HomeMy WebLinkAboutPermit Building 1996-6-12
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960615A
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4528 IVY ST
Assessors Map #: 18020513
Lot: 2 Block:
Tax Lot #: 03200
Subdivision: STEELHEAD
OWner: KIMBERLE CAMPBELL
Address: 916 PRESCOTT LANE
Phone #: 747-6504
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: GARAGE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General: M & A CONSTRUCT 0088928
916 Prescott Lane Springfield OR 97
Electrical: HERITAGE INV 0063137
1042 Harn Lane Eugene OR 974040000
02/11/97
747-6504
12/27/96
688-1600
QUAD AREA: 3RSC
OFFICE USE
LAND USE: 1150
ZONING CODE: LDR
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.
ROUGH ELECTRICAL - Prior to cover,
FRAMING - Prior to cover.
DRYWALL - Prior to taping,
FINAL ELECTRICAL - When all electrical work is complete,
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Solar Approved: Y
Total Height: 12
Lot Type: INTERIOR
Setbacks
S W E
18 5
Setbk From NPL: 56
N
Garage 7
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
528
= Value
0.00
0.00
10,000,00
Building Permit Fee
Surcharge/Admin
80,50
6,45
TOTAL FEE
(A)
86.95
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Job Number: 960615A
Page 2
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B)
137.59
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved,
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
ELECTRICAL PERMIT
0.00
37,80
TOTAL MISCELLANEOUS PERMITS
(E)
37.80
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
262.34
--- 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.
--- ADDITIONAL COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
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.
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Date
SPRINGFIELD
~~
Job Number: 960615A
--- VALIDATION
Receipt Number: '?/Jt~~
Date Paid: tt'-/"2.%,
Amount Received: ~~:2..9Y
Received By: ~ ~~
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: KIMBERLE CAMPBELL
Location: 4528 IVY ST
Developement Type: R Building Size:
1. STORM DRAINAGE
Impervious Sq Ft
624
2. SANITARY SEWER - CITY
Number Of PFUs 0
(see Page 2)
3. TRANSPORTATION
Number Of Units
x
Trip Rate
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
o
Job No,: 960615A
Lot Size:
x
0,210
Per Sq Ft =
x
43,43
Per PFU
x
Cost Per Trip
x
X
Per PFU + MWMC Admin Fee
18,750
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0,50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: OS/28/96
Page 1
Sq Ft
$131. 04
$0,00
$0.00
$0,00
$0,00
$0,00
$131.04
$6,55
$137.59
.
Job Number: 96061SA
Page 2
FIXTURB UNIT CALCULATION TABLB
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
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
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS
Number of
New Fixture
Unit
Equivalent
Fixture
Units
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
2
1
6
4
o
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0,00
0,00
o
X
0.00 =
0,00
CRBDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)