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Home My WebLink AboutPermit Building 1993-12-13 RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 . SPRINGFIELD . '93"~~~ JOB NUMBER 225 Filth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORi<' /?t':J~ /9~/-f/ r'~ ~ ~ . ASSESSORS MAP' /7--e:>"7 -::<'r-"3/ TAX LOT' ~/~-::.::r OWNER: ,4~/L~ ~/~ ADDRESS' ~e .?~?/:- DESCRIBE WORK' ~~7~o-C,;r- /2 %:<' Y ',A-?J/::? CONST. CONTRACTOR'S NAME ADDRESS ~ CONTRACTOR' /.- . J . /' 2-.-_ 138B1fp / ,;;- "";:;> ~_ GENERAL:, 75'&>'i""f/V/<~6'C"7C',r../~~~~ ~'9?~. PLUMBING' MECHANICAl' LOT: CITY: NEW REMODEL ADDITION ELECTRICA' . OUAD AREA: 2.R~ \ J'l\ . OF BLDGS: OCCY GROUP: . OF STORIES' WATER HEATER: BLOCK' STATE: :,~/?,? DEMOLISH OTHER SUBDIVISION' PHON~' ZIP' ~/~) - OFFICE USE - \\\\. LAND USE: . OF UNITS' CONSTR. TYPE: \(N , ~ ,?-~~/'~., EXPIRES PHONE HEAT SOURCE: RANGE: /~"); ;:>~~?9-;' , - . . FLOOD PLAIN' ZONING CODE: \... \\ R . OF BDRMS' SECONDARY HEAT: SOUARE FOOTAGE: L~8, 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, Inspectlons requested after 7:00 a.m. will be made the following work day. o Temporary Electric D Site Inspection - To be made after excavatlon, but prior to setting forms. D Underslab Plumblng/ElectrlcaJ/ Mechanical - PrIor to cover. rvt Footing - After trenches are lAJ excavated. D Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to fililng trench, D Underfloor Plumbing/Mechanical - PrIor to insulation or decking. o Post and Beam - Prior to floor Insulation or deckIng. D Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to flillng trench. D Storm Sewer - Prior to filling trench. . D Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping, D Wood Stove - Alter I~stallatlon. D Insert - After fireplace approval and Installation of unit, D Curbcut & Approach - After forms are ere.cted but prior to placement of concrete. D Sidewalk & Drfveway - Alter excavatIon Is complete, forms and sub-base material In place. D Fence - When completed. D Street Trees - When all required trees are planted. D Ffnal Plumbing - When ail plumbing work Is complete. D Final Electrical - When all electrical work Is complete. D Final Mechanical - When ail mechanIcal work Is complete. .LRJ Final Building - When all required Inspections have been approved and building Is completed. , , DOther MOBILE HOME INSPECTIONS D Blocking and Set,Up - When all blocking Is complete, D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set,up, and plumbing inspections have been approved and the home Is connected to the service panel. D Final - Alter all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces Lot Type. Lot sq, Itg. InterIor Lot coverage Corner Topography Total height Panhandle Cul,de,sac BUILDING PERMIT ITEM sa, FT. x $/SO. FT. Main Garage Carport 2~.,g ... '... ~'? Total Val ue Building Permit Fee State Surcharge Totai Fee (A) PLUMBING PERMIT ITEM Fixtures Resldentlai Bath(s) N' Sanitary Sewer FT, Water FT. Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ~S THE 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. Setbocks I P,L, HSE GAR ACC I IN Is Iw IE VALUE .;':;;2 ..c. -- ::;?'fV'U_gc FEE ~?~~ APPROVED: 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 vlolatlon of any provisions of saId ordInances. Plan Check Fee: I/-...~ , Date Paid: /2.. 2-~,"", Receipt Number' //O.c;-'tt:.. ReCe~y: ..~~- /h~-"~~? ,.< P~JA'!'"eviewed)3S' '" .. /" .. Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. /<-./.?~-9 Date ADDITIONAL COMMENTS By signature, I state and agree, that J have carefUlly examIned the completed application and do hereby certIfy that all Information hereon Is true and correct, and I further certlfy 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 OAS 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 mes during COnS?ion. Signa, re' c--- !# I:> I'b (c-J~ Date VALIDATION: RECEIPT NUMBER DATE PAin AMOUNT RECEIVED RECEIVED BY .J.:!, I j 130 I;;)} J:>.,\q~ .:t,> 1-;(",3> CJB -=z~ .- -- /.'2~ ~.;z$'" SYSTEMS DEVELOPMENT CHARGE (SDC>1lS (B) ~ lof~ . .8 NO. q31 '!s'l><O LOCATION: 11~ '5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) !VI1}f!../ L-YN 400"T ""'N "R.4ItJl??cw WI vE LDIZ- - &P-Pt'fLT f7tJ 0;;'7--73 i - DOlO'::' NAME OR COMPANY: DEVELOPMENT TYPE: BUILDING SIZE: 1'2. -f 7-t/- LOT S~ZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. '2B8 X $0.203 PER SQ. FT. (55"0 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 $424.31 X $424.31 X $424.31 ~,-) .......... ..--"'" $ X 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 C ~ ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ ") fJ, ~ - 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X ~05 V' _,~LJ._ \1.-/9/~~ ~ Kip Burdick I' SDC Coordinator C~~0 TOTAL SDC $ ~I?JL