HomeMy WebLinkAboutPermit Building 1997-12-8
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BPRINQPIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971451 ~
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 625 FAIRVIEW AV
Assessors Map #: 17032742
Lot: Block:
Tax Lot #: 02300
Subdivision:
Owner: MARIA SANTOS
Address: 635 JACK CREEK ROAD
Phone #: 836-2329
City/State/Zip: DRAIN, OREGON
Describe Work: REMODEL/GARAGE & ATTIC CO REMODEL
Canst.
Contractor Contractor # Expires Phone
General: BARONTI CONSTRU 0068497 '09/02/98 OWNER
1670 Best Lane Eugene OR 974010000
QUAD AREA: 5RNW
OFFICE USE
LAND USE: 1111
FLOOD PLAIN: Y
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,
UNDERFLOOR PLUMBING - Prior to insulation or decking,
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,
FINAL ELECTRICAL - When ~ll electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
ATTIC CONVERSION
GARAGE CONVERSION
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
0.00
6.899.00
0.00
6.899.00
Building Permit Fee
Surcharge/Admin
62.50
5.01
TOTAL FEE
(A)
67.51
.
SPRINGPIELD
Job Number: 971451
Page 2
PLUMBING PERMIT ---
Item
Fixtures
o
Fee
40.00
Plumbing Permit
Surcharge/Admin
40.00
3.20
TOTAL CHARGE
(C)
43.20
Vent Fan
Dryer Vent
MECHANICAL PERMIT - --
2
6.00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
15.00
10.00
1.20
TOTAL PERMIT
(D)
26.20
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
CITY SDC
STRUCT.ANALYSIS
0,00
344,47
150,00
TOTAL MISCELLANEOUS PERMITS
(E)
494.47
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE ---
(A, B, C, D, and E combined)
~ ~,.7 (//",.,9)
631. 38
S:~.",,-
~ (b\l.'5"'. ~ ~
--- 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: DON
Building Site Reviewed
116.68
Date Paid: 11/03/97
Receipt Number: 27885
MOORE Date: 12/08/97
By: LISA HOPPER
- - - ADDITIONAL COMMENTS
PLOT PLAN NOT REQUIRED PER SITE VISIT BY TOM
MARX
MIN. COMPONENT PATH (MODIFIED IN GARAGE); r3EP'AR!'.'rE ELEkuu,""':'" "'-,'..u ~" "'-" "fl".
THESE FEES ARE FOR REMAINDER OF WORK TO CONVERT ATTIC AND GARAGE TO LIVING SPACE
MUST PROVIDE TWO PARKING SPACES ON THE SITE WITHOUT EXTENDING INTO RIGHT-OF-WAY.
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.
,,, , .,
SPRINQFIELD
Job Number: 971451
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
,:;;~~~ ~e ~ll :imes during construction.
r~77
sitature
Date
--- VALIDATION
Date Paid:
::2.e. 2.L'J.J
n/eh :;)
( I
~'AS-.:i J
-d~
Receipt Number:
Amount Received:
Received By:
. M NO.Q714,>/
ATTACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
MARIA
,'SA IJfO C;
LOCATION:
DEVELOPMENT TYPE:
R E "'.:>,(lE"I.. .-.,C= .5. F: j:2.
BUILDING SIZE
LOT SIZE
<;0. Ft.
1, STORM ORA I NAGF No R.o~'" ".."'... ADDEO
IMPERVIOUS SO, FT.
2. SANITARY SF4FR-rITY
NO, OF PFU'S ?
(See Reverse Side)
3. TRANSPORTATiON
X $0,226 PER SO, FT, $ GL-
X $46,86 PER PFU
$ 32.8. 0'2--
'NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $472.49
$ ~
X
X $472 49
$
X
X $472,49
$
4, ~ANITARY SFWFR-MwMr
NO, OF FEU'S
X
PER FEU + $10 MWMC/ADM FEE $ ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAl -MWMr sor $
SUBTOTAL (ADD ITEMS 1. 2 ,3 & 4) $ <;'7~ , O"l.-
5, AOMINTSTRATIVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05'
{} ,9Lx-
$
II~. .40
Date: 1I-1'~-q7
SDC Coordinator
TOTAL snr $ ~44- , +2...
.. "". v. U... '-"... I ""'I""'\L",",VL~ I 1\.11'1 I ",",UI-L.. I'-Iumoer or l'Jew.ures X Unit Equivalent = Fixture Ynits _.
(NOTE: For remodels. calculat. the 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 SandlAuto WashiEtc,.,..............,
Laundry Tub/Clotheswasher"....,..,...,..,.... ....." ..."..
Clotheswasher - 3 Or More,...,.........,............,.....,...
Mabile Home Park Trap 11 Per Trailer!.,.....,....,....,
Receptor For Relrigerator/Water Station/Etc........
Receptor For Commercial Sink/Oishwasher/Etc,.
Shower, Single Stall....... ......"..,..,.. ..........................
Shower, Gang."......,....""...,.."""",.,..,..,.,.."..",."...
Sink: Bar. CommerCial, Residential Kitchen........................
Urinal. StaIl/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:
calculate credits separates.
I
2-.
4
Based on assessed value, II improvements occurred after annexation date in table.
Year
Annexed
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
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Credit for Parcel or Land Only II Applicable
X $
(Rate X Assessed Value)
X $
. (Rate X Assessed Value)
=
Improvement (if after annexation date)
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
fiesidential",:..,...,........,.....,. 0.4
Commerical..........."..,...,..... 0,9
Industrial............................ 05
Governmental...................... 0,5
IMPERVIOUS AREA. = TOTAL LOT 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