HomeMy WebLinkAboutPermit Building 1999-4-1
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990384
225 North Fifth Street
Springfield, OR 97477
'"w requireS you to
Locatt..'\''tE.9$r\~P\SilQanWql:~brt?g'b11l9i\li11i1 FARM RD
Asse"\'O~oW rtllm> aldOlltfiJ~~~1~es are set forth
Lot :Notification center. Thos 1\~:952-O01-
'. ,,^c Q"2-001-0010thrO~ _.... _"hO rilles by
owne5'cj9ij?'IIO!!~tam ""r~th~telepho~e Phone #: 726-1662
AddreS'ta\\\ti!PlI1~epJ..%ll ~~lWNotifli:a\jWState/z1P: SPRINGFIELD, OREGON
number for the,o~e2on.332_2344).
Describe wo>Ql<:nt~poR~O NEW
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 18900
Subdivision:
97477
Contractor
Const.
Contractor #
Expires
Phone
General:
OWNER
QUAD AREA: 5RNW
OCCY GROUP: U
OFFICE USE --
LAND USE: 1111
CONSTR, TYPE: VN
ZONING CODE: LDR
SQ FOOTAGE: 234
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,
SLAB - TO be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
FRAMING - Prior to cover.
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
Total Height: 14
Lot Type: INTERIOR
Setbk From NPL: 11
Solar Approved: Y
Setbacks
S W
Ga:r:age
Accessory
N
o
5
E
00
25
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
$/Square Feet
Value
0,00
0,00
3,510,00
Building Permit Fee
Surcharge/Admin
44,50
3,57
TOTAL FEE
(A)
48.07
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
CITY SDC
0,00
85,81
TOTAL MISCELLANEOUS PERMITS
(E)
85.81
Job Number: 990384
Page 2
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
133.88
--- 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: 28,93 Date Paid: 03/23/99
Received By:
Plans Reviewed By: AL WARD Date: 04/20/99
Building Site Reviewed By: LISA HOPPER
Receipt Number: 33244
--- ADDITIONAL COMMENTS ---
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 ~ the site at all times during construction,
Si9ka~ n ~ Ju-,,_. Daf/!J)r!i
-- - VALIDATION
Date Paid:
tJ331?5&"
,.h /11
/3"3. ~r
A/~
tI
Receipt Number:
Amount Received:
Received By:
. JOURNWR JOB NO. qqo~R4-P:,
ATTACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
~,..., "SC.t-4/lMAN'
LOCATION:
-::?? 54- GAM"'- FA.I2.M K'n.
DEVELOPMENT TYPE:
L..A(i.. 'Cb12.:T A()n, {'tOY\..)
BUILDING SIZE:
LOT SIZE
SO, Ft,
1. STORMDRAINAGE; ,,~.....J2.~- ,,,,,1.4= 3100
IMPERVIOUS SO, FT,
~o
X $0,227 PER SO, FT, $ 8 1.72
2, SANITARY SEWER-CITY
NO, OF PFU'S
(See Reverse Side)
X $47,14 PER PFU
$ :=J
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $475,32
$ -e-
X
X $475,32
$
4, SANITARY SEWER-MWMC
A, REIMBURSEMENT COST:
NO, OF FEU'S'
X
PER FEU
$
~
"--"'
B, IMPROVEMENT'COST:
NO, OF FEU'S
X
PER FEU
$
MWMC CREDIT 'IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ , >
$ 10,00
TOTAL-MWMC SDC
$
~
~
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5: ADMINISTRATIVE FEE~:
BASE ~(SUBTOTAL ABOVE) X ,05
~, Date:_S:,.::-'~
SDC Coordinator
ATTACH' A, WPD
$
81,7'2-
$
4, (')q
TOTAL SDC
$ 8S- . R I
:.'..,....
FIXTURE UNIT CALCUL~ON TABLE: N~mber of New Fixt. Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only.NET additional fixtures) , ,
NUMBER OF UNIT FIXTURE
FIXTURE'TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub"",.",..""".,..,."""""".,....".,.,.".,..",.,..,....,., .
Drinking Fountain"""""".,.",..""""",.,..,.,.,.""""""
Floor Drain.,.."...... .,. ... ...... ..".. ..,..., ...,.,., ..........., ,., ,. ,.
Interceptors For Grease/OiI/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., ..,c....,.., .....,.......... ,.....,..,.,....,..
Shower, Gang"..,.. ...,..,.. ............ ,..... ,. ....,.,." ....,......,
Sink: Bar, Commercial, Residential Kitchen.......................,
Urinal, StaIl/Wall.,... ..,..,..,...." ..,.,.,.,.,...,.,..,..,..",.,., ,.,
Wash Basin/Lavatory, Single..,....,....,...",........".,."
Toilet, Public Installation......".., ...... .,.. ,...,.,."....,...,
Toilet, Private..,..,.. ...,.., ....., '.. ....,.....,.,.,.,... ........."
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
TOTAL FIXTURE UNITS
=
CREDIT CALCULATION TABLE:
,cialCUlate credits sepa~tes,
Year
Annexed
Based on assessed value, If improvements occurred after annexation date in table,
l
Rate per $1,000
, Assessed Value
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
19BO
19B1
1982
19B3
1984
1985
1986
1987
1988
$4,27
4.18
4,12
3,99
3.83
3,68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994,
1995
1996
1997
$1,98
1,55
1,15
0.96
0.83
0.67
0.52
0.38
0.21
Improvement (if after annexation date)
X $ =
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Credit for Parcel or Land Only If Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential.,....,.........."........O,4
Commerical.,......,......,......." 0,9
Industrial....,....................... 05
Governmental.,................,... 0,5
FIXUNIT,WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
,
~,
Page 1
ENGINEERING DIVISION , DEVELOPMENT PLAN REVIEW
RESIDENTIAL UNIMPROVED STREET
Developer, TOM SCHUMAN
Mail Address: 3254 GAME FARM
Tax Lot #: 1703221318900
Subdivision:
ROAD SPRINGFIELD,
Project Address:
Lot: Blk:
Job No,: 990384
OREGON 97477Phone #: 726-1662
3254 GAME FARM RD
Eng, Rev, No,: Book:
Street Gravel Ac Mat
3254 GAME FARM RD
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
NONE
N
N/A
N/A
N/A
Existing Curbcut: N
Comments: COUNTY STANDARD ROAD AND DRIVEWAY
ENGINEERING REQUIREMENTS
Additional Right of Way:
Improvement Agreement:
Easements:
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344
Location From N, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
Make Connection: EXISTING SEPTIC SYSTEM
Comments: NO CONSTRUCTION OVER SEPTICE SYSTEM - FIELD LOCATE
STORM SEWER
Available: N
Pipe Downspouts And Drains To: BAR DITCH OR DRYWELL
Pipe Parking Lot Drainage To: N/A
Comments: MAY CONNECT TO A EXISTING APPROVED ROOF DRAIN SYSTEM - FIELD CHECK
CONTACT MAINTENANCE DIVISION AT 726-3761 FOR CULVERT SIZE AND DEPTH.
SIDEWALK AND DRIVEWAY INFORMATION
New Curbcut Appr,: N
Sidewalk Permit: N
Curbcut Permit: N
Comments: UNIMPROVED STREET
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required:
Sanitary Sewer In Lieu Of Assessment:
SPECIAL NOTES AND REQUIREMENTS
All work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. All existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City, The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By: DENNIS ERNST
Date: 04/01/99
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION