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HomeMy WebLinkAboutPermit Building 1995-8-17 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951327 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 626 NICHOLAS DR Assessors Map #: 17032212 Lot: 11 Block: Tax Lot #: 01304 Subdivision: NICHOLAS Owner: SYCAN B CORP Address: 3405 BALDY VIEW LANE Phone #: 746-8444 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: FOUNDATION FOR MVD HOUSE NEW Canst. Contractor Contractor # Expires Phone General: SYCAN B CORP 0072619 03/25/96 746-8444 3405 Baldy View Lane Springfield OR QUAD AREA: lRNW VN OFFICE USE LAND USE: 1111 CONSTR. TYPE: 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 SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench, WATER LINE - Prior to filling trench, FINAL BUILDING - When all required inspections have been approved and the building is complete, Total Height: 15 Lot Type: INTERIOR Setbk From NPL: 53 Solar Approved: Y Item Main Garage FOUNDATION Total Value BUILDING PERMIT --- Square Feet x $/square Feet = Value 0,00 0,00 4,500,00 4,500.00 Building Permit Fee Surcharge/Admin 50,50 4,05 TOTAL FEE (A) 54.55 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 71. 44 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. PLUMBING PERMIT Item Sanitary Sewer 50 Fee 25,00 Job Number: 951327 Page 2 Water Storm Sewer 50 25,00 50 25,00 Plumbing Permit Surcharge/Admin 75,00 6,00 TOTAL CHARGE (C) 81. 00 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut PLAN CHECK FEE 0,00 20,05 14,50 32,83 TOTAL MISCELLANEOUS PERMITS (E) 67.38 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 274.37 --- 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 --- HOUSE MOVED FROM 3672 GAME FARM ROAD DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES 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 f the street, that the permit card is located at the front of the prop y, and the approved set of plans 1 remain on the site at all construction. ~ ---- ~~- e Date Date Paid: --- VALIDATION \<0\2-4- R.\f\.~S_ I Q cQf)4.?{1 (j\\f'l\ ~ Receipt Number: Amount Received: Received By: SPRINGFIELD CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (COMMERCIAL / RESIDENTIAL) Name or Company: SYCAN B CORP Location: 626 NICHOLAS DR Developement Type: R Building Size: Job No.: 951327 Lot Size: 1. STORM DRAINAGE Impervious Sq Ft 324 x 0,210 Per Sq Ft 2. SANITARY SEWER - CITY Number Of PFUs 0 (see Page 2) x 43,43 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 18,750 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: TROY MCALLISTER Date: 08/15/95 Page 1 Sq Ft $68,04 $0,00 $0,00 $0.00 $0,00 $0.00 $68.04 $3,40 $71.44 SPRINQFIELD Job Number: 951327 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 Urinal, Stall/Wall Wash Basin/Lavatory, Single Water Closet, Public Installation Water Closet, Private Miscellaneous 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 TOTAL FIXTURE UNITS 0 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 0,00 X 0.00 o x 0.00 = 0,00 CREDIT TOTAL = $0.00 (If land value is multiplied by 1 then the parcel/land credit is not accurate,)