HomeMy WebLinkAboutPermit Building 1995-9-14
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 950844A
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 612 NICHOLAS DR
Assessors Map #: 17032212
Lot: 10 Block:
Tax Lot #: 01306
Subdivision: NICHOLAS
OWner: SYCAN B CORP
Address: 3405 BALDY VIEW
Phone #: 746-8444
City/State/zip: SPRINGFIELD, OREGON 97477
Describe Work: DETACHED GARAGE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
SYCAN B CORP 0072619
3405 Baldy view Lane Springfield OR
03/25/96
746-8444
QUAD AREA: 1RNW
OFFICE USE
LAND USE: 1111
ZONING CODE: LDR
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,
ROUGH ELECTRICAL - Prior to cover,
FRAMING - Prior to cover.
STORM SEWER LINE - Prior to filling trench,
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
Total Height: 13
Lot Type: INTERIOR
Setbk From NPL: 78
Solar Approved: Y
N
Setbacks
S W
18 6
E
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
480 14,1
Value
0,00
6,768,00
6,768,00
Building Permit Fee
Surcharge/Admin
62,50
5,01
TOTAL FEE
(A)
67.51
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B)
227.56
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
0,00
SPRINGFIELD
~-
Job Number: 950844A
Page 2
Sidewalk
Curb Cut
15.40
15,40
TOTAL MISCELLANEOUS PERMITS
(E)
30.80
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
325.87
--- 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 ---
ELECTRICAL INSTALLATIONS WILL REQUIRE A SEPARATE PERMIT,
DRIVEWAY REQUIRED TO BE PAVED
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 ins ections are requested at the
proper time, that each address is readable fr the street, that the permit
card is located at the front of the op ,and the approved set of plans
will remain on the site ~ a~imes construction.
"' - ~~
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Si~re ~ ,..-
~A-
Date
,/
-- - VALIDATION
Date Paid:
jQ6/e,.
-9-/7'~
7:25.~"?
4~-
,.~
Receipt Number:
Amount Received:
Received By:
.
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
Name or Company: SYCAN B CORP
Location: 612 NICHOLAS DR
Developement Type: A Building Size:
1. STORM DRAINAGE
Impervious Sq Ft
1032
2. SANITARY SEWER - CITY
Number Of PFUs 0
(see Page 2)
3, TRANSPORTATION
Number Of Units
x
Trip Rate
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
o
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
TOTAL SDC
Reviewed By: TROY MCALLISTER
x
x
Job No,: 950844A
Lot Size:
0,210
Per Sq Ft =
43,43
Per PFU
x
Cost Per Trip
x
X
Per PFU + MWMC Admin Fee
18,750
0,50
Date: 08/07/95
=
Page 1
Sq Ft
$216,72
$0,00
$0.00
$0,00
$0.00
$0,00
$216.72
$10,84
$227.56
.
Job Number: 950844A
.
FIXTURE UNIT CALCULATION TABLE
Page 2
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
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
Number of
New Fixture
Unit
Equivalent
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
2
2
1
6
4
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1995
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
x
0.00 =
Fixture
Units
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
0,00
0,00
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)
o
x
0.00 =
CREDIT TOTAL =