HomeMy WebLinkAboutPermit Building 1998-4-2
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SPRINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980242
Page 1
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1054 A ST
Assessors Map #: 17033541
Lot: Block:
Tax Lot #: 01800
Subdivision:
Owner: RICHARD BLACKSTONE
Address: 1054 A ST,
Phone #: 988-9347
City/State/Zip: SPLFD OR,97477
Describe Work: ADDITION
ADDITION
QUAD AREA: 2RNW
OCCY GROUP: R3
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
CONSTR, TYPE: VN
SQ FOOTAGE: 1186
FLOOD PLAIN: N
# OF BDRMS: 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.
iii...
REQUIRED INS'hE<JJ1/i'S
FOOTING - After trenches are excavated, iSy& ~~.
FOUNDATION - After forms are erected bd~le~~~o concrete placement.
UNDERFLOOR MECHANICAL - Prior to ins~~l ~r~king,
UNDERFLOOR PLUMBING - Prior to ins~l ~~CK~
POST AND BEAM - Prior to floor insul~r~8A~~e~~~~
INSULATION - Floor; prior to decking ?~r~li~~~~r to cover
STORM SEWER LINE - Prior to fill1ng trench, ,o~1il {s>-1~ ~8A $~
ROUGH MECHANICAL - Prior to cover, ~OO ~-1ta ~-'9~ ~ I1-Q
ROUGH PLUMBING - Prior to cover, . D-1t~O VJ'/& 19>t
ROUGH ELECTRICAL - Prior to cover, ~Q -1tOJ'
ELECTRICAL SERVICE - Must be approved to obtain permanent po~er.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; 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.
Total Height: 23
Solar Approved: Y
Lot Type:
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1186
$/Square Feet
64,66
~uilding Permit Fee
Surcharge/Admin
TOTAL FEE (A)
INTERIOR
Value
76,687.00
0,00
76,687,00
364,00
29,12
393.12
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SPRINGFIELD
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Job Number: 980242
Page 2
--- PLUMBING PERMIT ---
Item
Fixtures
Residential Bath(s)
Storm Sewer
2
-=-'(\!<V
Fee
0.00
160,00
~
I UlO?=>
+8~o
Plumbing Permit
Surcharge/Admin
:':'':;.0~
TOTAL CHARGE
(C)
199.80
MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
3
4,50
9,00
3,00
Mechanical Permit
Issuance
Surcharge/Admin
16,50
10,00
1. 33
TOTAL PERMIT
(D)
27.83
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
SDC
0,00
455,48
TOTAL MISCELLANEOUS PERMITS
(E)
455.48
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
.1..,.tll b . 23
t04'1.~~
--- 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,
Received By:
Plans Reviewed By: TOM
Building Site Reviewed
236,60
Date Paid: 03/02/98
Receipt Number: 28923
MARX Date, 04/01/98
By: BOB BARNHART
ADDITIONAL COMMENTS ---
ELECTRICAL PERMIT 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.
,
SPRINGFIELD
Job Number, 980242
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
wil remain on the site at all times during construction.
J
s~,hature
'f-d-~70
Date
Date Paid:
- -- VALIDATION
~11qK
tA \D4C[.Z3
I [)() J
~
Receipt Number:
Amount Received:
Received By:
-.
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. CITY 'OF spl~~'i~~f6~~~~~:~iA;~V~::6~~;'~:~~~;~~C""~,"^" .
WORKSHEET
NAME OR COMPANY: R Ie,
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LOCATION:
/ 0 .,4
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DEVELOPMENT TYPE:
A 0017'0;0 7""0 5 FR...
O~""'C1Ue- ot.n ";"L"IpC:C
BUILDING SIZE
I ()T SIZF
SQ. Ft,
1. STORM ORA m!!-GF (N~T IV.,-"" Alee..)
IMPERVIOUS SO, FT,
4 {,-,. g--
x $0.226 PER SQ, FT, $ /os.77
2, SAN !TARY SF:,.JFR -r: fTY [2~,",,, .,.,,,,t, -KITom"', UTILIT"''l, Ifl~T"'~11
A,rJDlU6. I 134""~ ~6(J"'1
NO. OF PFU'S
(See Reverse Side)
7
X $46,86 PER PFU
$ ~2g,t>2-
3, TRANSPORTATIO~
'NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $47249
$
~
~
x
X $47249
$
x
x $472. 49
$
4, SANITARY SFWFR-M~Mr
NO, OF FEU'S
X
PER FEU + $10 MWMC/ADM FEE $
e-
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAL-MWMC SDr $
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
-$ 433.79
S, ADMINISTRATIVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X ,OS
$
2/, ~
lC}{.
Date: 3-/H'1fi
SDC Coordinator
TOTAL SDr $ 4~", 48
,t"IA I UliC UI\l11 L;J-\LL.ULJ-\ IIUI\l, I J-\J:jLC: Number of New Fixtures X,Unit Equivalent =-Fixture Units"'"
"'. ,". ., .... .....-. ... . .-,' . , ,
(NOTE: For'remodels, calculate .only the NET addi~~p. ~~lf!~~,:,,(es,lli'y,c~i,,}~q,Z~:.. , ':: ,'." ~""i : "', .',:' ,", ,~ ,';
, .' _, "" >" ..,,; .,NU~~ER OF,: '; , - UNIT,.___' ,-,' FIXTURE
FIXTURE TYPE ,-- --:,':::" (. NEW'FIXTURES - EQUIVALENT' UNITS
Bathtub,.,."...,."'."""'..."".".."""""""".,.""."'."".. ..
Drinking. Fountain.......,.."".."'.....".".... ,.......... ,...., '..
Fioor Drain. ..... :.."...., ,..",....',...".,."............ ............"
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc,..,......,......,
Laundry Tub/Clotheswasher. ,.."...... ,.. ..,..,.. ,...., ,....,
Clotheswasher - 3 Or More....,.............................,..
Mobile Home Park Trap 11 Per Traiier)........,....,....
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Sho'wer, Single Stall......,..,............ ,..,.............,........,
Shower, Gang".......",....,.,."..".,.,.,....."..,... .......,....,
Sink: Bar, CommerCial. Residential Kitchen............,...........
Urinal, Stall/Wall.", ,...",'..'.,..','.'""".....,.. ,.. ....,..' ..,..,
Wash Basin/Lavatory, Single.,.""..,...................,....
Toiiet, 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
=
'2-
4-
7
Based on assessed value, If improvements occurred after annexation date in table,
CREDIT CALCULATION TA8LE:
calculate credits separates.
I
Rate per $1,000
Assessed Value
Year
Annexed
Year
Annexed
L
1979 or before
1980
1981
1982
1983'
1984
1985
1986
$3,97
3.89
3,83
3.70
3.55
3,39
3,20
2.91
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Credit for Parcel or land Only If Applicable
X $
(Rate X Assessed Value)
X $
, (Rat'e X Assessed Value)
,
=
=
Improvement lif after annexation datel
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residelidai... :.... ... .............. _. 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental.............,........ 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1,000
Assessed Value
r
$2.56
2.17
1.73
1.31
0,92
0.74
0,61
0.45
0.31
0,17