HomeMy WebLinkAboutPermit Building 1995-10-6
SPRINGFIELD
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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~
~~
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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 = $
--