HomeMy WebLinkAboutPermit Building 1998-5-21 (2)
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980499
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3771 DOUGLAS DR
Assessors Map #: 18020612
Lot: 107 Block:
Tax Lot #: 04312
Subdivision: HAYDEN GARDENS 2
Owner: HAYDEN HOMES
Address: 1511 SW 33RD
Phone #:
City/State/Zip: REDMOND, OREGON 97756
Describe Work: ENLARGED GAR UNDER 950779
ADDITION
Contractor
Canst.
Contractor #
Expires
Phone
General:
OWNER
QUAD AREA: 3RSC
OCCY GROUP: U
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
ZONING CODE: LDR
SQ FOOTAGE: 320
BUILDING PERMIT ---
Item
Main
Garage
Total Value
Square Feet
x
$/Square Feet
=
Value
0.00
5,206.00
5,206.00
Building Permit
Surcharge/Admin
N07'/CE.'
rHIS .
Fee .-'l PERMlr
c iJrHORllED SH.-'lll EXP/
OMMENC. UIVDER r. FiE If: 'ii.
.-'lNy 180 fl, ~D OR IS An fflS PERMI.,. ~ WOR/(
- - - ~d~ElSh'g:;@~IT1f IJ/Q:r
. f:OR
320
16.27
56.50
4.53
TOTAL FEE
(A)
61. 03
Surcharge/Admin
PLAN REVIEW FEE
SYSTEMS DEVEL CHGS
0.00
36.73
82.70
TOTAL MISCELLANEOUS PERMITS
(El
119.43
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
180.46
--- 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.
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Job Number: 980499
Page 2
Received By:
Plans Reviewed By: BOB BARNHART Date: 04/29/98
Building Site Reviewed By: LISA HOPPER
ADDITIONAL COMMENTS ---
INSPECTIONS CONDUCTED UNDER ORIGINAL CONSTRUCTION PERMIT 950779
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 ORB 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.
~~ ~~.~
Signatur"'- /"
.z;- -.:?/- .n'
Date
Date Paid:
ACf qaFATION
o . YJ .Q. ~
__1. \~D ~~
'fI\\N\. )
Receipt Number:
Amount Received:
Received By:
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JOB NO. '7" L./ / M
. ATIACHMENT A . q~O'\C\C{
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
I~A""067V l:-IoJ<.-(':f~
LOCATION:
377/ D./J(~../-A-~ Df2 .
.
DEVELOPMENT TYPE:
~4tL.4-(;;.O ("_D~ ueL'7't"E/1 7;) PA~~Il..." !<~
BUILDING SIZE
JOT SW SO Ft.
1 ' ~TORM ORA I ~I,D.GF
",,;..... {2"",","
/7yu>,,--=- 34~
IMPERVIOUS SO. FT,
:~48"
X $0.226 PER SO. FT. $ 73, 7(',.,
2. SANITARY ~FYFR-(rTY
NO. OF PFU'S
(See Reverse Side)
x $46.86 PER PFU
$ S
3. TRANSPORTATION
'NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $472.49
$ <3
X
X $472.49
$
x
X $472.49
$
4. SANITARY ~FWFR-MWM(
NO. OF FEU'S
X
PER FEU + $10 MWMC/ADM'FEE $ ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAl -MWMr. SOr. $
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $. . 78. A:;
5. AOMINISTRATIVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 3,Q4-
L9t Date' 4. ,&1-<18'
SOC Coordinator 001 SO( $ ;?2,70
. I '^ I un&..: UI~" vHLvULH "V,II I HOLe; Number 01 New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate 0.. e NET additional fixturesl. r. 7
. 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 Wash/Etc..................
Laundry Tub/Clotheswasher............................. ......
Clotheswasher. 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer}..................
Receptor For RefrigeratorlWater 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......... ......................:..
Toilet. Pubiic Installation............... .........................
Toilet, 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:
calculate credits separates.
II
Based on assessed value. If improvements occurred after annexation date in table,
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.B3
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 Valuel
X $
. (Rate X Assessed Valuel
=
Improvement (if after annexation datel
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residencial. ..:... ...... _,..... ... .... 0.4
Commerical......................... 0.9
Industrial............................ 05
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
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