HomeMy WebLinkAboutPermit Building 1997-2-19
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SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970151
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 634 EDGEMONT WAY
Assessors Map #: 17033413
Lot: Block:
Tax Lot #: 03100
Subdivision:
Owner: LINDA BECKSTROM
Address: 634 EDGEMONT WAY
Phone #: 726-6569
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: CONVERT GAR TO BEAUTY SAL
REMODEL
Contractor
Const.
Contractor #
Expires
Phone
General: LEACH 0095682
115 EAST 33RD, EUGENE
Electrical: HAUCK 0013817
37370 CAMP CREEK ROAD, SPRINGFIE
02/24/97
686-3045
05/01/97
726-7040
QUAD AREA: 1RNW
OFFICE USE
LAND USE: 1111
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 ---
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
FRAM~NG - 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 all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
Item
Main
Garage
INTERIOR REMODEL
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
= Value
0.00
0.00
12,156.00
12,156.00
Building Permit Fee
Surcharge/Admin
98.50
7,89
TOTAL FEE
(A)
106.39
SPRINOFIELD
Job Number: 970151
Page 2
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B)
614.79
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved,
PLUMBING PERMIT ---
Item
Fixtures
2
Fee
20.00
Plumbing Permit
Surcharge/Admin
20.00
1.. 60
TOTAL CHARGE
(C)
21..60
Vent Fan
MECHANICAL PERMIT - - -
1
3,00
Mechanical Permit
Issuance
surcharge/Admin
15.00
10,00
1.. 20
TOTAL PERMIT
(D)
26.20
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
.E{c3.c:fY< I~
768.98
1-1,~
~/,,2.0
--- 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 o.rdinance 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: 64.03 Date Paid: 01/22/97
Received By: DON MOORE
Plans Reviewed By: LORNE PLEGER Date: 02/11/97
Building Site Reviewed By: LISA HOPPER
Receipt Number: 24366
--- ADDITIONAL COMMENTS ---
VERIFY Ho.ME OCCUPATION APPROVAL WITH SARAH SUMMERS
PRIOR TO. ISSUANCE
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.
SPRINGFIELD
~-
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Job Number: 970151
I'
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
y;::~~:"~"T ~'~::' OOO",=OH=VY+\_41
/Signa~ /~te
-- - VALIDATION
Receipt Number:
2 t{~ bl
1.,.14 -q7
.g13.~
W"
Date Paid:
Amount Received:
Received By:
SPRINGFIELD
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
Developer: LINDA BECKSTROM Job No,: 970151
Mail Address: 634 EDGEMONT WAY SPRINGFIELD, OREGON 97477 Phone #: 726-6569
Tax Lot #: 1703341303100 Project Address: 634 EDGEMONT WAY
'Subdivision: Lot: Blk: Eng. Rev. No.: Book:
Street Gravel Ac Mat
634 EDGEMONT WAY
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
Y 5 FEET
6:1 FLAIRS
Existing Curbcut: Y Width: Ft Flairs:
Comments: NO CHANGE IN DRIVEWAY PROPo.SED
Ft
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvement Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344
Available: Y Stubbed Out To Property Line: Y Depth: 4-6 Ft
Size of Line: 8 In. Tee: 6 In.
Location From N, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
Make Connection: NO NEW CONNECTION PROPOSED
Comments: NO CHANGE TO CONNECTION AND SERVICE LINE
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: CURBS & GUTTERS OR STORM SEWER
Pipe Parking Lot Drainage To: N/A
Comments: NO CHANGE IN ROOF PROPo.SED. USE EXISTING DRAIN SYSTEM
New Curb cut Appr.: N
Sidewalk Permit: N
Curbcut Permit: N
SIDEWALK AND DRIVEWAY INFORMATION
STANDARD
Comments: NO. CHANGE TO SIDEWALK OR DRIVEWAY PROPOSED
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
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: 01/28/97
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION'
SPRINGFIELD
,
,
I'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / INDUSTRIAL)
Name or Company: LINDA BECKSTROM
Location: 634 EDGEMONT WAY
Developement Type: C Building Size:
1. STORM DRAINAGE
Impervious Sq Ft 1,0 X 0
2. SANITARY SEWER
Number Of PFUs
(see Page 2)
- CITY
1.0 X 3
3. TRANSPORTATION
Number Of Units
1.0 X 1 X
X Trip Rate
1. 000 X
Transportation Total
4. SANITARY SEWER - MWMC
Number o.f PFUs
o
MWMC CREDIT If Applicable (see Page 2)
To.TAL - MWMC SDC
SUBTOTAL - (Add Items I, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
TOTAL SDC
Reviewed By: TROY MCALLISTER
X
X
0,216
44.75
Job No.: 970151
Lot Size:
Per Sq Ft =
Per PFU
X
Cost Per Trip
451. 26
$451.26
X
X
Per PFU + MWMC Admin Fee
20.690
0.50
Date: 01/29/97
Page 1
Sq Ft
$0.00
$134.25
$451. 26
$0.00
$0.00
$0.00
$585.51
$29.28
$614.79
Job Number: 970151
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
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
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
To.TAL FIXTURE UNITS
Number of
New Fixture
Unit
Equivalent
Fixture
Units
o
o
o
o
o
o
o
o
o
o
o
1
o
1
o
o
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
o
o
o
o
o
o
2
o
1
o
o
o
2
2
1
6
4
3
CREDIT CALCULATIo.N TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
0.00
X
0.00
o
X
0.00
0.00
CREDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)