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Home My WebLink AboutPermit Building 1993-9-29 '" RESIDENTIAL PERMIT APPLICATION Inspections: 7,26.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' /71'/5. LOT' OWNER: Rl'J I\J J'<07 .~.EEL.D ,~M IT"J..I 0(11 1\11\ L .,- ADORE"'" CITY: . SPRINGFIELD r~(J7 ZG::> ntll~IA IT 4. / BLOCK' STAT~' DP... DESCRIBE WORK. I 51' I'}( 21./ I ,S' lIo/) NEW V REMODEL ADDITION w / SLAt3 I DEMOLISH OTHER . JOB NUMBER 93/$ So 225 Filth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION. . /5 7C7'O PHONE: '7i7- 5~37 ZIP: 11~77 8~P CONTRACTOR'S NAME ADDRESS GENERAL: ().t:oR.GE' W4YNf"' 1j:wOLns , I PLUMBINC" CON ST. CONTRACTOR' 5L.qes, 57/ .). 1390 I PHONE 71(/3907 MECHANICA' . ELECTRICAl' /I /.('J i.I N I f 6DN { QUADAREAcQQn)0 . OF BLDGS'- \ OCCY GROUP:_~ . OF STORIES: WATER HEATER' ~, FLEe. - OFFICE USE - LAND USE: ~1 . OF UNITS' CONSTR. TYPE: HEAT SOURCE: \/AJ EXPIRES '7/2- 7 FLOOD PLAIN: ZONING CODE: Jjj l2-- . OF BDRMS. SECONDARY HEAT: SQUARE FOOTAGE: 4~~ ~ To request an Inspection, you must. ca,lI 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 alter 7:00 a.m. will be made the following work day. o ;remporary Electric o Site Inspection - To be made alter excavation, but prior to setting forms. o Underslab Plumblng/Electrlcall Mechanical - Prior to cover. 'K:7r Footing - After trenches are ~excavated. o Masonry - Steel location, bond beams, grout! ng. 1Vf~ S~rms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior 10 filling trench. o UnderflQor Plumbing/Mechanical - Priori to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. O Floor Insulation - Prior to - decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - I;'rlor to cover. RANGE: REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. IV1 Rough Electrical - Prior to ~ cover. o Electrical ServIce - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~Framlng - Prior to cover. o Wall/CellIng Insulation - Prior to cover. o Drywall - 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 Is complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When all requlr.ed trees are planted. . . o Final Plumbing '- When all plumbing work Is complet_e. , ~Flnal Electrical - When all lplelectrlcal work Is complete. o Final Mechanical - When all mechanical work Is complete. , ~Inal Building - When all ~qulred Inspections have been approved and building Is completed. o Other 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 are approved and porches, skirting, decks, and venting have been installed. ~ . _HE PROPOSED WORK IN THE , - . Lot faces Lot Type Setbacks ~ I P,L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON Lot sq, ftg, Interior 'I.N I THE HISTORICAL REGISTER? Lot coverage Corner Is I If yes, this application must be signed and approved by the Historical , Topography Panhandle Iw I Coordinator prior to permit issuance. Total height Cul-de.sac IE 1 APPROVED: BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT. VALUE -, Main Garage Carport ;7~c d32- If-tO /~/ Total Val ue 02.5C 3./3 (A) .6~.r...,,?_ SYSTEMS DEVELOPMENT CHARG; (SDCJ ;13 . ' (B) 112 '!- Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. FT, Water Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge (C) I MECHANICAL' PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit' Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge, Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) 15 '7.71 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the expres~ 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 construc'tion and use of buildings, and may be suspended or revoked at any time upon violatlon of any provisions of said ordinances. Plan Check Fee: _40 . ~ '3 ?/~<: Receipt Number' /R-l/ ~ ? ~- ~~~ Date Paid: Received Plans Reviewed By . 'Y~~J Systems Development Charge Is due on all undeveloped prop,erties within the City limits which are being Improved. AIfqITIONAL COMMEN~ '1-1 . \ AI).. () (YJ >Lt1 - \. LJ- LL rJ..LlJ.{L 0{\I\nrt;, QX (\0 o(J J. -L \...hQ ~CVV\+)~ ts~ynn~j, 0\)) LLt(hLfLt:,. (J20 [) irioJ'"ln_) ~~~ ~Fr-~~ /S' ~f?DtIlA.l!!iJ. 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 accordar)ce with the Ordinances of the City of Springfield, and the Laws of the .State of Oregon pertaining to the work described . herei,;, and th?t NO OCCUPANCY. win be made of any structure without permission of the' Build"lng Safety Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 wltl 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 Sli;e at II tlmeshurl construjJljn. ~!:'gnature I~/ _ A ~ ~ j '--() Datp '1 29/ f3 t " VALIDATION: DATE PAID I/-J V~ 9-?'7-93' /')).7/ // #.-:.-L -/ RECEIPT NUMBER AMOUNT RECEIVED RECEIVED BY " . . .08 NO. t]21l? 5 0 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: RON SM (rJ-l LOCATION: 1307 t9 VI AlA-L r 17o'32..f,I.{./- 1670tJ DEVELOPMENT TYPE:~/ll - 5':/:P..p A.J:)fl J TJl.UJ BUILDING SIZE: 18 X 2-'-1 LOT SlZE SQ. Ft. l. $TORM DRAINAGE IMPERVIOUS SQ. FT. t-f'J;'")... X $0.203 PER SQ. FT. (B'~ 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 X X $424.31 X $424.31 X $424.31 G-) "- ..-/ $ $ ~ 4. $ANITARY SEWER-MWMC NO. OF PFU'S x $15.125 PER PFU + $10 MWMC ADM FEE $ ~ (Use PFU Total From Item 2 Above) SUBTOTAL (ADD $ TOTAL-MWMC SDC ~ ITEMS 1,2,3 & 4) ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ '/!? _L'~ &f /7/1~ . (J Kip Burdick I I SDC Coordinator ~ t.f ~") ~ t::f"D_8 TOTAL SDC $ J I.-