HomeMy WebLinkAboutPermit Building 6-11-4
SPRINGFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 961071
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3823 WINSLOW AVE
Assessors Map #: 17021941
Lot: Block:
Tax Lot #: 01900
Subdivision:
Owner: LARRY GOATS
Address: 3823 WINSLOW AVENUE
Phone #:
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: RV STORAGE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
OWNER
QUAD AREA: 5RNW
ZONING CODE: LDR
VN
SQ FOOTAGE: 418
OFFICE USE --
LAND USE: 1111
OCCY GROUP: M
# OF BLDGS: 1
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 ~ay,
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.
SPECIAL
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.
Lot Type: CULDESAC
N
Setbacks
S W
5 8
E
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
228 16.27
Value
0.00
3,710.00
5,101.00
Building Permit Fee
Surcharge/Admin
56.50
4.53
TOTAL FEE
(A)
61. 03
--- SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
49.90
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
Storm Sewer
Fee
25.00
SPR'NGF'ELD ~
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-...- .
Job Number: 961071
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Page 2
25.00
2.00
(C) 27.00
0.00
3.90
56.50
(E) 60.40
198.33
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
PLAN REVIEW ADJUST.
PENALTY FEE (BWOP)
TOTAL MISCELLANEOUS PERMITS
--- 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
32.83
Date Paid: 08/07/96
Receipt Number: 22792
MOORE Date: 10/28/96
By: LISA HOPPER
--- ADDITIONAL COMMENTS
PENDING VARIANCE APPROVAL FROM PLANNING FOR
SETBACKS
SPECIAL INSPECTION REQ'D FOR "EPOXY TIE" ANCHOR SYSTEM
GARAGE/CARPORT BLDG. CANNOT EXCEED HEIGHT OF THE RESIDENCE.
SEPARATE ELECT. PERMIT WILL BE REQ'D FOR ANY ELECT. INSTALLATION IN THIS BLDG.
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.
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Date
SPRINGFIELD
Job Number: 961071
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VALIDATION
2 '5 70~
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Page 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: LARRY GOATS
Location: 3823 WINSLOW AVE
Developement Type: R Building Size:
Job No.: 961071
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 220 X 0.216 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 0 X 44.75 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
Trip Rate
X
Cost Per Trip
X
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
o
X
X
Per PFU + MWMC Admin Fee
20.690
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: 08/15/96
Page 1 .
Sq Ft
$47.52
$0.00
$0.00
$0.00
$0.00
$0.00
$47.52
$2.38
$49.90
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Job Number: 961071
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
Number of
New Fixture
o
o
0"
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Unit
Equivalent
2
1
2
3
6
2
6
1
3
2
2
2
1
6
4
Page 2
Fixture
Units
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
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
X
0.00
o
X
0.00
0.00
"0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
$0.00
CREDIT TOTAL =