HomeMy WebLinkAboutPermit Building 1997-9-29
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SPRINQFIELD
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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
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SPRINGFIELD
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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.
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Signature /
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oIl/! );9
- -- VALIDATION
Receipt Number: ?-;?..., ~?
Date Paid:
~ -;29 ''''-7
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Amount Received:
Received By:
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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
" .
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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.
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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