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HomeMy WebLinkAboutPermit Building 1999-2-18 ~ . SPRINGFIELD Page 1 ;RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990163 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 618 HAMILTON ST Assessors Map #: 17033412 Lot: Block: Tax Lot #: 06300 Subdivision: Owner: WARREN HENCH Address: 618 HAMILTON STREET Phone #: 741-0641 City/State/zip: SPRINGFIELD, OREGON 97477 Describe Work: ADDITION TO RESIDENCE ADDITION Contractor Const. Contractor # Expires Phone General: OWNER Mechanical: OWNER Electrical: OWNER QUAD AREA: 1RNW ZONING CODE: LDR VN SQ FOOTAGE: 418 OFFICE USE -- LAND USE: 1111 OCCY GROUP: R3 # OF BLDGS: 1 CONSTR, TYPE: 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,ffi. will be made the following work day." REQUIRED INSPECTIONS, - -- FOOTING - After trenches are excavated, FOUNDATION .- After forms are erected but prior to concrete POST AND BEAM' - Prior to floor insulation or decking. UNDERFLOOR DRAIN - Prior to cover or placement of concrete. INSULATION - Floor; prior to decking wall/ceiling; Prior ROUGH ELECTRICAL - Prior to cover, ROUGH MECHANICAL - Prior to cover. FRAMING - Prior to cover. INSULATION - Floor; prior to decking DRYWALL - Prior to taping, STORM SEWER LINE - Prior to filling trench, FINAL MECHANICAL - When all mechanical work is FINAL ELECTRICAL - When all electrical work is FINAL BUILDING - When all required inspections the building is complete, placement. to cover Wall/Ceiling; Prior to cover complete, complete. have been approved and Lot Faces: S Solar Approved: Y Lot Sq. Ft,: 8976 Setbacks Total Height: 12 N S W 12 E 6 House Item Main Garage ROOM ADDITION BUILDING PERMIT --- Square Feet x $/Square Feet 418 69,64 Value 0.00 0.00 29,110.00 ;. Job Number, 990163 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, D, C, D, and E combined) Page 2 29,110.00 188.50 15,09 (A) 203,59 6,50 15.00 10.00 1.20 (D) 26.20 0.00 114.65 (E) 114.65 344.44 Total Value Building Permit Fee Surcharge/Admin TOTAL FEE --- MECHANICAL PERMIT --- GAS LINE & F,P, Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT MISCELLANEOUS PERMITS --- Surcharge/Admin CITY SDC TOTAL MISCELLANEOUS PERMITS --- 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 145.45 Date Paid, 02/02/99 Receipt Number, 32763 MOORE Date, 02/16/99 By, LISA HOPPER ADDITIONAL COMMENTS 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. S~~4 2--/PP9 Date , . SPRINGFIELD Job Number: 990163 Receipt Number: Date Paid: Amount Received: Received By: , ~, --- VALIDATION ~2-:f!,r~ ~ 0'r"' -:<4.t, ~-f -'#~ _# I ~ Page 3 JOURNAL OR JOB NO, , . ATTACHMENT A qO;o/~3 CITY OF SP~GFIELD SYSTEMS DEVEL~ENT CHARGE WORKSHEET 10 -'- NAME OR COMPANY: 1hnC/A. II/t ' I-I~lo-n t/JJd,~ LOCATION: DEVELOPMENT TYPE: BUILDING SIZE: ,+-; <( LOT SIZE SO Ft. 1. STORM DRA.!NAGE /7 r- 2 (2z,) -f/~ +- IMPERVIOUS SQ. FT. 4?/ X $0,227 PER SQ, FT. $ 10'1," 2, SANITARY SEWER-CITY NO. OF PFU'S X $47,14 PER PFU $ .--- (See Reverse Side) 3, TRANSPORTATION NO. OF UNITS X TRIP RATE X COST PER TRIP X X $475,32 $ ,--- X X $475,32 $ - / 4. SANTTARY SEWER-MWMC A, REIMBURSEMENT COST: NO, OF FEU'S X PER FEU $ ---- B, IMPROVEMENT COST: TOTAL-MWMC SDC - $ < $ ,.--. .> $ 1000 $ ----- $ /(:PUC) $'5, 4(;; NO. OF FEU'S X PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEE~: BASE CHARGE (SUBTOTAL ABOVE) X ,05 IJ7!;L SDC Coordinator ATTACH' A, WPD Date: ~Ito/ TOTAL SDC $ 1/ 1.(., ~ r-l^ I UKt: UNII GALCULA TION TABLE: Number 0-' New Fixtures X Unit Equivalent (NOTE: For remodels. calculate on. the NET additional fixtures) . NUMBER OF UNIT FIXTURE TYPE NEW FIXTURES EQUIVALENT = Fixtur~.y!'!ts. FIXTURE UNITS Bathtub....,:" ....,............, ,..".,,'.. ..,.................,.,.... ..,.., Drinking Fountain, ,...... ..., ,.....".... ........"...........,...,.., Floor Drain..",................."..,.,.... ,............ ....,...."....... Interceptors For Grease/Oil/Solids/Etc................, Interceptors For Sand/Auto Wash/Etc..........,......, Laundry Tub/Clotheswasher,.......,.. ........,...."....,.... Clothes washer . 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/Wall,....,..........""..",...... '........ ,.....",.. ,... Wash Basin/Lavatory, Single",...,..,..................."", Toilet, Public Installation"....."""..........",...........,.. Toilet, Private",......"..,....,..,.""..".......,....,.,.."."" Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Basee on assessed value. If improvements occurred after annexation date in :able, calculate credits separates, ~, Year Rate per $1,000 Year Rate per $1,000 Annexed Assessed Value Annexed Assessed Value 1979 or before $4,27 1989 $1.98 1980 4,18 1990 1,55 1981 4,12 1991 1,15 " 1982 3.99 1992 0,96 ': 1983 3,83 1993 0,83 1984 3,68 1994 0,67 1985 3,48 1995 0,52 1986 3,18 1996 0,38 1987 2,82 1997 0,21 1988 2.42 Credit for Parcel or Land Only If Applicable X $ = (Rate X Assessed Value) , X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential..,....,................... 0,4 Commer/cal...,.."..,.............. 0,9 Industrial...,....,................... 05 Governmental.................,.... 0,5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT