HomeMy WebLinkAboutPermit Building 1998-2-26
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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