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Home My WebLink AboutPermit Building 1997-12-9 , '''SPRINGFIELD . /:tl'~ ~- Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971459 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4025 FORSYTHIA ST Assessors Map #: 18020611 Lot: 76 Block: Tax Lot #: 07600 Subdivision: WYATT MEADOWS 2 Owner: COZY HOMES Address: 1275 SOUTH 2ND STREET Phone #: 747-8704 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: S.F. RESIDENCE NEW Contractor Canst. Contractor # Expires Phone Plumbing: COZY HOMES ~()~,q~2947 1275 S 2nd Springfield"~~ '1~"0000 BMC MECHANICAL ..q(;1;, ,Qt~~3570 12/15/97 648 W Oregon Ave c~~we~&~ ~~60 MARSHALLS 4Ai..n,~$) ~lJi4.~79'!il(:: 12/23/97 4131 E St SpringfH"1'a,~R~~7rO~ ::r,Q~ BILLS ELECTRIC 17D-iv 0~~1 ~S ~/~28/98 3170 W 11th Eugene OR 9740~,Q.-..q~4l ,Qtl9~ ~J1tQ va e>()1 _ '11",... 19k OFFICE USE -- t-D):'Q "'iVOl" LAND USE: 1111 19 # OF BLDGS: 1 ZONING CODE: LDR OCCY GROUP: R3 # OF BDRMS: 3 HEAT SOURCE: FG WATER HEATER: G INSUL PATH: P1 06/10/98 747-8704 General: 632-4765 Mechanical: 747-7445 Electrical: 687-1851 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR, TYPE: VN SECONDARY HEAT: FP SQ FOOTAGE: 1606 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. UNDERFLOQR MECHANICAL - Prior to insulation or decking. UNDERFLOOR PLUMBING - Prior to insulation or decking. ROUGH GAS - after line is installed and capped if not attached to an appliance 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, STORM SEWER LINE - Prior to filling trench. SANITARY 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. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. 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, I I' I , i SPRINQFIELD Job Number: 971459 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: N Topography: 2 Solar Approved: Y Lot Sq. Ft.: 6375 Total Height: 19 Lot Type: INTERIOR Setbacks S W E 5 5 Page 2 Lot Coverage: 25 % Setbk From NPL: 35 N House Garage 18 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1206 400 $/Square Feet 64.66 16,27 Building Permit Fee Surcharge/Admin TOTAL FEE (A) PLUMBING PERMIT --- Item Residential Bath(s) 2 Plumbing Permit Surcharge/Admin TOTAL CHARGE (C) - - - MECHANICAL PERMIT - -- Furnace Exhaust Hood Vent Fan Dryer Vent GAS FP AND W/H 2 Mechanical Permit Issuance surcharge/Admin TOTAL PERMIT (D) --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut ELECTRICAL WILLAMALANE SDC PLAN REVIEW TOTAL MISCELLANEOUS PERMITS (E) (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 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 4.50 24.00 10,00 1. 92 35.92 0.00 17.50 12.60 124.20 1,000,00 2,230.1)..8 60.00 3,444.46 / 4,072~ ."31/ , . SPAINGFIELD . /~I'~ ~. Job Number: 971459 Page 3 --- 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. Received By: Plans Reviewed By: TOM MARX Date: 10/29/97 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- 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 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. (f3 h -"l --q 7 Signature Date Date Paid: ~ i-~l()IDATION \~.BO/\ 4011-. 0 %. M~ Receipt Number: Amount Received: Received By: , ',' .- ATTACHMENT A - J 013 971 4)"'9 CITY OF S.NGFIELD SYSTEMS DEVEL.ENT:, CHARGE ' " WORKSHEET" ' , NAME OR COHP,4,~I'I. CO Z '-(" ;-I tJ -'? 6':5 LOCATION. 40z.c;-' i="oJ!...S YTII 1.0.. " I , I DEVELOPMENT TYPE. BUILDING SIZE, , ] aT SI1~ SO, Ft. 1 . C;TOPj'1 . ORA. T :\!,:).G~ II-1PERV!GUS SO FT, 2,2-81 /, '( 'a 22 - pc~ ,,- J.,). IJ.:..;'; -,LJ. ; !. $, ,C; I~. '- , 2. >f1NTT;lRY 'E:'lER-rrT'.' , , NO, OF PFU'S ) R (See ReverSe Sjde: :< 5..16: 86 .PE~ PFJ 5 R-43.4't , . . 3.. TRA.NSPC:RT.:.:.;;ON NO OF UN ITS X TR! P c_"iE X COST PER TR I P X 1.0 ( X $47249 $ 477. Zf' X X $472,49 $ X X $472,49 $ 4 ,SAN iTARY SEi.~fR -M\'JMC' , ,00, DV NO., OFft1::r'"S ,J, ft.77.7(' PER, Ftt:t-+ $10 MWMClAD,~ FEE $ 2.87,70 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL -Ml~Mr SDC $ SUBTOTAL (ADD ITEMS 1. 2,3 & 4) $ z., I Z3 . q-G ,5, ADMINISTRATIVE FFFS ---' BASE CHARGE (SUBTOTAL ABOVE) X Lcr., SDC Coor'di nator ,05 $ IOb,ZO Date: 10 -18-'17 TOTAL sac: $' 2. z.. 'XJ, ~ ,,- "....... I.... 'VI 1<:;IIIVUCl.:J, ....ClI....U1Cl~C Vl11Y ,lit:: ~ dUUlllVlldl IIXlUreS/ FIXTURE TYPE . NUMBER OF NEW FIXTU., "2- ,- Bathtub" ,', ,-""""":""""""",,, ',""""" """",,,,,,,,,,,,,,,:,, Drinking. Fountain"""""",,,,,,,,,,,,,,,,,,,,,,,, :",,,,,,,,,,, '" ' Floor Drain,'",,, ,', ,',:""""""""""""", ':"" """",""" ,,,,,' Interc,eptors For GreasejOiI/SolidsiE~c""'""""",,, Interceptors For Sand/Auto Wash/Ere"":""""",,, Laundry Tuo/C!otheswasher." ""'" ''''"",,-:,,,,,,,,,,,,,, C!otheswasher - 3 Or More""""""""",,,,,,,-,,:,',,,,,,:, Mobile Home Park Trap (1 Per Trailer}"""":",,,,,,, Receptor. For RefrigeratorivVater Staticn/E!c........ Receptor For Corrymercial. Sink. DishwasheriErc.. , ' Shower, Single StalL""""""""",,,,,,,,',,,,,,,,,,,,,,,,,,,,,, Sho',ver, Gang.................. ............. ... .....;..-... ......... ..... Sink: 8ar, CcmmerCial, Reside~~tial Kitchen.....,.......:.:......". , , ' Urinal, Stall/Wall"" ''''''',','' "" ,,",," "'"'''''''''''''''' """ W 0" B "L 5' " a_II, aSln, avatory, II1g.e.............:.................... Toiiet, Pubiic installation,,,,,,_,, '"'''' """""'",,''''''''' Toiler., Pri\/~te...................... ................................ Misceilaneous: I 2- -z- TOTAL FiXTURE UNITS UNIT FIXTURE , EQUIVALENT UNITS ., 2, 4- 1 2- 3 6 2 "Z- 6- 6 ;3 2 r(Head 2 2- 2 1 ,ll,- 6 4 tf = /8 CREDIT CALCULATION TABLE: Basec on assessed value, If improvements occurred aiter annexation date in table, caic:JJ2te credits seDarates. - , I Year Rete per $1,000 Year Annexed Assessed Value, Annexed 1979 or before $3,97 1987 1980 3,89 ' 1988 1981 3,83 , .1989 .1982 3,70 .1990 1983' , 3,55 1.991 198:4- 3,39. . 1992 1985 3,20 1993 / 1986 2:91 1994 1995 1996 Ii , Credit (or Parcel or Land Only Ii 'Applicable X, $ (Rate X Assessed Value) X ,$ , (Rate X Assessed Value) Improvement (if ailer annexation date I , , , " Rate per $1 ,00p Assessed Value I i. ) $2,56 2,17 1,73 1,31 0,92 0,74 0,6) 0,45 '0,31 '0,17 J = CREDIT TOTAL = $ , RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) hclsiden Li3j........................... 0.4 'Commerical."",,,:,,,,,,,,,,,,,,,, 0;9 IndustriaL",;" "'~",,,,,,,,,, ',"'" 0 ,5 Governmental""""""",::"", 0,5 , IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT " . . '. . Job. No. q \ \~scr SYSTEM DEVELOPMENT CHARGE WORKSHEET Cr~t\~ ADDRESS: l&1~ (\1" ~~ ~~ NAME: PHONE: 1. it 7- ~ lD~ STATE: DnZIP: " LOCATION OF PROPOSED BUILDING SITE: Street Address: '-\.DQ..f; ~ ~\;.. ~ ~ Plat Name: '->.)~. ~t.h'\\'''" Tax Lot Number: \ ?')() ~O" II U~I1 ~1O.lol. ru~~~ . 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t ype definitions are on the back,) .. A. SinolA-F2milv DAI2r.hArl )c-, . Single Family home . NO. OF UNITS \ Manufactured home not in a park Il,Io X $1,000 per unit = $ \ UU1j B. ,SinoIA-.FRmilv Attached NO. OF UNITS X $924 per unit = $ C, Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. M2nuf2c!urArl HomA P2rk NO. OF UNITS X $699 per unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet, $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) w $ \, ~") ~\~ l'Xl'Yelopment Services Department Citym Springfield _~~I c&::P Date l~' 6.Q7