HomeMy WebLinkAboutPermit Building 2005-7-29
, CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00847
ISSUED: 07/29/2005
APPLIED: 07/05/2005
EXPIRES: 01129/2006
VALUE: $ 36,864.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1716 E ST
ASSESSOR'S PARCEL NO.: 1703362118200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence
Owner: KATHLEEN ENGLE
Address: 1716 E ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
OWNER
OWNER
License
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
, R-3 Height of Structure
Type of Heat:
VN Water Type:
Ran~~ Ty,peOires you to
ATTENTION: Ore~i'g~j>~:lli on Utility
f !Iow rules adopt!sph~i!a'a ~M1QID!!:et forth nfa
0_ ~_ Thl"'lC:P rules are'S
NotltlCallUII ,~v,,~_r. . F..',~r:i)b"U.l'.
. OAR 9521~Jj:~:UlhH+'~ tN~~~~
In btaln cop'~;, ul, .. .-
0090, You may 0 t ,the telephone
calling the centeov~rf'1~~t. Notification
nJR~~r for the ~M e 1f8ld:
18.00 Center is ttJW9j e qdr
60.00 % of Lot Coverage:
60.00
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available: '
Special Instruction:
Residential
Phone Number: 541-744-1728
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
15.00
Fully Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Setback 5'
Curb and Gutter
Notes: Storm drainage piped into existing to curb face 7/8/2005 CAS
NOluCE: XPIRE IF THE WORK
S PERMIT SH!\LL E .. . ..S .NOT
TH\ . THIS PERMIT \
AUTnO~\Z~DDUON~~: ABANDONED fOR
COMMtNCE
J\NY 180 DAY PERIOD.
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELn~ .
Building/Combination Permit
PERMIT NO: COM2005-00847
ISSUED: 07/29/2005
APPLIED: 07/05/2005
EXPIRES: 01129/2006
VALUE: $ 36,864.00
225 Fifth Street, Springfield, OR'
541-726-3753 Phone
541-726-3676 Fax
.541-726-3769 Inspection Line
I Valuation Description I
Dwellines
Tvpe of Construction
V Wood Frame
$ Per Sq Ft
or multiplier
$96.00
Square Footage
or Bid Amount
384.00
Value
Date Calculated
Description
Total Value of Project
$36,864.00
$36,864.00
07/05/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $191.49 7/6/05 1200500000000000950
-Mechanical Issuance Fee- $10.00 7/29/05 2200500000000001011
+ 10% Administrative Fee $46.46 7/29/05 2200500000000001011
+ 7% State Surcharge $32.52 7/29/05 2200500000000001011
Add, Alter, Extend Circ $43.00 7/29/05 2200500000000001011
Add, Alter, Extend Circ Ea Add $9.00 7/29/05 2200500000000001011
Appliance Not Listed $18.00 7/29/05 2200500000000001011
Building Permit $294.60 7/29/05 2200500000000001011
Fixture $28.00 7/29/05 2200500000000001011
Minimum/Adjustment Mechanical $27.00 7/29/05 2200500000000001011
Plan Review Minor - Planning $85.00 7/29/05 2200500000000001011
Sanitary Sewer - Improvement $38.14 7/29/05 2200500000000001011
Sanitary Sewer - Reimbursement $50.14 7/29/05 2200500000000001011
SDC Sanitary/Storm Admin. $10.62 7/29/05 2200500000000001011
Storm Drainage Impervious Area $124.03 7/29/05 2200500000000001011
Storm Sewer - 1st 50 Feet $45.00 7/29/05 2200500000000001011
Total Amount Paid $1,053.00
I Plan Reviews I
Initial Review
Plannine Review
Public Works Review
07/08/2005
07/08/2005
07/08/2005
07/08/2005
07/23/2005
07/08/2005
APP SKG
APP EMM
APP CAS
Storm drainage into existing to curb
face 7/8/2005 CAS
Bob was unable to complete plan
review. I forwarded plans to Jason
Bush for review today.
Structural Review
07/08/2005
07/15/2005
10 LLH
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2005-00847
ISSUED: 07/29/2005
APPLIED: 07/05/2005
EXPIRES: 01129/2006
VALUE: $ 36,864.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
07/15/2005
07/20/2005
WE
JB
On Hold:
Can't reach owner on this one. I left
messages on 7/19 and today. Only
have two questions.
They appear to be fabricating home
made trusses and did not stipulate
headers.
Structural Review
07/25/2005
07/25/2005
APP JB
Approved as noted on plans
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover;
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Storm Sewer Line: Prior to filling trench.
Underfloor Plumbing: Prior to insulation or decking.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00847
ISSUED: 07/29/2005
APPLIED: 07/05/2005
. EXPIRES: 01129/2006
VALUE: $ 36,864.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 701.005 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.
r(ra(!~ ((
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/ /::J-9!oj
, I
Owner or Contractors Signature
Date
Pa2:e 4 of 4
Construction Contractors Board
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-378-4621
Web Address: www.ccb.state.or.us
Pe~t#:CO(/V\Z.()b '" - 00 8'47
E ~f
lilb
Addre~s:
Issued'by:
'h~
Date: -r 0\~
Statement: Info.mation Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign the following statement before a building
permit can be issued. This statement is required for residential building, electrical, mechanical and
. plumbing permits. Licensed architect and engineer applicants, exempt from licensing under
ORS 701.010(7), need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A, or 3B:
~1.
~2.
I own, reside in, or will reside in the completed structure.
I understand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
o 3A. My general contractor is
(Name)
(CCB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
OR
ft 3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notify the office issuing this building permit of the
name ofthe contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners a:tJout Construction Responsibilities on the reverse side ofthis form.
I~q;d~ (2 ~~ l/:29/~
1\ {, (Signature ofpermit&jJplicant) { - "(Date)
(White copy to issuing agency permit file, pink copy to applicant.)
Property- owner. doc 06-01-04
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Actl'rtg a's ~~.out'~:Own General Contractor?
, '. ~U:FO~MAi~6~"NbTICE' TO 'PROPERTY OWNERS ,'...
, \' ABO~T CONSTRUCTIONRESPONSIBIUTIES
, ,
--.., ~~..~ ~
..".'
NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the
Construction Contras::tors"Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature.
If you are acting as your own contractor to construct a new home or make a substantial imp.ovement to an existing
structure, you can prevent many problems by bemg aware 'oftheJollowing responsibilities and concerns.
Employer Responsibilities
You will, in most instances, be ruled to be an "employer"~ and the contractors you contract with 'will be "employees" if
you. use con~actorsnot licensed with the Con~truction Contractors Boar<;1. to do labor in constructing or to assist in the
construction ~r i!Up.oveme~t ota residential structUre. As the ~mployer, you. must comply with the following:
Oregon's Withholding Tax Law: As an employer, you must withliold income taxes from employee wages at the time
employees are paid. You will be liable for !he tax, payments even if you don't actually withhold the tax from your
employees. For more information, call the Departmerit of Revenue at 503-378-4988.
Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purpose~(
on the wages of all employees. For more information, call the Oregon Employment Dep~rtment at 503-947-1488.
~,--.
The Oregon Business Identification Number (BIN) is acombine~ mpnber for both Oregon Withholding and
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.htmll for the
appropriate forms.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' comp~nsation insurance. for your employees, If you f~il to obtain worJ<:ers' compensation
insurance, you could be subject to penalties and be liable forall claim costs if ()ne of your' employees is injured on the
job. For more information, call the Workers' Compensation Division at the Department of-Consumer lind Business
Services at 503-947-7815.
, " '""
U.S. Internal Revenue Service: As an employer, 'you must withhold federal income tax from employees' wage~~.....
You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the
IRS at 1-800-829-4933 or visit their web site at www.irs,l!ov.
, ...~ Other ResponsibIlities and Areas of CQric~rns,
Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code
requiremcnts that may be brought to ~ou~ ~ttention through inspections.
.. .
Liability andllProperty Damage Insurance: Contact your insurance agentto'see 'if you have adequate insurance
coveragc for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or
work that must bere~<?m~,. . , ,"', '
_ , .. " L.i,.:.. \~;, ~::. ___ ~ ) J .:->1. _, :' ,I . .- t.-.
Time: Make sure you 'have sufficient time to supervise your employees, .'
, ,
\
~. . . J -. - .
Expertise: Make sure yo'u have th~ skills to aCt' as ~ur own general 'contractor, to coordinate the work of rough-in
and finish trades, and to notify building ofHcials as the' appropriate tiI!1es so they can perform the required inspections.
If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO
Box 14140, Salem, OR 97309-5052.
PropertLowner,doc 06-01-04
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number Cowt "t.OO~--O o~(,., 7
fr"~': _.-: .-:_--:_', _. .,..... \":.~'::';'~V.<: ~"'?"":~;:':',~"'::-'^-"~"_ ,"'''':' .,,^-;-~.,:.,,~-<
1. LOCATION OFINSTALLATION""s": 3.
1'1" 1(;'"'1":,. "~~~~'~'~~'"-'-"'"
LEGAL DESCRIPTION 170'3'3 bZ,( I ?z.oo
5~~0,1 (f iAl1ch~'\ '1J~d:.<1ne(?
JOB DESCRIPTION ~
M&~1l0V'./~~{\frJO!M. ~M~cleJ
1000 sq. ft. or less
Each additional 500 sq, ft. or
portion thereof
$106,00
$ 19,00
. Permits are non-transferable and expire if work is Each Manufact'd Home or
.~ not started within 180 days of issuance or if work is Modular Dwelling Service or $50 00
Suspended for 180 days. Feeder .
cqNrRACiOR INSTAiiArU)}'/O/fLY l10n \a\6Xci~~~~~:t~~~~de;;~I~;t~Il;~i~~; Ait~;ations or Relocatio~:
~:a1-;::bJ; - - ._'~ !:~~~~~~~~:J:~:~ng~~~ ",- d _,L J - $6;00- - ...
N~t\iiC~on li~~~~~,\ 0 t\'\fO~\P ~ftR~tpJ.g~ :A1j:J.ps $ 75,00
\'" ~ 95'2-0 ebtain CO~@f Q~gM{3\~{)'G\mps $125.00
, . \(OU f(\o.1 INot~' ~het . n
gO. h center. \ oO~.~\!,~de.O~~mps $163.00
City e ca\\ing t~:~ the oregon 81~2~t!((\~PSNol18 $375,00
f\umOtlIQe\1te~ i$ '\-800-R~connect Only $ 50.00
?-:'-tF;:~" _',~'~VVV'-.",^"W->"""")C"~ :'<i'''0:c,=('fW%71:F " W~f,'l0<-:::'" "',: -~ -~ ,.~,
C. ~:'!e.~~ora:ry ~_~~~jces9r Feedirs,_. '
Expirati Date
L
Sign re of Supervising Electrician
~
'"
~
Installation, Alteration or Relocation
200 Amps or less $ 50,00
201 Amps to 400 Amps $ 69,00
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "B"j above,
r,-":'-'-'-~' -. ';- ^-.~:":-'~"::T.:--F '
D. iBranchCircuits
Expiration Date
. ~;,.~-. ~'-"~"'''~
Owners Name ~Q,fhle tJ'\ .::L. ~v'L d
Address 'II I ~ C _ ~{'~ e-f
City S IJr~ ~ ~ ~I dPhone 7 Lj If /7:l&,
} ~~U B&~ ~O~7
OWNER INSTALLATION
New Alteration or Extension Per panl1
One Circuit . '
Each Additional Circuit or with ~
fEf\.d 1 e Service orFeederPermit ~
E. Miscellaneous(Service/feeder
J..~-.<.~ ,:..... ,- ><. ..;..._;.;.....,:,.;_,.,""'.~~. _ ~,-L. ......0;;,___._.v._..;...~,._._~....->,h...
$ 43.00
$ 3,00
~%
~
, Each Installation
o~
~
o
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50,00
Limite.d~Energy/Residentia,1 \~r-. IC -il-\\- \.~I'J. '$\25.00
\", \ \". , , \ F I 0 \-''- I ' r 'r
v~tiri1it~d.f,I,\~W'L<tdMmer:Ci~l~ ';\:P\\i,ri ;S ','$)45.00
'\ \'i\~ ' \...".--, \ \',\\C1t\-\ \ h\01 - Irl~ 'IY'
Minimuum-Electric\..Pernlit'InspectionF.ee~ is $45.00 + Surchar!!:es
:-\ \II~'. !\0\~'''nl'''''''~ ~
4'1!!!~~~~r;fV' ~~. ~
10% Administrative Fee ~
"0, J /6",\
TOTAL
The installation is being made on property I own which
is not intended for sale, lease or rent.
Inspection Request: 726-3769
Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc
.oil
CITY OF S11~NGFIELD SYSTEMS DEVELOPME~;"ORKSHEET
COM2005-00847
David Engle
1716 E Street
1703362118200
SINGLE FAMILY RESIDENCE'
o BUILDING SIZE (SF:
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
. LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 384.00 I $0.323 = I $124.03 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x I COST PER S.F. I x I DISCOUNT RATE I I
I 0.00 I $0.323 I I 50% I =
ITEM 1 TOTAL - STORM DRAINAGE SDC '$124.03'
360
LOT SIZE (SF):
DISCOUNT
$0.00
7841
$124.03
rJ)
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1070
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
, BATHTUB 0 0 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO W ASI-I / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SI-IOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0
SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 2
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1 .45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGIDLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIDLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5,29
= ,
$0,00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
o
=
$0,00
TOTAL MWMC CREDIT
225,Fifth Street
. ,.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-00847
COM200S-00847
COM200S-00847
COM200S-00847
COM200S-00847
COM200S-00847
, COM200S-00847
COM200S-00847
COM200S-00847
COM200S-00847
COM200S-00847
COM200S-00847
CDM200S-00847
CDM200S-00847
COM200S-00847
Payments:
Type of Payment
Check
Change
, ,
Job/Journal Number
COM200S-00847
COM200S-00847
COM200S-00847
COM200S-00847
.'
COM200S-00847
COM200S-00847
C?M200S-00847
CpM200S-00847
COM200S-00847
COM200S-00847
COM200S-00847
COM200S-00847
COM200S-00847
COM200S-00847
COM200S-00847
Payments:
Type of Payment
Check
Change
i
7/29/200S
RECEIPT #:
rity of Springfield Official Receipt
evelopment Services Department
Public Works Department
2200500000000001011
Date: 07/29/2005
Description
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Building Permit
Fixture
Storm SeWer - 1st SO Feet
Appliance Not Listed
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SELCO (CASHIER'S CHECK)
Received By
ddk
ddk
Item Total:
Check Number Authorization
Batch Number Number How Received
330S70
In Person
In Person
Payment Total:
Description
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Building Permit
Fixture
Storm Sewer - 1st SO Feet
Appliance Not Listed
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SELCO(CASHIER'S CHECK)
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 330S70 In Person
ddk In Person
Payment Total:
Page 1 of 1
11:51:43AM
Amount Due
124,03
SO.14
38.14
10,62
8S.00
294,60
28,00
4S,OO
18,00
27.00
10,00
43,00
9,00
32,S2
46.46
$861.51
Amount Paid
$861.61
($0.10)
$861.51
Amount Due
124,03
50.14 .
38,14
10.62 '
8S.00
294.60
28,00
4S.00
18,00
27.00
10.00
43.00
9,00
32.52
46.46
$861.51
Amount Paid
$861.61
($0.10).
$861.51
W
,n
_ 130'
rst'o�
_ IUB
w
a .4
�F,
r -
G. $ K . EKGLE III I. L..E
MINIMUM SETBACKS - INTERIOR LOTS
. A11 measurements are from Property Lines
-Front-yard to House 10 fee.t
-Front yard to Garage 18 -feet
.-Side yard to House or Garage 5 feet
-Rear yard to House or Garage 10 feet
P.U.E MAY CHANGE SETBACKS
S 0 R IN 0.
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ZONE
I- ia) -------- ".. te r-: { � +i• iY— . ww �a
i STORIES .Tyrg
� - I r� �;--_ �j 0000•
EGAL
l _ nE.• S S�'o • ••• ••
r r3:z �_
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NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ATTENTION:Oregon law requires you
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set torte.
in OAR 952-001-0010 through OAR 952-001
0090. You may obtain copies of the. rules :.
calling the center. (Note: the telephone
number for the Oregon Utilitg, Notification
Center is 1-800-332-2344).