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Home My WebLink AboutPermit Building 1999-5-3 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990384 225 North Fifth Street Springfield, OR 97477 '"w requireS you to Locatt..'\''tE.9$r\~P\SilQanWql:~brt?g'b11l9i\li11i1 FARM RD Asse"\'O~oW rtllm> aldOlltfiJ~~~1~es are set forth Lot 'Notification center. Thos 1\~:952-O01- '_ n^C Q"2-001-0010thrO~ _.... _""'0 rilles by owne5'cj9:g?'IIO!!~tam Wr~th~telepho~e Phone #: 726-1662 Addres'ta\\\ti!PlI1~epJ..%ll ~~lWNotifli:a\jWState/z1P: SPRINGFIELD, OREGON number for the.o~e2on.332_2344). Describe wo>Ql<:nt~poR~O NEW Office, 726-3759 Inspection Line, 726-3769 Tax Lot #: 18900 Subdivision: 97477 Contractor const. Contractor # Expires Phone General: OWNER QUAD AREA: 5RNW OCCY GROUP, U OFFICE USE -- LAND USE: 1111 CONSTR, TYPE: VN ZONING CODE, LDR SQ FOOTAGE: 234 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. SLAB - TO be made after all inslab building service equipment, conduit piping, and other equipment items are in place but prior to concrete FRAMING - Prior to cover. FINAL BUILDING - When all required inspections have been approved and the building is complete, Total Height: 14 Lot Type, INTERIOR Setbk From NPL, 11 Solar Approved: Y Setbacks S W Ga:r:age Accessory N o 5 E 00 25 Item Main Garage Total Value BUILDING PERMIT Square Feet x $/Square Feet Value 0.00 0.00 3,510,00 Building Permit Fee SurCharge/Admin 44,50 3.57 TOTAL FEE (A) 48.07 --- MISCELLANEOUS PERMITS --- Surcharge/Admin CITY SDC 0,00 85.81 TOTAL MISCELLANEOUS PERMITS (E) 85.81 Job Number: 990384 Page 2 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 133.88 --- 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, 28,93 Date Paid, 03/23/99 Received By, Plans Reviewed By, AL WARD Date: 04/20/99 Building Site Reviewed By: LISA HOPPER Receipt Number: 33244 --- ADDITIONAL COMMENTS --- 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 ~ the site at all times during construction. Si9ka~ n ~ Ju-,,-- Daf/!J)r!i -- - VALIDATION Date Paid, tJ331?5&" ,.h /11 /31 ~r A/~ t/ Receipt Number: Amount Received: Received By: . JOURNWR JOB NO. qqo~R4-P:, ATTACHMENT A . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: ~,..., "SC.t-4/lMAN' LOCATION: -::?? 54- GA-M"'- FAI2.M K'n. DEVELOPMENT TYPE: LAfI.. 'Cb12--r A()n, {'tOY\..) BUILDING SIZE: LOT SIZE SO, Ft, 1. STORMDRAINAGE; ,,~.....J2.~- ,,,,,1..4= 3100 IMPERVIOUS SO, FT, ~o X $0,227 PER SO. FT. $ 8 1.72 2, SANITARY SEWER-CITY NO. OF PFU'S (See Reverse Side) X $47,14 PER PFU $ :=J 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $475,32 $ -e- X X $475.32 $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S. X PER FEU $ ~ '--"' B, IMPROVEMENT. COST: NO. OF FEU'S X PER FEU $ MWMC CREDIT 'IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ . > $ 10.00 TOTAL-MWMC SDC $ ~ ~ SUBTOTAL (ADD ITEMS 1.2,3 & 4) 5: ADMINISTRATIVE FEE~: BASE ~(SUBTOTAL ABOVE) X .05 ~, Date:..s:..::--'~ SDC Coordinator ATTACH' A, WPD $ 81,7'2- $ 4, r-,q TOTAL SDC $ 8S- . R I :.'..,.... FIXTURE UNIT CALCUL~ON TABLE: N~mber of New Fixt. Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only.NET additional fixtures) . . NUMBER OF UNIT FIXTURE FIXTURE' TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub......,.............................................................. . Drinking Fountain.....".......................,.,.........."........ Floor Drain.................. ...... ...,.. ............... ..............,.... Interceptors For Grease/OiI/Solids/Etc........,......,' Interceptors For SandlAuto 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, StaIl/Wall..........................................""....., ,.. Wash BasinlLavatory, 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 = CREDIT CALCULATION TABLE: ,cialCUlate credits sepa~tes. Year Annexed Based on assessed value, If improvements occurred after annexation date in table, l Rate per $1,000 . Assessed Value Rate per $1,000 Assessed Value Year Annexed 1979 or before 19BO 19B1 1982 19B3 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 $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 Improvement (if after annexation date) X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Credit for Parcel or Land Only If Applicable 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 , ~, Page 1 ENGINEERING DIVISION , DEVELOPMENT PLAN REVIEW RESIDENTIAL UNIMPROVED STREET Developer, TOM SCHUMAN Mail Address: 3254 GAME FARM Tax Lot #, 1703221318900 Subdivision: ROAD SPRINGFIELD, Project Address, Lot, Blk, Job No" 990384 OREGON 97477Phone #, 726-1662 3254 GAME FARM RD Eng, Rev. No., Book, Street Gravel Ac Mat 3254 GAME FARM RD EXISTING IMPROVEMENTS Curb Full Imp SW Width Curbside Setback NONE N N/A N/A N/A Existing Curbcut, N Comments, COUNTY STANDARD ROAD AND DRIVEWAY ENGINEERING REQUIREMENTS Additional Right of Way' Improvement Agreement: Easements: SANITARY SEWER CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344 Location From N, S, E, W Property Line, AS SHOWN ON DRAWING OR AS-BUILT Make Connection, EXISTING SEPTIC SYSTEM Comments, NO CONSTRUCTION OVER SEPTICE SYSTEM - FIELD LOCATE STORM SEWER Available, N Pipe Downspouts And Drains To, BAR DITCH OR DRYWELL Pipe Parking Lot Drainage To, N/A Comments, MAY CONNECT TO A EXISTING APPROVED ROOF DRAIN SYSTEM - FIELD CHECK CONTACT MAINTENANCE DIVISION AT 726-3761 FOR CULVERT SIZE AND DEPTH. SIDEWALK AND DRIVEWAY INFORMATION New Curbcut Appr, , N Sidewalk Permit: N Curbcut Permit: N Comments, UNIMPROVED STREET ENCROACHMENT AND ASSESSMENT Encroachment Permit Required: 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, DENNIS ERNST Date, 04/01/99 SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION