRIPTION /7O*-22-7?, O72ea JOB DESCRIPTION at rxZsf Permits are non-transferable and expirejf vork is not started vithin 180 days of issuance or if vork is suspended for 1 B0 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ABLE ELECTRIC Address 5511 MAIN Ci ty SPRINGFfELD Phone 726-67O1 sup ervisor License Number 3023S [xp iration Date 10-1-95 Consrr Contr. Number 92506 Expiration Date 7 -76-e6 Signature of Supervising Electrician Uwners Name EE-o,ot*/ Address 6i r />? ao D ,/-oY( AL- ci ty t P/24 Phone ??z-€*re OIINER INSTALI,ATION 'l'he installation is being made on property I own which is not intended for sale, fease or rent. Ovners Signature: DATE: RECEI il]',til,i-i"o;'Jr1a;51'11-'i tc"i,i'?;,;;r!"-.: '' ',tLEcrRrcAL pERHrr AppLrcATroN 3769 >D Ci ty Job Number FEE SCHEDULE BELOV riailci Sigii*iuro. A Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems Cos t B 1000 sq.ft. or Less Each additionat 500 sq. ft or portion thereo f Each Manuf'd Home or -Modular Dvelling Service or Feeder $ 8s.00' s 1s.00 $ 40.00 Services or Feeders InstalIation, Alterations or Relocation: 200 amps or Less ,/ 20L amps to 400 amps -401- amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect 0nly Temporary Services or Feeders Installation, Alteration or Refocation Sum ,o-oo t' aSove s s0.00 $ 60.00 $100. o0 s 130. 00 s300. 00 $ 40.00 c 200 amps o 201, amps t Over 401 t Over 600 a r less $ o 400 amps - $o 600 amps - $ mps or LOO0-voITs se 40.00 55.00 80. 00 e ItB D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Addi tiona] Circuit or vith Service or Feeder Permit ?- S 2.00 y.o a E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ Sign/Outl.ine Lightine S Limi ted Energy/Res - S Linrited Energy/Comm $ 40.00 40. 00 20. 00 36.00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 3% Administrative Fee TOTALRECEIVBDB ffloo