HomeMy WebLinkAboutPermit Building 1993-11-8
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RESIDENTIAL \
PERMIT APPLlCAT!ON
SPRINGFIELD
Inspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
/-7CJ.~
BLOCK:
OWNER: -: r?tJ~ -rj..e. 5 ,~51e..f-le1l\9-U'\
ADDRESS: z.q") ~ 5J<.1/lhL 8/U(J.
C U~~ (J STATE: -OJ(
DESCRIBE WORK: ~~~,r./ 5~~ c..
NEW ~EMODEL' ~bbhlON DEMOLISH
CITY:
OTHER
f:r
JOB NUMBER
~c:<;CJ0S7
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
~
SUBDIVISION:
PHONE:
3l/ Y - q~ '13
ZIP:
Q7Y 0 s'
, CONST
ADDRESS CONTRACTOR II
j~5 st~~ (\~,~~A'..- :K:6 <j LfO
J:::::"(\, . ~
EXPIRES PHONE
G:-I<!,-1Y '-54:;'-'l1r'o3
JQ+
~ :
~
~
CONTRA~TOR'S , ME iI { ~",
V'-c- tf" \.J.;J.-V
GENERAL:. -', 'l4P~A- {\_0V\. .'
PLUMBING:
MECHANICAL:
ELECTRICAl ~
Wh,PLlev flt{Jv,~ I ~ZO LV. 1.,~ /t~",(.
QUAD ARE~ I. pnJLJ
II OF BLDGS:~'
OCCY GROUP: M.'
- OFFICE USE -
LAND USE: 1II1
" '
rt OF 'UNITS:
CDNSTR, TYPE:
'/ tJ
\ .
II OF STORIES:
HEAT SOURCE:
WATER HEATER:
RANGE:
(,~1- ZI2J
FLOOD PLAIN'
l{)f
)
ZONING CODE:
1/ OF BDRMS'
I'
SECONDARY HEAT:
SQUARE FOOTAGE:
tQ~()
:,.
To request an inspection, you must call 726-3769, This is a 24 hour recoreJing, j\,11 inspections requested before 7:00 a,m, will be
made the same working day, Inspections requested after 7:00 a,m, will ~e made the following work day,
REQUIRED INSPECTIONS
o Temporary Electric
D
Rough Mechanical - Prior to
cover.
o
D Rough Electrical - Prior to
cover,
Site Inspection - To be made
after excavation, but prior to
setting forms,
o
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover,
D Electrical Service - Must be'
approved to obtain permanent
e!ectrical power,
K:7r Footing' - At'ter trenches are
~ excavated,
D Fireplace -,' Prior to facing
f:laterials ,a~d framing Insp,
o Masonry - Steel location, bond
beams, grouting,
~ Framing' - Prior to cover,
l'x1' Foundation - After forms are
;r--" erected but prior to concrete
placement.
o Wall/Ceiling Insulation - Prior to
cover,
D Underground Plumbing - Prior
to filling trench,
D Drywall -- Prior to tap!ng,
o
Underlloor Plumbing/ Mechary;caJ
- Prior to insulation or decking,
/'
Post and Beam ..7-PrlOr to floor
insulation or decking.
Insert - After fireplace approv2J
and installa,tion of ur,:t,
D
Wood Stove - After installation,
o
o
o
Floor Insulation - Prior to
decking,
o
Curbcut & Approach ,- .J\fter
forms are erected but prior to
placement of concrell3,
'.... \
o
Sanitary Sewer - Prior to filling
trench,
o
Storm Sewer - Prior to filling
trench,
D
Sidewalk & Driveway -- r\fter
excavation is complete. icrms
an(1 sut).base material in place,
. "
o
D F'zmce - When complntcd,
Water Line -: Prior to filling
trencr),
, ,
\. _ \ ~'I; .1~
o Rough Plumbing - Prior to
cover,
II Strnet Tmes -- W!:len 311 required
tr8cS are plant8d, ,',
[-.J
Final Plumbing - When all
plumbing worl< is complete,
D Final Electrical - When all
electrical 'Nork is com'plete,
o Final Mechanical - When all
mechanical work is complete,
~Final Building -- When all
~ ~equired inspecdons have been
" approved and building is
completed,
CJ Other
Mo.BILE HOME INSPECTIONS
o Blocking and Set;Up - When all
blockinQ is COmplete, '
CJ
Plumbing Connections - When
home has been connected to
water and sewer.
CJ 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
porchos, skirting, decks, and
venti~lg have been installed,
, Lot faces
Lot Type
Lot sq. ltg,
Interior
I P,L,
IN
Is
Lot coverage
Corner
Topography
Panhandle
Total height
Cul-de-sac
IN,
E
BUILDING PERMIT
ITEM SQ, FT. X $/SQ, FT. V A LU E '
Main
;?~""'6 2-4'0 33~i
'eo... c:.'t.~
Carport 3~ } ,{). /P -.Z ~ ';IS
Total Value
'72 ??
4f9_.JO
" 3.f:1
, -7/ ,Q3__
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC) ~
(B) 11 tftj ~ '
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
NO
Sanitary Sewer
'FT.
Water
FT.
Storm Sewer
1FT,
Mobile Home
Plumbing Permit
::1
State Surcharge
i'
Total Charge
(C)
, ,
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stove/Insert/Fireplace Unit'
Dryer Vent
Mechanical Permit
Issuance
State Surc;;harge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
" i
~ .3 ':2-
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 'D, and E Combined)
Setbacks
HSE'GAR'ACCI
I
I
IS . ,-iE PROPOSED WORK IN THE
HISTORICAL 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 VALIJE, PLAN CHECK
AND BUILDING PERMIT
This perinit 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.
_~S-3
/~~)~J
R,c,ipt Numb,,, . ~_
~~
eviewed By'
>F,2lan Ch~ckr=:ee:
Date Paid:
"-...-
.' J'1ff/7',J
~ctate
Systems Development Charge is due 'on all u~developed
prop~rties within the City limits which are being improved,
ADDITIONAL COMMENTS
e/..~p;.(~ /iJS.7N';L-~i
-'~c?'t:#,~ ~ kOtJITlO)- JA.-L /lh&1J/7.
By signature, I state and agree; that I have carefully examined
the compleled application and ,do hereby certify that all
illformation tlereon is true and correct, and I further certify,
that any arid all worl< performed shall be done in accordance,
with the Ordinances of the City of Springfield. and the laws
of ltle Stale of Oregon pertaining to the work described
herein, andlllat NO OCCUPANCY will be made of any
structure w'ithout permission of the Building Safety Division,
I further certify that only contractors and employees whp
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 properly, and the approved set of plans will remain
on the site at all limes during c nstruction,
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(_ 11- ~ -93
VALIDATION:
I"~ ' RECEIPT NUMBER
DATE P/"ID
/tJ~ 2..,~
/(-~ -'73
117/;r <..
J~
- .....c....
AMOUNT RECEIVED
RECEIVED BY
r'~',!:~'i-F:f!i',~'\~'.:;j):" I . . ,~~i;-i:,#-i\j!'lIi"'l~t.1;,
JOB NO. q?o (p rrt 7
~,"'-
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.1,'(1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
'(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: 8e.-r<7Y 4- L-f3l?
LOCATION: 51'2- AspeN S-r.
57'E3.Frf:-N. SEAl
17~3?z+2'3 - 000
DEVELOPMENT TYPE: L Df?- - CAI<-~-r ~l /l~N.
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
LOT SIZE
SQ. Ft.
. 'Z,S
X $0.20J PER SQ. FT.
~ .J-?7 ~?)
'- ~'
2. SANITARY SEWER-CITY
NO. OF'PFU'S
(See Reverse)
X $42.08 PER PFU
~-~
'-- .---/
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
---
X
X $424.31
X $424.31
X $424.31
~,~
(s -- )
"'- ~
$
$
X
X
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) $ '-I- 'b (;, ?
5. ADMINISTRATIVE FEES
<< BASE CHARGE (SUBTOTAL ABOVE) X .05
~~,~ /t>/')-1113
o Kip Burdick / / .
SDC Coordinator
C/~~
, ?'t
TOTAL SDC $ t.f&5 -