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HomeMy WebLinkAboutPermit Building 1998-2-26 ~~. /~I'~ Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980090 225 North Fifth Street Springfield, OR 97477 Office, 726-3759 Inspection Line, 726-3769 Location of Proposed Work: 579 POLTAVA ST Assessors Map #, 17032423 Lot, 19 Block, Tax Lot #: 01001 Subdivision, RIVER TRAILS Owner: CHRIS/SARAH WELCH Address, 1889 GRANT STREET Phone #, 342-3260 City/State/Zip, EUGENE, OREGON 97405 Describe Work, S.F. RESIDNECE NEW Const. ~ntractor # ~ OJ7c "1(; v.s>,o~ ~ r>_ 7'~r>. 1941/" OFFIC~ ~ .:;{>~ . i)~ LAND ~. ~}^ D (;~ ~ ~ # OF BLDGS, 1 ZONING l&..!J...; ~-9 e)(/'-9 l>. J<7-9(/' OCCY GROUP: R3 # OF BDRMS, ~,o~ I,s>~ '''V,s> ~))HEAT SOURCE, WH RANGE, E 19100 ~"1~ ,o~-9~ ~4UL PATH, PI . e>o!l,!_ 'I)'" 0,01' To request an inspection, call the 24 hour recording at'~~~f- 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. Contractor Expires Phone General: OWNER QUAD AREA, lRNW # OF UNITS, 1 CONSTR. TYPE, WATER HEATER: VN E 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. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover SANITARY SEWER LINE - Prior to filling trench. WATER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. SHEAR WALL NAILING - Before covering sheathing with finish materials. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. 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. Lot Faces, W Topography: 02 Solar Approved, Y Lot Sq. Ft., 7314 Total Height, 17 Lot Type, PANHANDLE Setbacks S W E 10 Lot Coverage, 21 % Setbk From NPL, 10 N House Garage 10 39 4,379.64 -t~ 194.J.O PLAN CHECK AND BUILDING PERMIT --- ~.~~ Job Number, 980090 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1210 3B6 $/Square Feet 64.66 16.27 Building Permit Fee Surcharge/Admin TOTAL FEE PLUMBING PERMIT --- Item Residential Bath(s) 2 Plumbing Permit Surcharge/Admin TOTAL CHARGE MECHANICAL PERMIT - -- Exhaust Hood Vent Fan Dryer Vent 2 Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT --- MISCELLANEOUS PERMITS --- Surcharge/Admin SDC WILLAMALANE PLAN CHECK TOTAL MISCELLANEOUS PERMITS TOTAL AMOUNT DUE (Excluding Electrical) unless otherwise noted (A, B, C, D, and E combined) --- BUILDING VALUE, Page 2 (A) = Value 78,239.00 6,280.00 B4,519.00 388.00 31.04 419.04 Fee 160.00 160.00 12.80 172.80 4.50 6.00 3.00 15.00 10.00 1. 20 26.20 0.00 2,721.60 1,000.00 40.00 3,761.60 (C) (D) (E) 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, TOM MARX Date, 01/29/98 Building Site Reviewed By: LISA HOPPER , , BPRINOFIELD Job Number, 980090 Page 3 --- ADDITIONAL COMMENTS --- ELECTRICAL PERMIT REQUIRED DRIVEWAY REQUIRED TO BE PAVED 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 .m <'~d: ";II~ U~. '"do, ooo"~oUoo. 5h/~" Signature Dat'e I Date Paid: -- - 4IDATION ~~1,L1K ~\<1' 503 .~q rJ ,\jj)J Receipt Number, Amount Received: Received By, SYSTEM DEVELOPMENT CHARGE WORKSHEET . NAME: ~c\ ~ \~\illJr\ PHONE: 9JrL.?lJJil ADDRESS: \ C6~q M{(\\1t, ~t- \ fl)ry. STATE: ~ ZIP: C\l4lD LOCATION OF PROPOSED BUILDING SITE: D ' Street Address: f\f\C\ \)0\ -\O\r "- Pial Name:\<\ \Wi' ~~ . .\ (, . Job. No. ~~(ffiO Tax Lot Number: \<\t)~~1~ Cl[()\ 1. ,DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t ype definitions are on the back.) : A. Sinole-F:Jmilv Del:Jr.heQ ~ Single Family home NO. OF UNITS l B. Si nole'.F:Jmilv_Att:Jr.hed NO. OF UNITS C. Multi-Familv Aoartment NO. OF UNITS D. ,M:Jnuf:JctlJred Home Pa~ NO. OF UNITS WILLAMALANE SDC Manufactured home not in a park X $1,000 per unit = $ I mO p~ X $924 per unit = $ X $692 per unit = $ X $699 per unit = $ $ \ 000 .w o $ \ rtiJ (X) ell alQ; 1K Date 2. SDC CREDIT (if applicable) SOC-payer musI furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED <if SOC reduced for Credit) \l N\ ) ~ Development S'ervic City of Springfield ." ;,J ":::: ].'r-'~;"l.'t..~"'~m..r~^ ~1lJT(f'1J~~<;r'!!~Qm1$).It~;;~~"!-~~~;~';l~OB;ofNO':.")"'''',\''''''!--' ."""'-_c............ .. . '. ' I . ............ \,.~~.. . ":;::~':X,f~''\:,'''"t.:...~~\.~...~~,.~:-.;r\4,.~1''~?.I!~''' .."_.... .~~':tt::, .1'.:." '.':''''~ " 'r '.., ,-1 \.. ~ ".. . :.."." '!>'.;'<1>1"::1<AlrJACHMENT~JA~~W;;'7r!}.\';'~:'~':'t~'f:''',,'<J;,~,~~::.;.,;\: : :-:':,-.. .~~.. ''';;0 clr?OF....SPR N'GF,r.ITD~tsVsTEMs~tDEvELoI'T1ENT" CHARGEi~;: :'~. .-, . WORKSHEET NAME OR COMPANY: C~14 ~ i, ~4i2.A 1-1 L<.JSCCI-I LOCATION: 57q P;"'C fA LlA OEVELOPMENT TYPE: <: Fie BUILDING SIZE LOT SIZE SQ. Ft. 1. STORM I'lRA T NAGF IMPERVIOUS so. FT. 4. ::.5''2.- x $0.226 PER SQ. FT. $ qZ~ .~s- 2. SAN!TARY SFwFR-CTTY NO. OF PFU'S I~ (See Reverse Side) X $46.86 PER PFU $ 8'13. 4~ 3. TRANSPORTATION ,NO OF UNITS X TRIP RATE X COST PER TRIP X 1.0' X $472,49 $ 477. U x X $472,49 $ X X $472.49 $ 4. SANITARY SFWFR-MWMC DLI'i NO. OF FEU'S DU ' X1z.77.7idPERffft-+ $10 MWMC/ADM FEE $ 2f?7,U. MWMC CREDIT IF APPLICABLt (SEE REVERSE) $ TOTAL -MWMC SDC $ 2R7,7G::> SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ Z. c;q2- 5. ADMINISTRATIVF FEF~ BASE CHARGE (SUBTOTAL ABOVE) X .05 $ {2Q, &0 &t. Date: Q-z..3--"jB- SDC Coordinator TOTAl 5'2C. $ '2.7 z.t . C"O ~'2'~r:I1':~~U.nC;'YIIII.I'_"'.t;\_L;~U~J:\.1 ~~I_II~ I r\~.'-:i:;>Number 01 New Fixtures X,UOIt i:quivalent = FixtulE!,Units~.~ I'.""'\~,'. ,(N,QTE:For Ie,., mOde"ls, ,c.aICU!at.e 'OI)IY,. NfIad.c:lltlo. n._ al. fixtures)!> . r).'1~~f-j~:~,:i"..~'!~~',:-'; '.J,:'~:'!.1t..-;:,~ l~';~"'1?"~:"'--:"~>'.~':' ("<~F!"" ~l,,'r'~ :' 'Y',,,' N'UMBER OF UNIT _ :1..' FIXTURE'.' \~... FIXTURE'TYPE ???1iJ ~r'. "':"' :-:1;;:" ::.. -'n ,! :-:-r-:--' ...'NEW FIXTURES EQUIVAW':'':-' UNITS Bathtub... ................................................................... Drinking. Fountain..................................................... Flool 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 Trailerl.................. 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;-Pubjic-Installation................ ....::-.... :........... c. ' Toilet, Private....................................................... Miscellaneous: 2- 2 1 2 3 6 2 6 6 1 3 2 i/Head 2 2 1 6 4 '2... "'2..- TOTAL FiXTURE UNITS = ~ -z.- ""2- -;z...., ~ It r CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits seoarates. Year Annexed Rate per $1,000 Assessed Value Year Annexed i: 1979 or before 1980 1981 1982 1983' 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 L 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) Residenrial...:....................... 0.4 Commerical......................... 0.9 Industrial............................ 05 Governmental...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17 'I