HomeMy WebLinkAboutPermit Building 1997-1-30
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970030
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 47 KREMONT WAY
Assessors Map #: 18030233
Lot: Block:
Tax Lot #: 03700
Subdivision:
OWner: PHYLLIS ELCE
Address: 47 KREMONT WAY
Phone #:
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: BDRM ADDIT/LIVING REMODEL
ADDITION
Contractor
Const.
Contractor #
Expires
Phone
General:
HANSEN BROS
1070"1'1
-:I'
06/19/97
954-1812
QUAD AREA: 5RSW
OFFICE USE
LAND USE: 1150
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.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking wall/ceiling; Prior to cover
ROUGH ELECTRICAL - Prior to cover.
I FRAMING - Prior to cover.
INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
House
N
27
S
21
W
6
Setbacks
E
Lot Faces: S
Item
Main
Garage
REBUILD F.R.
CONVERT DECK TO B.R.
Total Value
BUILDING PERMIT ---
Square Feet x
$/Square Feet
=
Value
0.00
0.00
5,496.00
7,759.00
13,255.00
170
120
32.33
64.66
Building Permit Fee
Surcharge/Admin
104.50
8.37
TOTAL FEE
(A)
112.87
SPRINGFIELD
Job Number: 970030
Page 2
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B)
77 .34
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- MISCELLANEOUS PERMITS ---
surcharge/Admin
ADD'L PLAN REVIEW
0.00
40.00
TOTAL MISCELLANEOUS PERMITS
(E)
40.00
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
230.21
--- 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: 52.33 Date Paid: 01/10/97
Received By:
Plans Reviewed By: DON MOORE Date: 01/28/97
Building Site Reviewed By: LISA HOPPER
Receipt Number: 24279
--- ADDITIONAL COMMENTS ---
REBUILDING F.R. ADD'N (PERMIT#951717 A) AND CONY. DECK TO B.R.
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.
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.
.n(lJ;t. .
~ature
j- '30-7/
Date
SPRINGFIELD
Job Number: 970030
Receipt Number:
Date Paid:
Amount Received:
Received By:
-- - VALIDATION
'2114 2-
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Page 3
SPRINGFIELD
~-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: PHYLLIS ELCE
Location: 47 KREMONT WAY
Deve10pement Type: R Building Size:
Job No.: 970030
Lot Size:
l. STORM DRAINAGE
Impervious Sq Ft 341 X 0.216 Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 0 X 44.75 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
Trip Rate
X
Cost Per Trip
X
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: DENNIS ERNST
Date: 01/13/97
Page 1
Sq Ft
$73.66
$0.00
$0.00
$0.00
$0.00
$0.00
$73.66
$3.68
$77 . 34
Job Number: 970030
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
TOTAL FIXTURE UNITS =
Number of
New Fixture
Unit
Equivalent
Fixture
Uni ts
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
2
1
6
4
o
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 TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)