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Home My WebLink AboutPermit Building 1994-10-6 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . .,. SPRINCFIELD OTHER ..- JOB NUMBER 225 Fifth Streel q4\4'~ " ZIP: CONTRACT~'~ NAM~ C \. ADDRESS' GENERA0J '\'Lv\ \ Qf\ l f\'t\. PLUMBING: ~}[(\Qrt.. \. ):l~~OQ \ MECHANIC~ . ~. .L\ci. OJ'} T f\:l-.. ELEcTRICA;\' ~\ \ 0 A r ~ 0]'1)U' ~ ) CONST. CONTRACTOR . ~\ f1ql?) 5 \'\ ?{l ~\_'\~~ \ n~'l~ J:..H~E Q ,:). to~ .";)\ \ ~~~:~~~ EXPIRES 'I,VA' q.\t\. '1;\ Q.. Q4 ,~~Q , - OFFICE USE - QUAD'ARi:A: LAND USE: \\\\ FLOOD PLAIN' . OF BLDGS' \ . OF UNITS' \ J ZONING CODE: me- OCCY GROUP'. ~ 3 -\- N\ CONSTR, TYPE: 'IV . OF BDRMS: ...0; . O~ STORIES' \ HEAT SOURCE: SECONDARY HEAT: ..tJ ~' ~ATER HEATER: _9 -' RANGE: f.- SQUARE FOOTAGE: \ \ rA.~_ To requesl 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, Inspections requested after 7:0.0 a.m. will be made Ihe following work day. REQUIRED INSPECTIONS ~ R~ugj, Mechanical ~ Prior 10 ~ cover. o Temporary Electric o Slle Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Eleelrleal/ Mechanical - Prior to cover. r'V'l Footing - After Irenehes are ~ excavated. o Masonry - Steel -location, bond beams, grouting, ~Foundatlon - After forms Bre erected-but- prior to'concrete placement. o Undorground Plumbing - Prior 10 filling trench. " ~ Underfloor Plumblng/Mochanlcal -,Prior 10 Insulation or decking. rD Post and Beam - Prior to floor ~ Insulation or decking. (g] Floor Insulation - Prior to decking. fVl Sanllary Sewer - Prior to filling ~ trench. . ~ Storm Sewer - Prior to filling trench. r:;n Water Line - Prior to filling ~ trench. ~ . . ~ Rough Plumbing - Prior to ~ cover. I'V'I RoughE:lectrlcal - Prior to l...".O.,l cover. . C2l Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and Iramlng Insp. ~ Framing - Prior to cover. C2I- Wall/C'elllng Insulation - Prior to cover. &DryWall - Prior 10 laplng. o Wood Stove - After I~stallatlon. o Insert - After fireplace approvel and Inslallallon 01 unit. IZ! Curbcut & Approach - After forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - Aller excavation Is completo, forms ' and'sub.base material In place. o Fence - When completed. o Stroet Trooo - When all required trees are planted. C8I- Final Plumbing - When all - plumbing wprk Is complete. r"Zl Final Electrical - When all ~electrlcal work Is complete. @Flnal Mechanical - When all mechanical work Is complete. r=Ll Final Building - When all ~equlred Inspections have been approved and building Is compleled. OOtho' MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections Bre approved and porches, skirting, decks, and venting have been Installed. ~ \ \ '," . Y" ,. ,"J .,.:' ~:>.j ,\",;:1'; 'of' ",.t .,I..r.~A;I;.~l"'" '; ~:'.:. l '.' .... ;; ~ .,0.' Aj, ",',,, ," : " Setbacks. ,I 'P.L HSE GAR ACe' I I I I I LOl faces , L~I Type . ..x InterIor Lot sq. ftg. Lot coverage N' Corner Topography Total height S Panhandle ~ Cul.de.sac W IE BUILDING PERMIT ::1: ~.FT' X~~i)-lillLt Garage ,-"SlcQ. /4.10 " ~ Carport TOlal Value 'Jl S'JO 344' ~ IO~7t ~ (A) <3'JloH')- , Building Permit Fee Slate Surcharge Tolal Fee SYSTEMS DEVELOPMENT CHARGE (SDC) . (B) 1PPO./.3 PLUMBING PERMIT ITEM FEE Flxlures Residential Bath(s) Sanitary Sewer Water ~ .II oO.CIJ FT. FT. Storm Sewer FT. Mobile Home Plumbing Permll Stato Surcharge Total Charge 01.... UOQ.CX? 4.CjJ + 6.00 (C) 1]2.~() MECHANICAL PERMIT Furnace Exhaust Hood 4.m q.CO Vent Fan N' ~ . Wood Stovellnsert/Flreplace Unit Dryer Vent (~.oo Mechanical Permit /(fI.SU 10.00 .A~ ~ Issuance Stale Surcharge Total Permit . SOt (D) MISCELLANEOUS PERMITS Mobile Home Slate issuance I State Surc~~ Sidewalk .:..Ji.l..- It Curbcut dLa.. It Demolition on . <::t) , \~.C\() S'tt(' Surch'R~ a _ . \. }(~ k\ Y\~ t\. UU 4-UqJ TOlal Miscellaneous Perml ts (E) 'V\A.'} 0'6 TOTAL AMOUNT DUE (excluding electrical) Gl 1"""" (A, B, C. 0, and E Combined) '(.THEPROPOSED WORK,tN THE. ' , "'H ISTOJ:lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? , , If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED' ' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT , This permit Is granted on the express condition that lhe said construction shall, In all respecls, conform to the Ordlnence adopted by the Clly ,of Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked al any time , upon violation of any provisions 01 said ordinances. Plan Check Fee: '\_\f-\ J ./ Date Paid: . ~ ~ Receipt Numbe(' j Y Received By: ~ ~S:;~,Lili " '). \~ ~ Date Systems Developmenl Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~ld-mC'X -~~OOH'Yl\L~ 'I...~~\" \OSJD (~) '- cAN\OX : \ V\ too ~~ \ .........- .' By signature, I stato and agree, that I have carofully examined the completed application and do hereby cerllfy that all Information hereon Is true and correct, and I furl her certify that any and all work performed shall be done In accordance with the Ordlnanc~s of the Clly of Springfield, and the Laws 01 the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any struclure wllhout permission of the Building Safety Division. I furlher certify that. only contractors and employees who are In compliance wllh ORS 701.055 will be used on this project. i I I /- I further agree to ensure that all required Inspections are requested at the proper time; that each address Is readable Irom Ihe street, that the permll card Is located at the' fr~nl , 01 the property, and the approved sel of plans will remain on~h site a:;:a~ Imes dur~ con4'ct'.?'Q Slg re . ff ~4/~ - - - - - v , Oat" VALIDATION: A n r /1\ RECEIPT NUMBER \~\\(,t DATE PAID \D .\n Y\4 . AMOUNT RECEIVf~ . A~lo(P Qf'\ RECEIVED BY ~\ \,'fJ " . , "y~'rr~',~~: ~ . '.: .. . ATTACHMENT Bl -. JOB NO. 1~1 fl/5 CITY OF ~PRINGFIELD SYSTEHS'DEVELOPH~ CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR C~PANY: //+ L/ LOCATION: ~~.J" G-~ & DEVELOPMENT TYPE: ~L) BUILDING SIZE: LOT SIZt' -~ ..... SQ. Ft. X SO.209 PER SQ. FT. ~~-0 2. SANITARY SFWFR-rTTY NO. OF PFU' S . / 't (See Reverse) 3. TRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP I X I,vl X S436.19 X $43.26 PER PFU X X S436.19 X X S436.19 "'M~X'F'~ ~t7.>v .$ S SUBTOTAL (ADD ITEMS 1.2. & 3) s /rOS".rif 4. SANTTARY SFWFR-MWHC NO. OF PFU'S I ~ x S17.19 PER PFU + $10 HWMC ADMIN.FEE (Use PFU Total From Item 2 Above) KWMC,CREDIT IF APPLICABLE (SEE REVERSE) . -. '- , . IQIAl -MWHr sac SUBTOTAL (ADD ITErS 1.2.3 & 4) ? AnMTNTSTAT1VF FFFS BASE C GE 7{!VEl X ~::e. ~ Ma y Hor i9, P.~ S rdinator '7 -;).9'- '1';7 I.OIB' snr B2 . sac . $?/ '1'. ~? $ 3f2:r;,~ rA8'"~'~C:-=:> s //70, t; eJ rS?' 7'; >:~ s ;zO J"O . /..3 - -~~-- JOB NO. '1 ~/ j!/5 CITY ~PRINGFIELD SYSTEHS'DEVEL~ENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) ... "_'"U...'" ~& NAME OR CO~PANY: //~ L./ LOCATION: ~-9.J" 6-~ ~ DEVELOPMENT TYPE: ~)} BUILDING SIZE: lOT SIZE' 1. STORM nRA TJjAG[ IMPERVIOUS SQ. FT. )..,3~? 2. .SANTTARY SFWFR-(TTY NO. OF PFU'S . /~ (See Reverse) 3. TRANSPORTATION X SO.209 PER SQ. FT. X 543.26 PER PFU NO OF UNITS X TRIP RATE X COST PER TRIP I X /, vi X S436.19 X X 5436.19 X X S436.19 SQ. Ft. ~,0 '0~?,F'~ c;~~. s-V s s SUBTOTAL (ADD ITEMS 1.2. & 3) s / r as'. T? 4. SANTTARY SFWFR-HWHC NO. OF PFU'S I ~ x S17.19 PER PFU + SID Mh~C ADMIN.FEE (Use PFU Total From Item 2 Above) MWMC,CREDIT IF APPLICABLE (SEE REVERSE) - '-, . IQIAI -MlMr: snr: SUBTOTAL (ADD ITE~S 1.2,3 & 4) 5.. AnMTNTSTATTVF Fill ;;;:: (sU~/1"'VEl X .05 ~: Date: ?-~?'-'J';9' /Marly Hornig, P.t:. ') ./ Sofuoofdinator "C..-/ IQIAI c;;n.G B2 . SDC . s?/ 9'.~? s 3f2:'" r~ lJ'-r. t'~-::> S 117'0, c; t:J <<?- ,.; $'; ~ S 2-0 ,Po . /..3 -