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HomeMy WebLinkAboutPermit Building 1998-2-23 '.! Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980089 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 332 CENTENNIAL BLVD Assessors Map #: 17032744 Lot: Block: Tax Lot #: 05300 Subdivision: Owner: LORI FAUDOA Phone #: 741-8012 Address: 332 WEST CENTENNIAL BLVCity/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: BDRM & DINING AREA ADDIT ADDITION Contractor Const. Contractor # Expires Phone General: OWNER Electrical: L H MORRIS 0001838 483 SHELLEY ST SPRINGFIELD OR 97477 06/08/98 747-0811 QUAD AREA: 1RNW OCCY GROUP: R3 INSUL PATH: P1 OFFICE USE LAND USE: 1111 CONSTR. TYPE: VN SQ FOOTAGE: 480 ZONING CODE: LDR HEAT SOURCE: WH To request an inspection, call the 24 hour recording at 726~3769. All inspections requested befor~ 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. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover SHEAR WALL NAILING ~ Before covering sheathing with finish materials. ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover. INSULATION - Floori prior to decking Wall/Ceilingi Prior to cover DRYWALL - Prior to taping. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Total Height: 14 Lot Type: INTERIOR Setbk From NPL: 54 Solar Approved: Y Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 480 $/Square Feet 64.66 Value 31,037.00 0.00 31,037.00 Building Permit Fee Surcharge/Admin 202.00 16.16 TOTAL FEE (A) 218.16 "Job Number: 980089 Page 2 SPRINGFIELD , 0.00 121.50 TOTAL MISCELLANEOUS PERMITS (E) 121. 50 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 339.66 --- 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: Received By: Plans Reviewed By: TOM Building Site Reviewed 131.30 Date Paid: 01/23/98 Receipt Number: 28556 MARX Date: 02/17/98 By: LISA HOPPER ADDITIONAL COMMENTS --- ELECTRICAL PERMIT REQUIRED 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 permi~ 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. ~, /~~ Sigmfture ...2 . "Z "3 ., '1 & Date Date Paid: --- VALIDATION C1F<mJ~q :l-~ --1 '6 '?::> 3q _ ~ (p n. ffi~e",^ arl ts" Receipt Number: Amount Received: Received By: ~ J'.~,J'~~:...._;."'; ,'...... ~v;~. ~."': 1nr'.~r"~1,re _ :? ,ni~}' .~< ;.~:1 ~.Yj. ':.' , ~. '_ , >';' .' . ATTACHMENT A :;,;.,;~;Y CITY' OF"SPR1;~GFIELD"SYSTEMS DEVELO~l'IC:NT CHARGE WORKSHEET JOB NO. . q'f\ wR(J NAME OR COMPANY: LoP-I FAU ntJA LOCATION: -/ -.; " J 'J. fA..) (',(, i,t. I.lil/f) 1/: ( . DEVELOPMENT TYPE: An!Jl--;l It) l'\...J i"";, ~FI~ BUILDING SIZE: LOT SIZE SO, Ft. 1. STORM DRAINAGE tJC;<<J p-",~ '3z -f : ~ :: IMPERVIOUS SO, FT. S"'l '2- X $0.226 PER SQ. FT $ i/~. 71 2. SANITARY SE'~ER-CITv N', ;/:=~ NO. OF PFU'S ~- (See Reverse Side) X $46.86 PER PFU $ C--/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x X $472.49 $ ......." <---" x X $472.49 $ x X $472.49 $ 4. SANITARY SEWER-MWMC NO. OF FEU'S x PER FEU + $10 MWMC/ADM FEE $ () MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SDC $ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ /J~ 7L 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ;C}l $ .c:. 7q , Date: j -1..~~Ojg sac Coordinator TOTAL SDC $' / Z / . 50 . riA I v n~ VI'II 1,",~L,""U.Lr\"ILI"V 1\I.;~li.t;:\~L.,a.;~:,:!"umoer~or'. Wd:-lxtures,^~UOlt,l:quivalent,.=,~Fixture'Units"~'j. ....'''-....,....'"" ,,. .'.h~ . ....... --~/~'''''t'~~}~,:~-:;-::.~''~~:..,.{~::-,r.v!~ii)'''!C;j..~~,~~~It?'I':.t~.""';;;'..~~if~~,::.:':~'n'i~.,;._A~. ~." H' .. ...' ,....,,_ ~." .,"'W' ~,~.....'" .. ' .' . " -, -..... ~". \ ".. I (NOTE: For remodels, caI9~,I,~~;?)nl'i~tDejNET:{additi . .. . ~t;' ...,;~,?~t,,> .b,~~~,;?~~'jL'},,~i~~Wt?r:;.;.;.E~;:t':i:7" ' . ., '. ~i--'-;";'l'K . 'h~UM~Ef{ OF\;~'r!"""",",;UNrc,;.:",. FIXTURE FIXTURE TYPE ""NEWFIXTURES . EQUIVALENT UNITS Bathtub.... ........................................ ........ ........ :~~... ..... Drinking. Fountain...................... ..... ......... ................. Floor Drain......................................................... ........ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher........... ..................... ... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall......................... ............... ......... Shower, Gang.......................................................... Sink: Bar, CommerCial, Residential Kitchen........................ Urinal, Stall/Wall.............. .................. ..... ............. ..... Wash Basin/Lavatory, Single............. ..................... Toilet, Pubiic Installation................... ....... ..... ......... Toilet, Private....... ......................... ........ ....... .... .... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 TOTAL FiXTURE UNITS :::: CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 1986 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) Year Annexed 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 X $ (Rate X Assessed Value) X $ . (Rate X Assessed Value) = :::: CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) hesidenciai........................... 0.4 Commerical.................... ..... 0.9 Industrial............................ 0 5 Governmental...................... 0.5 IMPERVIOUS AREA = TOT ALLOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17