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HomeMy WebLinkAboutPermit Building 1999-1-26 '" Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY 'SERVICES DIVISION BUILDING SAFETY Job Number: 990055 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 936 RIVER KNOLL WAY Assessors Map #: 17032300 Lot: 'Block: Tax Lot #: 01003 Subdivision: Owner: SHIRLEY BEVILL Address: 936 RIVER KNOLL WAY Phone #: 726-9799 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: GAZEBO Contractor , I equires you t~ ~TTENTION:Oregon aw r 0;'M~n Iltilitv follow rules adOpleo uy eon!a'S:;re set forth Notification Center. cM~~J~eJA~952IOOt>res in OAR 952-001-0~1?nt~~~~s of the rules by 0090, You may 0 al ote' the telephone calling the center. (N UiililY Notification nllmberfor the Oregon -~f' ~") OFF:tmntoS~ \:!.'uu-"''''~ ' LAND USE: 1111 Phone General: OWNER QUAD AREA: 2RNW 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. FRAMING - Prior to cover. FINAL BUILDING - When all required inspections have been approved and the building is complete. Item Main Garage GAZEBO Total Value BUILDING PERMIT Square Feet x $/Square Feet 115 15. Value 0.00 0,00 1;725.00 1,725,00 Building Permit Fee Surcharge/Admin , '("'T,r'f.':. !\,\) ~\.,...... 29.50 2,37 Iiii:': C'tW;l: SH!~LL r'WiflE IF THE WORK TOTAL FEE ;\\." :..tJfl ~~~:_~.; ''!:.!DE}' (..:....:,1,"::. 'f-j'(: \! :'.:; PEH1~,~!T IS N?I> . ;.:! iC;.i\!ED FOR 31.8.7 MISCELLANEOUS .PERMITS ,--- Surcharge/Admin CITY SDC PLAN CHECK 0'.00 27.88 19.18 TOTAL MISCELLANEOUS PERMITS (E) 47.06 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C,'D, and E combined) 78.93 , '. Job Number: 990055 Page 2 --- 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 re~oked at any time upon violation of any provisions of said ordinances. Received By: Plans Reviewed By: AL WARD Date: 01/22/99 Building Site Reviewed By: LISA HOPPER - - - ADDITIONAL COMMENTS THIS STRUCTURE CANNOT EXCEED THE HEIGHT OF THE 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 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 remain on the site at all times during construction. IJ#1jp f~L ,-- 1-;) l)-q~ Signature Date --- VALIDATION Date Paid: 032t,77, //2,'/'71 ( I 7Y_, 75 /7 trJ 0~ Receipt Number: Amount Received: Received By: . '", JUUKNAL UK JOB NO. . ATTACHMENT A . ct9 ClOSS CITY OF SP~NGFIELD SYSTEMS DEVEL~ENT CHARGE WORKSHEET 'V v NAME OR COMPANY: Be 1/; II 93 ~ ~fM1 htdt ltIaM ~~o r fY LOCATION: DEVELOPMENT TYPE: BUILDING SIZE: //7 LOT SIZE SQ, Ft. 1. STORM DRAINAGE IMPERVIOUS SQ, FT. 1/ "1 2, SANITARY SEWER-CITY NO. OF PFU'S (See Reverse Side) 3, TRANSPORTATION X $0.227 PER SQ. FT, $ ~,~ X $47.14 PER PFU $ 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: NO. OF FEU'S X PER FEU - $ MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ . > $ ..JUS TOTAL-MWMC SDC $ SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FEE~: BASE CHARGE (SUBTOTAL ABOVE) X .05 tVlSL Date: / jZ7-M , , $ Z(.,5'h $ j,32.. SDC Coordinator ATTACH' A. WPD TOTAL SDG. $ 1.-7,!f1? I '^ I unc Villi I \"~L\"ULA IIUI\J I ABLE: Number of New Fixtures X Unit Equivalent = Fixture lJ;;'i~s ... (NOTE: For remodels, calculate onl~e NET additional fixtures I . . . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS 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 TrailerJ.................. 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 l/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in :able. calculate credits separates. --,' Year Rate per $1.000 Year Rate per $1,000 I Annexed Assessed Value Annexed Assessed Value 1979 or before $4,27 1989 $1.98 I 1980 4.18 1990 1.55 1981 4.12 1991 1.15 1982 3.99 1992 0.96 1983 3.83 1993 0.83 1984 3.68 1994 0.67 1985 3.48 1995 0.52 1986 3.18 1996 0.38 1987 2.82 1997 0.21 .1 1988 2.42 Credit for Parcel or Land Only If Applicable X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (if after aAnexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL.......................... 0.4 CommericaL........................ 0.9 IndustriaL........................... 05 Governmental...................... 0.5 FIXUNlT,WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT