HomeMy WebLinkAboutPermit Building 1999-09-14oTr SPilNGFIELT',
. RESIDENTIAL PERMIT APPLICATION
]. CITY OF SPRINGFIELD
],,i.. , . COMMI]NTTY SERVICES DIVISION
BUILDING SAFETY
SPRINGFIELD
225 North Fifth Street
Springfield, OR 97477
LocaEion of Proposed Work z 24LL l-5TH ST
Assessors Map #: ]-7032433
Lot: Block:
Office :
Inspection Line:
126 -3'7 59
/ 26- 3 /bv
Tax Lot #: 02100
Subdivisi-on:
Owner: iIOE PALANUK
Address: 24L1, 15TH ST
Describe Work: NEW PATIO
Phone #: 736-8804
city/state/ zip: SPLFD oR, 97477
NEW
General:
Contractor
CHUCK COX 009250'7
704 N Pioneer Philomath OR 97370000
Const.
Contractor #Expires
07 /1,6/es
Phone
929-6394
QUAD AREA: 2RMI
VN
SQ FOOTAGE: 304
.- OFFICE USE --
LAND USE: 1111 CONSTR. TYPE:
To request an inspection, call- the 24 }:rour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
i-nspections requested after 7:00 a.m. wil-I be made the following work day.
--- REQUIRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
SHEAR WAIJL NAILING - Before covering sheathing with finish materials.
FF-A.MING - Prior to cover.
FRAMING - Prior to cover.
FINAL BUILDING - When all required inspections have been approved and
the buil-ding is complete.
Item
Main
Garage
SHOP
PATIO COVER
Total Val-ue
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUITDING PERMTT ---
Square Feet x $/Square Feet
N011CE: 1s
i*u tt**lr
'HALL
E*PIRE lF THE woRK
*ri*o*'ito uNDER THls PERMIT lsNor
ffi;ffiN&D oR rs ABANDoNED FoB
ANY 180 DAY PERIOD.
(A)
Value
0.00
0.00
2,880.00
4, 560.00
7 ,44O.OO
68.50
5 .86
75.36
--- MISCELLAIVEOUS PERMITS
Surcharge/admj-n
CITY SDC
TOTAI, MISCELLANEOUS PERMITS
0.00
61.38
6L.38
fiw tl.-L
(E)
(Excluding Electrieal )
unless otherwise notsed
--- TOTAI, AMOI'NT DUE ---
(A, B, C, D, and E combined)L35 .7 43t v:
I l, 't,51
Page 1
Job Number: 99LL72
!5PFTNGFIELD
Job Number: 99L1-72
SPruNGFIELD,
*,
ctTr
Page 2
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said constructj-on
shal1, in all respects, conform Eo 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 viofation
of any provisi-ons of said ordinances.
Plan Check Fee: 32.83 Date Paid
Received By:
Plans Reviewed By: AL WARD Date
Building Site Reviewed By: BOB BARNHART
o8/26/ee
oe/1"4/ee
Receipt Number:. 35349
--- ADDITIONAIJ COMMENTS
By signature, I statse and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correcL, and I further certsify that any and all work performed
sha1l 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 proiect.
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
wil-l remaj-n on the site at all ti-mes during construction.
?- t+-
ignature Date
--- VALIDATION ---
Receipt Number
Date Paid
Amount Received:
Received By:
3fs q
7 r1
7
JOURI\IAI ? -18 NO. q?//724
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAMEORCOMPANY: {.e ?aLapo<
LOCATION Z4rt I ?rx 5r
DEVELOPMENT TYPE <A trv Jtr nn t7t oh)/ tz*A-€ Dofi lZoo l€o
BUILDING SIZE LOT SIZE
1. STORM DRAINAGE ilea (Zoo€ t8 X t* , ZSz-
t'ev,g
IMPERVIOUS SQ. FT z<2-x $0.232 PER SQ. FT
2. SAMTARY SEWER-CITY
NO. OF PFU'S X$48.27 PER PFU
(See Reverse Side)
3. TRANSPORTATION
NO OF LTNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
x _ x s486.73 PER TRIP
x _ x s486.73 PER TRIP
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S X
-
PER FEU
B. IMPROVEMENT COST
NO. OF FEU'S X _ PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATTVE FEE
TOTAL-MWMC SDC $
SUBToTAL (ADD ITEMS 1,2,3 & 4)$ s8,1-6
5. ADMINISTRATTVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .0s
. Fr.
s 56,+L
s
S
$
S
S
<$
,9L.
$ 10.00
$ 2,1>
SDC Coordinator
ATTACH'A.WPD
Date: q t3'9al
TOTAL SDC $ C/, 38
FIXTURE UNIT CALCULATION TABLE! NumberofNewFixturesXUnitEquivatent:FixnueUnits
(NOTE: For remodels, calculate only tb^N. * dditional fixrures)
FIXTURE TYPE
Bathtub........
Drinking Fountain......
Floor Drain..
Interceptors For Grease/OiUSolids/Etc
Interceptors For Sand/Auto Wash,/Etc.
Laundry Tub/Clotheswasher/Ivlop Sink..
Clotheswasher - 3 Or More............
Mobile Home Park Trap (l Per Trailer)
Receptor For RefrigeratorAVater S tation/Etc...........
Receptor For Commerc ial S inVDishwashevEtc. ....
Shorver, Single Stall.
Shower, Gang............
S ink: Bar, Commercial, Residential Kitchen...........
Urinal, Stall/Wall.....
Wash Basir/Lavatory, Single...........
Toilet, Public Installation..
Toilet, Private.........
Miscellaneous:
NUMBER OF
NEW FIXTURES
TOTAL FIXTURE LTNITS
UNIT
EQUIVALENT
FIXTURE
LTNITS
2
I
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
/Head
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate
credits
Credit for Parcel or Land Only If Applicable x $_
(Rate X Assessed Value)
Improvement (if after annexation date)x s_
(Rate X Assessed Value)
CREDIT TOTAL - $
Year
Annexed
Rate per $ 1,000
Assessed Value
Year
Annexed
Rate per $ 1,000
Assessed Value
I 979 or before
1980
1981
1982
1983
t984
I 985
1986
1987
r988
s4.47
4.38
4.32
4.20
4.03
3.88
3.68
3.38
3.03
2.62
1 989
I 990
1991
1992
I 993
t994
I 995
1996
t997
i 998
2.18
1.7 5
1.35
1.17
1.03
0.86
0.7r
0.57
0.39
0.18
RUNOFF COEFFICIENTS FOR STORM DR{INAGE
(For Estimating Purposes Onll')
Residential...
Commerical.
Industrial.
GovemmentaI......................
0.4
0.9
0.5
0.5
FIXUNTT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT