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HomeMy WebLinkAboutPermit Building 1995-10-6 SPRINGFIELD ~- Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951480 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 398 SCOTTS GLEN DR Assessors Map #: 17032713 Lot: Block: Tax Lot #: 04000 Subdivision: Owner: MADALENE GAY Address: 398 SCOTTS GLEN DRIVE Phone #: 726-8378 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: GARAGE CONV TO BDRM REMODEL Contractor Const. Contractor # Expires Phone Plumbing: .-f.:~{.!i:< ,I)e..:;.u'> 0C>:?7-1-7S u1!rl~<(,~rM:!; n~1~f;i~~~~~9t BJERKE 0004096 2106 NE 61st Ave Portland OR 972130 ERICSON 0095909 PO BOX 27 JUNCTION CITY OR 97448000 07/30/95 &&-"'}-3-171 -'~o-<':>:J 10 General: '08/26/95 000-0000 Electrical: 01/06/99 998-5848 QUAD AREA: 1RNW ZONING CODE: LDR VN OFFICE USE LAND USE: 1150 OCCY GROUP: R3 # OF BLDGS: 1 CONSTR, TYPE: 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 UNDERGROUND PLUMBING - Prior to filling trench. ROUGH PLUMBING - Prior to cover. WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. 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 PLUMBING - When all plumbing work is complete, FINAL MECHANICAL - When all mechanical work is complete, FINAL ELECTRICAL - When all electrical work is complete, SIDEWALK - After excavation is complete, forms and sub-base material in place. CURBCUT - After forms are erected but prior to placement of concrete, FINAL BUILDING - When all required inspections have been approved and the building is complete. Item Main Garage PART. GAR, CONVERSIO Total Value BUILDING PERMIT --- Square Feet x $/Square Feet Value 0,00 0.00 7,000.00 7,000,00 Building Permit Fee 62,50 . #rtJ/ - t C~et ~ 71T1'J ) 1U/i5 /,v /ltt!lJc; , ~ I ..~ ---- J . Job Number: 951480 Page 2 SurchargelAdmin 5.01 TOTAL FEE (A) 67.51 PLUMBING PERMIT --- Item Fixtures Sanitary Sewer Water 4 50 50 Fee 40,00 25,00 25,00 Plumbing Permit Surcharge/Admin 90.00 7,20 TOTAL CHARGE (C) 97.20 Vent Fan MECHANICAL PERMIT - -- 1 3.00 Mechanical Permit Issuance Surcharge/Admin 15.00 10,00 1. 20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut ELECTRICAL PERMIT CITY SDC 0,00 13,30 20,20 62.64 319,21 TOTAL MISCELLANEOUS PERMITS (El 415.35 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 606.26 --- 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: Received By: Plans Reviewed By: DON Building Site Reviewed 40.63 Date Paid: 09/13/95 Receipt Number: 18999 MOORE Date: 10/06/95 By: LISA HOPPER - - - ADDITIONAL COMMENTS - - - MINIMUM COMPONENT PATH, LIMITED SLAB EDGE INSUL. 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. Job Number: 951480 Page 3 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. X.--nI(~Jr"'~Al X'~ 4t1U/ I . S~gnature ( k) -& -C)Ct Date - - - VALIDATION Date Paid: 11'2'25 /~&'/9.s- &r0kJ 2~ ~~ -\.. Receipt Number: Amount Received: Received By: ""'Il . . JOB NO. 95" CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: M/JJ)ALCriC GA") LOCATION: (,i.e.","'; ~q6 s...,Tr:> DEVELOPMENT TYPE:_,IZt:'I'ICI'\E: L BUILDING SIZE: LOT SIlt 1, STORM nRATNAG~ E..'~711-:(' A,z.~4 IMPERVIOUS SQ. FT, X $0.21 PER SQ, FT. 2, SANTTARY SFWFR-r.TTY NO. OF PFU'S (See Reverse) 7 X $43.43 PER PFU 3. TRANSPORTATT.ill:! NO OF UNITS X TRIP RATE X COST PER TRIP X , X $437,93 X X $437.93 x X $437.93 4. SANTTARY SFWFR-MWMr. NO, OF PFU'S x $18,75 PER PFU + $10 MWMC ADMIN,FEE (Use PFU Total From Item 2 'Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAl -MWMr. SDr. SUBTOTAL (ADO ITEMS 1,2.3 & 4) 5, AruiTNTSTATTVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X ,05 '-Jfo'j '" '/I Lu ~ll.!iL Troy McAllister SDC Coordinator "I1z.2../</5- , I Date: TOTAl SDr. ", ''\.. /'180 SQ, Ft, G-) ........... ./ ((3.:"1 ~ ') -- -- c;-- '") '- -- $ $ $ ,- $ ~ $ 3c'i ~ C IS 7-c:-') - -- 'V ...-- $ 3\'1 - '!':I I-I..X. lURE UNII l,;ALl,;ULA IIUI\I I Al::SU:: Number of New Fixtures X Unit Equivalent ~ Fixture Units (NOTE: For remodels. calculate .the NET additional fixtures) . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..",..,.,."..,....".."..."",.""..,.,..",....,.,.,.."...".. . Drinking Fountain,."....,...".",.",.",.....""..,.,..,.....",.. Floor Drain"".".,.."",.,."......."."...."...,..",."...,."""" Interceptors For Grease/Oil/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. 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 = z 'I 7 Based on assessed value. If improvements occurred after annexation date in table. CREDIT CALCULATION TABLE: calculate credits separates. r Rate per $1,000 Assessed Value Year Annexed Year Annexed l 1979 or before 1980 1981 1982 1983 1984 1985 1986 $3.47 3.39 3.33 3.21 3.06 2.92 2,74 2.46 1987 1988 1989 1990 1991 1992 1993 1994 Rate per $1,000 Assessed Vaiee I r 'I $2,13 1.76 1.35 0.95 0.58 0.41 0,29 0,14 I J = 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 = $ --