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Home My WebLink AboutPermit Building 1999-4-2 , t<'~TICE: "C:RMIT SHALL EXPIRE liR'~PWmiff'L PERMIT APPLICATION -'I~rl"\ 'I~'f'\i=f' 'THIS PER!!'TrJry"OF SPRINGFIELD . , COMMUNITY SERVICES DIVISION '1;\80NED F0FBUILDING SAFETY Page 1 Job Number: 990288 /-\'H 18001-1, ,-cRIOi.. 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4021 FORSYTHIA ST Assessors Map #: 18020611 Tax Lot #: 04300 Lot: Block: Subdivision: WYATT MEADOWS 2N h7:"Z~r:~'.:'''~'(''h'Orlin IRW reguires Y~I~ ~~_ Owner: DON DAVIS Nrl'l rulesadoptedbytheOregpllone"#: 744-8161 o f)"W 'Hl' ~'" "~et."-"h Address: 809 DIAMONotffit:ation Cente\,.:qlj}\d"tattc:, Zi'p': bPLFD OR,97477 , OAR 952,001-0010 through OAR 952-001- Describe Work: S/F ''iEsIDENr''ay obtain copies 01 the rules by GullU. YvuITI h . '11'_ ~ .h^ ^ont", (Note: the telep one vVm~;ri~; the Oregon Utility Ncc;ns"l!Jn I'lU 3' ....... "'- # Contractor Center is 1-800-3 .Contractor NEW Expires Phone General: TOWER CONSTRUCT 0103638 12/20/97 25745 LARKIN RD MONROE OR 974560000 Plumbing: CARTE PLUMBING 0121387 03/24/98 PO BOX 42044 EUGENE OR 974040000 Electrical: BILLS ELECTRIC 0021351 04/28/98 3170 W 11TH EUGENE OR 974020000 953-3707 607-6945 687-1851 QUAD AREA: 3RSC OCCY GROUP: R3 HEAT SOURCE: FE OFFICE USE -- LAND USE: 1111 CONSTR, TYPE: VN INSUL PATH: PI # OF BLDGS: 1 # OF BDRMS: 3 SQ FOOTAGE: 1528 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 DRAIN - Prior to cover or placement of concrete. 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 PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. 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, ELECTRICAL SERVICE - Must be approved to obtain permanent power, 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, ~ \ , Job Number: 990288 Page 2 Lot Faces: N Topography: 2 Lot Type: INTERIOR Lot Sq. Ft.: 6415 Total Height: 20 Lot Coverage: 23 \ Solar Approved: Y N Setbacks S W 63 6 E 6 House Garage 18 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1034 494 $/Square Feet 69.64 18,34 Value 72,008,00 9,060,00 81,068.00 Building Permit Fee Surcharge/Admin 379,00 30,32 TOTAL FEE (A) 409.32 PLUMBING PERMIT --- Item Residential Bath(s) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160,00 12.80 TOTAL CHARGE (C) 172.80 MECHANICAL PERMIT --- Exhaust Hood Vent Fan Dryer Vent 2 4.50 6.00 3.00 Mechanical Permit Issuance Surcharge/Admin 15.00 10.00 1. 20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS Surcharge/Admin Sidewalk Curb Cut CITY SDC WILLAMALANE ELECT,PERMIT " 0,00 12.85 14.65 2,073.44 1,000.00 124,20 TOTAL MISCELLANEOUS PERMITS (E) 3,225.14 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,833.46 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- 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. ~ \ '. Job Number, 990288 Page 3 Plan Check Fee, 246.35 Received By: Plans Reviewed By, AL WARD Building Site Reviewed By: Date Paid, 03/05/99 Receipt Number, 033060 Date, 04/01/99 --- ADDITIONAL COMMENTS -1lr-€:::-B:-~-:~l?:S =:'13:TDTr>TlT Dt;ODMT'1" TC' nt:'~n"'RED DRIVEWAY REQUIRED TO BE PAVED 1 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 ORB 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. Signature #7 Date -- - VALIDATION Date Paid: tJJs~t~ 'f/I-I~ ?? sJqr. dtJ~ Receipt Number: Amount Received: Received By: ".......,i. . . zoning, and does not require specific land use approval. (2..... Zoning. Lb Ll-~-c;"'I Expiration Da,te t.J- d- '(- 00 ~~ouP;}l: Eleys~~an Ovner~ ~,,~..(J ~ j-: Address (b5(')C\, \::)( a ffi()m Ci tY~1\~PhoneC\~-:rc/707 OVNER ~~LA~ON The installation is being made on property I oyn yhich is not intended for sale, lease.or r,en t. Ovners Signature: -----------~~~----------------------- DATE: 'IILI f'i ' RECEIPT II: 'it 0.13 1G. 'f RECEIVED BY: f,tJ WI!I./ 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only' Sum ~5 ~ .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' '01: less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100U volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above " Ney, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or yith Service or Feeder Permit E, 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00' not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 II') v> ~.75_ l""'> I 1 t..1., ..... ~ JOURNAL OR JOB NO. 'gr:ftJz2.'i':', , . ATTACHMENT A I CITY OF SPRi'1fGFIELD SYSTEMS, DEVELOP NT CHARGE WORKSHEET ,NAME OR COMPANY: OI'JU iJA-V'/.5 ,LOCATION: 402/ fi6Y7).fIA 'OEVELOPMENT TYPE: SF 0 BUILDING SIZE: 1?'2 't' LOT SIZE J SQ. Ft. 1. STORM DRAINAGE 152'i> +- 1'i(19) r 8"1.5" ('2...) IMPERVIOUS SQ. FT. 203<=1 X $0,227 PER SQ. FT. $ ft,2.fft;; 2. SANITARY SEWER-CITY NO. OF PFU'S It (See Reverse Side) X $47,14 PER PFU $ iff, 5"'%- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 1.01' X $475.32 $ 480.01- X X $475.32 $ 4. SANITARY'SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S, X 211.iiPER FEU , $ 2.,1.44 B. IMPROVEMENT'COST: ' i NO. OF FEU'S , X 2.6.20 PER FEU $ 2';).20 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ 12.".~ > $ 10,00 TOTAL-MWMC SDC L/.r~. 'l:h.... $ .J' 7-;", 70 $ iJrf. 7!l: SUBTOTAL (ADD ITEMS 1.2,3 & 4) 5. ADMINISTRATIVE FEES: , BASE CHARGE (SUBTOTAL ABOVE) X .05 J'J1t5l- SDC Coordinator ATTACH' A. WPD Date: a /1(#9 TOTAL SDC $ '207g.#- to.. . . . ..'~ :';":M~~:-'[''''\ ,.... "._ " "~ '.~' .~......" .,.1.... ....,~~..,. ";-.:,-" ....,...~'"'r....J~';~.,.....:'c<'!':..~")'~.::~":'..t.....~...,..~.;""......,,~ FIXTURE UNIT- CAlCUL'AllON' T ~BlE: N~":,be.rof,!'lew Fixtur~Unit E~~ivai~nt': Fix~u~~ u~!~i:: ':. (NOTE: For remodels, calculate only ~ additional fixtures) " ,,", ..'. ' , ., , , ".': '. NUMBER OF . UNIT "FIXTURE FIXTURE TYPE ' . NEW FIXTURES EQUIVALENT UNITS Bathtub.,........................,.......................................... . Drinking Fountain....... ...., ..... ....... .................. ...... ,.... Floor 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 Trailer).........,........ 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, Public Installation........................................ Toilet, Private.,..................................................... Miscellaneous: I 2 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 1) J 7_ " , I Z- z,.. .-1 -1-/ /I z. TOTAL FIXTURE UNITS I? . CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year'l '.. Rate per $1,000 ' Year Annexed Assessed Value Annexed 1979 or before $4.27 '19B9 1980 4.18 1990 1981 4.12 1991 1982 3.99 1992 1983 3.83 1993 1984 :3.68 1994 1985".; .. , .. -- 3.48 '."; .\995 1986 3.18 1996 1987 2.82 1997 1988 2.42 - - -- Rate per $1,000 Assessed Value $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 Credit for Parcei'~rl.and Only If Applicable ~ X'' '$-": 30.3. = 12.<1, ~ (Rate X Assessed Value) Improvement (if after annexation date) X ,$ = (Rate X Assessed Value) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 CommericaL........................ 0.9 IndustriaL........................... 05 Governmental...................... 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT , . r;;j " , . Job. No. qq OI21!8 PHONE:~~.?)\m 'STATE:~'W -lllprtl4-il LOCATION OF PROPOSED BUlL ING SITE: - Street Address: ~9~\ rrN~l n ) Pial Name~\ \ - ,\ ~ Tax Lol Number: \ 9:.rI)JJ\dl \ . ~ " J 1. DEVELOPME TYP!'" (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Sinoh~-FHmilv DetHched. l Single Family home NO. OF UNITS L Manufactured home not in a park I X $1,000 per unit = $ l C(;() P:; B. Sinole.-FHmilv AttHched NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. MsJnufactured Home Pari<. NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ \tl()[) CD r:f $ ~fX)CfP 2-, 77 $ 2. SDC CREDIT (if applicable) SOc-payer must furnish proof of Willamalane Credit approval. See'SaC Credit WorKsheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED - ~l~~"C:;) Development selVie~epartment City of Springfield L{, . Date