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HomeMy WebLinkAboutPermit Building 1998-4-6 . ..' ,~ SPRINGFIELD /:jl'~ - . Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980310 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 935 HAYDEN BRIDGE RD Assessors Map #: 17032612 Lot: Block: Tax Lot #: 00500 Subdivision: Owner: WALLY ACKERMAN Phone #: 747-9251 Address: 935 HAYDEN BRIDGE ROAD City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: GARAGE ADDITION ADDITION Contractor Const. Contractor # Expires Phone General: OWNER QUAD AREA: 2RNW ZONING CODE: LDR VN SQ FOOTAGE: 840 OFFICE USE -- LAND USE: 1111 OCCY GROUP: U # 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.m. will be made the following work day. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. SHEAR WALL NAILING - Before covering sheathing with finish materials. STORM SEWER LINE - Prior to filling trench. FRAMING - Prior to cover. FINAL BUILDING - When all required inspections have been approved and the building is complete. Total Height: 22 Lot Type: INTERIOR Setbk From NPL: 120 Solar Approved: Y Item Main Garage CREDIT FOR EXISTING Total Value BUILDING PERMIT --- Square Feet x $/Square Feet 840 16.27 Value 0.00 13,667.00 -3,666.80 10,000.20 Building Permit Fee Surcharge/Admin 86.50 6.93 TOTAL FEE (A) 93.43 Item Sanitary Sewer PLUMBING PERMIT --- 50 'OO\\:I'ad ^\lOO9~ AN'V . \ \:10 030N3V'lV'lOO \::lO~ 03NOON\la\l\::l~ONn 03ZI\::lOHln\l .l.ON 131 .l.1V'lij3d SIH.l. 11\lHS .l.\V'l\::l3d SIH.l. )\\:IOM 3H.l. ~13\:1ldX3 :3~'lON Fee 25.00 Plumbing Permit Surcharge/Admin 25.00 2.00 TOTAL CHARGE (Cl 27.00 l\ .. ;.;. SPRINGFIELD Job Number: 980310 Page 2 --- MISCELLANEOUS PERMITS --- Surcharge/Admin SDC 0.00 139.77 TOTAL MISCELLANEOUS PERMITS (E) 139.77 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, 0, and E combined) 260.20 --- 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: TOM Building Site Reviewed 52.33 Date Paid: 03/13/98 Receipt Number: 2910.0 MARX Date: 04/06/98 By: LISA HOPPER --- ADDITIONAL COMMENTS ALTERATION OF EXISTING ELECT. SYSTEM REQUIRES A PERMIT. 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. \) JLru- I'I.~\..-.. X Signature 9 Ij.--I. - 'IS! Date - -- VALIDATION Date Paid: d-73tfL 4-10-9<1 -dt,;;)..00. o.:a -1)cJ Receipt Number: Amount Received: Received By: I . JOB NO. qfJo ?/o ... ATTACHMENT A ... CITY OF SP~NGFIELD SYSTEMS DEVELO~ENT CHARGE WORKSHEET NAME OR COMPANY: Uu f::Y F. A r//,r:./t. q 3S" . /./AyneN ~/2.I/Ju,G- Vo. . LOCATION: DEVELOPMENT TYPE: (;41!A1'n6 A n" IT,au BUILDING SIZE LOT SIZE SQ Ft, 1.' STORM ORA! NilGF th:;",", R-r AI2.&4 IMPERVIOUS SO. FT. .~8<<t X $0.226 PER SQ. FT. LJ37y. U 2. SAN!TARY SFYFR-rrTY NO. OF PFU'S (See Reverse Side) X $46.86 PER PFU $ e- 3. TRANSPpRTATION 'NO OF UNITS X TRIP RATE X COST PER TRIP x X $472 49 $ 6) x X $472 49 $ x X $472 49 $ 4. SANTTARY SFWFR-MhMr NO. OF FEU'S x PER FEU + $10 MWMC/ADM FEE $ /""\ .~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ I ;.~ '. ., , ..,.' TOTAL-MWMC SOC $ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ /_:? '3 ./ / 5. ~rSTRATIVF F(E2 BASE CHARGE (SUBTOTAL ABOVE) X .05 $ &..C?.. Hr!J ,"', SDC Coordinator Date:3- 21:-18 TOTAl SOC $ /~, 77 . I '^ I Vf1&.. VI~I' vHLvULH IIUIIl I J-\DLC.: Number of New Fixtures X Unit Equivalent = Fixture Ifni6, .. (NOTE: For remodels, calculate on_he 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/WaiL.....,.......,..........,............................. Wash Basin/Lavatory, Single,............ ..................... Toilet, Public Installation........................................ Toilet, Private...................... ... .....................,........ . Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 i/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table. calculate credits separates. Rate per $1,000 Assessed Value Year Annexed 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 l Rate per $1 ,OQO Assessed Value $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17 Gred;"t 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) , ~', Residenciai...; .................. ...... 0.4 Commerical.......................,. 0.9 IndustriaL........................... 05 Governmental...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT