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Home My WebLink AboutPermit Building 1995-6-23 v6i'8 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . . 95""~~ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 ~0~ TAX LOl' ~/'9~ SUBDIVISION:,~~~/=/...-_ /5L7-S" 1"390 LOCATION OF PROPOSED WORK: /JlS 'e73"6'2~:<'~ ASSESSORS MAP' /~ L:Z LOT: BLOCK: ,ku/V ;gP/~4 5 7t./? r ~7'~~ 4{~~ OWNER: PHONIO;, 7-:2b-~~ ? 6t',.,;> Y6~ YY~8 -'7 ?,V'7 ? 57 ADDRE'"'' e:r<. :?""c-~5 i A?,H~9 CITY: STAT'" ' ZIP: ~--~~- DESCRIBE WORK: NEW k REMODEL ADDITION DEMOLISH OTHER CONST, CONTRACTOR' CONTRACTOR'S NAME GENERAl' ~~ - I , PLUMBING: MECHANICAl' ELECTRICAL' ADDRESS EXPIRES PHONE - OFFICE USE - G ~ '-;(1/ ~04-rn 'l-- / l~ lRl I CONSTR. TYPE: V N HEAT SOURCE: 8'h'- 7'. b()? RANGE: --f, QUAD AREA: · OF BLDGS: OCCY GROUP: . OF STORIES: LAND USE: FLOOD PLAIN' ZONING CODE:-.l.~ . OF BDRMS: ,- fV · OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: A1'3. 0 + WATER HEATER: 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. REQUIRED INSPECTIONS [Z] Temporary Electric IZl Rough Mechanical - Prior to cover. [Z] Final Plumbing - When all plumbing work Is complete. . , [X] Site Inspection - To be made after excavation, but prior to setting forms. [i!] Rough Electrical - Prior to cover. [L) Final Electrical - When all electrical work Is complete. o Underslab Plumblng/ElectricalJ Mechanical - Prior to cover. rn Final Mechanical - When all mechanical work 15 complete. ~ Electrical Service - Must be approved to obtain permanent electrical power. CKl Footing - After trenches are excavated. ru! Ftnal Building - When all l...,..4J required Inspections have been approved and building Is . completed. o Fireplace - Prior to facing materials and framing Insp. D Masonry - Steel location, bond beams, grout! ng. lZJ Framing - Prior to cover. IZI Othor 0C~7-4~- /.A(" ~,c....~,G.iy'~~ -. [KJ Foundation - After forms are erected but prior to concrete placement. 1XI Wail/Ceiling Insulation - Prior to cover. o Underground Plumbing - Prior to filling trench. W Drywall - Prior to taping, MOBILE HOME INSPECTIONS ClI Underlloor Plumblng/Mechanlcel - Prior to Insulation or decking, -: o Wood Stovo - After Installation. rNl Post and Beam - Prior to floor L.4J Insulation or decking. o Blocking and Set,Up - When all blocking Is complete. o Insert - After fireplace approv~1 and Installetlon of unit ~ Floor Insulation..... Prior to deckl ng, o PJumb.ng Connecllons - When home has been connected to water and sewer. o Curbcut & Approach - After forms are erected but prior to placemont of concrete. o Sanitary Sewer - Prior to filling trench. o Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home 15 connected to the service panel. o SIdewalk & DrIveway - Alter excavation Is compiote. forms and sub-base material In place. D Storm Sewer - Prior to filling trench. o Water Line - Prior to tilling trench. o Fence - When completed. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. rV1 Rough P!umblng - Prior to LAJ cover. . ~ slreet Trees - When all required trees are planted. . /)l4 . ::..: ::~..,;''fPl'~'(;{~~;' - Lot faces ~ Setbacks IS THE PROPOSED WORK tN THE, Lot sq, ftg, 1"~ I PL. HSE GAR ACC' I HISTORICAL DISTRICT, OR ON _ Interior IN I THE HISTORICAL REGISTER? Lot coverage ~ j( Corner ~'? If yes, this application must be signed I~? Panhandle Is I ~ I and a p proved by the Historical Topography ?tJiD~'- ~ I I Coordinator prior to permit Issuance. Total height Cul.de.sac . W a ') - E ~, 39'1 I APPROVED: "- BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT = 'J;c.~2> /y./" " VALUE /2-,_ sre>.z~ IP.l?t!:ht!l2... Main 2/$0"2. Yc 7~."y Garage Carport Tolal Value (~f"'L'~ *' Building Permit Fee 7'"~ B~j{;;' State Surcharge r~ /~/S- TOlal Fee (A) 5"o/~ ~ SYSTEMS DEVELOPMENT CHARG~E (SD.fldIs /f6:Z'~(B) #- .,- PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' t.f Sanitary Sewer FT, Water FT. Storm Sewer FT. Moblfe Home FEE /~.s~ Plumbing Permit /~-~ 1'-5' y.~~ ""'7 .,.?~ :;:?L)7.9/ State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace ?, . .-:> Y.5c. /2.. -=> /" s:' ..- 3.- Exhaust Hood Vent Fan N' t.j Wood Stove/lnsertctFlr"eplace UrJJY Dryer Vent Mechanical Permit t.Jt!) .9!> /t9. - !-,"5' -- -;z:;.~ ?:f / . 2z. ~37? Issuance State Surcharge Total Permit (D) MISCELL.~NEOUS PERMITS Mobile ,Home Slate Issuance State Surcharge Sidewalk II Curbcut II Demolition State Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ?e~'?r: r~ . 1~'7.~r BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the exprEl5S condition thai the said construction shall, in all respects, conform to Ihe Ordinance adopted by the City of Springfield, inClUding the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of saId ordinances. Plan Check Fee: ~2$.2-.r;;- ~-7c;;-~q~ Receipt Number' /7/?b ~ecelv y: c~~~, ~9 . 'n~::A!:"'~ / .-r....,..._-/> , .~)'" nevlewedtS'l - " Date Paid: ?-~"":> Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS .4r/: fP (P/ao. bd - U J1J1j 1. ti/tfhL, d Ili}: if cr Cf.6 f II.. "'M ..J . ~II .""M /' , ~~ By signature, I stato and agree, that I have carefully examined the completed application and do hereby certlly 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 Ihe 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 ensure that all required Inspections are requested at the proper time, that each address Is readable from the street, that the permit card ts located at the front of the property roved et of plans will remain on the site t all ti aurin onstructlon, Signature '-, ~ DatP~ -2~~ VALIDATION: RECEIPT NUMBER 1 799'~ DATE PAIr> 6, 2'7,"7S M";'OUNT RECEIVE!' /66'}i';~ V RECEIVED BY _ ~~W>.?_ _ . . , , @ !!y'iR'!m!!g!!~ Job No. Cfl;;7JSQ ~ SYSTEMS DEVELOPMENT CHARGE W~RKSHEff NAME: \ \~ ~~a'j I/JJJ, ADDRESS: ,LfI 1y V 1J,t.. PHONE: 18l(P-{) 1?J1 STATE: n!?-ZIP 6f1~f1 " - ' lq<:ATION OF PROPOSED BUilDING SIJE;, . , Street Address if Known: \~OI 0 Y I YU. Platt Name: I R D'h 0 ~ 1-0 Tax lot Number: o (Clot) 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) . , A. Sinl!le Family - Detached NO OF UNITS Manufactured home not in a park $~UIJ(J ,(jd Single Family home X $400 PER UNIT _=.. " B. Sinl!le Family - Attached . NO OF UNITS X $370 PER UNIT = '$ C. Multi-Family Aoartment ' NO OF UNITS X $777 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ ~~$~~ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof ofWPRD Credit approval. See SDC Credit Worksheet.' $ 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit> $.l/J11L (JU li I '0 I qf)' n~IP