HomeMy WebLinkAboutPermit Building 1997-6-16
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SPRINQFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970898
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4101 FORSYTHIA ST 4103
Assessors Map #: 18020611
Lot: 68 Block:
Tax Lot #: 05200
Subdivision: WYATT 2
Owner: RON HOLLAND
Address: 1220 MARSH STREET
Phone #: 805-543-4071
City/State/Zip: SAN LUIS OBISPO, CA
Describe Work: DUPLEX
NEW
Contractor
Const.
Contractor #
Expires
Phone
General: R NEUHARTH 0066019
6343 C Street Springfield OR 974780
Electrical: BINNS ELECTRIC 0073762
210 Wallis Str Unit #C Eugene OR 97
06/19/98
747-3846
06/06/98
687-1362
QUAD AREA: 3RSC
# OF UNITS: 2
CONSTR, TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1606
OFFICE USE --
LAND USE: 1120
ZONING CODE: MDR
# OF BDRMS: 2
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: PI
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,
POST AND BEAM - Prior to floor insulation or decking,
XNSULATZON - 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,
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,
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place,
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
Lot Faces: N
Total Height: 27
Setbk From NPL: 32
~.
SPRINGFIELD
Job Number: 970898
Solar Approved: Y
N
House 20
Garage 20
Item
Main
Garage
DECKS
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FBB
Lot Type: INTERIOR
Setbacks
S W E
81 11 11
11 11
BUILDING PBRMIT
Square Feet x
1306
300
104
$/Square Feet
64,66
16,27
8
(A)
--- SYSTEMS DEVELOPMENT CHARGB (SDC) ---
Page 2
Value
84,446,00
4,881.00
832,00
90,159,00
397,00
31. 76
428.76
(B) 2.928,81
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 CHARGB
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PBRMIT
surchargelAdmin
Sidewalk
Curb Cut
PLAN REVIEW FEE
ELECTRICAL PERMIT
WILLAMALANE SDC
PLUMBING PBRMIT ---
2
(C)
MECHANICAL PBRMIT - --
2
(D)
--- MISCBLLANEOUS PBRMITS ---
TOTAL MISCBLLANEOUS PBRMITS
(B)
(Excluding Blectrical)
unless otherwise noted
TOTAL A................. DUB
(A, B, C, D, and E combined)
Fee
182,40
182,40
14,59
196.99
9,00
6,00
6,00
21,00
10,00
1.68
32.68
0,00
20,20
14,20
60,00
183,60
1,848,00
2,126,00
5,713.24
SPRINGFIELD
Job Number: 970898
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: DON MOORE Date: 06/11/97
Building Site Reviewed By: LISA HOPPER
- - - ADDITIONAL COMMENTS
A & T ESTIMATE ONLY FOR CREDIT PURPOSES ONLY
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 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
tL2t ~~. ";J:)'"" ooo.'=oUoo t -1.-0
Slgnature Date
Date Paid:
- n VALIDATION
A~\
\{l\\o,m
~ 13. ~1-
~~
Receipt Number:
Amount Received:
Received By:
., ~
.
.
CITY OF SPRINGFIBLD SYSTEMS DEVELOPMENT CHARGB
(RBSIDENTIAL)
Name or Company: RON HOLLAND
Location: 4101 FORSYTHIA ST 4103
Developement Type: R Building Size:
Job No,: 970898
Lot Size:
1. STORM DRAINAGB
Impervious Sq Ft 2223 X 0,216 Per Sq Ft
2. SANITARY SBWBR - CITY
Number Of PFUs 22 X 44,75 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
2 X
X Trip Rate
1. 010 X
X
Cost Per Trip
451. 26 =
$911,55
Transportation Total
4. SANITARY SKWBR - MWKC
Number Of PFUs
22
Per PFU +
20,690 +
MWMC Admin Fee
10,00
X
X
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items I, 2, 3 & 4)
5. ADMINISTRATIVE FBBS
Base Charge (Subtotal Above) X
0,50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 06/11/97
Page 1
Sq Ft
$480,17
$984,50
$911.55
='
$465,18
$52,05
$413,13
$2,789.34
$139,4\11'
$2,928.81
J ,"-:.,
.
Job Number: 970898
.
PIXTURE UNIT CALCULATION TABLE
Page 2
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For SandlAuto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS
CREDIT CALCULATION
Number of
New Fixture
Unit
Equivalent
Fixture
Units
o
o
o
o
o
2
o
o
o
2
o
2
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
4
o
o
o
4
o
4
o
2
o
8
o
2
2
1
6,
4
22
TABLE: Based on assessed value,
after annexation date, credits
(calculations are by $1000)
Year Annexed: 1969
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
If improvements occured
are calculated separately,
15,000
X
3.47 =
52,05
o
X
3,47
0,00
CREDIT TOTAL a
$52.05
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)
,\
.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET .
NAME:~Of\ \ ~\t\f\(\ . . PHONE: ~rf> ~~~4Ol \
ADDRESS: 1L1I5 ~'f\ ~ 4~ STATE: rA ZIP:
LOCATION OF PROPOSED BUILDIf~~'~-~ .
Street Address: 4\n \ C=>\ 4\f\.~ lCl.)
- \ ~ b1Dlo\ \ () {1f)JfJ
.
Job. No.
C\ ~mH){
\,
Plat Name:
1. DEVELOPMEN TYPe: (Check appropriate dwelling(s), SDC calculations and dwelling I
ype definitions are on the back,)
A. SinoIA-F::lmilv DAt::lchAd
Single Family home
Manufactured home not in a park
X $1,000 per unit = $
NO. OF UNITS
8, Sinole'-F::lmilv Att::lchArj
NO, OF UNITS r-1
X $924 per unit = $
1~4~~
C. Multi-Familv Aoartmen~
NO. OF UNITS
X $692 per unit = $
D. ManufR&Wred HomA Park,
NO. OF UNITS
X $699 per unit = $
$ I ~-\-y; ~
d
$ \~~~
\~I C\,
,
$
WILLAMALANE SDe
2. SDe eREDlT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See sac Credit Worksheet.
3. TOTAL WILLAMALANE NET SDe ASSESSED
(if SDC reduced for Credit)
\tffi)\ ~0oJ :J
Developmen~A~,b~hartment
City of Springfield
D~ I
.
.
$"'~ING~'.lI~I_O
ZW,;P::. tmd oC.JS not rcquiI"I) o;.:;;':;'~;ll-'; Iw,Il'-' '_ .U
"''''':>~ovaj
"r r . ~oning__M(tv
D::tow0 -q'J
225 FIFTH STREET I\uihcrtzod slgnotu,o-Il.M
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. .{U~\~N ~{O~T~\\11 n.J
~~~ff~~~1ti) ) .
~t~\E~c:pPTION ~.cN.n0
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contract~r~f\f\<) ~~ .
Address ~\() ll'i\ It j)~ ~ ~- . .
Ci ty a t\Ul Q..- Phone ~ f) . \CUf2-
superviso~ License Number ~\~
Expiration Date \().\C\<6
Constr Contr. Number -r2>-u.cfL
Expiration Date l.o. Lo .Q~
Signature of Supervising Electrician
UL / /$.....
.O~ners Name ~ ~\JJ\i\d
AddressJ1.JD\ UM .1t'
one ~(JSS~ '2l
.401\
Cit
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
-------------------------~:-~------
DATE: \ \.I)',\'U.V\ l
RECEIPT ll: - ~\l\~\S.~
RECEIVED BY: - . ). .
1<1 RM"IlJ:CAL PERHITrt.:P~~R~,
City Job Number ~~lJ~()
3.
COMPLETE FEE SCHEDULE BELO~
A. Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less ~ $ 85.00 ~
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'D~elling
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
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
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Ne~, Alteration or Extension Per Panel
.'
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$ 36.00
\~
,C;. 1/ '\
15<7,.(,,71'.
40.00
40.00
20.00