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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