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Home My WebLink AboutPermit Building 1993-10-18 rJ . .\ . SPRINGFIELD RESIDENTIAL q3 \3&\ PERMIT APPLICATION JOB NUMBER Inspections: 726.3769 225 Fifth Streel Office: 726.3759 Sprlng/leld, Oregon 97477 l ASSESSORS MAP' TAX LOT' LOT' BLOCK' SUBDIVISION: OWNER' ~ J\\>...;-\ J\\J\~' \ Th.L.l1flC...J PHONF' ADORES"" I) lo~ \.~-0).'.Q~F'I , CITY: ~~~ d STATE: W1lQ.q[TI' DESCRIBE WORK' \, ~ U:'Iid V'\i:iO.. \.v u:Nirt ~:\-i~ ) NEW REMODEL ADDITION DEMOLISH OTHER ZIP: q IfTr)'l CONST. CONTRACTOR'S NAME ADD~SK A CONTRACTOR · EXPIRES GENERAL~t t'\\~\ ~(\~3 i. 'iJlJ~'i \'-\fL,'TlUIWsrtM IdS\&.1- 4,;S,q+. -. . I - PLUMBING: MECHANICAL~l \ 'i'.3,~~r\J\'-, ELECTRICAl' \.21\- >--! ~ QUAD AREA: \ R ~ 1L0 1 OCCY GROUP: ~?J I . OF BLDGS:, . OF STORIES: WATER HEATER' - OFFICE USE - III \ . OF UNITS' , . / CONSTR. TYPE: \I fV LAND USE: HEAT SOURCE: RANGE: PHONE rt~ (03.09,'1_ 4.~q4 fftll1-:l"B FLOOD PLAIN: ZONING CODE: . OF BDRMS' U)~ SECONDARY HEAT: SQUARE FOOTAGE: -.&W To request 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 7:00 a.m. will be made the following work day. o ]emporary Electric D Site Inspection - To be made after excavatIon, but prior to setting forms. o Underslab Plumblng/Eleclrlcall Mechanical - Prior to cover. . [Xl Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. l2rl Foundation - After forms arB erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. D Underfloor Plumbing/Mechanical - Prior to Insulation or decking. IKl Post and Beam - Prior to floor Insulation or decking. IKJ Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. . o Waler Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. lAJ Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing lnsp. [Z] Framing - Prior to cover. IZl Wail/Ceiling Insulation - Prior to cover. ~ Drywafl - Prior to taping, o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation 15 complete, forms and sub.base material in place. o Fence - When completed. o Street Trees - When all required trees are planted. .. o Final Plumbing =- When all plumbing work Is complete. [K] Final Electrical - When all electrical work is complete. o Final Mechanical - When all mechanical work Is complete. IKJ Final Building - When all required inspectlons have been approved and building is completed. DOlher MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. D 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 are approved and porches, skirting, decks, and venting have been installed. . I.E PROPOSED WORK IN THE i .~ Lot faces ~ Lot Type Setbacks Lot" sq. Itg. L I PL. I HSE tAR' ACC I HISTORICAL DISTRICT, OR ON Interior 'I'N THE HISTORICAL REGISTER? Lot coverage Corne r ~~. If yes, this application must be signed Is ~" and approved by the Historical Topography Panhandle Coordinator prior to permit issuance. Total height rr Cul.de.sac W ;:t2J E ~~~~ APPROVED: BUILDING PERMIT sa. FT. A~~ X $/SO. FT. = Clo ,~O VALUE \lol\~~ ITEM Main Garage ~ Carport Total Value Building Permit Fee r::z'2'. ~tP '-:'. /'7 l;Zg.b~ SYSTEMS DEVELOPMENT CHARGE (SDC) ~ . (B) fI; B9~ State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHAN,ICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut /t Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ';;?/$;!J ./:5' (A, B. C. D. and E Combined) 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 an~rOViSlons of said ordinances. Plan Check Fee: C\ .\ Q '?) Date P~ld: .~ Q.S Receipt Numbeu , \~~~ ReC~y: ~ ~ M~-~.r ~4~ r' p~vlewed By/, r'&>-~9~ Date Systems Development Charge is due on all undeveloped prop.erties within the City limits which are being improved. ADDITIONAL COMMENTS 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 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 Is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Slgnature~) Date IOJI9/~":>' VALIDATION: RECEIPT NUMBER / T'\ c,t=lt DATE PAID IDII~ Ie,"?> AMOUNT RECEIVEr> b'J lOX. I~ RECEIVED BY If)(.l.. \ .......-' . . .JOB NO. 4-:z.,\'?e'f CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) , NAME OR COMPANY: Me. "\ Me.....,. ,,^E:..YE:-~ LOCATION: ., Iof> 12:\UL:::.l:.. !-\.\u....., 1)12-. I (o~?'-t- 1"Z.. - l'Z- eOO DEVELOPMENT TYPE: LDe.. - A.CD\ "flo"-l BUILDING SIZE: ?oo,( \<-1: ("'Kl.WE-S E:A~) LOT SIZE SQ. Ft. 1- STORM DRAINAGE IMPERVIOUS SQ. FT. 4-?Jo X $0.203 PER SQ. FT. ~ 2. SANITARY SEWER-CITY NO. OF PFU'S X $42.08 PER PFU ( - ) (See Reverse) .../ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 ~ X X $424.31 $ X X $42~.3I $ 4. SANITARY SEWER-MWMC NO. OF PFU'S x $15.125 PER PFU + $10 MWMC ADM FEE $ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SDC ~ ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ B"':> -z.~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 r-:" '~L~ q/'4-/'1? (j Kip Burdick I I SDC Coordinator <f <f~) '--- / ......,';'_'Z. TOTAL SDC $ u.