HomeMy WebLinkAboutPermit Building 1999-9-10
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 991176
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 708 BLACKSTONE ST.
Assessors Map #: 17032300
Lot: PAR Block:
Tax Lot #: 00907
Subdivision:
Owner: RODNEY CHASE
Address: 798 ROYALDEL LN.
Phone #: 729-8155
City/State/Zip: SPLFD OR,97477
Describe Work: MOVED HOUSE/GARAGE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
RODNEY CHASE
0107878
08/01/98
729-8155
Plumbing: CUSTOM PLUMBING 0058006
4894 Newtown Ave SE Salem OR 973020
Mechanical: ROLFS HEATING 0076473
PO Box 1252 Eugene OR 974400000
05/06/00
362-5233
04/28/98
741-0002
QUAD AREA: 5RNW
'OCCY GROUP: R3
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
# OF BLDGS: 2
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.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH ELECT~ICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing
FRAMING - Prior to cover.
CURB CUT - After forms are erected but prior to
SIDEWALK - After excavation is complete, forms
in place.
FINAL PLUMBING - When all plumbing 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.
ATTENTION:Oregon law requires you.:(;
follow rules adopted by the Oregon Utility t
Notification Center. Those rules are 9s5~_~~ ~
with finish lfWOOfH~$~-.o01-0010thro~ghOAR I b
0090. You may obtain copies of the ru e~ y
placement of cclm1~theCenter.(Note:thetel~~ho~
and sub-base lTlfla ~forthe Oregon Utility Notification
It Center is 1-800-332-2344).
E
10
NOTICE:
11HlGPERMIT SHAll t::XP1MC IrlHE weRK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Lot Faces: N
House
Garage
N
00
32
Lot
Setbacks
S W
40 8
Sq. Ft.:
Item
Main
Garage
BUILDING PERMIT ---
Square Feet x $/Square Feet
728 18.34
Value
0,00
13,352.00
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Job Number: 991176
Page 2
FTG/FDN
Total Value
5,500.00
18,852.00
Building Permit Fee
Surcharge/Admin
134.50
13.46
'TOTAL FEE
(A)
147.96
PLUMBING PERMIT
Item
Sanitary Sewer
Water
Storm Sewer
50
50
50
Fee'
25.00
2,5.00
25.00
Plumbing Permit
Surcharge/Admin
75.00
7.50
TOTAL CHARGE
(C)
82.50
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC \
PLAN CHECK FEE
0.00
61.68
60.00
1,099.48
87.43
TOTAL MISCELLANEOUS PERMITS
(E)
1,308.59
(Excluding Electrical)
unless otherwise noted .
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
1,539.05
--- 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.
Received By:
Plans Reviewed By: AL WARD Date: 09/10/99
Building Site Reviewed By: BOB BARNHART
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT ISN 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.
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Job Number: 991176
Page 3
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.
0'2~#_,6:rc- ~--.P_
s~natu?
9-/0 -1'9
Date
VALIDATION
Date Paid:
(/3 ')5/ 7
'7/ (() / 17
; S- 3' 7. 0 ~ /J
afI p~.
Receipt Number:
Amount Received:
Received By:
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JOURNAL OP lOB NO. qq I( 7G
ATTACHMENT A
- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: E.o(}V e ~ ~ :T .d~tJ J F"J (2 IN>, <;.e
LOCATION:
DEVELOPMENT TYPE:
Uou"t; RF.(.O~A7'OAJ ~ hr -r/~G; {~e.J5{(. ClJiVJVc..7"n~,
BUILDING SIZE:
1. STORM DRAINAGE
LOT SIZE
.AI () N c t.A.J Ihj?e3fl-VIoiJDS. A I2.C A
/ I t~.'
SQ. Ft.
IMPERVIOUS SQ. FT.
,X $0.232 PER SQ. FT.
e'
$
2. SANITARY SEWER-CITY
NO. OF PFU'S J~
(See Reverse Side)
X $48.27 PER PFU
$ 772-.32-
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR 'TRIP
X
X $486.73 PER TRIP
$ ~
X
X $486.73 PER TRIP
"
$
4. SANITARY SEWER~MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S I
, X 24'l,7{' ,PER FEU
$ 24-'L. 76
'B. IMPROVEMENT COST:,
NO. OF FEU'S (
X 22'. oS PER FEU
$ 2.2. o~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
<$ >
$ 10.00
TOTAL-MWMC SDC
$ z 74-. el
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
~, Date: t::'}-8-9a;
SDC Coordinator
ATTACH'A.WPD
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
$) 1')4-7./'2;
,
$ S- 2. . ~~
TOTALSDC
$ loqq.48
,
FIXTURE UNIT CALCULA TION TABLE: Number of New Fi",t:ures X Unit Equivalent = f.ix.ture Units
f\~~i .
(NOTE: For remodels, calculate only thF ~ '~Tadditional fixtures) f:i' "
NUMBER OF . . UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIV ALENT UNITS
\
Bathtub................................ ......................................
Drinking F oWltain.............. ... ......., ...:..... ................ ...
Floor Drain............................ ..,........ ...... .............. .....
Interceptors For Grease/Oil/Solids/Etc.....................
Interceptors For Sand/Auto Wash/Etc......................
Laundry Tub/ClotheswasherlMop Sink....................
Clotheswasher - 3 Or More.......................................
Mobile Home Park Trap (1 Per Trailer)...................
Receptor For RefrigeratorfWater Station/Etc...........
Receptor For Commercial SinklDishwasher/Etc......
Shower, Single StalL..............................................
Shower, Gang.....:.....................................................
Sink: Bar, Commercial, Residential Kitchen............
Urinal, S talllW all....................................... ...... .........
Wash Basin/Lavatory, Single...................................
Toilet, Public Installation.........................................
Toilet, Private.......................... ...... ..........................
Miscellaneous:
"'"2-
2
I
2
3
6
2
6
6
I .
3
2
I/Head
2
2
I
.6
4
Z-
'2-
'2..
"Z...
"2-
8
TOTAL FIXTURE UNITS
Ib
CREDIT CALCULA nON TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate
credits separately.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.47
4.38
4.32
4.20
4.03
3.88
3.68
3.38
, 3.03
2.62 '
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
2.18
1.75
1.35
1.17
1.03
0.86
0.71 .
0.57
0.39
0.18
Credit for Parcel or Land Only If Applicable X $
(Rate X Assessed Value)
Improvement (if after annexation date) X $
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL........................ 0.4
CommericaL...................... 0.9
Industrial.. ...... ...,... ............... 0.5
GovernmentaL ................ ...0.5
FIXUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT