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HomeMy WebLinkAboutPermit Building 1997-12-22 ~. ~- SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970974A 225 North Fifth Street Springfield. OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 36 SHADY LP Assessors Map #: 17032623 Lot: Block: Tax Lot #: 00605 Subdivision: Owner: ST VINCENT DEPAUL Address: PO BOX 24608 Phone #: 687-5820 City/State/Zip: EUGENE, OREGON 97402 Describe Work: REMODEL MVD HOUSE REMODEL Contractor Const. Contractor # Expires Phone Plumbing: UNIVERSITY PLU 0057928 2673 Potter St Eugene OR 974050000 10/06/98 345-1902 QUAD AREA: 1RNW OFFICE USE LAND USE: 1111 ZONING CODE: LDR To request an inspection, call the 24 hour recording at 726-3769. All inspections 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 --- UNDERFLOOR PLUMBING - Prior to insulation or decking. UNDERFLOOR MECHANICAL - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. -rNSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ~CTRICAL SERVICE - Must be approved to obtain permanent power. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. CURB CUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. _FINAL BUILDING - When all required inspections have been approved and the building is complete. Item Main Garage REMODEL Total Value BUILDING PERMIT --- Square Feet x $/square Feet Value 0.00 0.00 45.000.00 45.000.00 Building Permit Fee Surcharge/Admin 260.50 20.85 TOTAL FEE (A) 281.35 '. .. SPRINGFIELD . Job Number: 970974A Page 2 PLUMBING PERMIT --- Item Fixtures Residential Bath(s) 2 2 Fee 20.00 160.00 Plumbing Permit Surcharge/Admin 180.00 14.40 TOTAL CHARGE (C) 194.40 --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent 3 6.00 4.50 9.00 3.00 Mechanical Permit Issuance Surcharge/Admin 22.50 10.00 1. 81 TOTAL PERMIT (D) 34.31 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut SDC PLAN CHECK FEE 0.00 0.00 0.00 1,973.63 169.33 TOTAL MISCELLANEOUS PERMITS (E) 2.142.96 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A. B. C. D, and E combined) 2,653.02 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express 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. ADDITIONAL COMMENTS - -- ELECTRICAL PERMIT REQUIRED 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 701.055 will be used on this project. ... SPAINQPIELD , I' Job Number: 970974A Page 3 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. ~~s:j/~ Signa~e ~ /~h ->-k--=r Date' I --- VALIDATION Receipt Number: ;) ~ ~ 2 G Date Paid: ;):).. bMl~ 11 d lo?'>;,. (l "2.... ., ~ l~'1( Amount Received: Received By: . - . AITACHMENT A . JUlj NU.'110'1/"'tA CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET ,. NAME OR COMPANY: 5..... 1/, I!Jfl5V-r n,y.. D,d.UL LOCATION: 3~c,/Jf-4J")"'" Loo P DEVELOPMENT TYPE: -< .F.R.... BUILDING SIZE LOT SIZF <;0. Ft. 1. STORM I1RAHIAGF NII..... A"S" N.-r IAJCLUOcO ,,) P6<....,.,- Q70'17<f- IMPERVIOUS SO. FT. 1.2-00 , 2. SANITARY SF~FR-CITY NO. OF PWS IR (See Revecse Side) 3. TRANSPORTATION X $0.226 PER SO. FT. $ 2 7/ . 2.(.) X $46.86 PER PFU $ 843.4~ 'NO OF UNITS X TRIP RATE X COST PER TRIP X t. 0 I X $472 49 . $ 477,2.1 x x $472.49 $ x X $472.49 $ 4. S8NlIARY SFWFR-MwMC 0'-' NO.OF'fft:j-'S X 277,u..PER FEU + $10 MWMC/ADM FEE $ 287,7iP MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl -MWMC SDC $ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $}, R7Q. &.? 5. ~nMINISTRATIVF FF~ '. BASE CHARGE (SUBTOTAL ABOVE) X .05 '$ Q3."1rr L~. Date: 11-I7-Q7 sac Coordinator TOTAL SI1C $ I, C/73.Q .