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HomeMy WebLinkAboutPermit Building 1996-6-20 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 960704 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4889 BEAVER ST Assessors Map #: 17023241 Lot: Block: Tax Lot #: 00223 Subdivision: Owner: STEVE CAMERER Address: 4889 BEAVER STREET Phone #: 726-2824 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: BATH/CLOSET ADDITION ADDITION Contractor Const. Contractor # Expires Phone General: OWNER 726-2824 Plumbing: OWNER Electrical: OWNER QUAD AREA: 3RNC OCCY GROUP: R3 SQ FOOTAGE: 105 OFFICE USE -- LAND USE: 1111 CONSTR. TYPE: VN f ZONING CODE: LDR INSUL PATH: PI 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 --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. 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. Lot Faces: N Solar Approved: Y Total Height: 15 Lot Type: INTERIOR Setbacks S W E 6 Setbk From NPL: 59 N House Item Main Garage BUILDING PERMIT --- Square Feet x 105 $/Square Feet 64.66 Value 6,789.00 0.00 SPA'NOFOeLD ~> __~ I. 1ill(h"~;/=lI'~.}I(:l'If~)~'4 .... 6); Job Number: 960704 Page 2 Total Value 6,789.00 Building Permit Fee Surcharge/Admin 62.50 5.01 TOTAL FEE (A) 67.51 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 361.11 Systems Development Charge is due o~ all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. PLUMBING PERMIT --- Item Fixtures 3 Fee 30.00 Plumbing Permit Surcharge/Admin 30.00 2.40 TOTAL CHARGE (C) 32.40 Vent Fan WALL HEATER MECHANICAL PERMIT --- 1 3.00 4.50 Mechanical Permit Issuance Surcharge/Admin 15.00 10.00 1. 20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin ELECTRICAL PERMIT 0.00 42.12 TOTAL MISCELLANEOUS PERMITS (E) 42.12 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 529.34 --- 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. Plan Check Fee: 40.63 Received By: LORNE PLEGER Plans Reviewed By: DON MOORE Building Site Reviewed By: LISA Date Paid: OS/23/96 Receipt Number: 21659 Date: / /1 HOPPER ADDITIONAL COMMENTS --- PATH 1 SPR'NGFOEU> ~ R..-!f..-- ., .... 1;Jr(h'Lt73/:tI'~"}rf=t~~ ~~ ,'t Job Number: 960704 Page 3 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. 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 W]k z::= times during construction. ~:<o _ % Signature Date - - - VALIDATION Date Paid: Z2/~S- ~/20/5"'~ S. 2- 51n3,.,c --~~ \.... Receipt Number: Amount Received: Received By: