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HomeMy WebLinkAboutPermit Building 1999-3-11 -,' .,' Page 1 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. (/3~U Si9~/ ~?Q/ 1//~'7 Date SPRINOFIELD Job Number: 990328 Receipt Number: Date Paid: Amount Received: Received By: -- - VALIDATION ()3)(~ 7 '3/''/71 5(,3. fJ}'f dw Page 3 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