HomeMy WebLinkAboutPermit Building 1998-6-29
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THIS PERMIT SHALL EXPJRl'SlfiiEWi:MtDmRMIT APPLICATION
AUTHORIZED UNDER THIS PERffiWlg>fJdFRINGFIELD
COMMENCED OR IS ABAN6~;lAY SERVICES DIVISION
ANY 180 0 \'/1~CLhU'-i!'loING SAFETY
AY PERIOD.
Page 1
Job Number: 980609
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 730 POLTAVA ST
Assessors Map #: 17033422
Lot: Block:
Tax Lot #: 02700
Subdivision:
Owner: DAVID HOLMES
Address: 730 POLTAVA STREET
Phone #: 747-3569
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: 2ND STORY ADDITION
ADDITION
Contractor
Canst.
Contractor #
Expires
Phone
General:
OWNER
747-3569
Plumbing: OWNER
Mechanical: OWNER
Electrical: OWNER
QUAD AREA: I.RNW
ZONING CODE: LDR
VN
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
OCCY GROUP: R3
# OF BLDGS: 1
CONSTR. TYPE:
SQ FOOTAGE: 795
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.
ROUGH PLUMBING - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
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 elect;rical' work is complete"....
FINAL BUILDING -. When ::~ll required:'-inspections have been approyed and
the building i's.."complete.-. . .
Total Height: 23 .
Lot Type: INTERIOR:.::,:,..
i?etbk From
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Solar.~pproved: Y
Item
Main
Garage
ADDITION
BUILDING PERMIT'---
'Square Feet x..
'.$ /Square Fe.e;t :'.
.795
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Value
0.00.
0.00.
51,405.00
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Job Number: 980609
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Fixtures
4
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
Vent Fan
DUCT EXTENT ION
MECHANICAL PERMIT ,---
I
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
SDC
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
Page 2
51,405.00
289.00
23.12
312.12
Fee'
40.00
40'.00
3.20
43.20
3.00
3.00
15.00
10.00
1. 20
26.20
0.00
461.81
461.81
843.33
tf'f z..'i
m.G. I
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
187.85
Date Paid: 05/21/98
Receipt Number: 29961
MARX Date: 0&/26/98
By: LISA HOPPER
ADDITIONAL COMMENTS ---
ELECTRICAL PERMIT REQUIRED
By signature. . I st':atEi a~d agree, . that I have carefully .examined '. ,
the completed applimit,ion and. do: hereby certify. that. all ~nformati6n' hereon
is true and correct ,.;ind I' further .certify that any 'arid all work .performed
shall be done in acc9rdance w.ith,~the Ordinances. of the City of Spri.Ifgfield,
and the Laws of 'the :S~ate~of :Or~9on pertaining to' the. work desc~ibed'herein, .
and that NO OCCUPANCY'. will' be. ';'ade of .any structure without permis'si9n' of the
community Services 'iYi:yisi"-~, . Buil~ing Safety. I further ce~tify:,:th<3:t only
contractors.:and emp~oyees who are. in '''compliance 'with ORS' 7,01. 05'5' will be
used 0;' this projecs'..: . ......
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SPRINGFIELD
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Job Number: 980609
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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.
. ~/~'1- - -:----:;-
51g&"'"" - C-/
6- 21- 98
Date
--- VALIDATION
Date Paid:
(, 7 (J fr-g-
t /2-9/ 7ft-
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Receipt Number:
Amount Received:
Received By:
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. JOB NO. "[If t1~
ATTACHMENT A' .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: DAlJ 10 ~ 0'-11 E:. ~
LOCATION:
.
DEVELOPMENT TYPE:
BUILDING SIZE
lOT SIZE
SO. Ft.
1. STORM ORA I NftGE N€w 12DOr Me4 g >l/0
IMPERVIOUS SO. FT.
80
X $0.226 PER SO. FT. L/~. DR.
2. SANITARY SF~FR-CITY N6'" F'~~V~5
NO. OF PFU'S ~
(See Reverse Side)
X $46.B6 PER PFU
$ +2../. 74-
3 . TRANSPORT ;\.1 iON
.NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $47249
$
e-
x
X $472.49
$
X
X $472.49
$
4. SANITARY SFWFR-MWMC
NO. OF FEU'S
X
PER FEU + $10 MWMC/ADM FEE $ ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAl -MWMC SOC $
SUBTOTAL (ADD ITEMS 1. 2.3 & 4) $ fYt . "L
5. ADMINISTRATIVF FF~
BASE CHARGE (SUBTOTAL ABOVE) X .05
j)f;,
$ 2./ , &f1
sac Coordinator
Date: SIZS/9/J
. ,
JOTAl SOc. $ 4M,3/ '.
. · 1.1, I VllL. VI'lII' v/""\....""'VL.M IIVI\I I MDL&:.. Number or New ~D(~S X Unit EQuivalent:::: Fixture Units
(NOTE: For remodels. calculate on,W.he NET additional fixtures).. . . .
. . NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.... ..................................................................
Drinking. Fountain.....................................................
Floor Drain.... .............................................................
Interceptors For Grease/Oil/Solids/Erc.................
Interceptors For Sand/Auro Wash/Erc..................
Laundry Tub/Clorheswasher....................... ... .........
Clothes washer . 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Sration/Etc........
Receptor For Commercial Sink/Dishwasher/Erc..
Shower, Single StalL........ .............. ..........................
Shower, Gang..........................................................
Sink: Bar. CommerCial. Residential Kirchen........................
Urinal. Stall/Wall...........,...........................................
Wash Basin/lavarory. Single..................................
Toilet. Public Installation. ....... ........ ........................
Toilet. Private............................. ..........................
Miscellaneous:
2
1
2
3
6
2
6
6
.1
3
2
i/Head
2
2
1
6
4
TOTAL FIXTURE UNITS
;
CREDIT CALCULATION TABLE:
calculate credits separates.
'r
.,
'2-
4-
q
Based on assessed value. If improvements occurred after annexation date in table.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
19BO
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
Rate per $1.000
Assessed Value
l
$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