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HomeMy WebLinkAboutPermit Building 1995-05-31a4v RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP; LOT [o BLOCK: rlI]tGFIEL1) Z- Zoo JOB NUMBER 225 Fif th Street Sprlngf leld, Oregon 97421 TAX LOT: SUBDIVISION 1^ra.^,tt 5+t, lil Aa/, OWNER:PHON E: STATE:CITY: V' ADDRESS: NEW - REMODEL ADDITIoN 1.., DEMoLISH oTHER - ?DESCFIIBE WORK: I CONST. CONTRACTOB 'AODR EXPIRES PHON E CONTRACTOR'S NAME GENERAL: PLUMBING; MECHANICAL: ELECTRICAL: FLOOD PLAIN \ E: \rt \ LDTL - OFFICE USE - RANGE:WATER HEATER; SECONDABY HEAT: SOUARE FOOTAGE: ZONING COD , OF BDNMS:CONSTR. TYPE: HEAT SOUBCE: LAND USE: # OF UNITS OCCY GROUP: N OF STORIES: QUAD ABEA: I OF BLDGS: To req made uest an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng, All lnspectlons requestecl before 7100 a.m. w,t bethe sarne worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS l-l femporary Etectrlc Slte lnspectlon - To be madc af ter excavatlon, but prlor to settlng forms. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placement, Underground Plumbing - Prior to fllllng trench. Underlloor Plumblng/ Mechanlcal - Prlor to., lnsulatlon or decklng. Post bnd Beam - Prlor to floor lnsulatlon or decklng, Floor lnsulatlon 4 Prlor to decklng. Sanltary Sewer - Prlor to fllling trench. Slorm Sewer - Prlor to fllling kench. Water Llne - Prlor to filling trench, Rough Plumbing - Prior to cover. Rough Mechanlcal - prlor to cover. Rough Electrical - Prlor to cover. Electrlcal Servlce - Must be approvecl to obtaln permanent electrlcal power. Flnal Plumbing - When altplumblng work ls complete. Flnal Electrical - When allelectrical work is complete. Final Mechanlcal - When ail mechanlcal work ls complete. Flnal Buildlng - When ailrequlred lnspectlons have beenapproved and building ls completed. Other MOBILE HOME INSPE TIONS Blocklng and Set.Up - When ail blocklng ls complete. Plumblng Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set.up, and plumbing lnspections have been approved and the home is connected to the servlce panel. Final - After all required inspections are approved andporches, sklrting, decks, and ventlng have been lnstalled. tr tr tr F tr tr Fm m tr ry ry F ry ry ry l-l rlreplace - prtor to factng - materlals and framlng lnsp. F tr tr Framlng - Prlor to cover. Wall/Celllng lnsulatlon - Prlor to cover. Drywall - Prlor to taping Wood Stovo - After lnstallatlon. lnserl - Aftor flreplace apprgval and lnstallatlon of unlt. Curbcut & Approaclr - After forms are erected but prlor toplacement of concrete. Sldewalk & Drlvewav - After excavatlon ls complete, forms and sub.base material ln place. [-l Fence - When completed. Stre€l Troes - When all requlred trees are planted. o Vo? zre, ?7)'- 5R\)\,D ACS E E r;i Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Ty !,i.no, - Corner - Panhandle - Cul-de-sac IS THE PBOPOSED WORK IN THE . HISTORICAL OISTBICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordinator prlor to permit issuance. APPROVED: PL.HSE GAR ACC N s E State surchargu tl.5o + \.51 VALUE *2R [g{. €q r\E \tg-qTotal Fee l; , 2 (A) X $/SQ. FT. ft-z Total Value Building Permit Fee BUILDING PERMIT ITEM SO. FT, Main Garage Caroorth-- Beviewed By sbls,\I D5G Date Pald Beceipt Number: Received By: Plan Check Fee: SYSTEMS DEVELOPMENT CHA #''J7Y RGE (SDC) ,;##YP Systems Development Charge is due on all undeveloped properties withln the City limits which are being lmproved. ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Slorm Sewer Moblle Home FEE 30. qa 39.@ 3 19 (c) N0 FT. 3&.'lp l,SO+ .tO PLUMBING PERMIT FT. Plumbing Permlt State Surcharge Total Charge ADDITIONAL COMMENTS 't_) r\q\\-s- Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent Mechanlcal Permit lssuance State Surcharge .?S+ .{5 Total Permlt (D) MECHANICAL PERMIT \S. E cl5 crr)j ,E9\-;,--89- +b- Furnace Exhaust Hood Vent Fan Nol By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon hereon ls true and cofrect, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the Clty of Sprlngfield, and the Lawsof the State of Oregon pertalning to the work descrlbed hereln, and that NO OCCUPANCy wlll be made of any structure wlthout permlssion of the Bullding Safety Dlvlslon.I further certify that only contractors and employees who are ln compllance wlth OHS 701.055 will be used on thtsprolect. I further agree to ensure that all requlred lnspections are requested at the proper ilme, that each address ls readable from tho street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln on the slte at all times durlng constructlon. Slgnature Oate _- MISCELLANEOUS PERMITS Mobile,Home State lssuance Stato Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge Total Mlscellaneous Permls (E) 6 TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Comblned) 3Eq1 1 3 BY VALIDATION: RECEIPT NUMBER AMOUNT R RECEIVED 1 DATE PAID BUILDING VALUE, PLAN CHECK AND BUILDING PERMTT Thls permlt is granted on the expre6s condition that the sald construction shall, ln all respects, conform to the Ordlnance-- adopted by the City of Sprlngfleld, includlng the Development Code, regulating the constructlon and use ofbulldlngs, and may be suspended or revoked at any tlme upon violation of any provisions of said oldlnances. ?)K er/€a FT. € lz- 7 ;-, r'a-, \b.9.e CITY OF SPR'INGFIELD, OREGO'V The lollowlng proiect ss 5rjh,.nillcr't f. r. ,. , zonlng, 8nd do€s ngt rc..!,., .l 3pv...: ,. ;.:ii# appro/al. zonins La,D€-- -* llr7g1vb -zt < '- 225 PIYIH STREET SPRINGFIELD OREGON 97 INSPECTT0N REQUBST: 7 OFFICE: 726-3759 1. JOB ON APPLICATION SCEEDTILE BELOII A. Nev Residential-Sing1e or MuIti-Family per dvelling unit. Serviee Included:Items Cost SPIII,llGFIELD :rii) 1-000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL Auhorized N Ctfui&f- Sum $ 8s.00 $ 1s.00 $ 40.00 $ s0.00 $ 60.00 s100.00 $130. 00 $300.00 $ 40.00 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY B Electrical Contrac ror rs*uE ol/ E@/Etc Address ?O , &d,r Ci ty E supervisor License Number H73 =S Expiration Date c constr contr . ttu ver 5(2O97 Expiration Date Services or Feeders Installation, Alterations or Relocation: 200 amps or less L201 amps to 400 amps - 40L amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amps/volts - Reconnect 0n1Y Temporary Services or Feeders Insiallation, Alteration or Relocation 200 amps or less $ 40'00 over 4b1 to 600 amps -l $ 80.00 or"r OoO ;p; or rboo voTts see ngrr ,ffi- Branch Clrcuits Nev, Alteration or Extension Per Panel One circuit $ 35'00 U""f, eaaitional-ci;";it or vith Service, or Feeder Y"r^it""- ' -/ S 2. oo ,'qOT- Miscellaneous (Service/feeder not iicltded) v Signa Address of ising Electrician D Ci ty Ph"".7?U-+ffi/ OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent' Ovners Signature: -Each installation Pump or irrigation - Sign/Out1ine Lighting- Limited EnergY/Res - Limited EnergY/Comm E $ $ $ $ 40. 20. 40 36 00 00 00 00 5 DATE: RBCEIVED , o0 PhoneS%729 l No. l5oaoo CITY OF SPRINGFIEI,D SYSTEMS DEVELOPMENT CHARGE WORKSHEET (C0HMERCIAL & RESIDENTIAL) NAME OR COMPANY: LOCATION:l44a Yol+^toR t?o'>24 bz- o 2400 DEVELOPMENT TYPE:LDR- APEITtoLI lNcr-uDe BUILDING SIZE:1{. 1. STORM DRAINAGE IMPERVIoUS SQ. FT. 2. SANITARY SEt.lER.CITY NO. OF PFU'S (Use PFU Total From Item 2 Above) Mt,ll4c CREDIT IF APPLICABLE (SEE REVERSE) 5 e.^\e9+2*\o SIZ 77o x $0.209 PER SQ. FT. X $43.26 PER PFU $ $ x $17.19 PER PFU + $10 MIIMC ADM FEE $ a. Fr. NO. OF PFU'S (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x - x $436.19 x _ x $436.19 X x $436.19 4. SANITARY SEWER-MWMC 5 AD1'4INISTRATIVE FEES BASE CHARGE (SUBToTAL AB0VE) X .0s TOTAL-Ml,lMC SDC suBTorAL (ADD ITEMS 1,2,3 & 4)2o+aL ?+ot 1 Kip Burdick SDC Coordinator ?-o473 Date: 5 It TOTAL SDC Zt5 oGZfuL-J.-