HomeMy WebLinkAboutPermit Building 1997-8-4
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971180
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1456 COTTONWOOD AVE
Assessors Map #: 17032733
Lot: Block:
Tax Lot #: 07700
Subdivision:
Owner: JULIE PENTON
Address: 1456 COTTONWOOD
Phone #: 23
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: REMODEL RESIDENCE
REMODEL
Contractor
Const.
Contractor #
Expires
Phone
General: ZARZYCKI 0105626
131 MCCLURE LANE EUGENE OR 97404000
Plumbing: PROGRESSIVE PLU 0072388
366 Bushnell Lane Eugene OR 9740400
Electrical: REYOLDS 0017252
2782 Central Eugene OR 974030000
04/26/98
688-0243
03/18/98
342-1028
08/05/98
343-7297
QUAD AREA: 5RNW
-- OFFICE USE --
LAND USE: 1111
To request an inspection, call the 24 hour recording at 726-3769. f,~~\NU~~
..\n-(\C~:' ~y..'r\?~ \ \$ ~O'
All inspections requested before 7:00 a.m. will ba~~~e ~~~~o~~~~
inspections requested after 7:00 a.m. will be made,~'r~Oil~w~~:H~ ~~e.OfO?
~~O~Sz.tV \S ~~~~
REQUIRED INSPECTIONS - - ~\j ~~C'€.O O~
UNDER FLOOR PLUMBING - Prior to insulation or deckin~O,,^WI O~'f ~f."A\OO.
ROUGH ELECTRICAL - Prior to cover. ~~i'~~
ROUGH MECHANICAL - Prior to cover.
ROUGH PLUMBING - Prior to cover.
FRAMING - Prior to cover.
DRYWALL - Prior to taping.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
BATHRM.REMODEL
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
=
Value
0.00
0.00
9,386.00
9,386.00
Building Permit Fee
Surcharge/Admin
80.50
6.45
TOTAL FEE
(A)
86.95
Job Number: 971180
Page 2
PLUMBING PERMIT ---
Item
Fixtures
1
Fee
10.00
Plumbing Permit
Surcharge/Admin
15.00
1.20
TOTAL CHARGE
(C)
16.20
Vent Fan
MECHANICAL PERMIT ---
1
3.00
Mechanical Permit
Issuance
Surcharge/Admin
15.00
10.00
1.20
TOTAL PERMIT
(D)
26.20
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE ---
(A, B, C, D, and E combined)
C-I ry :5' l) c..-
129.35
3g.'i~
22. 7. 7~
--- 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: 52.33
Received By:
Plans Reviewed By:
Building Site Reviewed By:
Date Paid: 08/04/97
Receipt Number: 26958
Date:
/ /25
--- ADDITIONAL COMMENTS ---
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.
?~~~
8.(B-91
nature
Date
Job Number: 971180
Receipt Number:
Date Paid:
Amount Received:
Received By:
VALIDATION ---
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Page 3
.
. '
.JUO I~U. q 7 I I 80
.. ,'ATTACHMENT A .
, CITY OF S~NGFIELD SYSTEMS DEVEL~ENT CHARGE
. . . -
WORKSHEET .
, '
. '
'"'
D~N'''ON
.
.
NAME OR COMPANY:
.T";,L/G
LOCATION:
\45~
c () '77' ,'hU ~IHJD
DEVELOPMENT TYPE:
H. 13e,l1JZDa"-'\ R6~~tJG'-
BUILDING' SIZE~
LOT SIZE
SO.':FL
1. STORM DRAINAGE
IMPERVIOUS 'SQ. FT.
, ,
X $0.226 PER SQ. FT. $ ~
2. SANITARY SEwER-CfTY
" '
NO. OF PFU'S ~
, ,
. (See Reverse Side)
X $46.86 PER PFU
$ q~. 72-
"
3. ' TRANSPORTATiON
-NO OF UNITS X TRIP RATE X COST PER TRIP
x. - X $472.49
$
, "
,
x
x' $472.49
. - .
$
x
X $472.49
$ .
4. SANITARY SEWER-MWMC
- .'
NO. OF FEU'S
, X
PER FEU + $10 MWMC/ADM FEE $
, ,
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$
"
TOTAL-MWMC SDC
$
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
$ &:J3,72-
-
5. ADMINISTRATIVE FEES
..
BASE CHARGE (SUBTOTAL ABOVE) X .05
'$ 4..~
&.
, SDC Coordi nator
Date: B - 7 -Ct7
TOTAL SDC$ ,CfR. 41
.. U" V' lL.. VIIU. \"I""\L..\"'UL..I""\ I lunl I I""\U~L..L... I\lUmOer or New I"lxles ^ Unit l:quivalent = Fixwr':!.',Units
, (NOTE: For remodels, calculate o.he NET additional fixtures) , ,,' .' , '
, ,.., NUMBER OF UNIT FIXTURE
. FIXTURE TYPE ' , NEW FIXTURES EQUIVALENT UNITS
.
Bathtub............... ................................... ~ ....!I.................. ........
2
, ~ 1 '
2
3
6
2
6
6
1
3,
2
1/Head
2
2
1,
,6
" -4
Drinking. Fountain............................. ......~.......... .......
Floor Drain.....~...... ................ '"'!,............. ...... .~..........-. ...........
Interceptors For Grease/OiI/SolidsiEtc.. ....... ..~.....
Interceptors For Sand/Auto WashiEtc..............~...
Laundry Tub/Clotheswasher...:............... ................
Clotheswasher - 3 Or More.................'...'..................
Mobile Home Park Trap (1 Per Trailer)............;.....
, Receptor For Refrigerator/Water Station/Etc...;....
Receptor For Commercicii Sink/Dishwasher/Etc..
.Sh9wer. 'Single ~tall..... ~....:... ~.... ~. .,....... ,.........;.........
, ,
. Shower, Gang.......................~........................~.............
Sink: Bar, Com~ercial, Residential KitchEm............;...........
. U~nai, Stall/Wall. .................. ~.. ~""""..""" ..,........~..................
Wash BasiniLavatoiy, Single.......... ....................~...
, ,Toilet, Public Installation..................;.:........... ........
Toi,let , Private.................. ... ~.... ..... ..........................
Miscellaneous:
..
TOTAL FIXTURE UNITS'
2-
z....
CREDIT CALCULATION TABLE: Based on assessed value.lf'improvemei1tsocc,-!rr~d after annexation~ate in,ta~le,
calculate credits separates., '.
, Year', '
Annexed
Rate per $1,000
,Assessed Value
Year
Annexed
Rate per $1,000
, , 'Assessed Value, ' ,
, .
I
;,
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
1'995
1996
'Credit for Parcel or Land Only 'If Applicable
X $
(Rate X Assessed Value) ,
X $
, '(Rate X Assessed Value)
Improvement (if after annex,ation date)
, ;
CREDIT TOTAL =, $
RUNOFF COEFFICIENTS FOR STORM DAAINAGE'
(For Estimating Purposes Only) ,
Residemial...;........; ............... 0.4
Commerical...........................-. O~9
IndustriaL........................... 05
Governmental...;.. ..:... .... ...... 0.5
, ,
IMPERVIOUS AREA ' TqTAL LOT SIZE X RUNOFF COEFFICIENT
'$2.56
, 2.17
".73
, "
1;31
0.92
0.74
0.61
0.45
0.31
'0.17