HomeMy WebLinkAboutPermit Building 1998-4-20
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RESIDENTIAL PERMIT ApPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980364
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 2833 HAYDEN BRIDGE RD
Assessors Map #: 17021932
Lot: Block:
Tax Lot #: 00400
Subdivision:
Owner: JERRY TABOR Phone #: 746-0179
Address: 2833 HAYDEN BRIDGE ROADCity/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: FAMILY RM & KITCHED ADDIT
, ADDITION
Contractor
Const.
Contractor #
Expires
Phone
General: OWNER
Plumbing: OWNER
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
'.ANY 180 DAY PERIOD.
Mechanical: OWNER
Electrical: OWNER
QUAD AREA: 5RNC
ZONING CODE: LDR
VN
INSUL PATH: P1
OFFICE USE --
LAND USE: 1111
OCCY GROUP: R3
# OF BLDGS: 1
CONSTR. TYPE:
SQ FOOTAGE: 672
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.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM- Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/ceil~ng; Prior to cover
ROUGH PLUMBING - Prior to cover.
ROUGH'MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL PLUMBING - When all plumbing work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Total Height: 13
Setbk From NPL: 85
Setbacks
S W E
15
Solar Approved: Y
N
House
Item
Main
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
Job Number: 980364
Garage
KIT/F.R. ADDITION
Total Value
672
64.66
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Fixtures
1
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
MECHANICAL PERMIT
Exhaust Hood
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
MISCELLANEOUS PERMITS ---
Surcharge/Admin
PLAN REVIEW FEE
CITY SDC
ELECTRICAL PERMIT
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
Page 2
0.00
43,452.00
43,452.00
256.00
20.48
276.48
Fee
10.00
15.00
1. 20
16.20
4.50
15.00
10.00
1. 20
26.20
0.00
166.40
189.84
44.28
399.72
718.60
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.
Received By:
Plans Reviewed By: DON MOORE Date: 04/20/98
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
PATH 1; :_~~~ _ ~u _._ u_ h UP ._ ~____J
FEMA ELEVATION CERTIFICATE REQUIRED PRIOR TO FINAL BUILDING.
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Job Number: 980364
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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,ad~ress is readable from the street, that the permit
card is located at the front of the property, and the approved set of plans
will the site at all times during construction.
--- VALIDATION
Receipt Number:
o J () b gry
7/1 /q K
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7/1.. , Lf~
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I
Date Paid:
Amount Received:
Received By:
,l-7-Cff
Date
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JOB NO. . q803~4
. ATTACHMENT A.
- ,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
.TE.AJY' -
NAME OR COMPANY: IA(!.,oR-
-
LOCATION: 2gs5 J.JAYhE:A.J B12.,066 RD. ,
DEVELOPMENT TYPE~ .4 if),o 171 <>;V fa 5 FiL
BUILDING SIZE: I ()T SIZE' SQ. Ft.
1. STORM DRAT NP.GE RooF AIt.C'-A-":
. :z.'Y3Z-'
IMPERVIOUS SO. FT.
<;(':)0
X $0,226 PER SQ. FT. $ 180,. W
2. SANITARY S[,~ER-CITY Pll.IV47& .fc~7/C SY~-re~
I
NO. OF PFU'S
(See Reverse Side)
X 546.86 PER PFU
$ &-
3. TRANS PORT FT ION
NO OF UNITS X TRIP RATE X COST PER TRIP
x X $472.49 -$ -e- -
X X $472:49 $
X X $472.49 $
4. SANITARY SEWER-MWMC
NO. OF FEU'S X PER FEU + $10 MWMC/ADM FEE $ C
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAL-MWMC SDC $
SUBTOTAL (ADD ITEMS 1.2,3& 4) $ tRot &V
5. ADMINISTRATIVE FEES.
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ ; q. of
/it,
Date: 4 -7) -18
SDC Coordinator
I
TOTAL SDC $' l~.~_
. riA IV n~v ....11,.'-:-:~~~~.~'8\B.'M.~~,,\I,::~..M~t-:~~.l'1~mDer,OT l'IeWt'IXWr~S ^ u,nr[ ~qulvalent = Fixture, Units ".
{NOTE: Fo';'-remod'elS:'calcu'late;,onl'Y'~';.'.'j';:NET~~ddii:ional:fixtlJresjt,:'.>:~,,;.,,~;;.,;;.:":' .~,.'. ':
,,. ." ',. _';,,"i;' J~jt.::"!:,:>:~J!~'i~tB$~;r';;~NLiMBER OF' " UNIT-,,, FIXTURE"
FIXTURE TYPE ..;,il~];i;'J'~';; ...;" ( .i":,") ('NEW FIXTURES EQUIVALENT UNITS
Bathtub.................................................................... ..
Drinking. Fountain............................ ........... ..............
Floor Drain......:................................. ....... .................
Interceptors For Grease/Oil/SolidsiEtc.. ...............
Interceptors For Sand/Auto WashiEtc..................
Laundry Tub/Clotheswasher...................................
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigeratpr/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall....................... ..........................
Shower. Gang.... ............................. ....... ..................
Sink: Bar. CommerCial. Residential Kitchen........................
Urinal. Stall/Wall...................................... .................
Wash Basi niLavatory. Si ngle... ...............................
Toilet. Public Installation........................................
Toilet, Private..... ............................ ......................
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
l/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
Year
Annexed
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
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Credit for Parcel or Land Only If Applicable
X $
(Rate X Assessed Value)
X $
. (Rate X Assessed Value)
=
Improvement (if after annexation date)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
hasidemial...;....................... 0.4
Commerical. ........................ 0.9
Industrial............................ 0 5
Governmental...................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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