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Home My WebLink AboutPermit Building 1997-12-9 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971682 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4018 FORSYTHIA ST Assessors Map #: 17023144 Lot:' 81 Block: Tax Lot #: 07900 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 Contractor Const, Contractor # Expires Phone 06/10/98 747-8704 12/15/97 632-4765 12/23/97 747-7445 ------- 04/28/98 687-1851 General: COZY HOMES 0032947 1275 S 2nd Springfield OR 974770000 BMC 0103570~ 648 W Oregon Ave Creswell OR 974jf~()~ Mechanical: MARSHALLS 0025~ ~ 4131 E St Springfield OR 974~ ,o~ ~ Electrical: BILLS ELECTRIC AP.~' v~ ~~ 3170 W 11th Eugene OR 9740:f6')}i~~ ~ <5'~ Oh V~, t/. ~( OFFICE USE -- </1')- va 'V~'~ LAND USE: 1111 ,o~ ~{s> :s>~ /.:~F BLDGS: 1 ZONING CODE: LDR ~OO 1'~.. ~,o Y GROUP: R3 # OF BDRMS: 3 . v~ ~E SOURCE: FE RANGE: E V~ i1ss~ATH: SGC ~~ {s>~ ~;f- V,;() V.J- To request an inspection, call the 24 hour recording at 726-3769. Plumbing: QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1705 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. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. WATER LINE - Prior to filling trench. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - 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. CURB CUT - 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. S~RINQPIELD Job Number: 971682 Lot Faces: S Solar Approved: Y N House 22 Garage 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 WILLAMALANE SDC ELECTRICAL PERMIT SYSTEMS DEVL CHARGES Total Height: 15 Lot Type: INTERIOR Setbacks S W E 25 5 5 20 5 Page 2 Setbk From NPL: 46 BUILDING PERMIT --- Square Feet x 1308 397 $/Square Feet 64.66 16.27 PLUMBING PBRMIT --- 2 - - - MECHANICAL PBRMIT - - - 2 --- MISCBLLANEOUS PBRMITS --- TOTAL MISCBLLANEOUS PBRMITS (Bxcluding Blectrical) unless otherwise noted TOTAL AMOUNT DUB (A, B, C, D, and E combined) --- BUILDING VALUB, PLAN CHBCK AND BUILDING PBRMIT --- (A) = Value 84,575.00 6,459,00 91,034.00 409,00 32,72 441. 72 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 17,50 13 .60 60.00 1,000,00 124,20 2,125,63 3,340.93 3,986.52 (C) (D) (B) 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. /~I'~ siiiiRINGFIELD Job Number: 971682 Received By: Plans Reviewed By: BOB BARNHART Date: 11/26/97 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 1 STREET TREES REQUIRED Page 3 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. 10 Signature Receipt Number: Date Paid: Amount Received: Received By: - -- VALIDATION ~ ~Of) JilA .q/} /1 ~(Jjil ~q~ .5~ ~ (/YL) 12--1-17 Date " . .., I ~ It< \.<:>"IIT'fi'~""'lJ'4VJ"T0""","E':Yf!'!l'l1A'R'U~Wl'I'n=\1l~l"''''_ft'''It;''~'''''''''''''''-clOB''' NO~', :9:1IJ/f,~ .Z-.. . , '" ";. 'ATrACHMENT'::C('O>'"'' <""".~'.""""';-'''''.''~" ," ,,'. " CITY OF SPRI FIEiO"SYSTEMS DEV'ELOPMENT CHARGE ' " WORKSHEET NAME OR COMPANY: CoZY" CotJs-rll-vCTlo;J LOCATION: OEVELOPMENT TYPE: '5f:=L BLiILDING SIZE lOT SIZE 50, Ft, 1. STORM ORA !:'ii!GE 1I1PERV!OUS SO, FT, ? ~ 17.' X $0,226 PER SO, FT. $ 522..5'/ I 2, SA,NrTARY SF',FR.c:rrv NO 'OF-PFU' SiR (See Reyer~e Sidel X $46,86 PER PFU $ 843.48 3, TRANSP'ORP,TTnN' 'NO OF UNITS X ,TRIp.RATE X COST PER TRIP x ,j,Or X,$47249 $ 477.2../ X X $47249 $ X X $472.49 $ , , \ 4, SANITARY SEWER.MWM[ , [)LJ NO, OF fftT"S /' ,X Z7?7~PER FEU + $10 MWMClADM FEE $2R7. 7b M\1MC CREDIT IF APPLICABLE (SEE REVERSE) $-IOb.~ , , TOTAL-M\,M[ SO[$ 18/ ,2..1 SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ 2} 02..4.-1-1, .5, AfJMINISTRATTVE FFFS. BASE CHARGE '(SUBTOTAL ABOVE) X ,05 & $ 10/22- Date: //- 2.<::' -97 SDC Coor'di nator TOTAl SfJC $ 2. J J 2.. 5". tI.3 '~""4':<rl^J;Unc...u.\I"...\""I-\L..L.UL~ 1:IUt\l ". J-\DLL.~ Numoer,or New, t"lxt:ures ^:unn cquivalent = Fixture Units .. (NOTE: ForremOdels"'caIC."Ulaie'on,.' e',NET additionalfixturesl, . .. ' ., . ,.' " ".. ',' ','" " - NUMBER OF UNIT FIXTURE'> FIXTURETYPE"."'I"'" ---, ",' , -" ,,' "'. NEW FIXTURES EQUIVALENT' UNITS I ' Batht,~b......;, ...:............,.....,',.,:".,.. ':'............, ':.......: ...' OrJnklng. Fountain..................,.......,........ ....,.....,",...,' Floor Drain,.., ...-,....................,..... "".. ,........, ..,., ..... ..... Interceptors For Grease/Oil/Solids/Erc.........:,...... Interceptors For Sand/Auto Wash/Etc..........:.......' Laundry' Tub/Clotheswasher,..., '..'...'...'...'.....;.....".' Clotheswasher - 3 Or More......:...............'............... Mobile Ho~e Park.Jrap (1 Per Trailer)'.....,............! Receptor For Refrigerator/Water Sration/Etc......... ,Receptor For Commercial Sink/Dishwasher/Erc.. Shower" Single Stall.".,.".....". ',:'" .',."..,.,..... :...""...., Shower, Gang...,..., .'...,..,..,..".",."..,..".,.,..,..",....".., Sink: Bar, Commercial, Residential Kitchen.....:.................. Urinal, Stall/Wall.'.....'..''':..' ".-."..,.,.,..,..,',.,' ..."..,"',.. Wash Basin/Lavatory', Single.,., ,,' ".".,..,......,:.:..."".. Toilet, Pubiic Instail,ation....:....,..-..,;..:..,....~............,: . Toilet, Pnvate.............. ........."" ..,...........'...........,.... Miscellaneous: '2- 7.' 2 1 2 3 6 2 6, 6 1 3 2 l/Head 2 2, 1 6 4' 4- "7 Z. 2... 2- R TOTAL FIXTURE UNITS' = rR - 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 , I ["/&7 1;1 /;1 or before ,1980 1981 1982 1983' ' 1984 1985 1986 ~.j.>i I ..,.. 3.89, " 3,83. 3.70 " 3.55 3,39,. ,3.20, 2,91, Credit for Parcel or land Only If Applicable Improvement Iii afte'r annexation datel ,':?,,97 X $ 2c;,/140 IRate X Assessed Valuel X ,$' , (Rate X Assessed Value I = I Dc:::.. c;-~ \ = " , CREDIT TOTAL = $ ) () CD.E)b RUNOFF COEFFICIENTS FOR STORM DRAINAGE j . /.. , ," . , , (For Estimating Purposes Only) hcsiden'[;ai...... ....... _..:. _. .-...... 0.4- \ .' ',' '. CommerJcal.............,:........... 0,9 Industrial........:.......:.....~.:.., 05 , , Governmental.........,,:,..,:..... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT , ". . .' Job. No. al\~~~ , SYSTEM DEVELOPMENT CHARGE 1\_ )..\/ WORKSHEET NAME:~) t ~,\(j{'(\o.D ' ADDRESS: ~\ ~ ~1 .. PHONE:'l4-1 ~l04 STATE:~Z;P: ql{l..... , LOCATION OF PROPOSED BUILDI~ITE: -h,,, ') , Street Address: 4-D \ ~ (Sly, \ \lU.../ Plat Name\llUOib J 2- Tax Lot ~mber: ~ 1rm'L -=)'1-41) -r1CO 1. DEVELO~TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) \, A. Sinnlp.-F::Jmilv Dp.t::Jr.hp.rl l Single Family home , NO. OF UNITS ( Manufactured home not in a park X $1,000 per unit = $ ~D B, Sinnlp.'-F::Jmilv Att::Jr.hp.rl NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartmen\ NO. OF UNITS X $692 per unit = $ D. M::Jn1Jf::J~ Hnmp. PArk, - 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) - ~~ Development ervi~ City of Springfield X $699 per unit = $ $ loon.oo y $ l DOD ~ I~ 6 I c(1 $ NO. OF UNITS WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDC-payer must fumish proof of Willamalane Credit approval. See SDC Credit Worksheet. Date