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Home My WebLink AboutPermit Building 1992-11-24SPFlI,\lG}:IELf,,:S'DENTIAt ERMIT APPLICATION ,spectionsi 726'3769 ,fiice:726'3759 -OCATION OF PROPOSED WORK: qU (z w JOI] NUMBER 225 Fifll'r Strect Spring f iel(J, ()tr:17tttt {.1 r"t / / lAX Lor: -aoJl k-: SUT]DIVISION: 4ztm1 h, lLqer ASSESSOBS MAP:t7 DZ-41 I BLOCK:LOT:gzalv-4-8- ?arr, ?a4 77 I'IONE: , -OWNEFT: ADDRESS CITY:STATr: -i o{- ad DEMOLIS]I OI'IIER DESCRIBE WOBK: NEW ,.-. REMODEL ADDITION CONTRACTOR'SNAME ADDRESS I i -CONTR; ;;;, 5etl5€td Etur"* ed531bP 5 ee t 9 l-n E- u3 PHOf.lEEXPII]ES , uLtT z:tK-\Z Al*zaz= ACI()[] // PLUMBING MECHANICAL E.LECTRICAL: CONST. 2C - OFFICE USE - LAND USE: tll\ - # OF UNITS, - \ , coNSrR. ,'rnu, V lJ HEAT SOUFICE: - - FLOOD PLAIN: -, ZONING CODE: - ,Y OF BDRMS: SECONDARY HEAI SQUARE FOOTAGE %,__ WATER HEATER:RANGE: OCCY GROUP: r OF STOBIES: QUAD AFIEA: // OF BLDGS ToreqUestaninspection,youmUstcallT26-3769.Thisisa24hourrecording. madethesameworkingday,inspectionsrequestedafterT:00a'mwillbem All inspections requested before 7:00 a'rn' will be :rrle the followilig work daY' Final Plumbing - Wlren all I plurnbing work is comPlete. REQUIRED INSPECTIONS [-I TemPorarY Electric ll Rough Mechanical - Prior tr-r cover. Site lnspection - To be macle ffi nough Electrical - Pritrr ttr after excavation, but prior to F{ cover' setting forms. )< E F K X X X X Final Electrical - Wlrcn all electrical wotk is cornPlete. Final Mechanical - Wlren all mechanical worl( is comPlete.Underslab Plumbing / Electrical / Mechanical - Prior to cover' Footing - Af ter lrenches are excavated. Masonry - Stecl location, bond beams, groutitrg. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decking. Sanitary Sewer - Prior to lilling trench. Storm Sewer - Prior to filling trench. Waler Lirre - Prlor to filling trench. Rough Plumbing - Prior to cover. Electrical Service - Mtrst be approved to obtairr Pcrlrlanerlt eleclrical Power. Fireplace - Prior lo fitcit't1'1 tnalerials ;rnd (rarrting ltrsl-r' Fratnitrg - Irlior to covr:r Wall/Ceilirrg ltrsulatiotr * ['tior tcr cover Drywall - Prior to lat)ino lnserl - After fireplace alrprtoval and installation of unit. Sidewalk & DrivewaY - A(tcr excavation is complctc, fotnts ancl sub'base matcri:ll itt J;l;rt:';' Slreot Troes - Wlrcrl ;lll 16r1r1it.rl trees arc Planted' l-l Wood Stove - After installatiotr f__l ottter - MOBILE HOME INSPECTIONS Blocking and Set'UP - When all blocking is comPlete. Plumbing Connecliolrs - Wlren horne ltas been contrected to water and sewer. IJ Electrical Conrrectiotr - When blocking, set'uP, arrtl lllunrbing inspcctions have been aPProvcd arrd tltt.' hotne is cotlnrlctecl to tlrc licrvicc patrr-'1. N -Z Final Builttirrtt - Wlrurr all JA{ requi,ecj insl,er;tiorrs havc becrt-;rpproved an<l buildinq is cottr 1;lctt.l<1. I I Firral - Aftnr all tr:rltritttrl[ -l iar"lr,rations itre apptuvt':r'l ;tncl porchns, skirting, tlecl<:;, ;tnd vertting have beett irl''itallecl \WU fl [-_T Curbcut & APProach - Af tlt U fortu" are err:r;ted l;uI lrtior lt, Placetnent of corlcrete' l--l Fence - Whct'r (rorrrl)lcl()(l' tl L_l Foundalion - Aftcr forrns are erectecl but Pricir to concrete placement. Underground Plumbing - Prior to filling trench' Underlloor Plumbing/ Mechanical - Prior to insulation or decking' THE PROPOSED WORK IN TH t-IISTORTCAL DISTRICT, OR ON T}-IE HISTOBICAL REGISTER? _-- lf yes, this application must be siOnecl anc'l approvecl by the l-l i storical Coordinator prior to permit issuance' AFTPROVE,D: E Lot faces Lot sq. flg. Lot coverag() l-opograPhY Total height Lot lYl . llltt.)li()l Cort rt.lr l);tttltlitttllrr C)r-rl-ric:;ac St;tbacks t15F-GA}1 ACCP.t-. W E BUILDING PERMIT ITEM SQ. FT. Mirin 7g Garagc Carport (A) x $/so. r'T flrfrua.qu 44,{o -t 23.4. 4o-,r-t BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Tlris permit is granted orr the exprt:ss condition tlrat the said construction shall, irr all respccts, conform to the Ordinance a(lopte(J by the City of Springfielcl, inclr.rding the Dcvcloprnent Code, rcgulating the construction and use of btril11in1ls, anrl may hc strsponded or revoked .rt any tirne up<-rn violation of any provisions of saic.l ordinzrnces. Date AJ:2L PI Ln.q? Reviewed 'lt'47- Lbg Plan Check Fee Date P:iid Receipt Number:--. - Rece SYSTEMS DEVELOPMENT CHARGE (SDC) (R) * n'!'# Systerns Developmer.rt Charge is due on all undevelopecl properties within the City limits which are being improvecj. ITEM Fixtu res Residential Rath(s) Sanitary Sewer Water 'Storm Sewer Mobile Home PLUMBING PERMIT Fl:L: (t) N1 F'[ Fl. FT. Plumbing Permit State Surcharge Total Charge ADDlTIONAL COMMENTS l&arr /-s 444,48n*- MECHANICAL PERMIT Furnace Exhaust Hoorl Vent Fan No Wood Stove/ lnsert/Fireplace Unit Dryer Vent (D) Mechanioal Pcrftlit lssuance State Surcharqe '[olal Perrnit By signature, I state and agree, that I have carefully examined the completed aplrlication and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work perforrned shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregyon pertaining to the work described Ircrrein, and that NO OCCUPANCY will be made of any stnrcture without pcrrnission of the Builcling Safety Division. I further certify that only contractors and ernployees who are in compliance with ORS 701.055 will be used on this project. I furthcr agree to ensLrre that all required inspections are rccluested at the propel. titne, that each adcjress is reaclable frorn the street, that ltle pernlit card is located at the front of the property, and the approved set of plans will remain ig nat u re Dalc co rion the site at duri MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk f t Curbcut -. - -.-.. f t Demolition State Surcharge Total Miscellaneous Permits ( t=) VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT NECEIVED Rt:CElVt:D RY 2- TOTAL AMOUNT DUE (excluclinO elcctri()iil) (A, B, C, [], rirrrl F Cr-rrr[lirteci)G ./oe2 1/7 t.l Total Value Building Permit Fee ' State Surcharge Total Fee VALTJE r0B N0.4ztbo1 crrY 0F SPRINGFIELD -sMLils DEVEL0PMENT CHARGE WORKSHEET (C0MMERCIAL & RESIDENTIAL) NAME OR COMPANY:9rv brL Lert<eN rll o7-:> |->- Ool\6 LOCATION: DEVELOPMENT TYPE:L BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT SIZ bb x $o'1e2 PER sQ' FT t rO a. Ft. 2 SA N ITARY SEl,l ER_ C TY (See Reverse) 3 TRANS PORT ATION NO OF UNITS X TRIP RATE X COST PER TRIP x $401.0s x $401.0s x $401.05 4 ADM INI TIVE F EES BASE CHARGE (SUBTOTAL ABoVE) X '05 5. SANITARY SEt^,ER.MWMC NO. OF PFU'S (Use PFU Total From Item Ml/lMC CREDIT IF APPLICABL X $39.78 PER PFU SUBT0TAL (ADD ITEMS 1,2, & 3) x X s $ qo TOT -CITY SD \-?C "l- x $13.62 PER PFU + $10 MI^IMC ADMIN. FEE s 2 Above) E (SEE REVERSE) TOTAL-Mt^lMC SDC TOTAL SDC 't4 Ki p Burd'ick SDC Coordinator -€ n ,"7 $t1 s St.t ur.a Cil:1r:LL) fciiowing 2fr, ?.25 FIITII :;TRI.:IiT st,tuNGFIl':LI), OIt[:GOl'l 97 477 INSPIICTION RIQUII!;T: 72-6-3'l oIPICF,: 7 ?.6-37 5t) ].. LOCATION OI' INSTALLAz LEGAL DESCRIPTION .1 JOB DESCRIPTION Pernrits are non-transferable and expire it vork is not started vlthin 180 days of issttance or if vork ls suspended for 180 days. 2. CONIT,ACf,OR INSTALIJTION ONLY IiIcc t rical Cont rac tot.' Adcl r:ess Ci tv l'lrotre Supcrvisor License Ntimber Expiration Date Constr Contr. Number Ii>:piration Date - Signature of Supcrvising Blectrician 0vners Name A<ld res s City Phone ?244s/s OgNIiR INSTALLATION The installation is being made on property I ovn wlrich is not intended for sale Iease or rent ers S PENHIT APPLICATION '(;''"'' -,, . /-rD(,City Job Number a 3a7 o,," t2:l-5-I ?). t. coHpLIlTIi. t'EB scIIEDULB DBLoy ev Res idential-Single or HuItl-FamiIY Per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less $ 85'00 Each additional 500 sq. ft or portion tliereof $ 15'00 Each Manuf 'd Ilome or Modular Dvelling Service or Feeder $ 40.00 Sum B Services or Feeders Installation, Alteratlons or Relocation: 200 amps or I'ess 201 anrps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amPs/volts -- Reconnect OnIY Temporary Services or Feeders Insiallailon, Alteration or Relocation 200 amps or less $ 40'00 over 4b1 to 6oo a*ps - $ Bo.oo 0ver 600 amps or 1000 volTs see rrB* above Branch Circui ts Nev, Alteratlon or Extenslon Per Pane1 one circuir l/ g 35.00 SS oo Each Additional Circui t or vi th Service or Feeder Permi t I S ?.OO Zao l'liscellaneous (Service/feeder not incltrded) -Eaclr installation Pump or irrigation Sign/Ou tline Ligh t ing- Limi ted EnergY/Res Limi ted EnergY/Comm $ so.oo s 60.00 $100.00 $130.00 s300.00 $ 40.00 , C D. E $ 40.00 s 40.00 s 20.00 s 36.00 SUBTOTAL OP ABOVB 5f State Surcharge TOTAI,DATE: RNCNI IIIiCI.]TVI.iD I}Y: ttt 5 zoning, and < d Signal t.