HomeMy WebLinkAboutPermit Building 1999-3-18 (2)
j \
~
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF,SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 981492A
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 2683 GAME FARM RD
Assessors Map #: 17032244
Lot: Block:
Tax Lot #: 06300
Subdivision:
Owner: DENNIS CUDDEBACK
Address: 2683 GAME FARM ROAD
Phone #: 521-5178
City/State/Zip: SPRINGFIELD, ORE
Describe Work: GARAGE
NEW
QUAD AREA: 5RNW
OFFICE USE
LAND USE: 1111
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 workin~ day,
inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
FOOTING - After trenches are excavated.
FRAMING - Prior to cover.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Total Height: 15
Solar Approved: Y
Lot Type: INTERIOR
Item
Main
Garage
Total Value
--- BUILDING PERMIT ---
N Square Feet x a/square Feet
" Dt'ICl::
, ;':RMIISIiA.
)RI1E:D U~ LL eXPIRe I
-" Dr::,t< 7'f{, Fllie'v,
ANy 180 . --; ISPeRMI ,I ORK
/)<1 Yp'r::-,Ar "0" I,S ,"0"
<;;R~O"" .~ ,v:r::., 'I
I " cu "OR (A)
Value
0.00
0.00
18,000.00
Building Permit Fee
Surcharge/Admin
128.50
10.29
TOTAL FEE
138.79
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
CITY SDC
0.00
286.02
TOTAL MISCELLANEOUS PERMITS
(E)
286.02
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
424.81
--- 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. I requireS you to
ATTENTION:Oregon aw Ore on Utility
follow rules adopted by th~les ;re set forth
Notification Center. ThOse hOAR 952-001-
. 952_001-0010throug
In OAR btain copies of the rules by
0090. You may 0 Note' the telephone
calling tfhetchen~:~g( on uiility Notification
number or e 44)
Center is 1_800-332-23 .
\
, .
.'
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL UNIMPROVED STREET
Developer: DENNIS CUDDEBACK
Mail Address: 2683 GAME FARM ROAD SPRINGFIELD,
Tax Lot #: 1703224406300 Project Address:
Subdivision: Lot: Blk:
ORE
2683
Eng.
Job No.: 981492A
Phone #: 521-5178
GAME FARM RD
Rev. No.: Book:
Street Gravel Ac Mat
2683 GAMEFARM RD
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
NONE
N
N/A
N/A
N/A
Existing Curbcut: N
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvement Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344
Comments: NOT APPLICABLE
STORM SEWER
Available: N
Pipe Downspouts And Drains To: PROVIDE DRYWELL CALCS OR ALTERNATE
Pipe Parking Lot Drainage To: N/A
Comments: OWNER TO PROVIDE DRAINAGE PLAN WITH CULVERT REQUIREMENTS
CONTACT MAINTENANCE DIVISION AT 726-3761 FOR CULVERT SIZE AND DEPTH.
SIDEWALK AND DRIVEWAY INFORMATION
New Curbcut Appr.: N
Sidewalk Permit: N
Curb cut Permit: N
Comments: UNIMPROVED STREET
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment:
SPECIAL NOTES AND REQUIREMENTS
All work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. All existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By: MOLLY LINDBLOM
Date: 02/26/99
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
,
.. \...
Job Number: 981492A
Page 2
--- ADDITIONAL COMMENTS
THIS STRUCTURE CANNOT EXCEED THE HEIGHT OR SIZE
OF THE EXISTING RESIDENCE
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 this project.
I f rth a ree to ensure that all required inspections are requested at the
e, that each address is readable from the street, that the permit
ca is c ted at the front of the property, and the approved set of plans
w II re a' the site at all times during construction.
3\~q1
Date
Date Paid:
331C1' ~LIDATION
8.11; -:q;,
~8T'
'cl,LD/J~)
,
Receipt Number:
Amount Received:
Received By:
. .
.. JOURN"OR JOB NO. q J? 14~ z...
ATTACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: ~ / (!,uO/J G PAcK-
LOCATION: ?.l;'JR ?-. C-A ~t!!rFA rZJv1
DEVELOPMENT TYPE: aAR.A~ .4c:DrrrO,J
BUILDING SIZE:
/;;?OD .
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE @x ~) + ~
IMPERVIOUS SQ. FT. /~a:l X $0.227' PER SQ. FT. $ z7z;4Q
\
2. SANITARY SEWER-CITY
~
NO. OF PFU'S X $47.14 PER PFU $
(See Reverse Side)
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:
l
NO. OF FEU'S
X
PER FEU
$ ,
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ >
$ 10.00
TOTAL-MWMC SOC $ ~
m~L--
SDC Coordinator
ATTACH' A. WPD
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIV~ F~~}:
BASE CHARGE (SUBTOTAL ABOVE) X .05
Date: :zj~ TOTAL sac
$ ;z... -, ::<. .fO
$ 18'(pZ
$2-X'h. Q"L
.-
FIXTURE UNIT CALCUL~N TABLE: Number of New Fixtut..unit Equivale;'t = Fixture Units
(NOTE: For remodels, calculate only ~ET additional fixtures) .
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separat~s.
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 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...................................
Toilet, Public Installation........................................
Toilet, Private.......................................................
Miscellaneous:
2
1
2
3
6
2 ..
6
6
1
3
2
1/Head
2
2
1
6
4
. .
TOTAL FIXTURE UNITS =
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
IL
1979 or before
1980
1981
1982
1983
1984
1985
1986.
1987
1988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
.1989
1990
1991
1992
1993
1994
1995
1996
1997
Rate per $1,000
Assessed Value
$1.98
1.55.
1.15
0.96
0.83
0.67
0.52
0.38
0.21
II
Credit for Parcel or Land Only If Applicable
Improvement' (if after annexation date)
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