HomeMy WebLinkAboutPermit Building 1998-6-22
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SPRINGFIELD
NOTICE:
THIS PERMIT SHALL EXPIRE IF THlEwalil:INTIAL PERMIT APPLICATION
AUTHORIZED UNDER THIS PERMIT IS ~fY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
COMMENCED OR IS ABANDONED FOR BUILDING SAFETY .
ANY 180 DAY PERIOD,
225 North Fifth Street
Springfield, OR 97477
Page 1
Job Number: 980515
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4068 FORSYTHIA ST
Assessors Map #: 17023144
Lot: 82 Block:
Tax Lot #: 08100
Subdivision: WYATT MEA 2
Owner: TOM WIRFS
Address: PO BOX 237
Phone #: 747-8704
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: S.F, RESIDENCE
NEW
Contractor
Canst.
Contractor #
Expires
Phone
General: TOM WIRFS 0032947
1275 S 2ND SPRINGFIELD OR 974770000
Pl'umbing: BMC 0103570
648 W OREGON AVE ,CRESWELL OR 974260
Mechanical: BMC 0103570
648 W OREGON AVE CRESWELL OR 974260
Electrical: BILLS ELECTRIC 0021351
3170 W 11TH EUGENE OR 974020000
06/28/98
747-8704
12/15/98
548-7510
12/15/98
548-7510
04/28/99
687-1851
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1735
OFFICE USE --
LAND USE: 1111
ZONING CODE: MDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: P1
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,
WATER LINE - Prior to filling trench,
SANITARY SEWER LINE - Prior to filling trench,
S~ORM SEWER LINE - Prior to filling trench,
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
ROUGH PLUMBING - Prior to cover.
,ROUGH ELECTRICAL - Prior to cover,
ROUGH MECHANICAL - Prior to cover,
FRAMING - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials,
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,
SPRINGFIELD
Job Number: 980515
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Page 2
Lot Faces: S
Topography: 2
Solar Approved: Y
Lot Coverage: 33 %
Setbk From NPL: 16
Lot Sq, Ft,: 5103
Total Height: 15
Lot Type: INTERIOR
Setbacks
S W E
5 5
N
House 23
Garage
20
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1263
472
$/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 - --
Exhaust Hood
Vent Fan
Dryer Vent
GAS / FIREPLACE
2
M~~hanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLIAMALANE
CITY SDC
PLAN REVIEW FEES
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
a~/cuc
I.pft,...,f
'i-t'fJ
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
Value
81,666,00
7,679,00
89,345,00
403,00
32,24
435,24
Fee
160,00
160,00
12,89
172,80
4,50
6,00
3,00
4,50
18,00
10,00
1.44
29,44
0,00
17,80
13,30
1,000,00
2,298,98
60,00
3,390,08
4,027,56
/67-.t.{{)
't/9'7,?{;,
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.
, .
SPRINGFII!LD
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Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
Developer: TOM WIRFS
M~il Address: PO BOX 237
Tax Lot #: 1702314408100
Subdivision: WYATT MEA 2
SPRINGFIELD,
Project
Lot: 82
OREGON 97477
Address: 4068
Blk: Eng,
Job No,: 980515
Phone #: 747-8704
FORSYTHIA ST
Rev. No.:
Book:
Street Gravel Ac Mat
4068 FORSYTHIA ST
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
Y
5 FEET
12:1 FLAIRS
Existing Curbcut: N
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvemen~ Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344
Available: Y
Size of Line: 8
Location From N,
Make Connection:
Stubbed Out TO Property Line: Y Depth: 4-6
In, Tee: 6 In,
S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
PER PLUMBING CODE
Ft
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: CURB & GUTTER
Pipe Parking Lot Drainage To: N/A
New Curbcut Appr, :
Sidewalk Permit: Y
Curbcut Permit: Y
Y
Width:
Width:
SIDEWALK AND
STANDARD
5 Ft
Ft
DRIVEWAY INFORMATION
Width: 22 Ft Flairs: 6
Length: 52 Ft
Ft
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
SPECIAL NOTES AND REQUIREMENTS
All work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. All existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By: DENNIS ERNST
Date: 05/11/98
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
, .
SPRINGFIELD
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Job Number: 980515
Page 3
Received By:
Plans Reviewed By: AL WARD Date: 06/04/98
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED,
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 lo~~the front of the property, and the approved set of plans
will remai~ site at all times during construction,
~~fe~
Signature
--- VALIDATION
Date Paid:
!J S ti 'Iv <;
(, /7 L /7 i
Lfj 9 '-f. 9? ()
'a.(! tJ~
Receipt Number:
Amount Received:
Received By:
-'.',
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. --. . .. JOB NO, 7'lo')/C
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY.
7;,,,-,, ~JJ?F<"
40GB FOt2:sy rH/~
.
LOCATION:
DEVELOPMENT TYPE.
oS F- D
BUILDING SIZE
lOT SIZE
'i0, Ft,
1. STORM DRA HII'-GF,
IMPERV IOUS SO _ FT _ 2-/;7/
X $0,226 PER SO, FT: $ 5i~S-
2, SANITARY SFYER-rITY
NO _ OF PFU' S / r
(See Reverse Side)
X $46,86 PER PFU
$ 8'4-3, <If
3, TRANSPORTATION
-NO OF UNITS X TRIP RATE X COST PER TRIP
X J. () I X $47249
$ 477.2-/
x
X $472 49
$
x
X $47249
$
4, SANTTARY SEWFR-MWMr.
DlJ'S
NO, OF -ffi:j-'S I - X 277,76PER FEU + $10 MWMClADM FEE $ 237.7&_
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAL-MWMr. SOr. $ Z<a7.76
SUBTOTAL (ADD ITEMS 1. 2,3 & 4) $ 2/' ~ 't.SO
5, AOMINISTRATIVF FF~
BASE CHARGE (SUBTOTAL ABOVE) X ,05 --.
$
JDt;. 4:~
Date:
SDC Coordinator
TOTAl SDr. $ ?, z.qg. qa-
t
, , '^ I VI.... ,vn.., '-'ML.'-'U L.M 'IVIII I MoDL.!:. Number at New ~ixtls X Unit Equivalent = Fixtur,e ,U~its
(NOTE: For remodels, calculate on.e NET 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 TubfClotheswasher""""""",,, "'" ," '"'' "",
Cloiheswasher - 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, StaII/WaIL"""""""""""""",,,,,,,,,,,,,,,,,,,,,,,,,,
Wash Basin/Lavatory, Single""",,,,,,,,,,,,,,,,,,,,,,,,,,,,
Toilet, Public Installation" '''''" '" '"'' """"""""""'"
Toilet, Private,,,,,,,,,,,,,,,, "" ''''', '" "'"''','''''''''',,'''''
Miscellaneous:
'2.
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
'Z-
TOTAL FIXTURE UNITS
=
z.
Z-
....
z..
'2-
~
ISf
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates,
II
Year
Annexed
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
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
$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
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~t~~ y!i!I!!!!~!~~~ Job. No. (\ t~\ ~
. fV SYSTEM DEVELOPMENT CHARGE
'WORKSHEET . w1
NAME: \~ \})\~~~ PHONE: :\4l g-,()-r
ADDRESS: ~ l~ &he c:O?f) . STATE: &e ZIP: L J1J1
I -.
LOCATION OF PROPOSED BUILDING SITE: "I h' ), ",'
Street Address: 41:l1o~ Th(S\ft\ l ~n
Plat Name:U[\ \.\_~ Tax Lot ~mber: \fYQA?J'AA-(JG\rf)
1. PEVELOPMEN,t TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t .
ype definitions are on the back,)
.
.,
.,
A. S,inolp.-Fl'lmilv Dp.tl'l~hp.Q
\ Single Family home
. NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ l Dei).ad
B. S,inole'-Familv Atta~hed
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufacturp.d Homp. Pa~
WILLAMALANE SDC
$
$
1000 ~X)
.;;5
/
$ In 00' ,OU
I? '?
NO. OF UNITS
X $699 per unit =
2. SDC CREDIT (If applicable) SOG-payer must furnish proof of
Willamalane Credit approval. See SOC Credit Worksheet.
$
3. TOTAL W1LLAMALAN~,N.o ET~ SOC ASSESSED
@SDC_IMU
~~~ ~~\:Epartmern . oat I
City of Springfield - ~ \ . .
2-2..
SPRINGFIELD
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
Developer: TOM WIRFS
Miil Address: PO BOX 237
Tax Lot #: 1702314408100
Subdivision: WYATT MEA 2
SPRINGFIELD,
Project
Lot: 82
OREGON 97477
Address: 4068
Blk: Eng,
Job No,: 980515
Phone #: 747-8704
FORSYTHIA ST
Rev, No,: Book:
Street Gravel Ac Mat
4068 FORSYTHIA ST
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
Y
5 FEET
12:1 FLAIRS
Existing Curbcut: N
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvemen~ Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344
Available: Y
Size of Line: 8
Location From N,
Make Connection:
Stubbed Out To Property Line: Y Depth: 4-6
In, Tee: 6 In,
S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
PER PLUMBING CODE
Ft
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: CURB & GUTTER
Pipe Parking Lot Drainage To: N/A
New Curbcut Appr, :
Sidewalk Permit: Y
Curbcut Permit: Y
Y
Width:
Width:
SIDEWALK AND
STANDARD
5 Ft
Ft
DRIVEWAY INFORMATION
Width: 22 Ft Flairs: 6
Length: 52 Ft
Ft
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
SPECIAL NOTES AND REQUIREMENTS
All work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. All existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City, The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By: DENNIS ERNST
Date: 05/11/98
\
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
/...
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BACKFLOY PREVENTION DEVICE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
d
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,:,.
I....,..
,
225 FIFTH STREET
SPRINGFIELD OR 97477
OFFICE: 726-3759
INSPECTION LINE: 726-3769
.. ;:::::::;:;-::--~r~~~---\Q~-7a~;---
OYNER: '%.61"'> Ht:J/f'tES L. L, G. /
ADDRESSt ?-v. &,.,-- ~/~ ..e,:' -":. PHONE U( 56~ 6f{2.; 5~2\ .
~-P /pv---' ~iEjt.,' ZIP:
. D_'~ U', 'i:!...
-a'-S: ..... "t ~
BACKFLOY PERMIT IS $15.00 + $. 751.g:r~ rsu:~'6hiRGE) + $'.45 (ADMIN. FEE) = $16.20
. .~ ~.. .n '". .
CONT~CTOR: % evs /-/r) nJ;S2o, . ','\
ADDt:.fl!-~ .:j asc; ~ (:,,:,,- "") '~'" PHONE 1IJ~()3 ) b 1/- m.-::::>)
CITY: 1/0-'7 /4.n/! ~~~TE~:, .6X ZIP: ~7.,;2..?- s-
CONSTRUCTION CONTRACTORS REGISTRATION 11: qq/o~\1I'~_ EXPIRES: &'/ he
. - , \)',l~'" . '
BY SIGNING TillS PERMIT/APPLICATION, I AGREE TO CALL FOi?'AN INSPECTION ONCE TilE
BACKFLOY PREVENTION DEVICE IlAS BEEN INSTALLED AND IS VISIBLE FOR INSPECTION
(726-3769), STATE TIlAT ALL INFORMATION ON TillS PERMIT/AP~L:_C~TB'N ;r.;; n r ~
CORRECT. ...O'. ~ <f<'( ~x t
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'~L//~
0/< t/
,-,
to';' .
CITY:
"-'..-
""r1ft~
FOR OFFICE USE
_____________________________________._________________________~_~_______________ 1
DATE OF APPLICATION: (. 21 -q~
RECEIPT 11: A 'H...([)., . -' ISSUED BY:
TOTAL AMOUNT COLLECTED:' 5\ .1n
rA~JOB 11:
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