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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.)