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Home My WebLink AboutPermit 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