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Home My WebLink AboutPermit Building 1998-1-16 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980014 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 5655 MT VERNON RD Assessors Map #: 18020414 Lot: Block: Tax Lot #: 01100 Subdivision: Owner: R~ HOLLISTER Address: 5655 MT. VERNON ROAD Phone #: 746-9439 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: TWO STORY ADDITION ADDITION Contractor Canst. Contractor # Expires Phone General: OWNER 0000198 ~O~&...10/95 &'\-?-~ ~~O &::~ ~ ~ ~'{<l f(,.~ ~\j , \, <(; ~~9:J 9. ~~~ O~~'U:\~~: ((,'?-' ~'VC ~~<t!:.~~~~~ ~~#~~~~~<<,~O~. I~~~iJ~Y ("p .0$\ To request an inspection, call the ~ hour recording at 726-3769. Mechanical: COMMERCIAL AIR Electrical: OWNER QUAD AREA: 5RSC ZONING CODE: LOR VN HEAT SOURCE: FG # OF BLDGS: 1 CONSTR. TYPE: SQ FOOTAGE: 1152 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. SLAB - To be made after all inslab building service equipment, conduit piping, and other equipment items are in place but prior to concrete ROUGH GAS - after line is installed and capped if not attached to an appliance ROUGH MECHANICAL - Prior to cover. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. SHEAR WALL NAILING - Before covering sheathing with finish materials. ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover. INSULATION - Floor; prior to decking DRYWALL - Prior to taping. FINAL MECHANICAL - When all mechanical work is FINAL ELECTRICAL - When all electrical work is FINAL BUILDING - When all required inspections the building is complete. wall/Ceiling; Prior to cover complete. complete. have been approved and Total Height: 24 Solar Approved: Y Lot Type: CORNER Item Main Garage BUILDING PERMIT --- Square Feet x 1152 $/square Feet 64.66 Value 74,488.00 0.00 /:lI'~ Job Number: 980014 Page 2 Total Value 74,488.00 Building Permit Fee Surcharge/Admin 358.00 28.64 TOTAL FEE (A) 386.64 - - - MECHANICAL PERMIT - -- Furnace G 6.00 5.00 Mechanical Permit Issuance Surcharge/Admin 15.00 10.00 1. 20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin SDC 0.00 51. 26 TOTAL MISCELLANEOUS PERMITS (E) 51. 26 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 464.10 --- 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: TOM Building Site Reviewed 232.70 Date Paid: 01/06/98 Receipt Number: 28397 MARX Date: 01/16/98 By: LISA HOPPER ADDITIONAL COMMENTS - -- ELECTRICAL PERMIT 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 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. ~..~ ai $~Z / ~~h;/> Daie I Job Number: 980014 Receipt Number: Date Paid: Amount Received: Received By: A ~55vN 1--/ (o-Q8 l~O AvA .\D \:)) l I:D.. J /:tl'~ Page 3 .. ... .. ",..' ," . "'r".~ ."'.. ,....,. --',' '. ;,...... "'. JOB NO. qB-~c>l4- ATIACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: Q 00 MIJ L.t.../ ~-rE.~ LOCATION 5(':) 55 M,.. I/SR.AJ"A,) DEVELOPMENT TYPE: A 00/7'0"-' I" ?F)Z.. BUILDING SIZE LOT SW= <;0. Ft. 1. STORM I'lRA T ~Jft(';E ..u__ MM.""",,, ;.4"....4-'" 57'" _LCS'S ~o.p Gt.otp..tr 2..{-y,., =- 3c..c.> ,6.,>>'L, otVl'f:A ').../b IMPERVIOUS SO. FT. 2.1& x $0.226 PER SO. FT. $ 48 . hP- 2. SANITARY SFwFR-crTY No YL.u_O.v(. - SCpT'~ 'S'1"srt:-. NO. OF PFU'S (See Reverse Side) x $46.86 PER PFJ $ e- 3. TRANSPORTATiON .NO OF UNITS X TRIP RATE X COST PER TRIP x X $472.49 $ er- X X $472.49 $ x X $472.49 $ 4. SANiTARY SEwFR-M~MC NO. OF FEU'S X PER FEU + $10 MWMC/ADM FEE $ ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl -M\,MC SDC $ SUBTOTAL (ADO ITEMS 1.2.3 & 4) $ +8.8'L- 5. ADMiNISTRATIVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 2.4-1' &. Oate: J -1'1-- q8 SDC Coor'd i na tor TOTAL sac $ 51.2'- . t'IA I utU: UI\l11 L,~LL,UL~~I\l I ~.OLC:. Number of New Fixture.~it'EqUiva.'eh.t,.=:;,:~~ur~!,:,n.'ts";.~,,,: (NOTE: For remodels. calculate only t~ additional fixtures)' . '.. " .,', ".. , .".....!~^.' ";"'.~"'''^':: . NUMBER OF UNIT :." FIXTURE ' . FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Drinking. Fountain.. ............................ ...... ........ ......... Fioor Drain......:..................................... ..... ............... Intarceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. laundry Tub/Clotheswasher..................... ..... ......... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailerl.................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower. Single Stall............. ...... .............................. Shower, Gang............................................ .............. Sink: Sar, Commercial. Residential Kitchen........................ Urinal, Stall/Wall....................................................... Wash BasiniLavatory. Single.................................. Toilet, Pubiic Instaliation........,.............. ........ ......... Toile! , Private....................... .... ..... ....................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 i/Head 2 2 1 6 4 TOTAL FiXTURE UNITS = CREDIT CALCULATION TABLE: Basad on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed 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 1995 1996 Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ . (Rate X Assessed Value) = = Improvement (if after annexation date) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) hclSidE:jjC;3i......_.... _........... .... 0.4 Commerical......................... 0.9 Industrial............................ 05 Governmental...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1 ,o~ Assessed Val~; I $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17 J