HomeMy WebLinkAboutPermit Building 1997-12-22
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SPRINGFIELD
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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
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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
.