HomeMy WebLinkAboutPermit Building 1999-6-22
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SPRINGFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
NOTICE' _c;~'\'~,,~ SPRINGFIELD
ER~IT SHALL EXPIREdlOlWMW" SERVICES DIVISION
THISP NDERTHISPERM~ING SAFETY
AUTHORIZED ':0 I" ARANDONED FOR
225 Nel'il.lIMEli-lOOOt>n'~
sprinA~V~D~ltpm\OO.
Job Number: 990759
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 2210 DEBRA DR
Assessors Map #: 17032611
Lot: Block:
Tax Lot #: 02500
Subdivision:
Owner: BERNARD CHARLEBUS
Address: 2210 DEBRA DR.
Phone #: 988-3566
City/State/Zip: SPLFD OR,97477
Describe Work: NEW SHOP
NEW
Contractor
Cons t .
Contractor #
Expires
Phone
General:
OWNER
QUAD AREA: 5RNW
OCCY GROUP: U
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
# OF BLDGS: 1
SQ FOOTAGE: 1080
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.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
SHOP
Total Value
--- BUILDING PERMIT ---
Square Feet x $/Square Feet
ATIENTION:Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Th;noBoules are set forth 18.34
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
Fee callinC' the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Value
0.00
0.00
19.807.00
19.807.00
Building Permit
Surcharge/Admin
146.50
11.73
TOTAL FEE
(Al
15B.23
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
CITY SDC
0.00
257.41
TOTAL MISCELLANEOUS PERMITS
(E)
257.41
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
415.64
..
.
Job Number: 990759
Page 2
--- 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: 91.33 Date Paid: 06/04/99
Received By:
Plans Reviewed By: AL WARD Date: 06/28/99
Building Site Reviewed By: BOB BARNHART
Receipt Number: 034332
--- ADDITIONAL COMMENTS
A SEPERATE 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
sharl 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.
~~
l-z q-11
Date
- -- VALIDATION
Date Paid:
03 t.ft?, z
(P/z~/11
'i If. (P'l t1
oItJ,J
Receipt Number:
Amount Received:
Received By:
',. \.,
. JOURN.OR JOB NO. . ~07S7
AlTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: ~.hJ.c-u
LOCATION: Z-Z-IO 'Yeb....c-...
DEVELOPMENT TYPE: ~ I ~
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE
;00 lC3Cc
IMPERVIOUS SQ. FT.
10M
X $0.227 PER SQ. FT. $ 2..45./ ("
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse Side)
X $47.14 PER PFU
$
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. IMPROVEMENT 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) $ Z4's. I (,.,
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 12. ZS
M'SL..
SDC Coordinator
ATIACH' A. WPD
Date: (OI~ ICf'I
TOTAL SDC .$ 7514f
,.
J
FIXTURE UNIT CALCI..I.L.A TION TABLE: Number of New .res X Unit Equivaleni = Fixture Units
(NOTE: For remodels. calculate" the NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNIl:S
Bathtub..................................................................... .
Drinking Fountain. ...................... ......................... .....
Floor Drain......... ....................... ......................... .......
Interceptors For Grease/OiI/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher. ... .......................... .....
Clotheswasher - 3 Or More..............;......................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/DishwasherIEtc..
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
llHead
2
2
1
6
4
TOTAL FIXTURE UNITS
=
CREDIT CALCULATION TABLE:
calculate credits separates.
I
Based on assessed value. If improvements occurred after annexation date in table.
Year
Annexed
Rate per $1.000
Assessed VellJe
Year
Annexed
L
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
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
Improvement (if after annexation date I
X $
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential........................... 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5'
FIXUNIT.wPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT