HomeMy WebLinkAboutPermit Miscellaneous 1998-5-22
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 980483,
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line, 726-3769
Location of Proposed Work: 557 POLTAVA ST
Assessors Map #: 17033423
Lot: 21 Block,
Tax Lot #, 02000
Subdivision, RIVERTRAILS
Owner: PETRA UNLIMITED
Address, 27920 GREEN OAKS DRIVE
Phone #, 461-6101
City/State/Zip: EUGENE, OREGON
97402
Describe Work,
NEW
-- OFFICE USE --
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.
UNDER FLOOR MECHANICAL - Prior to insulation or decking.
TEMPORARY POWER
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover
ROUGH PLUMBING - Prior to cover.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
FINAL PLUMBING - When all plumbing work is complete.
FINAL GAS - When all gas work is complete.
FINAL ELECTRICAL - When all electrical work is
CURBCUT - After forms are erected but prior to
SIDEWALK - After excavation is complete, forms
in place.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
complete.
placement of
and sub-base
concrete.
material
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Lot Faces, N
Topography, 2
Lot Sq. Ft.' 6726
Setbacks
Lot Coverage, 30 %
House
Garage
N
5
S
22.
E
B
W
13
21
Item
Main
BUILDING PERMIT ---
Square Feet x
1530
$/Square Feet
64.66
=
Value
98,930.00
SPAINOFIELD
Job Number: 980483=
Page 2
Garage
Total Value
465
16.27
7,566.00
106,496.00
Building Permit Fee
Surcharge/Admin
44B.75
35.90
TOTAL FEE
(A)
484.65
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.BO
TOTAL CHARGE
(C)
172.80
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS PIPE
3
6.00
3.00
9.00
4.50
3.00
2.00
Mechanical Permit
Issuance
Surcharge/Admin
27.50
10.00
2.21
TOTAL PERMIT
(D)
39.71
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC.
WILLAMALANE
ELECTRICAL PERMIT
0.00
20.35
14.05
2,322.94
1,000.00
167.40
TOTAL MISCELLANEOUS PERMITS
(E)
3,524.74
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
4,221.90
--- 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, 291.69
Received By:
Plans Reviewed By, AL WARD
Building Site Reviewed By:
Date Paid: 04/24/98
Receipt Number: 29537
Date: OS/22/98
,
SPRINGFIELD
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
Developer, PETRA UNLIMITED Job
Mail Address, 27920 GREEN OAKS DRIVE EUGENE, OREGON 97402 Phone
Tax Lot #: 1703342302000 Project Address, 557 POLTAVA ST
Subdivision: RIVERTRAILS Lot: 21 Blk: Eng. Rev. No.,
No.: 980483
#, 461-6101
Book:
Street Gravel Ac Mat
557 POLTAVA ST
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
Y
5 FEET
6,1 FLAIRS
Existing Curbcut: N
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvement Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344
Available, Y
Size of Line: 8
Location From N,
Make Connection:
Stubbed Out To Property Line: Y Depth, 4-6
In. Tee: 4 In.
S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
PER PLUMBING CODE
Ft
STORM SEWER
Available, Y
Pipe Downspouts And Drains To, STORM DRAIN IN PRIVATE EASEMENT
Pipe Parking Lot Drainage To: N/A
New Curbcut Appr. ,
Sidewalk Permit: Y
Curbcut Permit: Y
Y
Width:
Width,
SIDEWALK AND
STANDARD
5 Ft
27 Ft
DRIVEWAY INFORMATION
Width, 21 Ft Flairs: 3
Length, 69 Ft
Ft
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
Comments: NO OCCUPANCY UNTIL INFRASTRUCTURE COMPLETE AND ACCEPTED
SPECIAL NOTES AND REQUIREMENTS
All work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. All existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By, DENNIS ERNST
Date, 04/27/98
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
BPAINQFIELD
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Job Number: 980483=
Page 3
--- ADDITIONAL COMMENTS ---
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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--- VALIDATION
Date Paid:
3(J7)0 L-
c::; - d.. ~ - 7f.
J/
Receipt Number:
Amount Received:
Received By:
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Job. No. ~C['A-~~
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,.
SYSTEM DEVELOPMENT CHARGE
\ \ WORKSHEET .
NAME: &\m.. \\\\\\",~Fr\ ~ J PHONE: - L\\Q \ . \o\D( .
ADDRESS:~V~~.f)-&i~QJ\N(\~D ~~TATE:~P: a.,40l-
LOCATION OF PROPOSED BUILDING il:E: C\ I '
Street Addre~s.: ~~{\ \)() \m~(L ~\1e.et '
Plat Name: Y\\\\.or-tro.~\~ Tax Lot Number: \r')O~?l6(L~ 02!ffJ
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype deIinilions are on the back.)
A. Sinale-Familv Detached.
t Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ to 0 D .O?
B. Sinale'-Familv ~ched
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartmen\
NO. OF UNITS
X $692 per unit = $
D. ,Manufaclurecf Harne PRJk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $ _
$ 10m.oO
JJ'
$ lOm fD
$
2. SDC CREDIT (1I applicable) SOG-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
\llir\ S:C 1_'" "';<'t} . 5 I
Development'SelVl e Department Date
City of Springfield
;) <6 1.5 c;,
0.. '__"'
~ .JOB NO. qp,042.3
.. ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
Pr= Tf2.A. II ,/LlI-1 ITa/.) I AJL,
LOCATION:
!:S-7 'D,.-,( -r;q UA .
DEVELOPMENT TYPE:
"'S 'F 1"'2..
BUILDING SIZE
1. S TrJRM nRA T NAG F
IMPERV IOUS SO, FT.
2. SANfTARY SE'i"FR-rrTY
NO. OF PFU'S I}S
(See Reverse Side)
3. TRANSPORTATiON
lOT SIZE
so. Ft.
::> /- 7'2- X $0,226 PER SO. FT. $ Coo,", ,87
X $46.86 PER PFU
$ g.g. 4~
'NO OF UNITS X TRIP RATE X COST PER TRIP
I
X ---1..., D 1 X $472.49
$ 477, 2-/
X
X $472. 49
$
X
X $472.49
$
4. SANTTARY SFWFR-MWMr
DU'5 DIJ'
NO. OF FEI:J"S- .X 277. 7bPER 1=B:t-+ $10 MWMC/ADM FEE $ 287.7C:.
, MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAL-MWMr,snr $ 297.7Co
SUBTOTAL (ADO ITEMS 1.2,3 & 4) $. . 2. z/?.. ,'3 '2-
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
k.
'$
//0.6"'2-
Date:
4--<..7..,.Q 8"
SDC Coordinator
TOT~L SDC $ Z:~ 22. 94
, ,.,^ I unL: UI~lli ,",I-\L,",U~ IUIII II-\OL[:: Number ot New Fi'a X Unit Equivalent = Fixture Ur.its ._'
(NOTE: For remodels, calculate o~ NET additional fixtures). " .'
. NUMBER OF UNIT FIXTURE
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.........................:.........
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 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, Pubiic Installation........................................
Toilet, Private.......................................................
Miscellaneous:
'Z--
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
:z..-
'z-
'2--
-z-
'L-
2-
1-.
TOTAL FIXTURE UNITS
=
I'K
CREDIT CALCULATION TABLE:
roo"" ".::~~;,:'"'"
1979 or before
1980
1981
1982
1983'
1984
1985
1986
Based on assessed value. If improvements occurred after annexation date in table,
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
II
I
$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
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
Credit for Parcel or Land Only If Applicable
X $
(Rate X Assessed Value)
X $
, (Rate X Assessed Value)
=
Improvement (if after annexation date)
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL..: ..... ..........,.. ..... 0.4
Commerical.................,....... 0.9
Industrial............................ 05
Governmental...................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT