HomeMy WebLinkAboutPermit Building 1999-7-2
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SPRINOFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990402
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 510 MANSFIELD ST ~
Assessors Map #: 17032334 Tax Lot #: 05500
Lot: Subdivision:
_m'......yi'"""""'..,,::::: '0 ,"00. ",,,"'M!" . ..."
A1i<i:;'eils,!ef5'i100MAN's'F,iir€oOSTREElItilitlbty/state/Zip: SPR~[ltM.'il; OREGON 97477
Notification Center. Those rules are set font' THIS PERMrrSHALl.EXPIRE IFTHEWORK
:ti.rs@fl5'~-w61{lP1BE6RcioM1 qll~Aq.'iI?-~Di:TION AUTH~t~ItDER THIS PERMIT IS NOT
0090. You may obtain copies of the rules by
calling me cemer, \1'lOle: me le'e~." IU; Ie Cons t. C",.U,l:tJCC) 3r.lC,..P-ANQ0M~f'\ I:nE
number for the iCo'M"t'l,na'cl~g~' Notification Con trac tor ~NY 1BWi~.rERIOQ.hone
Center is 1-800.332-2344),
General: DRAKE & COMPANY 0120330
91411 COBURG RD EUGENE OR 974089217
02/13/01
.':':3 5':"'-7-5-
73'- fbS"/~
QUAD AREA: 5RNW
ZONING CODE: LDR
VN
HEAT SOURCE: FE
OFFICE USE --
LAND USE: 1111
OCCY GROUP: R3
# OF BLDGS: 1
CONSTR. TYPE:
SECONDARY HEAT: HP
SQ FOOTAGE: 200
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.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDER FLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; 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.
Lot Faces: S
Solar Approved:, Y
Total Height: 17
Lot Type: INTERIOR
Setbk From NPL: 40
Item
Main
Garage
ADD'N/REMODEL
Total Value
BUILDING PERMIT ---
Square Feet x $/square Feet
Value
0.00
0.00
30,000.00
30,000.00
Building Permit Fee
Surcharge/Admin
i93.oo
15.44
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SPRINGFIELD
Job Number: 990402
Page 3
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
w", '~""~~~~~'"' "".,"',,,"".
Signat 'tffi/ I
7{h9
Da!:'Z..f
-- - VALIDATION
Date Paid:
()2.,4iJ3
/~)--qc;
~~T{ 1'(
n. mCLcA6--(I-o
Receipt Number:
Amount Received:
Received By:
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SPRINGFIELD
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Job Number: 990402
Page 2
TOTAL FEE
(A) 208.44
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Fee
30.00
Plumbing Permit
Surcharge/Admin
30.00
2.40
TOTAL CHARGE
(C)
32.40
--- MECHANICAL PERMIT ---
REROUTE DUCTS
3.00
Mechanical Permit
Issuance
Surcharge/Admin
15.00
10.00
1. 20
TOTAL PERMIT
(D)
26.20
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
CITY SDC
0.00
55.78
TOTAL MISCELLANEOUS PERMITS
(E)
55.78
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
322.82
--- 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:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
125.45
Date Paid: 03/26/99
Receipt Number: 33283
MOORE Date: 06/15/99
By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
SEPTIC FIELD LINE MUST BE CUT BACK FROM BLDG.FDN. BY 10 FT.
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED
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 QRS 701.055 will be
used on this project.
.-'
. .' JOUR~OR JOB NO. '1'10402
ATTACHMENT A . I
CITY' OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
'i?" .::.,..,
LOCATION:
'OlD M p,t-:>~e.LD
DEVELOPMENT TYPE:
p..ot) ,"'t'\..o,u
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. 5TORM DRAINAGE
IMPERVIOUS SQ. FT. ~
X $0.227 PER SQ. FT. $ 53. \~
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse Side)
'PttJ,1f A;TE:.
X $47.14 PER PFU
$ d
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $475.32 .
$
-
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X
PER FEU
$ ------
B . I MPROVEMENT COST: . .
NO. OF FEU'S
X
PER FEU
$ -
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $
$
-
>
1000
TOTAL-MWMC SDC $
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEE~:
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ <:>3. \2-
$ 2.(010
('(l'e>L-
SDC Coordinator
ATTACH'A.WPD
Date: 4/J/CfQ
TOTAL SDC $ 55 :l5{
FIXTURE' UNIT .CALCULAe>N TABLE: Number of New Fixtur.'unit Equivalent = Fixture Un~ts
(NOTE: For remodels, calculate only the NET additional fixtures) ,
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..................................................................... .
Drinking Fountain........... ............ .......................:......
Floor Drain........................................... .....................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tuo/Clotheswasher..................... .......... ....
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
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...................................
Toilet. Public Installation........................................
Toilet, Private.......................................................
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
.' .
:.: .
TOTAL FIXTURE UNITS =
Based on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
. Flate credit:es::arates.
I Annexed
Rate per $1,000
Assessed Value
. Year
Annexed,
1979 or before
1980
1981
1982
19B3
1984
1985
1986
1987
1988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
Rate per $1,000
Assessed Value
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
Credit for Parcel or Land Only If Applicable
X $ =
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Improvement (if after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL.......................... 0.4
Commerical......................... 0.9
IndustriaL,.......:.................. 05
GovernmeniaL...................... 0.5
F'XUN'TWPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT