HomeMy WebLinkAboutPermit Mechanical 1997-1-16
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960769A
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 6797 E CT
Assessors Map #: 17023523
Lot: 79 Block:
Tax Lot #: 11700
Subdivision: THURSTON MEADO
Owner: DON BUESCHER
Address: 560 55TH STREET
Phone #: 746-1073
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: KITCHEN NOOK
NEW
QUAD AREA: 4RNE
OCCY GROUP: R3
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
ZONING CODE: LDR
SQ FOOTAGE: 76
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.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
Lot Type: INTERIOR
Item
Main
Total Value
BUILDING PERMIT ---
Square Feet x
80
$/Square Feet
64.66
=
Value
5,173.00
5,173.00
Building Permit Fee
Surcharge/Admin
56.50
4.53
TOTAL FEE
(A)
61. 03
--- SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
31. 75
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
PLAN REVIEW FEE
0.00
36.73
TOTAL MISCELLANEOUS PERMITS
(E)
36.73
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
129.51
Job Number: 960769A
Page 2
--- 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 ---
SINGLE STORY ADDITION
PATH 1;
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.
\ ~ \ te <-~ I
Date
--- VALIDATION
Receipt Number: '24'-=3:??
,
Date Paid:
/-/~~~?
J "2~. 5" /
~~
-
Amount Received:
Received By:
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: DON BUESCHER
Location: 6797 E CT
Developement Type: R Building Size:
Job No.: 960769A
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft
140
x
0.216
Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 0
(see Page 2)
x
44.75
Per PFU =
3. TRANSPORTATION
Number Of Units
Trip Rate
x
Cost Per Trip
x
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
o
Per PFU + MWMC Admin Fee
20.690
x
X
=
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: 11/13/96
Page 1
Sq Ft
$30.24
$0.00
$0.00
$0.00
$0.00
$0.00
$30.24
$1.51
$31. 75
.
Job Number: 960769A
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/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
0.00 =
X
0.00
CREDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)