HomeMy WebLinkAboutPermit Building 1998-8-24
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980950
225 North Fifth Street
Springfield, OR 97477
Office, 726-3759
Inspection Line, 726-3769
Location of Proposed Work: 6855 GLACIER DR
Assessors Map #, 18020311
Lot, Block,
Tax Lot #, 02600
Subdivision:
Owner: DAVID KELLEY
Address, 6855 GLACIER DRIVE
Phone #, 998-2300
City/State/Zip, SPRINGFIELD, OREGON 97478
Describe Work: RV COVER
NEW
Contractor
Canst.
Contractor #
Expires
Phone
General:
OWNER
QUAD AREA, 4RSE
OCCY GROUP, U
OFFICE USE --
LAND USE, 1111
CONSTR, TYPE, VN
ZONING CODE, LDR
SQ FOOTAGE: 624
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 daYI
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, 13
Solar Approved, Y Lot Type,
INTERIOR
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
0.00
6,889.00
Building Permit Fee
Surcharge/Admin
62.50
5.01
TOTAL FEE
(AI
67.51
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
CITY SDC
0,00
148 , 73
TOTAL MISCELLANEOUS PERMITS
(E)
148.73
--- TOTAL AMOUNT DUE
(Excluding Electrical) (A't B, c, D,
unle~~~~~~ requires you, .0
1\ I I . d b the Oregon UtIlity
follow rules adopte Y e rules are set forth
Notification Center. Thos hOAR 952.001.
. OAR 952 001.0010throug b
In - btain copies of the rules Y
0090. You may 0 (Note'.\hetelephone
calling the center. Utility Notification
number for the. Oregon 332.2344).
Centens 1-800- .
and E combined)
216.24
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 rwt PERIOD.
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Job Number, 980950
Page 2
--- 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, 40.53 Date Paid, 07/30/98
Received By,
Plans Reviewed By, AL WARD Date: 08/19/98
Building Site Reviewed By: LISA HOPPER
Receipt Number, 30932
--- ADDITIONAL COMMENTS ---
THIS STRUCTURE CANNOT EXCEED THE HEIGHT OF THE
RESIDENCE
DRIVEWAY REQUIRED TO BE PAVED
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W6~5
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 ORB 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.
il;A~5tt
%-2 '-/- frf'
Date
-- - VALIDATION
Date Paid:
(),/ / f/)"
<t/J-l-f/rr
z,1 (,. Z t.f I
vJW~
Receipt Number:
Amount Received:
Received By'
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JOURNMliPR JOB NO.
ATIACHMENT A ..
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
.
NAME OR COMPANY:
OAv,O kEc.LE.Y
LOCATION:
I~B<;'S Co LACIā¬R.
DEVELOPMENT TYPE: (;,qel'lc:.e ADDI"'DN /~V COVett
, BUILDING SIZE:
2.4 x 2.e;.-',dOOr1l0~fI)LOT SIZE
~
,
SQ. Ft,
1. STORM DRAINAGE
IMPERVIOUS SQ, FT. C ;,.Jail-Cf.d.. X $0,227 PER SQ. FT. $ /4-1,&5
2: SANITARY SEWER-CITY
NO. OF PFU'S tJ/A X $47.14 PER PFU $ 'N /p..
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP'
X X $475,32 $ t-J fA
X X $475,32 $ !oJ/A
4, SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF, FEU'S' X PER FEU $ /JIlt
B. IMPROVEMENT COST:
NO. OF FEU'S X PER FEU $ rJlA
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ ~IA .>
MWMC ADMINISTRATIVE FEE $ HUlQ
TOTAL-MWMC SDC $ \oj I A
SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ I tl.!. '5
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 7,0fJ
SDC Coordinator
ATTACH' A. WPD
Date: $& 19/i'
I /
TOTAL SDC $ /98. 7~
4IJ5(...
FIXTURE UNIT CALCUIMION TABLE: Number of New Fi. X Unit Equivalent ~ FixturOlUnfts:.
(NOTE: For remodels, calculate onl~e 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 Stall.,...,..........,.,.................,....,...,..,
Shower, Gang..,....,.....,.,.,..,.,....,........,...........,...,....,
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stall/Wall..,..,..,....,.,.,..,......,..........,.,...........,..
, Wash Basin/Lavatory, Single..................................
Toilet, Public 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
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CREDIT CALCULATION TABLE:
calculate credits separates,
I
Based on assessed value, If improvements occurred after annexation date in table,
Year
Annexed
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
Credit for Parcel or Land Only If Applicable
X $ ~
(Rate X Assessed Value)
X $ ~
(Rate X Assessed Value)
CREDIT TOTAL
Improvement (if after armexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purpo'ses Only)
ResidentiaL......,....,.........,.... 0.4
CommericaL........,........,....., 0.9
Industrial..:.........;,............... 05
GovernmentaL,.:;..:...,........... 0.5
FIXUNITWPD
IMPERVIOUS AREA ~ TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1,000
, Assessed Value
$1.98
1.55
1,15
0.96
0.83
0.67
0,52
0.38
0.21
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~ $
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