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Home My WebLink AboutPermit Building 1998-2-26 . -"' .. SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980235 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4072 FORSYTHIA ST Assessors Map #: 17023144 Lot: 83 Block: Tax Lot #: 08200 Subdivision: WYATT MEADOWS 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 Plumbing: COZY HOMES 0032947 1275 S 2ND SPRINGFIELD OR ~t270000 BMC MECHANICAL l,:c,.9IO~-SVO 648 W OREGON AVE CRESWE~6'~)9~\~~O MARSHALLS CJ ~02~0 4110 OLYMPIC ST SPRI!liH~ ~;C"~q-~ BILLS ELECTRIC .7~rT. ~1Jl:l21.<a'% I?<'{ 04/28/98 3170 W 11TH EUGENE OR 9~0~Q V~~ ~1'~ I?r~ 19/r- h, 19~. OFFICE USE -~~ "-1<2 '/U'A .,. LAND USE: 1111 t:lQ I?.t<:o 'I!~4t:::~pt..;OF BLDGS: ZONING CODE: MDR ~~ {s> O~ GROUP: # OF BDRMS: 3 ;C"O-" ~t SOURCE: RANGE: E or INSUL PATH: 06/28/98 747-8704 General: 12/15/98 548-7510 Mechanical: 12/23/98 747-7445 Electrical: 687-1851 QUAD AREA: 3RNC # OF UNITS: 1 CONSTR, TYPE: VN WATER HEATER: E SQ FOOTAGE: 1705 1 R3 FE 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, 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, 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: 980235 Page 2 Lot Faces: S Solar Approved: Y Total Height: 16 Lot Type: INTERIOR Setbacks S W E 22 6 5 18 5 Setbk From NPL: 40 N House 16 Garage Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1308 397 $/Square Feet 64,66 16,27 Value 84,575,00 6,459,00 91,034,00 Building Permit Fee Surcharge/Admin 409,00 32,72 TOTAL FEE (A) 441. 72 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 - -- Furnace Exhaust Hood Vent Fan Dryer Vent 2 6,00 4,50 6,00 3,00 Mechanical Permit Issuance SurchargelAdmin 19,50 10,00 1. 57 TOTAL PERMIT (D) 31.07 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE WILLAMALANE SDC ELECTRICAL PERMIT SYST DEVEL CHARGES 0,00 17,65 14,80 60,00 1,000,00 124,20 2,124,68 TOTAL MISCELLANEOUS PERMITS (El 3,341.33 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,986.92 --- 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. .. SPRINQPIELD ~- Job Number: 980235 Page 3 Received By: Plans Reviewed By: BOB BARNHART Date: 02/25/98 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~e at all times during construction, Signature DateL/;J.4/~/i Date Paid: -- - VALIDATION r1?J\ ~~ & .;110 q~ t~C(~lo ,C\IJ-. ~f){). .~ Receipt Number: Amount Received: Received By: "'~ . . .. . . JOB NO. . 9 ~6 2. -:;; r- ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NA,ME OR CDHP,<\NY. CO 22Y IJoMES LOCATION 4071 FOR -SyiJ-l,A- DEVELOPMENT TYPE: 0::::;.1<:". R.. BUILDING SIZE LOT SIZE <:;0, Ft, 1 . ~T0RM OR.~. i N.~GF It1PERVIQUS SO. FT, 2.3ol? X 50.226 PER SO, FT, $ QI. t. ( 2, SANITARY 'E~ER-CTTY NO. OF PFU' S I ~ (See Revecse Side: X SJ6,86 PER PFU $ m 3-4 R 3, TRANSPORT~TTON 'NO OF UNITS X TRIP R<\TE X COST PER TRIP X /.n ( X $472.49 $ 477.2..1 x x $472.49 $ x X $472,49 $ 4, SANITARY C:;FwFR-M~Mr. OtJ'~ NO, OF -Fftr' S X 2. 77. 7&. PER FEU + $10 MWMC! ADi1 FEE $ '7 7,7,7(,. MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - loc..sS- IOTA.I -Ml"MC SD( $ 1 !l I. 7 I SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 2:027., ,SI 5, AOMINISTRATIVF FFF) BASE CHARGE (SUBTOTAL ABOVE) X ,05 $ /01./7' 19L Date: 2-2S~9rr SDC Coordinator TOTAl sac L4./ 2..f~tr :IXTURE UNIT CALCULA TIOI\lAABLE: Number of New Fixtures X un.' uivalent = Fixture Units JOTE: For remodels, calculate only the ~itional fixtures} NUMBER OF UNIT FIXTURE ;XTURE TYPE NEW FIXTURES EQUIVALENT UNITS athtub", '" """" """',"""""','''''''''' ",", """ ,~"""'" '" rinking. Fountain"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "" '"'' "','" ,oar Drain, """'"""""""",,,,,,,,,,,,,,,,,, ", '''''' '" "'" """ nerceptors For Grease/OilfSolids:Etc,,,,,,,,,,,,,,,,, ,lerceptors For Sand/Auto WashiEtc""""""""" ,lUndry Tub/C!otheswasher""""""",,,,,,,,,,, "",,"" !otheswasher - 3 Or More""""""",,,,,,,,,,,,,,,,,,,,,,, labile Home Park Trap (1 Per Trailer)"""",,,,,,,,,, eceptor For Refrigerator/Water StationfEtc"""" ~ceptor For Commercial Sink/DishwasheriErc.. hower, Single Stall"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ',ower, Gang"""""" ,'" """"""" ",,""" ""''',,'''' "'" nk: Bar, CommerCial, Residential Kitchen"""""""""""" 'mal, Stal!/WaIL"""""""""""""",,,,,,,,,,,,,,,,,,,,,,,,,, ash Basin/Lavatory, Single,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, )jiet. Pubiic !nstallation........................................ )iler I Private.......................................... ......... .... 'scellaneous: '2- 2. '"2. TOTAL FiXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 i/Head 2 2 1 6 4 = ., ' 4- "2- 7- 2. R I~ ;EDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table. iC'Jlate credits separates. Year Annexed ..:::::J979 or be fore 19tJU . 1981 1982 1983. 1984 1985 1986 Rate per $1,000 Assessed Value J:).~ 3,89 3,83 3,70 3,55 3,39 3,20 2,91 Year Annexed 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Rate per S 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 :3 ,17 X $ ?~j'to (Rate X Assessed Value) X $ , (Rate X Assessed Value) Improvement (if after annexation date) = -Lni.", = CREDIT TOTAL = $ ..JQ.('~. <><C RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) hclsiciential.... ...... ..... .... ........ 0.4 CommericaL"",,,,,,,,,,,,,,,,,,,, 0,9 Industria!.""""""""""""", 05 Governmental""""""",,,,,,,, 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . . Job. No. (\~~ SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME, ~fl~V)\~D ADDRESS:~~~ PHONE: J41 ~Jot STATE:~IP: 01411 LOCATION OF PROPOSED BUILDING SITE: ('(.I _ . Street Address: 4t"l CL ~\Slt\l0.i (1 J ~tM t- Plat Name:\U}t\lt 9J\c\. -" Tax -Lot ~mb~r: j1()1J?l\4-4nW ,) . - 1. DEVELOPME \T TYPE (Check appropriate dwelling(s), SOC calculations and dwelling t ype definitions are on the back.) .' \, A. Siogle-F3milv Detached. t Single Family home . NO. OF UNITS ~ B. ,Sinole'-F::lmilv ~<:hf!r1 NO. OF UNITS C. Mulli-Familv Aoartment NO. OF UNITS D. MPnl/f3ctured Home Pa~ NO. OF UNITS WILLAMALANE SDC Manufactured home not in a park X $1,000 per unit = $ --!-QL'O .~ X $924 per unit = $ X $692 per unit = $ X $699 per unit = $ $ (DOO pO II $ IlX:O riJ ~Lo I q~ 2. SDC CREDIT (if applicable) SOc-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED ~0C;;) Development servi~ ~epartment City of Springfield ~I Date