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HomeMy WebLinkAboutPermit Building 1992-7-13 (2) RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ollice: 726.3759 . LOCATION OF PROPOSED WORK: "?2 ~ ? /,R-02-c>71- 2/ P/?5~.?'#/~ ASSESSORS MAP' LOT: OWNER: -;?~j!r'l"';';;.p ADDRESS:_ ~ . ~~ ,. r.." /" DESCRIBE WORK: ~H":>?' ffu'C7- CITY:.._...... NEW REMODEL ... "-.. ADDITION BLOCK' ~~/if?'t;; ~~ . ' JOB NUMBER ~~ 225 Fifth Slreet Springfield. Orogon 97477 TAX LOT: -L7~~ SUBDIVISION: PHONF' STATE: ---cff!.?=) ZIP: q~ ~ E~/~~ ~~:' C-/YZ-4-rp~ ....,. , ':'. \" ......~, OTHER .- ......-- DEMOLISH CON ST. CONTRACrOI{'S NAME,..... . .' ADD~E~j3"~y/ff<. ,CONTRACTOR' GENERAl.:~/~ij~':'~4J? ~._~ Pl.UMElING: _._____.. MECHANICAL' El.ECTRICAl.: QUAi:! AREA: . OF BLDGS: .~\(~ -I \. OCCY GROUt': . OF STORIE',;: WATER HEATER: - OFFICE USE - I \ l \ LAND USE: .:: . OF UNITS: ~- rJ C~NSTR. TYPE:_\! : HEAT SOURCE: .dhPG"" ~ ' \ l.... ..,' RANGE: EXPltl ES F'HONE ~~5""2~_/?~~ FLOOD PLAIN: _ _,/) _ ZONING CODE: m ,--- . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: To request an inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will he made the saine working day, inspections requested after 7:00 a.m. will be made the following work day. r~-l Temporary Electric D Sile IIl~pcctlon - To be Illade after c;..",:avation, but prior 10 settinH t01l1l5. o Undcrslab Plumbing/Electrical I Mechanical - Prior to cover. K7f Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, uroutlng. ~ Foundation - After forms are ~ ereeteel l)ut prior to concrete plaeernunt. o Underground Plumbing - Prior to fillin9 trenell. o Undcrfloor Plumbing/Mechanical _ Prior to insulation or uecking. ~ Post and Bellm - PrIor to floor .J..D.J. inSlllalion or decking. o Floor Insulation - Prior to deckinu. o Sanitary Sewer - Prior 10 filling trench. o Storm Sewer - Pdor to filling trendl. o Water line -.I?rior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing malerlals and framing Insp. ~Framing - Prior to cover. o Wall/e-eiling Insulation - Prior to cover. ~rYWall - Prior to taping. o Wood Stove - After installation. D Insert - Alter fireplace approval anel installation of unit. [J Curbcut & Approach - After forms are erected but prior to placement 01 concrete. o Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. o Fence - When completed. o Street Trees - Wilen all required trees are planted. - o Final Plumbing - When all plulllbing worl< is cOl11plete. D Final Electrical - Wlwn all electrical worl< is complete. o Final Mechanical - Wilen all mcchanical work is completc. ~ Final Building - WIlcn alt ~equired Inspections have bcen approved and building is completeel. o Other MOBILE HOME INSPECTIONS o (]locking Clod Sel-Up - Wllerl 4111 blocl<inU i~ complete. o Plumbing Connections - WIII]rl Ilome 11as been connected to . water and sewer. o Electrical Connection - When blocking, set-up, and plurnl)ino inspections have been approved and the home is connected to the service panel. o Final - After all reqlJircd inspections are approved and porches, skirting, decks, and venting have been in$tatleel. Lot faces Lot Type. Interior " Lot sq. fig. Lot coverage Corner Topography Panhandle Total height Cul-de.sac BUILDING PERMIT ITEM SO. FT. X S/SO. FT. Main Garage -..." . Carport '. - ~L~ .~~~ Total Value Building Permit Fee Slate'Surcharge Total Fec (A) as THE PROPOSED WORK IN THE ~ISTORICAL DISTRICT. OR ON THE HISTORiCAL REGISTER? If yes, this application must be sl~Jncd and approved by the Historical Coordinator prior 10 permit issuance. Setbacks I P.L. HSE GAR ACC IN Is Iw I lL..__~ VALUE 7~- hz10 . .~/3 (/,5. b3 APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT . This permit Is granted on the express condition that tllC said constructIon shall, In all respetts,conlorm to Ule Ordinance adopted by the City of Springfield, Including the Development Code, regulaling the construct'ion and use of buildings, and may be suspenoed or revoked al any time upon violatlon of any provisions of said ordinances. . Plan Check Fee: <;/,(/, ~ 3' , tt: ~"2 :2-92 Date Paid: Receipt Number' ""'5""'22<:::!o Received y: _ ~ ~ . .~~~ ' P n Ffevle~rL< - , ~~z.._ SYSTEMS DEVELOPMENT CHARGE (SDC)~ (B) (f ~'Z-~ Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsertlFireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance 01Alo Surchargo Sidewalk fl Curbcut II Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0, and E Combined) FEE 1785 ADDITIONAL COMMENTS ..J/nT ~~R'cD -M A ~1/'!!LE ~7'I-r' F: . ~~~cAC /f16M/.LT .....6 , ~~/.(/A'.M . By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thai all Information hereon Is true and correct, and I further cerllfy 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 WOIk described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify thai only contractors and employees wI1Q are In compliance with OAS 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 fronl of the property, an f1a oved set 0 f plans will remain on the site at I Iii S ri g c~, Iruulclion. / ~lg:.IU~:A: ~-k Da1UO .- / ") r-L-? /'Z- VALIDATION: RECEIPT NUMBER 5532- ~u_____ DATE PAID AMOUNT RECEIVED RECEIVED BY CITY OF JOB NO. '1z08(,,0 SttINGFIELO SYSTEMS DEVELOPMI CHARGE WORKSHEET J , (COMMERCIAL & RESIDENTIAL) NANE OR COMPANY: '&tum,~ Vf1-I>be.W""r.> LOCATION: 5'2..(,'1 1=DRSYT/-frA. DEVELOPMENT TYPE: !..Ofl.. - A-tJP f 11.01'1 BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. /(p'5.. X $0.186 PER SQ. FT. (See Reverse For Runoff Coefficients If Actual Imperv. Area /9>0'2..0'-12-1 - 0&;"00 LOT SIZE SQ. Ft. 2. SANITARY SEWER-CITY NO. OF PFU'S X $38.55 PER PFU (See Reverse To Determine Total PFU'S) s 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ...- X X ,-- X $388.61 X $388.61 s. -. $ X X 5388.61 . (Se~ Attachment C To Determine Trip Rates) . . SUBTOTAL '(ADD ITEMS 1,2, i' .-r-' & 3):~.:'O.':.! .' ., 4. ADMINISTRATIVE FEE~ 'BASE. CHARGE (SUBTOTAl ABOVE) X :05 G/~ - - TOTAL-CITY SDCS; "?'2-~ 5. SANITARY SEWER-MWMC NO. OF PFU'S ,..- x $13.25 PER PFU .+ S!O'MWMC ADMIN. FEE S r-- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) V. ~L...L '~ Kip Burdick SDC Coordinator s - eo/Z'-!1'L- , , TOTAL-MWMC SDC S ,b- TOTAL SDC S "?'Z-"""=:'