HomeMy WebLinkAboutPermit Building 1999-2-18
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SPRINGFIELD
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;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
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SPRINGFIELD
Job Number: 990163
Receipt Number:
Date Paid:
Amount Received:
Received By:
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--- VALIDATION
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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