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HomeMy WebLinkAboutPermit Building 1997-9-29 v . . SPRINQFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971363 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4687 HOLLY ST Assessors Map #: 18020512 Lot: 1 Block: Tax Lot #: 09005 Subdivision: HAIDYN MEA Owner: LOUIS BAILEY Address: 4687 HOLLY STREET Phone #: 988-0274 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: PORCH & PATIO ADDITION Contractor Canst. Contractor # Expires Phone General: RH CONSTRUCTION 0050899 5655 Mt Vernon Rd Springfield OR 97 05/13/98 746-9439 QUAD AREA: 3RSC CONSTR. TYPE: VN OFFICE USE LAND USE: 1111 ZONING CODE: LDR 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. FRAMING - Prior to cover. FINAL BUILDING - When all required inspections have been approved and the building is complete. Total Height: 8 Lot Type: INTERIOR Setbk From NPL: 60 Solar Approved: Y Item Main Garage PATIO ROOF Total Value BUILDING PERMIT --- Square Feet x $/Square Feet 380 14.47 Value 0.00 0.00 5,499.00 5,499.00 Building Permit Fee surcharge/Admin 56.50 4.53 TOTAL FEE (A) 61. 03 PLUMBING PERMIT Item Storm Sewer 10 Fee 25.00 Plumbing Permit Surcharge/Admin 25.00 2.00 TOTAL CHARGE (Cl 27.00 --- MISCELLANEOUS PERMITS --- Surcharge/Admin 0.00 r . . SPRINGFIELD /:tl'~ Job Number: 971363 Page 2 STORM SDC 94.92 TOTAL MISCELLANEOUS PERMITS (E) 94.92 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 182.95 --- 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. Received By: Plans Reviewed By: DON MOORE Date: 09/26/97 Building Site Reviewed By: LISA HOPPER - -- ADDITIONAL COMMENTS --- OPEN PATIO ROOF, LAPPED OVER EXISTING ROOF SEPARATE PERMIT WILL BE REQUIRED FOR ANY MODIFICATIOON OR EXTENSION OF ELECTRIC 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. ~~ Signature / d/~ oIl/! );9 - -- VALIDATION Receipt Number: ?-;?..., ~? Date Paid: ~ -;29 ''''-7 /.IlC? . 9s ~~~r' ~_ - .r ... Amount Received: Received By: r ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . ~ JOB NO. en /3C,3 NAME OR COMPANY: {<'Jill'" 1/ &/l.BRA B,(JILEY LOCATION: 1-0/0 J!oLLY' OEVELOPMENT TYPE: Pc,t2.CI+ AIJI.J/7"'o;l/ BUILDING SIZE " . ~r I aT SIZE so. Ft. 1. STORM I1RA HIAGE IMPERVIOUS SO. FT. 400 S F 2. SANITARY SFwFR.CITY NO. OF PFU'S (See Reverse Side) 3. TRANSPORT,tl.TTON X $0.226 PER SO. FT. $ 90 , 40 X $46.86 PER PFU $ --6- 'NO OF UNITS X TRIP RATE X COST PER TRIP X X $472.49 $ -&-- X X $472.49 $ X X $472.49 $ 4. SANITARY SFWFR.MWMC NO. OF FEU'S X PER FEU + $10 MWMC/ADM FEE $ -t7- MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl -MWMC SI1C $ SUBTOTAL (ADD ITEMS 1,2.3 & 4) $ "'(C). 40 5. AI1MINISTRATTVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 4.'>z." fJi, Date: 9-/1, -'1r;; SDC Coordinator TOTAl SOC $ Q4,92.- . n^ I un~ UI~" VML.VUO.1' 'U.~ I M.i:lL~..I~umoer or New t-I.S X Unit Equivalent = Fixture Units. 1 (NOTE: For remodels, 'calculate o~he NET additional fixtures) 1 NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub........ .....'.. .............,.,........, ........ ............ ......'.. Drinking. Fountain.................,.,.,................ .......... ..... Floor Drain.... ...~.. ........................................ ...... ........ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto WashiEtc.................. Laundry Tub/Clotheswasher.................. ...... ............ Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailerl.................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.............. ................................... Shower, Gang................................. ........... .... .......... Sink: Bar. CommerCial. Residential Kitchen........................ Urinal, Stall/WaiL............................. ....... ......... ......... Wash Basin/Lavatory, Single................................., Toilet, Pubiic 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: calculate credits separates. r Based on assessed value. if improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed 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 If 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) FiesidenriaL..:.......................O.4 Commerical......................... 0.9 IndustriaL........................... 0 5 Governmental...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value -, I $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17