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HomeMy WebLinkAboutPermit Building 1996-3-27 SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 960320 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 2344 BEVERLY ST Assessors Map #: 17032722 Lot: Block: Tax Lot #: 04700 Subdivision: Owner: LARRY PRINK Address: 2344 BEVERLY STREET Phone #: 726-4153 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: BDRM & BATH ADDITION ADDITION Contractor Const. Contractor # Expires Phone General: CULBERTSON CONS 0095388 176 Goldfish Farm Rd SE Albany OR 9 12/01/96 967-7101 QUAD AREA: 1RNW OCCY GROUP: R3 SQ FOOTAGE: 336 OFFICE USE -- LAND USE: 1111 CONSTR. TYPE: VN ZONING CODE: LDR INSUL PATH: P1 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 SANITARY SEWER LINE - Prior to filling trench. WATER LINE - Prior to filling trench. 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. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. House N 5 S 9.5 W Setbacks E 35 Lot Faces: E Item Main Garage ADDITIONAL MASTER BE BUILDING PERMIT Square Feet x $/Square Feet 336 o Value 0.00 0.00 26,910.00 SPR'NCFOELD ~ . __~r . ,'. Yill(h."t1;I=lI'~.}l(:(t'J...JJ'e ~*' Job Number: 960320 Page 2 Total Value 26,910.00 Building Permit Fee Surcharge/Admin 179.50 14.37 TOTAL FEE (A) 193.87 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 396.39 Systems Development Charge is due on 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 MECHANICAL PERMIT --- 1 3.00 Mechanical Permit Issuance SurCharge/Admin 15.00 10.00 1. 20 TOTAL PERMIT (D) 26.20 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 648.86 --- 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: 116.68 Date Paid: 03/11/96 Received By: LORNE PLEGER Plans Reviewed By: DON MOORE Date: 03/26/96 Building Site Reviewed By: LISA HOPPER Receipt Number: 20649 --- ADDITIONAL COMMENTS --- SEPARATE ELECTRICAL PERMIT REQUIRED PATH 1 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. Job Number: 960320 Page 3 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. Signature ~~ v Date ] /2.7//'6 , --- VALIDATION Date Paid: 2/J 9~~ / ..- ~,/2?~~ ~~~ r~~ ,~~ Receipt Number: Amount Received: Received By: