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HomeMy WebLinkAboutPermit Building 1997-12-9 ., SPRINQPIELD . /~I'~ ~. Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971681 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4013 FORSYTHIA ST Assessors Map #: 18020611 Lot: 78 Block: Tax Lot #: 04200 Subdivision: WYATT 2 OWner: COZY HOMES Address: PO BOX 237 Phone #: 747-8704 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: S,F. RESIDENCE NEW Plumbing: AII_ . ;lI17C Const. Contractor ~~8p' ~'contractor # Expires -4(;1'; ~094f/ COZY HOMES , CO~09~rB~47 06/10/98 ~~~5 S 2nd spr~'61 1VCS'DO&~~~/09S'/~ 12/15/97 648 W Oregon Ave cr~~~~ ~~7J~p' ~f.tS'Ih_ MARSHALLS ~09/(j.QZ~1!.o:: ~094f17' 1'.U~.f/97 4131 E St Springfield OR 974'-'i800'o~ONS'D /841(') BILLS 0021351 ~009 o.rl128/98 3170 W 11th Eugene OR 974020000 Phone General: 747-8704 632-4765 Mechanical: 747-7445 Electrical: 687-1851 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1606 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE INSUL PATH: SGC 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. UNDERFLOOR MECHANICAL - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior 'to cover WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. ROUGH MECHANICAL - Prior to cover. ROUGH PLUMBING - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. 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. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. 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. . /:tl'~ SPRINQFIELD Job Number: 971681 Lot Faces: N Solar Approved: Y N House 25 Garage 18 Item Main Garage Total Value Building Permit Fee surcharge/Admin TOTAL FEE Item Residential Bath(s) Plumbing Permit Surcharge/Admin TOTAL CHARGE Furnace Exhaust Hood Vent Fan Dryer Vent Mechanical Permit Issuance surcharge/Admin TOTAL PERMIT Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE ELECTRICAL PERMIT WILLAMALANE SDC SYSTEMS DEVEL CHARGE Total Height: 19 Lot Type: INTERIOR Setbacks S W E 5 5 5 Page 2 Setbk From NPL: 50 BUILDING PERMIT --- Square Feet x 1206 400 $/Square Feet 64,66 16,27 PLUMBING PERMIT --- 2 --- MECHANICAL PERMIT --- 2 --- MISCELLANEOUS PERMITS --- TOTAL MISCELLANEOUS PERMITS (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- (A) = Value 77,980.00 6,508.00 84,488.00 388,00 31. 04 419.04 Fee 160,00 160,00 12.80 172.80 6.00 4,50 6,00 3,00 19,50 10,00 1. 57 31. 07 0.00 18.40 14,80 60,00 124,20 1,000,00 2,106,07 3,323.47 3,946.38 (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. SPRINGFIELD ~. Job Number: 971681 Page 3 Received By: Plans Reviewed By: TOM MARX Date: 11/26/97 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES 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, 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. ~ /2--1.-'27 Signature Date Date Paid: -- - VALIDATION ~'fAD&- - \A~PJ.qfJ 2A4~.~<b ~\~-) Receipt Number: Amount Received: Received By: CITY OF , . .~. '~."1:.I'1<' ':"'~~"~'~"'J:""''':='':;;;---dqB~NP~~~?f??l~~'.:~~~~~'''''~ I A IT ACHMENr"A~"~'~" ""A'"'.'<."'~r.".W'~..."!_,,.,...,, ...",,,""?tl~....,,,- '..,..r. . . . .', .....i.,r ~.:c.~.-r,;. '"\;. ~"'. ,:-~~....~._'. .... ,'. , SPR GFIELD SYSTEMS DEVELOPMENT CHARGE",<: ,~:. ,~,', . WORKSHEET NAME OR COMPANY: CO 2Y UOM6S LOCATION: 40 I'":> r-oJZ,;"'Y(HI~ DEVELOPMENT TYPE: ~. F. R . BUILDING SIZE LOT SIZE SO, Ft, 1 . STORM [)RA H!!lGF It1PERV IOUS SO. FT. ? 2 '" I x $0226 PER SO, FT. $ Fin?. 73 2, SANITARY SFWFR-CfTY , , NO, OF PFU' S J 8 (See Reverse Side) X $J6,86 PER PFU $ t\4 3......1:8 3, TRANSPORTAT!ON NO OF UNITS X TRIP RATE X COST PER TRIP X I . n I X $472 49 $ 477.2./ x X $47249 $ x X $47249 $ " 4, SANiTARY SFWFR-M~MC Dw NO. OF Fflf-S X 277.7(", PER FEU + $10 MWMC/ADM FEE. $ 2R7.7to M~I~IC CREDIT IF APPLICABLE (SEE REVERSE) $- //1.40 TOTAl -MWMC S[)G. $ /74, ..3tn SUBTOTAL (AOD ITEMS 1. 2,3 & 4) ,$ 21 00 &>. 78 5, A[)MiNISTRATiVF FFES BASE CHARGE (SUBTOTAL ABOVE) X ,05 $ lOO.2Cf M. Date :_J.I - ?t.~97 SOC Coordinator TOTAl S[)C $' 2: IOte. .07 riA I unc: UI\l1 h l"~Ll,,UL~ IUI\I,I ~DLC:; Number 01 New Fixtures X. Unit Equivalent.= ,Fixture'Units.... (NOTE: Forremodels,. calculate-onl. NET'a~~iti?,~<;! fix!uresl" , .. .'" . .~~. -., . _ , __ __ :__, ' . or. :;" -, T" ,NUMBER OF UNIT FIXTURE. FIXTURE TYPE ,__,,;,: NEW FIXTURES EQUIVALENT UNITS Bathtub............,...........,.,....".....,.,.,.,....,...,.....,.....,... . Drinking. Fountain...........,....,."'..,................ ...... ....... Floor Drain.......-,...".... ,.....,..".,..,.."............. ........."... Interceptors For Grease/Oil/SolidsIEtc............,.... Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher,..",..,..".,....,....,..,...,... Clothes washer ' 3 Or More..................................... Mobile Home Park Trap (1 Per Trailerl.................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial SinkIDishwasher/Etc.. Shower, Single Stall...,.,...,.,.." '.'.''.'..'..........'......,.. Shower, Gang..",.....,..,.,."."",."",.".,..,.,..,......",...., Sink: Sar, CommerCial. Residential Kitchen........................ Urinal, Stall/Wall. ,..,..",.,.,...."",.".,.,..,.,....'...,..", ,..", Wash Basin/Lavatory, Single..,.., ,.., ........................ Toiiet. Public Installation,....,..,..".., ...., ..,.......' ........ Toilet, Private.................................... ................... Miscellaneous: z 2 1 2 3 6 2 6 6 1 3 2 i/Head 2 2 1 6 4 '2- "2-- TOTAL FIXTURE UNITS = 4 '2 2. 2. ~ ) , 18 CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed $3.0 3,89 3:83 3,70 3.55 3.39 3,20 2.91 ,',' 1987 1988 1989 1990 199.1 . 1'!J92 1993 1994 1995 1996 ~., 1979 or before 1980 1981 1982 1983 198<1 1985 1986 Credit for Parcel or Land Only If Applicable <, , q7 X $ 29., t:Jt:oQ., = IRate X Assessed Value) X $ = , (Rate X Assessed Value I Improvement (if after annexation date): . Rate per 51.0;;;-1 Assessed Val~; I I $2.56 2.17 1. 73 1.31 0.92 0.74 0.61 0.45 0,31 0,17 II 1/ I : 40 CREDIT TOTAL = $ /1 J. 40 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) h~sideiidGI...:. ..... ............ ..... 0.4 Commerical.....,..."..,.,.,....... 0,9 Industrial............................ 05 Governmental...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . . . Job. No. Q~\\O~\ .' \, SYSTEM DEVELOPMENT CHARGE WORKSHEET " NAME: . ~~~ ~ ~' PHONE:'141.<6lrt1- ADDRESS:\ ~ ~ ~1.D(\ ,^~I~ STATE: ~ZIP: Q1f17 LOCATION OF PROPOSED BUILDING t,:A; I . Street Adqre~s: 4\)5 ~ffi1 ~ .~D-J Plat Name~\l(1ih I ?~i\.~ Tax Lot Number: \ <?:!JlOIoU 0t7.c0 1. DEVELOPM~T TYPJ::, (Check appropriate dwelling(s). sac calculations and dwelling t ype definitions are on the back.) A. SinolA-F8milv DAI8r:hArl, \ Single Family home NO. OF UNITS Manufactured home not in a park X $1,000 per unit = $ \teO,~ B. SinolA'.F8milv Att8r:hAQ NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufact!lrArl HomA P8rk, WILLAMALANE SDC $ $ \ OCX) ,CD [7 NO, OF UNITS X $699 per unit = 2. SDC CREDIT (if applicable) SaC-payer must fumish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ~ ( ~~~ent Se 'c s Department City of Springfield $ (OOO~ I~ P) fill Date