HomeMy WebLinkAboutPermit Building 1999-5-6
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990486
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1122 CUSTOM WY
Assessors Map #: 17032634
Lot: Block:
Tax Lot #: 08200
Subdivision:
Owner: ANITA MCLEAN
Address: 205 LILY ST.
Phone #: 687-2505
City/State/Zip: EUGENE OR,97477
Describe Work: DETACHED SHOP
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
ANITA MCLEAN 0025629
PO BOX 74 AURORA OR 970020000
05/31/98
687-2505
QUAD AREA: 2RNW
OCCY GROUP: U
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
# OF BLDGS: 1
SQ FOOTAGE: 624
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.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Total Height: 13
Solar Approved: Y
Item
J /I A1ain
o.,no-e.t...f/Gar age
Total Value
BUILDING PERMIT ---
Square Feet x
$/Square Feet
=
Value
0.00
11,444.00
11,444.00
624
18.34
Building Permit Fee
Surcharge/Admin
92.50
7.41
TOTAL FEE
(A)
99.91
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
CITY SDC
0.00
168.73
TOTAL MISCELLANEOUS PERMITS
(E)
168.73
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
fJ~ ~ ~
268.64
bOr I ~
32- i _77
.J ....
- '
- . SPRINGFIELD
.
Job Number: 990486
Page 2
--- 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.
Received By:
Plans Reviewed By: AL WARD Date: 05/06/99
Building Site Reviewed By: BOB BARNHART
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT IS 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 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.
'----
~--
, ~
---
~
Date
--- VALIDATION
Date Paid:
Os:sg7~
5/?lr9
.
JO go. 72.
AfwJ
Receipt Number:
Amount Received:
Received By:
~
.
JUUKNAL UK JUO NU.
. ATTACHMENT A q''jc/K6
CITY OF'SPR4ItFIELD SYSTEMSDEVELO~NT CHARGE
WORKSHEET
.~
NAME OR COMPANY:
~c.~rJ
LOCATION: 1122 I"..0S-rOM WA-\,{
DEVELOPMENT TYPE: SF 0
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM ORA I NAG E 2 (p)( z 4-
IMPERVIOUS SQ. FT. ~~~
X $0.227 PER SQ. FT. $ /4-I,~b
. -
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse Side)
X $47.14 PER PFU
$ I\lA-
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
I
X t.o I X $475.32
$ ~~. --; 1JA-.
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF. FEU'S I
,
$1il 1 1 -. U''';'
x 211,# PER FEU
B. IMPROVEMENT COST: .
/
NO. OF FEU'S l . X 2.5.~OPER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSEr-
MWMC ADMINISTRATIVE FEE
$--":"-S:~O
< $ >
$ 10.00
TOTAL-MWMC SDC
$ "---0~
$ 4-~ l'-f/.~.>
-' :::<-
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
.rMSL- Date:
SDC Coordinator
ATrACH' A. WPD
$ 7. of
,
TOTAL SDC $-- ~/~
!~~ 7}
FIXTURE UNIT CALCULATION TABLE: Nu~ber of New Fixtures X'Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate on'. NET additional fixtures)'-:..". . .
. NUMBER OF UNIT FIXTURE
FIXTURE TYPE . NEW FIXTURES 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/WaiL....... ...............................................
Wash Basin/Lavatory, Single..................................
Toilet, Public Installation........................................
Toilet , Private.......................................................
Miscellaneous:
... J ,
2
1
2
3
6
2
6
6
1
3
2
1/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', . . Rate per $1,000 . Year Rate per $1,000
. ..
. "
Annexed Assessed Value Annexed Assessed Value
1979 or before $4.27 .1989 $1.98
1980 4.18 1990 1.55
1981 4.12 1991 1.15
1982 3.99 1992 0.96
1983 3.83 1993 0.83
1984 :3.68 1994 0.67
1985".; . , c...... 3.48 "t", .1.9.95' 0.52
1986 3.18 1996 0.38
1987 2.82 1997 0.21
1988 2.42
"
. . ..
... .0 0".. ~
X" '$'
(Rate X Assessed Value)
X$
(Rate X Assessed Value)
CREDIT TOTAL
- $
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
RUNOFF COEFFICIENTS FOR STo.RM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL.......................... 0.4
Commerical......................... 0.9
IndustriaL........................... 05
Governmental...................... 0.5
FIXUNIT.WPD
I:vIPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
..