The URL can be used to link to this page

Home My WebLink AboutPermit Building 1995-06-29I RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF SED ASSESSORS MAP: SPRI]tGFIELr, JOB NUMBER 225 Fif th Street Springf leld, Oregon 97477 TAX LOT: LoT: ' BLocK:e &nSUBDIVISION!.a,k5oaeh tA CITY: OWNEFI: ADDRES STATE PHONE: ZlPi DEM ER DESCRIBE WORK: NEW - REMODEL ADD|T|ON l-/ CONST.R'S NAME ADDRESS PHONER# MECHANICAL: ELECTRICAL: PLUMBING: G ENEBAL: CONT ilrl ffi 4R\\L V - OFFICE USE _ OCCY GROUP: _ WATER HEATER N OF STORIES: FIANGE: LAND USE: ZONING CODE: FLOOD PLAIN I OF UNITS: QUAD AREA: # OF BLDGS SECONDABY HEAT: SQUARE FOOTAGE: , OF BDRMS: .-.-CONSTR, TYPE: HEAT SOURCE: To request an inspection made the sanre working ' you must call 726-3769. Thls ls a24 hour recordlng. All inspections requested before 7:00 a.m. wlll beday, lnspections requested after 7:00 a.m. wilr be made the foilowrng work day. REQUIRED TNSPECTIONS [--l remporary Elecrric Rough Mechanlcat - prlor to cover.Final Plumbing - When allplumblng work is complete. Site lnspection - To be madeafter excavation, but prior tosetting forrns. Rough Electrical - prior to Final Electrical - When ailelectrical work is complete. cover. l-l Underslab plumbing/ Electrical/ - Mechanical - prior to cover.Electrical Servlce - Must beapproved to obtain permanent electrlcal power. Final Mechanical - When allmechanical work ls complete. X fobtlng - After trenches are excavated.X.FInal Building - When allrequired lnspections have beenapproved and building is completed.Masonry - Steel locailon, bonc,beams, groutlng. Fireplace - Prlor to faclng materlals and framing lnsp. &E t'u-'ng - Prlor to cover. OtherFoundatlon - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulatlon - prlor to cover. Underground Plumbing - prior to filllng trench.Drywall - Prior to taplng Underlloor Plumbing / Mechanical - Prior to insulation or decking. MOBILE HOME INSPECTIONS Wood Stove - Afler lnstallation. Post and Beanr - prior to ,loorinsulatlon or decking.lnserl - After fireplace approvqland installation of unlt. [-_j Alocking and Ser.Up - When ail - blocking ls complete. Floor lnsulation - prior to decking.Curbcut & Approach -Jfterforms are erected but prior toplacement of concrete. Plumblng Connections - Whenhome has been connected towater and sewer.l-_l Sanitary Sewer - prior ro fiilingtJ trench. Storm Sewer - Prior to filling trench- Sidewalk & Driveway - Afterexcavation ls complete, formsand sub-base material ln place. Electrical Connection - Whenblocking, set-up, and plumbing lnspections have becn approvedand tlre home is connected tothe service panel. [--| Water Line - prior to fiiling - trench.l-_l Fence - When compteted. Final - After all requiredinspectlons are approved andporches, sklrilng, decks, andventlng have been installed. Rough Plumbing - prior to cover.I--l Street Trees - When all requtred - trees are planted. n( E Lot faces Lot sq. ftg. Lot coverage Topography Total helght )1{) Lot Type /vy' lnt"rlo, - Corner - Panhandle - Cul-de-sac Se k i-rs rxe PRoPosED woRK rN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be slgned and approved by the Historical Coordinator prior to permit issuance. APPFIOVED: P.L.HSE GAR ACC N S E VALUE 224Zi-./.#*,?1 (A) \ [oQZ- 4 \zo rA.ro %- BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport SO. FT. X S/SO, FT. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the Said construction shall, in all respects, conform to the Ordlnance 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 cvlewed t3yP b/ o$e Plan Check Fee Date Paid Receipt Number: Received upon violation of rovisions of said ordinances SYSTEMS DEVELOPMENT CHARGE (SDC)r+ (B)* zczJ Systems Development Charge is due on all undeveloped properties within the City limits \,ihich are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge ,7f, t, y'S Total Charge (C) FEE 2t2, /5r 1?" /t Ze/421__ N0 FT. FT. FT. PLUMBING PERMIT ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) NoVent Fan Mechanical Permlt lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work perlormed shall be done in accordance wlth the Ordinances of the City of Springfield, and the Laws of the Statc of Oregon perlainlng 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 in compliance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all required lnspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain I on theh.,u U ng constructlonsite at Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -_ ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)t3/ VALIDATION a7.3 ,/ RECEIPT NUMBER -1 DATE PAID AMOUNT RECEIVED RECEIVED BY ,(4,u' - 4 Si ;- P4(rrrl z-?q-e <-- - eB No.75puzZ CITY OF SPRINGFTELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (cot'IMERcIAL & RESIDENTIAL) NAME OR COMPANY: LOCATION : 1OI-1 -Tr-+UF_graU Kor>\1 0Lb67L 4ooo DEVELOPMENT TYPE:LDR* - 6roC-n c>E- Apo I {l o Nl BUILDING SIZE:* I. STORM DRAINAGE IMPERVIoUS SQ. FT.| (.9 2. SANITARY SEWER-CITY NO. OF PFU'S x 5 x $0.20e PER sQ. FT. X $43.26 PER PFU Eeues SIZ . Ft. NO. OF PFU'S (See Reverse) 3. TRANSPORTATICN NO OF UNITS X TRIP RATE X COST PER TRIP X x $436. 1e X x $436. 19 x _ x $436.19 4. SANITARY SEl,lER-Ml,lMC ) $ $17.19 PER PFU + $IO MWMC ADt.{ FEE s (Use PFU Total From Item 2 Above) Mt^lMC CREDIT IF APPLICABLE (SEE REVERSE) ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL ABoVE) X .0s Kip Burdick SDC Coordinator TOTAL -SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4)$ ',rtL ?5 t: 1G Date:5 t1 4, TOTAL SDC sbb <1