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