HomeMy WebLinkAboutPermit Building 9-5-18
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990502
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line:, 726-3769
Location of Proposed Work: 185 ALLEN AVE
Assessors Map #: 17032333
Lot: Block:
Tax Lot #: 04300
Subdivision:
Owner: ALLEN FOSS
Address: 185 ALLEN AVENUE
Phone #: 746-1799
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: CARPORT
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
OWNER
QUAD AREA: 5RNW
ZONING CODE: LDR
VN
SQ FOOTAGE: 504
OFFICE USE --
LAND USE: 1111
OCCY GROUP: U
# 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
FOOTING - After trenches are excavated.
FRAMING - Prior to cover.
STORM SEWER LINE - Prior to filling trench.
FINAL BUILDING - When all' required inspections have been approved and
the building is complete.
Lot Faces: N
Solar Approved: Y
Total Height: 16
,Lot Type: INTERIOR
Setbacks
S W E
23 8
Setbk From NPL: 74
N
Accessory
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
0,00
7,560.00
Building Permit Fee
Surcharge/Admin
68.50
5.49
TOTAL FEE
(Al
73.99
--- PLUMBING PERMIT ---
Item
Storm Sewer
Fee
25.00
Plumbing Permit
Surcharge/Admin
25.00
2.00
TOTAL CHARGE
(Cl _
27.00
Job Number: 990502
Page 2
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
PLAN REVIEW (BY HR.)
CITY SDC
0.00
90.00
120.12
TOTAL MISCELLANEOUS PERMITS
(E)
210.12
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
311.11
--- 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 r~voked at any time upon violation
of any provisions of said o~dinances.
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
44.53
Date Paid: 04/16/99
Receipt Number: 33517
MOORE Date: 05/17/99
By: LISA HOPPER
--- ADDITIONAL COMMENTS
DRIVEWAY TO BE PAVED A MINIMUM OF 18 FEET IF
DRIVEWAY ABUTS AN IMPROVED STREET
DRIVEWAY REQUIRED TO BE PAVED
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,
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Signature
Date
Job Number: 990502
Receipt Number:
Date Paid:
Amount Received:
Received By:
, - - - VALIDATION
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Page 3
JOURNAL ,OR JOI3 NU. ?9oSCJ~'
, ' ~
ATTACHMENT A ' '
CITY OF 'SPRINGFIELD SYSTEMS DEVELurl~ENT CHARGE
WORKSHEET
NAME OR COMPANY:
rnss
LOCATION:
/85 fl/tJuJ
DEVELOPMENT TYPE: SF 0
BUILDING SIZE:
564-
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS ~Q. FT, .5)4-
2., SANITARY SEWER-CITY
X $0,227 PERSQ, FT, $ //~,~
NO. OF PFU'S "
(See Reverse Side)
, X $47.14 PER PFU
$ -
3. TRANSPORTATION
,"
NO OF UNITS X TRIP RATE X COST PER TRIP'
X t.OI X $475.32
$.. '::-\ ,',- --.-r
~W\,.J. ~ of-
X
X $475.32
$
4, SANITARY SEWER-MWMC
A, REIMBURSEMENT COST:
, NO. OF. FEU'S t X m.#PER FEU
B_ IMPROVEMENT COST: '
, $ -'.z.. J 'F'~
I
NO. OF FEU'S
, X :2.6.20 PER FEU
$?-~
MWMC CREDIT' IF APPLICABLE,(SEE REVERSE)'
MWMC ADMINISTRATIVE FEE
< $ ~-,~ >
$ "- 1'8: .J&'
TOTAL-MWMC SDC
$
$ /I'/-, +0
$ LL), 7c2'
rnSL,
SDC Coordinator
ATfACH' A. WPD
,Date: 4:/23.m
TOTAL SDC
$lo?O, /;;A
FIXTURE ONFf ~A'lC:UL~~IONTABLE: NU~b~_rOf New Fixturpc; X'Unit Equivalent = Fixture,~ni& ~ .
(N0TE: For remodels, calculate onlyli""NET additional fixtures) : " " ,..
NUMBER OF UNIT FIXTURE co',..
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. ..... ...;... ......,...............
Clothes washer - 3 Or More.....................................
Mobile Home Park Trap (l 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:
'. J ,
2
1 '
2
3
6.
2
6
6
1
3
2
1/Head
2
2
,.
6
4
TOTAL FIXTURE UNITS
. CREDIT CALCULATION TABLE: Based on assessed value. 'If improvements occurred after annexation date in table,
calculate credits separates.
Year'; " " Rate per $1,000 ' Year Rate per $1,000
. ~
Annexed Assessed Value Annexed Assessed Value
1979 or before $'4.27 1989 $1.98
, , 1980 4.18 1990 1.55
1981 4.12 1991 1.15
1982 3.99 1992 0.96
1983 3.83 1993 0.83
1984" :3.68 1994 0.67
1985 ..,.; f') I ...... 3.48 " ", ,1, 99. 5 0.52
1986 3.18 1996 0,38
1987 2.82 1997 0.21
1988 2.42
.- - ---"-~-
. - - - . .~ -. -
Improveme_nt (if aft~r annexation date)
X' '$' =
(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
In'dustriaL.:~;...:.........,......,.. 0 5
Governmental...................... 0,5
FIXUNIT.WPD
I:vIPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT