HomeMy WebLinkAboutPermit Building 1998-12-7
'.'
ATTENTION:Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center, Those rullN''''''' ~- JII!~ PERMIT APPLICATION
in OAR 952-001-0010 through OAR @l5~Q>io- SPRINGFIELD
0090, You may obtain copies ottlMMmlm1l'tlYSERVICES DIVISION
calling the center, (Note: the tel~~~ilLDING SAFETY
number for the Oregon Utility Notllicatlon
225 NorthcfEMtMls~~32-2344).
Springfield, OR 97477
Page 1
Job Number: 981404
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4088 FORSYTHIA ST
Assessors Map #: 17023144
Lot: 84 Block:
Tax Lot #: 08400
Subdivision: WYATT MEADOWS
Owner: DONALD DAVIS
Address: 809 DIAMOND ST
Phone #: 744-8161
City/State/zip: SPLFD OR,97477
Describe Work: S.F, RESIDENCE
NEW
Contractor
Canst;
,Contractor II
Expires
Phone
General:
TOWER CONST 0072394
PO BOX 536 WEST LINN OR 970680000
03/15/98
655-2159
QUAD AREA: 3RSC
OCCY GROUP: R3
HEAT SOURCE: FE
OFFICE USE --
LAND USE: 1111
CONSTR, TYPE: VN
INSUL PATH: P1
# OF BLDGS: 1
# OF BDRMS: 3
SQ FOOTAGE: 1570
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 ---
SITE - To be made after excavation but prior to setting forms.
FOOTING - After trenches are excavated, ,NOTICE: '
FOUNDATION - After forms are erected but pr10r to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or J'JiJRf'rfg9MIT SHALL EXPIRE IF THE WORK
UNDERFLOOR MECHANICAL - Prior to insulation o'ALd,1'19.!$fi!illE.::J UNDER THIS PERMIT IS NOT
POST AND BEAM - Prior to floor insulation or 9-l;'j}king, .n OR c: A ()
INSULATION - Floor; prior to decking wall/Ce'-fi'Il:Wg~Pfi,r:torl'toB~~-PelNEQ FOR
WATER LINE - Prior to filling trench, (IN'/' 1()OOAY f'tRltj[),
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,
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.
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: S
Topography: 2
Lot Type: INTERIOR
Lot Sq, Ft,: 4540
Total Height: 14,6
Lot Coverage: 34,8 %
Solar Approved: Y
House
Garage
N
18
Setbacks
S W
5
18 5
E
5
<,
Job Number: 981404
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1107
463
$/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
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
TEMP ELECT,
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, 5, C, D, and E combined)
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT
Page 2
= Value
71,579,00
7,533,00
79,112,00
373,00
29,84
402.84
Fee
160,00
160,00
12,80
172,80
12,00
4,50
9,00
3,00
28,50
10,00
2,29
40,79
0,00
13,00
14,50
1,000,00
l'm1
If ,2
3,004,13
3,620,56
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: 981404
Page 3
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
242,45
Date Paid: 11/10/98
Receipt Number: 32010
MOORE Date: 12/04/98
By: BOB BARNHART
--- ADDITIONAL COMMENTS
PATH 1; SEPARATE 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 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.
~~- ,/Z-P-"ff'
Signature Date
--- VALIDATION
Receipt Number: rJ ":Z- zr l.f
1'-) 7/rr
, ,
Amount Received: '5 t ~ 0,(-'
"0""" '~-;;:T
Date Paid:
.~. . ..
ATTACHMENT A
CITY OF SPRI~IELD SYSTEMS DEVELOP~T CHARGE
WORKSHEET qgl~
NAME OR COMPANY: ~v's
LDCA II ON . 4C9J~ FO;-:5'/'I-4/ Cl Sr eE.E T
DEVELOPMENT TYPE. ~D
BUILDING SiZE.
1570
LOT SIZE 4-5"3E?
so. Ft,
1, STORM DRA.!NAGE
1'S10.f- .z{ff/-1-5~1J 1~ If If): 15'-;0 +- 7co ... 324-
IMPERV IOUS SO. FT, 2o:l4. X SO, 227 PER SO, FT. S 4-1'? ~
2, SANITARY SEWER-CITY
NO, OF PFU'S /(/7
(See Reverse Side)
3. TRA.NSPORTATION
X S47, 14 PER PFU S 754-, 24
NO OF UNITS X TRIP R~TE X COST PER TRIP
X 1.61
X $475,32
$ 4eQ, c-=r
x
X S475,32
$
4, SMJ!TARY SEWER-M1tlMC
A, REIMBURSEMENT COST:
NO, OF FEU'S
X 211,4+PER FEU
$ 217,44-
B, IMPROVEMENT COST:
NO, OF FEU'S
X 2':1,20 PER FEU
$ 2.5,20
MWMC CREDIT IF APPUC.<\BLE (SEE REVERSE) < $ 1%3,1"l . >
MWMC ADMINISTRATIVE FEE $ 10_00
TOTAL-MWMC SDC $ IRK, 8 <;;
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5, ADMINISTRATIVE FEE~:
BASE CHARGE (SUBTOTAL ABOVE) X ,05
"
$ /~"JS. 50
$ 9'/-, '13
mAL s~0
\ 119'J v 3 .
Ik 51.-
SDC Coordinator
ATTACH' A, WPD
Date: IIIIL /~8
INOTE; For remodels. calculate only the NET additional fixtures)
NUMBER OF .
FIXTURE TYPE . NEW FIXTURE
Bathtub"""",,,, "" '" ",'" ,,,.,,,,,,,,, """"'''''''''''''''''' ",," {
Drinking Fountain" """"'" '''''''''''' ",," """""""""""
Floor Drain""",,,,, ,:,,, """"""""" ",,"'" "'",,'''',''' '" '"
Interceptors For Grease/Oil/Solids/Etc" """" ""'"
Interceptors For Sand/Auto WashfEtc""""""",,,,
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 fEte"
Shower, Single StalL";,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, I
Shower, Gang"" ''''', ''''''''''''''''''''''''''''''''''''''''''''''''
Sink; Bar, Commercfal, Residential Kitc;,en........................ f C
Urinal, Stall/Wall",,, ''',,' """""""""" """'"'''''' "" "'"
Wash Basin/Lavatory, Single,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, II
Toilet. Public Installation,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Toilet. Private",,,,,,,,,,,,,,,,,..,,,,,,,,,,,,,,,,,,,,,,,,,,..,,,,,,. __1/
Miscellaneous;
UNIT
EQUIVALENT
2
2
3
6
2
6
6
1
3
2
1iHead
2
2
1
6
<I.
"I',
TOTAL FIXTURE UNITS
=
.~ - , '''~l.d i:: unl[$
FIXTURE
UNITS
Z.
""Z-
:'Zo
'Z-
~
If,
CREDIT CALCULATION TABLE: Basec on assessed value, If improvements occurred after annexation date ir. :2:le,
calcolate credits seoarates,
Year
Annexed
Rete per $1,000
Assessed Value
Yeer
Annexed
"
I'
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
$4,27
4,18
4,12
3,99
3,83
3,68
3.48
3,18
2,82
2.42
Credit for Parcel or Land Only If Applicable
4-,21 X $ 22>."l'1
IRate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
= $
=
Improvement lif after armexation date)
=
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residentia!..,...,,,,,,,,,,.,,,,,,,,,,O.4
Commerical."""""".""""", 0,9
Industrial"....".""""""""", 0 5
Governmental.,,,,,,,.,,,,,,,..,',,, 0,5
FIXUNlT,WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
I
!
I
,
Rate per $1,000
Assessed Value
$1,98
1,55
1.15
0,96
0,83
0,67
0,52
0,38
0,21
,
'Ii
,Z3, .,.,
.
approval.
225 FlITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Electrical, Contractor
Address'
City
Phone
Supervisor License Number
Expiration Date
Constr Contr, Number
Expiration Date_
Signature of Supervising Electrician
, ."
Ovners Name ~")M~/,\
Address ~ t/hi-4)d) .7/
City ::j~'fl. Phone,*-- f!Jft:zJ
OVNER INSTALLATION
The installation is'being made on
property I ovn vhich is not ,intended
for sale, lease or rent.
Ovners Signature:
--------------7--'---------------------
DATE: (l. 7/16 ' /"
RECEIPT <<: _ ' () J:J2- $-JI _. fJ
RECEIVED BY: ' ~ "'--/.,../
SPRIN.LD
VFRHIT APPLICATION
96/41'34
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
$ 15.00
$ 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' 'or less
, 201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
ZonInp I-!- i'\ r2-
Date 12-1
, f\IOTICE' ' . .
. AL , ... .llIgnaIwe-~Kz.:~r;:'1.l.
97471:;l!cl [JEf1Mli' :;I1iiLL EXPIRE IF THE WORK '
726\-i)ljl,~RiZl::i1lINI.'1<:R ~I H'S' D"R' .,~ IS Ci ty Job Number
- >, ,,- '", ,!:: ,'"" NOI '
, cCiHr"H~~JCI:L (!Ii i,'~ ,!\iiMlf.'OI,COMl'MTE FEE SCHEDULE BELOII
. .". .-. ".",
1. LQCATION OF INSTALLATION;nr!,vr'('I""i" '
4-,Q~~ 1=d4.~~'-#'A ~ A. Nev Residential-Single or
, r ' ,'..... I . / / /! " 1,// , Mul ti-Family per dvelling unit.
:LEGAL DESCRI~O~J __ J ' Service Included:
I 7'/J 2. ~ I, 4, /' KiJY!-tf1) , ' '~OU \0 Items Cas t
~ . . , on laW lequlfll9 til!Y
JOB DESCRIPTION AiTEl'-li\ON,OlaQ d bY tM mego~~'til(\hor less $ 85.00
~,g/ ~;1;e , 11l9W-f-l.,I9S adopt9ihosa lJfe$-hllh~\~ ttftnal , 500
_ ,r , V'fClt\ n cant",r, hroU9~~f\f,\?~' .Jlprtlon
Permi ts arenon-transfera1lq~\ :ll-80t~'?t '8~l!\e' "y
if york is not started viiORl} rilA1Qbta\n~Oi~~tel~IlI\Qqed Home, or
of issuance or if york is ~ ~ diwtel. ( 0 UtI ~\t\I:la~lling
180 days. ce 'bellorthe oregon 33' '~e or Feeder
, , num canter\5 '-800', '
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
Installation; Alterations
or Relocation:
'-"- $ 40.00 ,,. A rJ(J~'
.. $ 55.00 ~
$ 80.00
volts see "B" above
.'
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump pr irrigation
SignlOutline Lighting
. Limited EnergylRes
Limited Energy/Comm
One Circuit
. Each Additional
Circuit or vith 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
It)p-o
7~
/....0
A? 2,{)
, /-..;>.
'.
.
~?... Willamalane
~,-"",,!, Park & Recreation DistricIJob. No. qg \ ~o'l
(W SYSTEM DEVELOPMENT CHARGE
\. WORKSHEET
NAME:\~~J ~~ PHONE: lqLl,.-~\,Co \
ADDRESS: PC'Y' ~ ~ 1'\"\" STATE: ~-ZIP:<;l(.lll
"
LOCATION OF PROPOSED BUILDING SITE:
i4.c)~~ ~~'I."~, ~~
-..
Street Address:
...
Plat Name: \lO~~t-L-\1...\
Tax Lot Number: O<'6~( b"l
..
1. DEVEL9PMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back,)
A. .slnQ1p.-F~mily Dp.t;:lr.hp.rf
\. Single Family home
. NO. OF UNITS ~
Manufactured home not in a park
I(,""_'~
X $1,000 per unit = $ \ '-"~
B. ~ino'p.~F~milv_Aft~r.hp.rf
':
NO: OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactured Homp. Pa~
, 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 lor Credit) $
K\~ '
Development Services Department
City of Springfield
i?- ,'-J ,9f
Date