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Home My WebLink AboutPermit Building 1994-11-23 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 )( ASSESSORS MAP' LOT: . .."'":~-~ BLOCK' . ~/!715 JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX .LOT: SUBDIVISION: 08 SOW'. If'LL. - 76-f<.5'- . PHONE: OWNER' ~~. /Jn~~ ADDRESS: ~2 ~:-s- ~ '1~ <-, "~ CITY: ~-"'"'?rft'/-~ ~/7'~ / ,~ ~ STArE: ((..,. ZIP: ~'/(L,>? , , DESCRIBE WORK' NEW L-- REMODEL ADDITION ~ DEMOLISH OTHER CONTRACTOR'S NAME ADDRESS GENERA' ~ r 200'-<- ~7<-/~ PLUMBING: CON ST. CONTRACTOR' ~<t...? Ss- EXPIRES PHONE fl-~o-JJ-.. ?.!9L-~o/ I' 1 MECHA~~ICAI . ELECTRICAl' " QUAD AREA: ...~e.~ · OF B'_DGS: ~ OCCY GROUP: . OF S~ORIES:_\ WATEf' HEATER: - OFFICE USE - III \ LAND USE: · OF UNITS: CONSTR. TYPE: --'1/ AJ HEAT SOURCE: RANGE: _ FLOOD PLAIN' ZONING CODE: ( fie.-. . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE:-.a~ To request an Inspection, you must call 726-3769. This Is a 24 hour recording. 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. o Temporary Electric O Site Inspection - To be made after excavation, but prior to setting forms. C Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ]V( Footing - After trenches are ~ excavated. CJ Masonry - Steel location, bond beams, grouting. CJ Foundation - After forms are erected but prior to concrete placement. CJ Underground Plumbing - Prior to filling trench. O UnderllDor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to fllllng trench. o Water Line - Prior to filling trench. ~ o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~Framlng - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior 10 taping. o Wood Stovo - After Installation. o Insert - After fireplace approvel and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement o' concrete. o Sidewalk & Driveway - After excavation is complete, 'orms and sub-base material in place. o Fence - When completed_ o Streel Trees - When all required trees are planted. o Final Plumbing - When rill plumbing work Is complet,c. D Final Electrical - Whon ail electrical work is complete. o Final Mechanical - Whon all mechanical work Is completo. '1'V'f Final Building - When all ~requlred Inspections have becn approved and building is completed. OOthor MOBILE HOME INSPECTIONS .... '. . o Blocking and Sel-Up ~ Wh,en all blocking Is complete. " " . o Plumbing Connectlons;_ "Yhcn homo has been connccted'lo water and sewer. o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections arc approved and porches, skirting, decks, and' venting have been Installed. ...;' , Lot ~yp. , Lot faces Lot sq. Itg. ~ Interior I P.L. IN Lot. coverage Corner Is Topography Panhandle W- \W Total height Cul.de.sac IE BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. ~ VALUE Main Garage " /QZ. ~ ~~,,~~ -2-':54- ~/D Carport Total Val ue Building Permi I Fee 2.Jdo 3.~.$ '7, 3ft> State Surcharge )JJr,13 Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) $ 5'" o~ (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' / / / Sanitary Sewer FT. FT. Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' /1 / / / Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT OUE (excluding electrical) (A, B, C. D, and E Combined) 9t1,5f ';'." ".i., ~::~'1h;\f:~; 'IS THE PROPOSED WORK IN THE _ "-HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. Setbacks HSE GAR ACC' APPROVED: 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 Clly.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: ~ . / s ---LY~/)'~ Receipt Number: /'7:3 '72> Received By: A/~ /f/~' Plansof1e~ewed By Date Paid: J/h)0-~ /' ~.7e f Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~~;~.~~~M=~~~ 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 thai NO OCCUPANCY will be made of any structure without permission 01 the Building Safety Division. J further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. 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 will remain on the site at all times during construction. ~nature~""- - ." 7......0 ~ / Date J/ ~.:2 :\ ....9C/ VALIDATION: (t:(Ctl RECEIPT NUMBrr r' u....; /5 DATE PAID II' Z:::)!-ft ~ AMOUNT R~,ko , . YU.5{- RECEIVED BY~. )(j)[.l/ J , , ATTACHMENT B1 0 . IliB NO. / ~/7/s- CITY OF SPRINGFIELD SYSTEMS DEVELOPME~CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: D,J., Jtt.. iJ--P LOCATION: -125"5" ~JI~ .<'../. DEVELOPMENT TYPF' .~ ~ I. . BUILDING SIZE: F.4l/c ~p~.eM..c= /3 ;(~O 1.0T SIZF .. , , . I I SQ. Ft. 1. STORM nRATN~ IMPERVIOUS SQ. FT. 2CoO 2. SANTTARY SFWFR-rTTY NO. OF PFU'S (See Reverse) 3. TRANSPORTATION X $0.209 PER SQ. FT. ~1,~~ ) \.. ---- X $43.26 PER PFU $ ~ ./ NO OF UNITS X TRIP RATE X COST PER TRIP X X X X $436.19 X $436.19 X $436.19 $ ~ / $ $ SUBTOTAL (ADD ITEMS 1.2, & 3) $ 5"~'3~ 4. SANTTARY SFWFR-MWMr NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ ~ (Use PFU Total 'From Item 2 Above) / MWMC CREDIT IF APPLICABLE (SEE REVERSE) . IQIAI -MWMr. snc SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ $ $ S"~Ji' 5. AnMTNlSIATTVF FFF~ ~.7.z~ BASt-CHARGE (SUBTOTAC'ABOVE) X .05 ~/!~ /Mat\v Hibrnig. P.V SDC'Ed'ordinator Date:, //-/5'- "t~ IQIAI sor $ 51, (J~ B2.SDC .'