Loading...
HomeMy WebLinkAboutPermit Building 1994-6-20 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 72603759 LOT: CITY' . - . "" '" BLOCK' . q4()1~ JOB NUMBER .11 STATE: ( 1)). 0 ~; ZIP' Q(j<101 REQUIRED INSPECTIONS l'5C-, Rough Mechanical - Prior to ~ cover. ~ RoU~h 'Electrical - Prior to ~ cover. '>-i. Electrical Service _ Must be P approved to obtain permanent electrical power. o Fireplace - Prior to taclng materials and framing Insp. ~ Fra~lng - Prior to cover. ~ Wall/C'alllng Insulation - Prior to r cover. ~ Drywall - Prior to taping. o Wood Stove - After Installallon. O Insert - After fireplace approval and Installation of unit. ~ Curbcut & Approach - After . forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After exc~vatlon Is completc, forms and sub.base materIal In place. o Fen~e - When completed. o Street Trees - When all required trees are planted. ADDRESS CON ST. CONTRACTOR' EXPIRES PHONE ,~3'~? \ Q. rolJ - OFFIC~ QUAD AREA: LAND USE: \ \ __ FLOOD PLAIN: . OF BLDGS: . OF UNITS: 0) ZONING CODE:.M1)IZ) OCCY GROUP: k3tM CONSTR. TYPE: tiY VA) . OF BDRMS: ( 0 . OF STORIES: .!l HEAT SOURCE: WH SECONDARY HEAT: f) WATER HEATER' -f RANGF' 7.... SQUARE FOOTAGE: ~18 DEMOLISH OTHER 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, Inspectlons requested after 7:00 a.m. will be made the following work day. ~emporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ MechanIcal - Prior to cover. n Footing - After trenches are ~xcavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are ~erected but prior to concrete placement. D Underground Plumbing - Prior to tilling trench. i\--J. Underfloor Plumbing/Mechanical \.2:Q - PrIor to Insulation or decking. K-7( Post and Beam - PrIor to floor J6,.J Insulatlon or decking. ~ Floor Insulation - P;lor to decking. , '. "'r\:7"1 Sanitary Sewer - Prior to filling ...DJ trench. ~ Slorm Sewer - PrIor to filling trench. ..' . vi Water Line - Prior to filling ~rench. Rough Plumbing - Prior to cover. ~ Final Plumbing - When all (:l plumbing Work Is complat,e. ~ Final Electrical - When all I electrical work Is complete. Final Mechanical - When all mechanical work Is complete. Final Building - When all required Inspections have been approved and building I. completed. -{ DOther Nvr'JF:. A\ll -to So Si&t~fl.,.~..\..1 ( ~" s:cl.ti- ~~ \iYv'\ v-..'lf M\ 1-t 'M" ^ 'I"""" (..Q..... ~~M.. . MOBILE HOME INSPECTIONS () o Blocking and Sat.Up - Whan all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, sel-up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. ".> ". , '. t \ I .,', e ;J~" '-~. ,\ '~.i'. ':"!"'I'.:"'l \:'," ~:~&.~.~. Setb-cks . I :L. I HSE GAR1 ACC I I S I Iw I I E I Lot faces L~Pe . Interior Lot sq. Itg. Lot coverage Corner Topography Total height Panhandle ~ Cul.de.sac BUILDING PERMIT ::I~ SQ. FT. \s~ill = J!J.9,LdlL Garage ~ \'-\.\D ..~ Carport Total Value \td~Cft(o (+i'\~q5J ~9\a.~ . ~L\q\ ,-~?1~. \ \ Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ~ ?3S'!.. '9 PLUMBING PERMIT ITEM FEE Fixtures N'~~ ,,~n Residential Bath(s) Sanitary Sewer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit qU)~.~ < ~\.!Y7'""" State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace q,co /J) .6) Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent (o rn Mechanical Permit ~1.OU 10.00- '.35 ~~.::6 Issuance (+.8\) State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk -5LL It Curbcut ~ It - 1'7 ..su ~f5 4f) Demolition t\)S\U5h'f'(\~ ~~ "'" M'~."."~". ~~ ", TOTAL AMOUNT DUE (excluding electrical) ~..!.f\G\ ~~ (A, B, C, 0, and E Combined) '. THE PROPOSEO WORK IN THE. "HISTORICAL OISTRICT. OR ON THE HISlORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. . APPROVEf" 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' Date Paid: Receipt Number' ~: Plans Revlew~ ..~.01'Cf1 Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS fJ l)\1)Dlru , ~o\ Q iihOr ) \. <A+-l'o \ \, rltxJ ~ I Y11o~: \L\l<5 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 Ordlnanc~s 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 Building Safety Division, I 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 ensuro 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. ~ature L -1.?/ , /; Dato t: ~ 2 0 - cr <( VALIDATION: RECEIPT NUMBER DATE PAID I~ 5/7 1"-/2l)/ '7~ ::; ~4-j;) ,lalO ~~ , AMOUNT RECEIVED RECEIVED BY :.., ~ . .., . '. " '1107?Z :" ;:'~' ",. :- "i.", '.ro, _ " .' ,:" '. '::.:::. _ .._~-,. .::;:.~ ,":, CITY, 0(; SPRI NGFI ElOJSYSTEMS- DEVELOPMENT CIli\RGE!:.~,':-: ~"~ .'. . ;'<:'. \}:':~~W.:. ~:. 0 :" , . 't}:.. 'wURkS'Hi:ET')';':"''-!';::'' .' ::.' . .c..:.. ,': .:' ,-'-":,"',,:,--'---(COHHERCIAL'& RESIDENTIAL),...., ':'H: ,r"~~;.~..:.: .-' '" ':i ..:.:..:.';......:...,:. '.:"._ ..~~: ". -:' . ..i:',....... ..__.......... 'NANE O~:c"6~~~~i.>.: ~. 2),fiJ)>'~:' ,0 '.. .... '. .0: LOCATlOrj:.r.,.i.o~.zSd;:i.~....&.J:' _. . <:'~-:':'--:';- -_..:.::-:~>,~::. :, I ' ~E~~L~~~~Nt TfpE:::-//~~-~:1V..!:'.. .,..',.::-... :;..~;..:-...~."J .. I ' . . ", . ". ..- - '_~~~'."""-';''' ':.~. . BuiLDING'SIZE: - :.S-:~;.-7,::';'.."+-'~';';':c..:c7LOTShE '-:': - -~.. '. - -' ,~\~ -~fS'Q': . fi< . . ~ . - . ~ .......... . : ~- ~... .. - . ~. ".." -. 1". . STORM DRAINAG[l.;:~.,-;' ' ". ~;,j_<:1.3~!) Y":.. . . ,~.. -.... " . . ..-.... -.. ~ ~ . ~ .. ...... ... IMPERVIOUS SQ. FT. 2tP].0 r-S''JJ_~ ~ , 0:. " I' . , . .. -i1~dJ~ "~ ;;'.., "I ':: ", ~ .:_ '". . t - - I .('" '6 Sr. 7;;) '-- .-/ 5 X $0.203 PER SQ. FT. .. 2. SANITARY SEWER-CITY ,. 110.- OF PFU'S', .','n"32.. (See R.everse) . .- . '.. X S42.08 PER PFU ~ ":-.-. .-" '. ~~-~~::'..- . ,"..' . -:--..... ----- -_:- ~.~.... . .".. -... . '.' ~ "". '''h" ~. I . r.:. .' 3. TRANSPORTATIOII NO OF UNITS X TRIP RATE X COST PER TRIP x. 1_01 X X 4. SAN IT ARY SEWER -NWI1C 2 X 5424.31 X $424.31 X $424.31 5 NO. OF PFU'S "5:2. x SIS.12S PER PFU + S10 MWMC ADM FEE S -f'1~,OCJ . (Use PFU Total From Item 2 Above) . , . 537,sG TOTAL-MWMC S~C ~ , '- ../ SUBTOTAL (ADD ITEMS 1,2.3 & 4) S 3/ f ~ , 'I l' MWMC CREOITIF APPLICABLE (SEE REVERSE) . . .' S. ADMINISTRATIVE FEES . . Jt:TA K P B~. J:~... S Coordinat TOTAL SDC 5 3 s~- 3. ({, P : ,:.0?-?V . . ....." . '" ..., . ~ -. , . . . ~ ~ "'.' ; "., , .' o !L'!i!Ii!,m~!~!!!; . Job NO..94rf9'~ SYSTEMS DEVELOPMENT CHARGE . WORKSHEET NAME: lrf\ e::{l.PlJ 0 .... PHONE: ~tJA~ .~!)..J lO~:O:~::~~~~~~~lU~~r)~1o~~ ~ ~_____ Platt Name: G\'O..nO~ Tax Lot Number: 1. DEVElOPMENT TYPE, (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back'> A, Sinl!le Familv - Detached Single Family home NO OF UNITS B. Sinl!le Familv - Attached d NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC Manufactured home not in a park X $400 PER UNIT _= $ X $370 PER UNIT = , $ '740~ X $277 PER UNIT = $ X $280 PER UNIT = $ $ .2ll2.E? $/2f ()A ("\ 00 $'m.). 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit> f) ~A. Community Services D City of Springfield / I Date