HomeMy WebLinkAboutPermit Building 1995-11-1
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951500
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 510 MANSFIELD DR
Assessors Map #: 17032334
Lot: Block:
Tax Lot #: 05500
Subdivision:
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Owner: LARRY POLEN
Address: 510 MANSFIELD
Phone #: 747-6863
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: FAMILY ROOM ADDITION ADDITION
Canst.
Contractor Contractor # Expires Phone
General: STOREY CONSTRUC 0046385 04/27/96 689-8664
3580 MARSHALL EUGENE OR
Mechanical: STOREY CONSTRUC 0046385 04/27/96 689-8664
3580 MARSHALL EUGENE OR
Electrical: BOB FISHER ELEC 0096275 01/25/96 689-7973
180 Kingsbury Ave Eugene OR 9740400
QUAD AREA: 5RNW
ZONING CODE: LDR
VN
SQ FOOTAGE: 300
OFFICE USE --
LAND USE: 1111
OCCY GROUP: R3
# OF BLDGS: 1
CONSTR. TYPE:
To request an inspection, call the 24 hour recording at 726-3769.
All inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking
PRYWALL - Prior to taping.
STORM SEWER LINE - Prior to filling trench.
FINAL MECHANICAL - When all mechanical work is
FINAL ELECTRICAL - When all electrical work is
FINAL BUILDING - When all required inspections
the building is complete.
placement.
to cover
wall/Ceiling; Prior to cover
complete.
complete.
have been
approved and
Topography: 2
Solar Approved: Y
Total Height: 14
Lot Type: INTERIOR
Setbacks
S W E
5
Setbk From NPL: 120
N
House
Item
Main
Garage
ADDITION
BUILDING PERMIT ---
Square Feet x $/Square Feet
300 56.2
= Value
0.00
0.00
16,860.00
SPRINGFIELD
Job Number: 951500
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Total Value
16,860.00
Building Permit Fee
Surcharge/Admin
122.50
9.81
TOTAL FEE
(A)
132.31
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 67.91
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLUMBING PERMIT ---
Item
Fixtures
Storm Sewer
o
25
Fee
15.00
25.00
Plumbing Permit
Surcharge/Admin
40.00
3.20
TOTAL CHARGE
(C)
43.20
-- - MECHANICAL PERMIT ---
Mechanical Permit
Issuance
Surcharge/Admin
15.00
10.00
1.20
TOTAL PERMIT
(D)
26.20
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
269.62
--- 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 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.
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
75.73
Date Paid: 09/15/95
Receipt Number: 19043
MOORE Date: 11/01/95
By: LISA HOPPER
- - - ADDITIONAL COMMENTS
SEPARATE ELECTRICAL PERMIT IS REQUIRED; PATH 1
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and all work performed
shall be done in accordance with 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
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
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Job Number: 951500
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I further 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
Will9/;: iSl,5mes during construction. <,_
Si~ 1/- 0 Date
-- - VALIDATION
Date Paid:
/ 9~5r
/rY9.J
-:2.07,62..
//J~
Receipt Number:
Amount Received:
Received By: