HomeMy WebLinkAboutPermit Building 1998-3-24
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SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 9B02B2
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 6B55 HOLLY ST
Assessors Map #: 18020314
Lot: Block:
Tax Lot #: 00100
Subdivision:
Owner: ANN VANCAMP
Address: 6855 HOLLY STREET
Phone #: 726-8296
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: ENCLOSE PATIOIADD DECK ADDITION
Canst.
Contractor Contractor # Expires Phone
General: PATIO CRAFTERS 0120219 02/10100 -2!2B 22~
110 MAIN ST SPRINGFIELD OR 97477000 ?ft7-ol"lL
QUAD AREA: 4RSE
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 ~()77~7::0 a.m. will be made the following work day.
THIS-- ~QUIRED INSPECTIONS ---
FOOTING - After tren~es ff~ANr~~ated.
POST AND BEAM - Prior 4.1:HrJPlBR!i i:'li'S\!1.~ or decking.
ROUGH ELECTRICAL - rfJfi>MMl/~Ii~[)ER 7't. 'E /F THE 1M
FRAMING - Prior to ~r. NCEDO~'riISPEFl OR/(
FINAL ELECTRICAL - w1ieJ~'p'~d:~~~ffi~~1/8</1l(ffete.
FINAL BUILDING - When all requ~~jnspe~~~ve been approved and
the building is complete.
Lot Faces: S
Lot Type: INTERIOR
Setbacks
N S W E
100
Accessory
Item
Main
Garage
PATIO ENCLOSURE
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
40B
Value
0.00
0.00
16,000.00
16,000.00
Building Permit Fee
Surcharge/Admin
116.50
9.33
TOTAL FEE
(A)
125.B3
--- PLUMBING PERMIT ---
Item
Storm Sewer
Fee
25.00
Plumbing Permit
SurchargelAdmin
25.00
2.00
TOTAL CHARGE
(C)
27.00
....
SPAINCFIELD
Job Number: 980282
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--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
STORM SDC
0.00
96.82
TOTAL MISCELLANEOUS PERMITS
(E)
96.82
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
249.65
--- 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: DON
Building Site Reviewed
75.73
Date Paid: 03/09/98
Receipt Number: 29029
MOORE Date: 03/19/98
By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
ADDITION TO BE USED AS A SUNROOM ONLY
A SEPARATE ELECTRICAL PERMIT IS REQUIRED FOR ANY ADDITION, EXTENSION ORR
MODIFICATION OF THE ELECTRICAL SYSTEM.
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 :1'a11 times during construction.
~ _ &2;..h.-?:-L .3 - zf- 'l~
Signa't,a:"e /.~ Date
....
SPRINGFIELD
Job Number: 980282
Receipt Number:
Date Paid:
Amount Received:
Received By:
r4Q i ~qIDATION
c3~ 4.qi(
<<~.roj
fJ\~
Page 3
NAME OR COMPANY.
. JOB NO.Qg02R'"2-
. ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
.4AJN ~N ~/VIjJ
G8S5 !-lOLLY sr
.
LOCATION
DEVELOPMENT TYPE:
-So F: K.
BUILDING SIZE
lOT SIZE
SO, Ft,
1. STORM DRA I Ni\GE
/2 "7''34- =
IMPERVIOUS SO, FT,
4-0~
X $0,226 PER SO, FT, $ q2.., 2./
2. SAN TTARY ,)F!,ER -CfTY
NO, OF PFU'S
(See Revecse Side)
X $46,86 PER PFU
$ 0
3. TRANSPORTATION
'NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $47249
$ $--
x
X $472.49
$
x
X $472 49
$
4. SANTTARY ')EWFR-MWMr.
NO. OF FEU'S
x
PER FEU + $10 MWMC/ADM FEE $ ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAl -MWMC SDr. $
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 92. , 2.)
5. ADMTNTSTRATTVF FFF,)
BASE CHARGE (SUBTOTAL ABOVE) X .05 ' $ 4, CO{
~. Date:3-/Z.-9~
SDC Coordinator TOTAL snc $ '1'G. 82-
.. .". VI 'L. VI\I' I ,,",ML,,",ULM I IVI" I MDLl:.. Number or New Fixtures X Unit Equivalent; Fixture UQjts. .
(NOTE: For remodels, calculate onee NET additional fixtureS). .
. 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 Wash/Etc..................
Laundry Tub/Clotheswasher...................................
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower. Single StaiL...................... ..........................
Shower. Gang..........................................................
Sink: Bar. CommerCial. Residential Kitchen....:...................
Urinal, Stall/WaiL......................................................
Wash Basin/Lavatory, Single... .......... .....................
Toiiet, Public Installation.. ......... ..... ........................
Toilet, Private........................ ........ .......................
Miscellaneous:
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
=
CREDIT CALCULATION TABLE:
calculate credits separates.
II
8ased on assessed value. If improvements occurred a'tter 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 Appiicable
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)
Residencial... :................... .... 0.4
CommericaL........................ 0.9
IndustriaL........................... 05
GovernmentaL..................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1,000
Assessed Value
II
I
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17