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HomeMy WebLinkAboutPermit Building 1995-7-10 , " SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970646 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4079 FORSYTHIA ST 4081 Assessors Map #: 18020611 Lot: 70 Block: Tax Lot #: 05000 Subdivision: WYATT MEADOWS 2 owner: KEYS HOMES INC. Address: P,O, BOX 25083 Phone #: 292-6378 City/State/Zip: PORTLAND, OR 97225 Describe Work: DUPLEX NEW Contractor Canst. Contractor # Expires Phone General: 09/29/97 292-6578 KEYS HOMES INC, 0094105 7185 SW Sharon Portland OR 97225000 M,P,I, 0094105 7185 SW Sharon Portland OR 97225000 Electrical: FAR NORTH ELECT 0100894 06p7 155 B Ave Ste 330 Lake Oswego OR 97 ~~~ ~o~ ~\a..._\f(: ,( \s OFFICE_ ~E. -- ~\. ~1-'f ''CO ,?~,?\'1'" ,,:O'r- LNiIrt~..N'S'O~ r;;.'r- ~~~ O~~\) # OF BLDGS: 1 Z~Nf'?~};:~: ~ ~~~'V OCCY GROUP: R3 # a.J;'\\~D~~~ O'r- \s ~ HEAT SOURCE: WH RAN~~~"~c.~\) ~.o\), INSUL PATH: P1 rO~~€ ('\~'( '?€ v . .\l,li\v To request an inspection, call the 2~~hour recording at 726-3769. Plumbing: 09/29/97 292-6578 636-4115 QUAD AREA: 3RSC # OF UNITS: 2 CONSTR, TYPE: VN WATER HEATER: E SQ FOOTAGE: 3340 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, POST AND BEAM - Prior to floor insulation or decking, INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover 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, FRAMXNG - 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, SPRINGFIELD Job Number: 970646 Lot Faces: N Solar Approved: Y N House 28 Garage 20 Item Main qarage Total Value Building Permit Fee Surcharge/Admin TOTAL FIlIl Total Height: 26 Lot Type: INTERIOR Setbacks S W E 63 14 14 Page 2 Setbk From NPL: 20 BUILDING PIlRMIT --- Square Feet x 2940 400 $/Square Feet 64,66 16,27 (A) --- SYSTIlMS DIlVIlLOPMENT CHARGIl (SDC) --- (B) Value 190,100,00 6,508,00 196,608,00 651.25 52,10 703.35 -, ;),.'O.).u~ Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved, Item Residential Bath(s) Plumbing Permit Surcharge/Admin TOTAL CHARGIl Exhaust Hood Vent Fan Dryer Vent Mechanical Permit Issuance Surcharge/Admin TOTAL PIlRMIT Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC PLAN REVIEW FEE PLUMBING PIlRMIT --- 4 (C) MECHANICAL PIlRMIT --- 4 (D) --- MISCIlLLANIlOUS PIlRMITS --- TOTAL MISCIlLLANIlOUS PIlRMITS (Il) (llxc1uding 1l1ectrica11 unleee otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and B combined) ~ Fee 320,00 320,00 25,60 345.60 9,00 12,00 6,00 27,00 10,00 2,16 39.16 0,00 20,20 15,40 1,848,00 60,00 1,943.60 ~ &.t\~N) ~ \ -:\ 0\ \() ~\u . SPRINGFIELD Job Number: 970646 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: BOB BARNHART Date: 05/16/97 Building Site Reviewed By: BRENDA JONES - - - ADDITIONAL COMMENTS --- SAME AS 970638 615/617 S 41ST CT DRIVEWAY REQUIRED TO BE PAVED 2 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 ens~re tpat all required inspections are requested at the proper time, that eaJ.~ address is readable from the street, that the permit card is located a:/::'~ fr6nt of the property, and the approved set of plans ~ ".~~ ci... '""i., ,","C"""Ci... l~nature I Date Date Paid: L-/'.. ,--:" VAL7il{'TION :_-~g ~\.~.8.. ::." , .. ..o-~ ."~ , . - , -j;. \, /' '-6\~ -~- _ ",.-- """'--'" Receipt Number: Amount Received: Received By: ,. . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: KEYS Location: 4079 Developement Type: R HOMES INC, FORSYTHIA ST,4081 Building Size: Job No,: 970646 Lot Size: l. STORM DRAINAGE Impervious Sq Ft 2580 X 0,226 Per Sq Ft 2. SANITARY SEWER - CITY Number Of PFUs 46 X 46,86 Per PFU (see Page 2) 3. TRANSPORTATION Number Of Units 2 X X Trip Rate 1. 010 X X Cost Per Trip 472,49 $954,43 Transportation Total 4. SANITARY SEWER - MWHC Number Of PFUs 46 X X Per PFU + MWMC Admin Fee 20,690 + 10,00 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items 1, 2, 3 & 4) 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) X 0,50 TOTAL SDC Reviewed By: DENNIS ERNST Date: 05/07/97 Page 1 Sq Ft $583,08 $2,155,56 $954.43 $961,74 $95,43 $866,31 $4,559.38 $227,97 $4,787.35 SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:~" l-hm..L 17rt.l'~. PHONE(~?;)2tjt-(hlf3 ADDRESS: J?O pt})( '2L?Q..X'0 I p(~ STATE: o.v. zIP!h';J~ , . LOCATION OF PROPOSED BUILDING SITE: 11~~ . Tax Lot Number: (C) 5lJlJD '. ,\ I, 461q.... {foFf, I~ t;'V Dv H Street Address: Plat Name: . Job. No. a'1 ()f.pl./f.p 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t ype definitions are on the back,) A. Sln.{'IA-Fflmilv DAtflr.hAcf Single Family home . NO. OF UNITS B. ~inoIA-Fflmilv Attached NO. OF UNITS C. ,Multi-Familv Aoartmen~ NO. OF UNITS D. Manufactured Home Park NO. OF UNITS WILLAMALANE SDC Manufactured home not in a park X $1,000 per unit = $ 1-- X $924 per unit = $ l.R4X. 00 X $692 per unit = $ X $699 per unit = $ $ I ~4-t.- 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See sac Credit Worksheet, $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) Db~m'm City of Springfield I C(LJK- .'1 ' - \G--; . ()1 ,; ~I --J ~ Date - $ . . SPRINGFIELD The following , Z0 "!.'1~, end d pr~!€lct as submitted h:J$ approval. Oe" not r6quire sPecific l::t~~ ~~~owing loni"", rY\O;V 225 FIFTH STREET ' Do(.1/ 10 ~q7 SPRINGFIELD, OREGON 974TJ..Ulb ~ I INSPECTION REQUEST: 726-37'69'00 Signature 1V1\A OFFICE: 726-3759 3. 1. ~~F ~N~IO\r)(s}((\Vl,A. . ) ~1fo~g(\PTr\~ ,~~\\:) ~OB Df:SCRIPTION h \,\ 0 "I' Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days, . ELECTRICAL PERMIT APPLICATION City Job NumbeF C\lUo'\Lo COHPLETE FEE SCHEDULE BELOV Ney Residential-Single or Hulti-Family per dyelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less ~ $ 85.00 \f1() Each additional 500 sq. ft or portion 4 leD thereof S 15.00 Each Hanuf'd Home, or Hodular'Dyelling Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders 'A. """-~,, CI,,^.1- Installation, Alterations Electrical Con trac tor1l\. V- \'\1J11JI \ ().(,\:;\ or Relocation: AddressdL\~ !:L \.\J. t\\D~~\\q 200 amps or les~c-'tlO~'l- $ 50.00 \ \ : \\, ~"'\ VJ ~ t\ I..oAt7 201 amps t9,I'-~Q611rmll:!~O\ $ 60.00 Ci tym \6\ \JlU\ O~ Phone J.)J DV UlOI~~ ~ 401 ~~i-'l'O'WP'S $100.00 Supervisor License Number ~/\1t\~ \\O~ ~~~~~r ~~ni~'6~i?' g~g:gg (\ \ 0.0 ,y..\S a,at~ne~~:e~~y- $ 40.00 Expiration Date \\ I' . {'\ ~,y..OP \)O~ ~'C ~~oh~~\Services or Feeders Constr Contr. Number O\\~O'\\ CO~ ~i!~Iration, Alteration or Relocation Expiration Date 4.. \~ .C\~ ~~'l \00 amps"o-r less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above ~~ctrician / ,"om ,,"' ~Gb~ ~ Address\ ~ (\ . I ~~ Cityl ~~Phone ~~~'L O~ INSTALLATION 19 ~ 1 <3 The installation is being made on E. property I oyn yhiCh is not intended for sale, lease or rent. Qvners Signature: DATE: {"., ~ RECEIPT #: . : L\ _ RRCEIVED BY: -U D. Branch Circuits .' Ney, Alteration or Extension Per Panel, One Circuit Each Additional Circuit or yith Service or Feeder Permit $ 35.00 $ 2.00 Hiscellaneous (Service/feeder -Each installation Pump or irrigation SignlOutline Lightin~ Limited Energy/Res Limited Energy/Comm, not included) SUBTOTAL OF ABOVE 5r. State Surcharge 3% Administrative Fee. TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~~1. - \P,4U 61..0. 'f; ~U