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Home My WebLink AboutPermit Building 1994-10-14 (2) OWNER)1n~ ,r.L l \. H:. : t' be.... Vl k.s ADDRESS: . S~ ,C1. () 1)e\ 'A ..,J:.. 10 CITY' K"?r \h~{\.{ \ /J ' DESCRIBE WORK: 6c Vo..I- ~ ' NEW REMODEL ", . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: /71!J 2 LO-r. . SPRINGFIELD _<~ 60 ~ 3" -:7--1 , 7)/f7Sh ~o.- ( BLOCK: STATE: aJl. -'1;' ..,', ADDITION X" DEMOLISH', I'",,: OTHER e. JOB NUMBER 7~11~ I_ f 225 Fifth Street Springfield, Oregon 97477 7;C /D . TAX LO-r. /') /d2...5" SUBDIVISION: Moul\~CI.''''' J/'t.... I'lob"/c.. Hc.Y"\.L (:. ... t-a 4--k (;, - .., ~ "7 PHONE: 7.t../7- ours.- -'iIP: 9 '/tl? !JY :.1,' " ' . :. .-." .~. ", I,', CONTAACTOR'S NAME f'1u0r\ (' '\L . GENERA' . PLUMBING: MECHANICA' . ~ ELECTRICAL' ~w~ aUAD AREA: ~\2...~ " OF BLDGS' OCCY GROUP: " OF STORIES' M \ WATER HEATER: , , ADDRESS' S7.e~d DA ~Sli / :'\ \ '. CONST., CONTRACTOR" . '.~ l~.l'~:~;:'~;':':" , ,EX;~I,R'ES ' " ....'. .,' . , : '.:',": ,"'. ' . ~"" ~'" . PHON'E':;:-:' . . .' ", /:J /6 - OFFICE USE - \\~ " OF UNITS' ) CONSTR~ TYPE: \} ~ LAND USE: HEAT SOURCE: RANGF' FLOOD PLAIN: _ ZONING CODE:~-U~ ' - " OF BDRMS: SECONDARY HEAT: SaUARE FOOTAGE: ~V) To request an Inspection, you must call 726.3769, This Is a 24 hour recording, Alllnspecllons 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 D Site Inspection - To be mado after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal1 Mechanical - Prior to cover, rvf Footing - After .tr,enches are ~ excavated. , . 0, Masonry - Steel location, bond beams, grouting. l"\:A-1=oundatlon - After forms are ~ erected but, prior to concrete placement. o Underground Plumbing - Prior to filling trench. REQUIRED INSPECTIONS o Rough Mechanical ~ Prior to cover, ' I"v'1 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. ~ ~ FramIng - Prior to cover, i o Wail/Ceiling InsJI~t1on - Prior to cover. o Drywall - Prior to taping. D Underfloor Plumbing/Mechanical' , . - Prior to Insulation or decking. 0 Wood Stove - After Installation, O Post and Beam - Prior to floor Insulation or decking, O Floor Insulation - Prior to decking, o Sanitary Sewer - Prior to filling trench, O Storm Sewer - Prior to 'IIl1ng trench, O Water LIne - Prior to filling trench. o Rough Plumbing - Prior to coyer. . o Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior 10 placement of concrete. D Sidewalk & Driveway - After excavation Is completo, forms and sub.base material In place. o Fence - When completed. ..' )-t., " , o Street Trees - When all'requlred trees are planted. ' o Final Plumbing - When all plumbing W9rk Is complet,e, I'\,./J FInal Electrical - When all ~ electrical work Is complete. C D Final Mechanical - When all mechanical work Is complete, IU Final Building - Whon all ~requlred Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - Whe[l all blocking Is complete. D Plumbing Connections - When home has been connected to ' water and sewer, D Electrical Connection - When blocking, set.up, and pluroblng Inspections have been approved and the home Is connected to the service panel. ' D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed, Lot TYP'. .:-,:" , , , .. '\ , " Lot faces .... J: Lot sq, ftg, Interior I P.L. IN Lot coverage Corner Is Topography Panhandle Iw Total height Cul.de's~c . " \, E .: '..' l~ .I~'1 _"j ~... ";;,' i .-\0' "/' .... , ' '"l' , , .. " ;. '. . ~ . . . " .S THE PROPOSED WORK,tN THE. " '..'..HiSTORiCAL DISTRICf, OR ON ' .':THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance.' Setbacks ' HSE GAR ACC' I ''" BUILDIN'G PERMIT ITEM SQ. FT, X $/SQ, FT. = VALUE Main Gacage 5~ -1...,4/0 ",4'7/2- Carport . !' Total Value 3D. 50 2,>7 : , f' .., C;4~S ~ , SYSTEMS DEVELOPMENT CHARGE (SDC)~ (B) * 'b-z.~ Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures , . Residential Bath(s) Sanitary Sewer , Water NO FT. -- FT, FT. ,/ / Storm Sewer Mobile Home Plumbing Permit State Surcharge ,. Total Charge (C) MECHANICAL PERMIT Furnace E.xhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent / , , > 'Mechanical Permit ",,: ,',::, " ,d, .,~.'::'..'.::' "'::: ',:::', . ". . :;;\;/:. \':,. ,;. "Issuah~e '.... :",/:, ' ~ '., " \ '- , ,', t::... , , State :Surcharge Total P\3rmlt , -..; ",iI',; ,(0.) I MISCELLANEOUSPE:RMITS Mobile Home :~ State Issuance State Surcharge Sidewalk / Curbcut ft ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ,.. L-S-d ~l3'i~ i APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the e~press 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, 3' ,8J Plan Check Fee: 2- . <7/'2- ? /9.,i' , /4-15 2- Date Paid: 't ~_ . Receipt Number: Received -;;: " ~A ~~/'-1..;. ~ Plans ~evlewed By . I/)~~f IDe Systems Development Charge Is due on all undeveloped .." properties within tho City limits wlilch are being Improved. ADDITIONAL COMMENTS ~/ CKl.. /It}~ ~/f /~.tbV7 pJ{.L .~~/~ ~' ~~ ~r-: , (' By signature, I state and agree, that I have carefully examined the completed application and do hereby certHy 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 struc,ture 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. J , 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 structlon, ~a~~_ Date ' )~ ~ c.f /9.y , , ;.,..... .' VALIDATION: RECEIPT NUMBER / -S- O?-=.;- DATE PAID /t:::' ~.. ~ ~ AMOUNT RECEIVED .I-:-3~.2.... ~-s--bJ RECEIVED BY, ~~- LG-'/'- v , ' .. ~ , .08 NO. '1'-\-\ 'i~9 CITY OF SPRINGFIELD SYSTEMS'DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . AITACHMENT B1 # . NAME OR COMPANY: \)p.~l2-e::. I-L r=~\\Z-l?A-}.....\~~ LOCATION: SfoCoC> V~ \ s--( -:t:t: \ D \ f (Yl.. ?? 4 L\ - 0 \ ~ -z.. S LPlL DEVELOPMENT TYPE: !\l17P.- G-A-P-AC:rE::. ADD\ lION BUILDING SIZE: \<6~-z..\ LOT SIZE SQ. Ft. 1. S.TORM D~ IMPERVIOUS SQ. FT. -:1;?/B X $0.209 PER SQ. FT. $ ,9~ 2. SANITARY SFWFR-CITY NO. OF PFU' S ' (See Reverse) . X $43.26 PER PFU $' - 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP - X $436.19 X $436.19 X $436.19 $ - X X X $ - , , $ SUBTOTAL (ADD ITEMS 1.2, & 3) $ 4. SANTTARY SFWFR-MWMC 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) IQI& -MWMC snc: SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ $ $ ,9~ 5. ADMTNTSTATTVF FF(S BASE CHARGE (SUBTOTAL ABOVE) X .05 $ ::,"? y-: '~L~ fD~~ary Hornig, P.E. SDC Coordinator Date: 10 /t..f Ic;tf TOT~ $ '3 z.. "'2- B2.SDC .