HomeMy WebLinkAboutPermit Building 1999-3-11
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990328
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1400 RAINBOW DR DR
Assessors Map #: 17032743
Lot: Block:
Tax Lot #: 00400
Subdivision:
Owner: K. WILLARD
Address: 1400 RAINBOW DR
Phone #:
City/State/Zip: SPRINGFIELD,OR 97477
Describe Work:
ADDITION
-- OFFICE USE --
TO request an inspection, call the 24 hour recording at 726-3769.
, . _. utEl"'d'!"Q.Y to
All ~nspections requested before 7: 00 a, m. w~ll be m~'11QN?er@~~I<WOl.'K-!I>n", - :Utll'ty
inspections requested after 7: 00 a, m, will be malli'P'~h'illl'S~~O<ID~~brJPrd'~~ t I~rth
101l0W ru e Those rules are se
_""'tTcation Center, OAR 952-001-
REQUIRED INSPECTIO~>l" ~L_ 952_001-0010thrO~gh I by
UNDERFLOOR PLUMBING - Prior to insulation or de8g~~ may obtain copies 01 the r~ e~
ROUGH PLUMBING - Prior to cover, 0090, 'nOUthe center. (Note: ,t~e tele'~c~~on
ROUGH MECHANICAL - Prior to cover, calli g lor the Oregon Utility Notl
ROUGH ELECTRICAL - Prior to cover, numbercenter is 1_800-332-2~)'
FRAMING - 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.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
BATHROOM ADDITION
Total Value
BUILDING PERMIT ---
Square Feet x $/square Feet
t\'~Tt^E'
. "'.
Value
0.00
0,00
5,500,00
5,500,00
Building Permit Fee
Surcharge/Admin
--"\liT SHAll EXPIRE IF THE WORK
:"1: ~:' ''I!~,=- THIS PERMIT IS NOT
"Ar'u::;;;":iJ FOR
AI~Y 180 DAY PERIOD.
56,50
4,53
TOTAL FEE
(A)
61. 03
PLUMBING PERMIT ---
Item
Fixtures
4
Fee
40,00
Plumbing Permit
Surcharge/Admin
40.00
3,20
TOTAL CHARGE
(C)
43.20
Vent Fan
MECHANICAL PERMIT - - -
1
~'Ub
-~
SPRINGFIELD
Job Number: 990328
Page 2
Wood Stove/Insert/Fireplace Unit
Mechanical Permit
Issuance
Surcharge/Admin
15,00
10,00
1. 20
TOTAL PERMIT
(D)
26.20
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
CITY SDC
PLAN CHECK FEE
0,00
395.98
36,73
TOTAL MISCELLANEOUS PERMITS
(E)
432.71
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
563.14
--- 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: 0.00
Received By: AL WARD
Plans Reviewed By: AL WARD
Building Site Reviewed By:
Date Paid: 03/11/99
Receipt Number:
Date: 03/11/99
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
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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Date
SPRINOFIELD
Job Number: 990328
Receipt Number:
Date Paid:
Amount Received:
Received By:
-- - VALIDATION
()3)(~ 7
'3/''/71
5(,3. fJ}'f
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JOURNaPR JOB NO. 110 3.t..~
. AlTACHMENT A .,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: ~,wlllard
LOCATION:
1400 'i2A L IJ Be> oJ Pr:z...
DEVELOPMENT TYPE: Ad dl+1 O'V\..
BUILDING SIZE:
lOT SIZE
SQ. Ft,
1, STORM DRAINAGE
IMPERVIOUS SQ. FT,
X $0,227 PER SQ, FT, $ ~
-
2, . SANITARY SEWER-CITY
NO, OF PFU'S B
(See Reverse Side)
$1"1 . l "Z...
$ -
X $47,14 PER PFU
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X X $475.32 $
X X $475,32 $ -
4. SANITARY SEWER-MWM4
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 $ 10,00
TOTAL-MWMC SDC -
$
SUBTOTAL (ADD ITEMS 1,2.3 & 4) $ '3.. . \"Z-
5. ADMINISTRATIVE FEE~: Is.caCa
BASE CHARGE (SUBTOTAL ABOVE) X .05 $
\fv\ S l-
SDC Coordinator
ATTACH' A, WPD
Date:~
TOTAL SDC $3Cj5~~
FIXTURE UNIT CALCUIMION TABLE: Number of New FiX.S X Unit Equivalent = Fixture un~s~
(NOTE: For remodels, calculate onl""'e NET additional fixtures)
NUMBER OF UNIT FIXTURE .
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub,.""..".".,..",.,.,.,..,.",.".",..,.,.,."""....,.,.".,... .
Drinking Fountain.......,..........,..................,.,.........,...
Floor Drain,.,.........,.,..,......,.....,.......,......,.,...,.......,....
Interceptors For Grease/OiI/Solids/Etc.................
Interceptors For SandlAuto Wash/Etc........,..,......
Laundry Tub/Clotheswasher...,............,..................
Clotheswasher - 3 Or More............................,........
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For RefrigeratorlWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stali.............................................,...
Shower, Gang..,..,..".".,.,."",.,...,.,.".,.,.,.,."",.,.,.,.",
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stall/Wall, ..,'~.,"""',.".,"",.".".,.,",..,"",.,.,.,""
Wash Basin/Lavatory, Single,..,...............................
Toilet, Public Installation......,..,............,................,
Toilet, Private....................,....,.............................
Miscellaneous:
1\
2
1
2
3
6
2
6
6
1
.3
2
l/Head
2
2
1
6
4
. ,
TOTAL FIXTURE UNITS
=
CREDIT CALCULATION TABLE:
~alculate credits separates,
~Year
I Annexed
7-
?-
~
1
Based on assessed value, If improvements occurred after annexation date in table,
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4,27
4,18
4,12
3,99
3.83
3.68
3,48
3,18
2,82
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
Credit for'Parcel or Land Only If Applicable
X $
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Improvement (if after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
~:J'
ResidentiaL.......,......,..,........ 0.4
CommericaL,......,.........,...,., 0,9
IndustriaL........................... 05
GovernmentaL....,................ 0,5
FIXUNIT.WPO
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1~'
Assessed V'al~; J
I
$1,98
1,55
1,15
O,96
0,83
0,67
0,52
0,38
0,21