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HomeMy WebLinkAboutPermit Building 1999-5-6 :\ ~ 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 ..