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SPRINGFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980217
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Propo~ed Work: 2750 VILLA WAY
Assessors Map #: 17032333
Lot: Block:
Tax Lot #: 00203
Subdivision:
Owner: THOMAS MONTGOMERY
Address: 2750 VILLA WAY
Phone #: 747-5295
City/State/Zip: SPLFD OR/97477
Describe Work: GARAGE
NEW
QUAD AREA: 5RNW
OCCY GROUP: M
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
# OF BLDGS: 1
SQ FOOTAGE: 448
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.
House
REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms a~rected but prior to concrete placement. .
FRAMING - Prior to cover.~ ..~
ROUGH ELECTRICAL - P~~~t~~o~.
ELECTRICAL SERVICE-t ~s~e~~pioved to obtain permanent power.
FINAL BUILDING - Wh~~ ~~. ~ed inspections have been approved and
the building is&,m~~ ~ .
FINAL ELECTRICAL - When?~l~e~t~cal work is complete.
. ":"~~ ~~
~~t~q~~t.: 11520
V()~,.~e~ INTERIOR
Setbacks ~Q ~ ~ .
S W'~ ~ {('~
16 <:>~ ~ ~
~1n'T
BUILDING PE~IT
Setbk From NPL: 20
Lot Faces: E
Solar Approved: Y
N
Item
Main
Garage
Total Value
Square Feet
448
x
$/Square Feet
16.27
Value
7,289.00
0.00
7/289.00
Building Permit Fee.
Surcharge/Admin
68.50
5.49
TOTAL FEE
(A)
73.99
MISCELLANEOUS PERMITS
Surcharge/Admin
SPLFD S/D/C'S
0.00
153.77
TOTAL MISCELLANEOUS PERMITS
(E)
153.77
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
&~,
227.76
~.72
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Job Number: 980217
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:
Received By: DON
Plans Reviewed By: BOB
Building Site Reviewed
44.53 Date Paid: 02/19/98
MOORE
BARNHART Date: 03/09/98
By: BOB BARNHART
Receipt Number: 28865
ADDITIONAL COMMENTS ---
REQUIRES SEPERATE ELECTRICAL PERMIT
REQUIRES SEPERATE PLUMBING PERMIT
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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3-IO-~5
Dat'e
Date Paid:
~~~"DAT"ON
c)'(D.qS )
~~~
Receipt Number:
Amount Received:
Received By:
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JOB NO. 2F (j 2..1 7
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ATTACHMENT A
CITY'OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
~-nMA~ hnN~~~MkQY
LOCATION:
275?)
v: LLA wAy
DEVELOPMENT TYPE:
5. F. 1< .
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1 . STORM ORA I N;!.GE . GAflA(PG 'f."t/:J: /J 2' t.lle =-18 )( .% ~
IMPERVIOUS SQ. FT,
C, 4R
_ X $0.226 PER SQ. FT. $ L4b .45
2. SANITARY SEYER-CITY
NO. OF PFU'S
(See Reverse Side)
X $46.86 PER PFU
$ .e-
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x
X $472.49
$ -G-
x
X $472.49
$
x
X $472.49
$
4. SANITARY SEWER-MWMC
NO. OF FEU'S
x
PER FEU + $10 MWMC/ADM FEE $ ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAL-MWMC SDC $
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 14~. 45
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ 7,;;:2-
19re
Date: 2 - 2-~-98
SDC Coordinator
TOTAL SDC $ /7-. ~, 77
. riA I unc un.. I \..,J-\L\..,ULJ-\ Ilunl I J-\DLe. Number ot New Fixtures X Unit Equivalent = Fixture: Uriits'2"'':' ,;"
(NOTE: For remodels, calculate only ~"'e NET additional fixtures) -'-' ., ::- ,
NUMBER OF . UNIT. FIXTURE.
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..............................,................................... ....
Drinking. Fountain..... ................................ .........,......
Floor Drain,.....:.........................................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto WashiEtc..................
Laundry Tub/Clotheswasher................ ...................
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall..... _...........................................
Shower, Gang................,.,....,............................,.....
Sink: Bar, CommerCial. Residential Kitchen........................
Udnal, Stall/Wall.............................................,.........
Wash Basin/Lavatory, Si ngle..,.,.............................
Toilet. Pubiic Installation.............,..........................
Toilet I 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: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates,
Year
Annexed.
Rate per $1,000
Assessed Value
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
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
Year
Annexed
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fiesidemiai,..;....................... 0.4
Commerical......................... 0.9
Industria!............................ 0 5
Governmental...................... 0.5
Rate per $1,000
Assessed Value
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT