HomeMy WebLinkAboutPermit Building 1996-12-2
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDIllG SAFETY
Job Number: 961532
225 North Fifth Street
Springfield, .oR 97477
.office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5409 IVY ST
Assessors Map #: 18020400
Lot: Block:
Tax Lot #: 00300
Subdivision:
owner: BARBARA PARMENTER
Address: 5409 IVY STREET
Phone #: 746-1461
City/State/Zip: SPRINGFIELD, .oREG.oN 97478
Describe Work: ATTIC CONY/ROOF ALTER
REMODEL
. Contractor
Canst.
Contractor #
Expires
Phone
General:
OWNER
746-1461
Plumbing: .oWNER
Mechanical: .oWNER
Electrical: JIM FARMER
0071637
02/04/94
852-7277
QUAD AREA: 3RSC
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.
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 all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
C.oNV.ATTIC TO BR/BA
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
=
Value
0.00
0.00
5,819.00
5,819.00
90 64.66
Building Permit Fee
Surcharge/Admin
56.50
.4.53
TOTAL FEE
(A)
61. 03
SPRINGFIELD
Job Number: 961532
Page 2
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B)
328.91
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLtJMBING PERMIT ---
Item
Fixtures
3
Fee
30.00
Plumbing Permit
surcharge/Admin
30.00
2.40
TOTAL CHARGE
(C)
32.40
Vent Fan
EXTEND DUCTS
MECHANICAL PERMIT - - -
1
3.00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
15.00
10.00
1. 20
TOTAL PERMIT
(D)
26.20
(Excluding Electrical)
unless otherwise noted
T.oTAL AMOUNT OUE
(A, S, C, D, and E combined)
448.54
--- 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: D.oN
Building Site Reviewed
36.73
Date Paid: 11/12/96
Receipt Number: 23770
MO.oRE Date: 11/19/96
By: LISA H.oPPER
- - - ADDITIONAL COMMENTS
VERIFY ELECTRICAL C.oNTRACT.oR. NO FILE UNDER
JIM FARMER F.oUND
PATH 1; SEPARATE 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.
SPRINGFIELD
Job Number: 961532
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
on the site at all times during construction.
V /;l-;L-J'?-
bate
--- VALIDATION
Date Paid:
2?f13f5
r2~1-q h
'11{ q . t:;'-I
U;~ .
Receipt Number:
Amount Received:
Received By:
.
SPRINOFIELD
.
. ,
~-
.
CITY OF SPRINGFIELD SYSTEMS OEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: BARBARA PARMENTER
Location: 5409 IVY ST
Developement Type: R Building Size:
Job No.: 961532
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft
o
0.216
x
Per Sq Ft
2. SANITARY SEWER - CITY
Number .of PFUs 7
(see Page 2)
x
44.75
Per PFU
3. TRANSPORTATION
Number .of Units
Trip Rate
x
x
Cost Per Trip
Transportation Total
4. SANITARY SEWER - MWMC
Number .of PFUs
o
x
X
Per PFU + MWMC Admin Fee
20.690
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: TR.oy MCALLISTER
Date: 11/13/96
Page 1
Sq Ft
$0.00
$313.25
$0.00
$0.00
$0.00
$0.00
$313.25
$15.66
$328.91
Job Number: 961532
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
T.oTAL FIXTURE UNITS
Number of
New Fixture
Unit
Equivalent
Fixture
Units
1
o
o
o
o
o
o
o
o
o
o
o
o
1
o
1
o
2
1
2
3
6
2
6
1
3
2
2
o
o
o
o
o
o
o
o
o
o
o
o
1
o
4
o
2
2
1
6
4
7
CREDIT CALCULATION 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
X
0.00
0.00
o
X
0.00
0.00
CREDIT T.oTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)