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Home My WebLink AboutPermit Building 1997-6-6 SPRINCFIELD ~- Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970654 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4135 FORSYTHIA ST 4137 Assessors Map #: 18020522 Lot: 98 Block: Tax Lot #: 02500 Subdivision: WYATT MEADOWS 2 Owner: KEYS HOMES INC. Address: P.O. BOX 25083 Phone #: 292-6578 City/State/zip: PORTLAND, OR 97225 Describe Work: DUPLEX NEW Contractor Const. Contractor # Expires Phone General: KEYS HOMES INC. 0094105 7185 SW Sharon Portland OR 97225000 Plumbing: M.P.I. 0094105 7185 SW Sharon Portland OR 97225000 Electrical: FAR NORTH ELECT 0100894 155 B Ave Ste 330 Lake Oswego OR 97 09/29/97 292-6578 09/29/97 292-6578 06/29/97 636 -4115 QUAD AREA: 3RSC # OF UNITS: 2 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 3340 OFFICE USE -- LAND USE: '1120 ZONING CODE: MDR # OF BDRMS: 6 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: P1 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. 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. 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. ~*' SPRINQFIELD Job Number: 970654 Lot Faces: N Solar Approved: Y N House 28 Garage 20 Item Main Garage Total Value Building Permit Fee Surcharge/Admin TOTAL FEE Total Height: 26 Lot Type: INTERIOR Setbacks S W E 39 9 10 Page 2 Setbk From NPL: 20 BUILDING PERMIT --- Square Feet x 2940 400 $/Square Feet 64.66 16.27 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- = Value 190,100.00 6,508.00 196,608.00 651. 25 52.10 (A) 703.35 (B) 4,613.32 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 CHARGE Exhaust Hood Vent Fan Dryer Vent Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC PLAN REVIEW FEE PLUMBING PERMIT --- 4 MECHANICAL PERMIT --- 4 MISCELLANEOUS PERMITS --- TOTAL MISCELLANEOUS PERMITS (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) Fee 320.00 320.00 25.60 , (C) 345.60 9.00 12,00 6.00 27.00 10.00 2.16 (D) 39.16 0.00 18,40 15.40 1,848.00 60.00 (E) 1,941.80 7,643.23 SPRINGFIELD ~- Job Number: 970654 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: LISA HOPPER - - - ADDITIONAL COMMENTS - - - SAME AS 970654 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 ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is locat;t a~:~:efront of the property, and the approved set of plans will remain~t~th~ at all times during construction. Signature '......." V Date Date Paid: -- - VALIDATION r9\OaS~ \o\Q .a1 ~~C\\. \.Q.~ m~ Receipt Number: Amount Received: Received By: .. . SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: %" l-hmt.L !A-ur/. PHONE(t?'~)2tit ,(hIe, ADDRESS: PO 0(5)( '2J:?O<{'~ j MauLlL STATE: o.v. ZIP:C1"",;;~ LOCATION OF PROPOSED BUILDING SITE: Street Address: UI,,0 t U/?J7 I Plat Name: J~(J~tl5 ~1.J . Job. No. 0.1 0 Ci<J.!. \, ~~~1' Tax Lot Number: n?hoo 1. DEVELQPMENT TYPE (Check appropriate dwelling(s). SDC calculalions and dwelling I ype definitions are on the back.) A. SinolA-F8milv DAt8c:hArf Single Family home , NO. OF UNITS Manufactured home not in a park X $1,000 per unit = $ B. Sinole-F8milv Att8c:hed NO. OF UNITS ~ X $924 per unit = $ .Li!1K. 00 C. Multi-Familv A08rtmen\ NO. OF UNITS X $692 per unit = $ D. M8ntJf8Qtl1red Home Pmk NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ I ~q.t.- 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 for Credit) ~(\~ Development ServRtSDepartment City of Springfield Co Jf-I $ I ~LJ K .... ~/b! .. . SPRINGFIELD . .j I .. ." .:~ ".....,~il ....' _,.'.".>n1or,...,....ctf'~SUI,~...::.., -\.. .....,. ;0 L~:-'~ 11(.'t r~;' :1:- r ,)~_.;. "~ :.'_"':' ~ .J , " [, , " ''-!~onin'' 'fY\f..t!( 225 FIFTH STREET :,' I. -( I., l'(;n- SPRINGFIELD, OREGON 9747T",:\.g.. -W-I"'-I- INSPECTION REQUEST: 726...3i7.69zw S\gnaMO'-o'('t'\ OFPICE: 726-3759 ELECTRICAL PERMIT ~LICATION City Job' Numbex;. L\1.D\.o~t 3. COMPLETE FEE SCHEDULE BELO~ 1. 4t~~?t-~\~lf)T~~ XfuOJ \?ff.t~ o;,d) 8 -t 1> ~B~E~~)N~ ~ ~~ I ~ Permits are non-transferable an xpire if ~ork is not started ~ithin 18 days of issuance or if work is suspended for 180 days. 2. CONTRACfOR INSTALLATION ONLY ,B. Electrical contractor~V-"'~ f\.e& Address~L\~ fL \.\J. t\\DU(~'\\~ Ci ty%\\s'ftKf)\O~ Phone ~ fi)~\c16t1 Supervisor License, Number ~L\~ Expiration Date Hj, \ . q<6 'Constr Contr. Number ()\ \:)CJ\ \ Expiration Date. <\. \~ .C\~ Si~ ~cian ~ners Name ~e~ \(\ ~Q ~ ~ ' Address \ ~(,-~_&sb~~ ' Ci ty~Phone 5J~ rf}.~ OIlNER INSTALLATION 1.0 ~ 1 <b The installation is being made on property I, o~n which is not intended for sale, lease or rent. Owners Signature: DATE;~-------"O.\o.l\ ~C---~\.~)\ RECEIPT 11: , \ I r>.r" \ d\\Q\J ....nI"lDT1:rnn nv. b \..Jv~ A. New Residential-Single or Multi-Family per d~elling unit. Service Included: ,1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular, 'Dwelling Service or Feeder 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 Items Cost Sum $ 85.00 s: 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' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 it) $ 55.00 $ 80.00 volts 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:) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ,.~ ' .~ , , . . ~PRI.IELD / Tra.fcljQVf;n~ p-:;:";t l"~ ....,p.,.".':";"', :' :!or.Jnn,t..-,jtl:.~",,-,,\r:"il..' ;~..._' ~ ~ppjO..'':!. , zu';r'JJDGLL __ 225 FIFTH STREET .' D.:.('})I1IC,(7 SPRINGFIELD, OREGON 97477 \:t., -1-1--- INSPECTION REQUEST: 726-3769n~riz~j "",,"o~u."_DoQ OFFICE: 726-3759 1. A\~O~ ~\~~~&~AA\'O.- ~O~~qD~ ' ,~~~ ~~O~ ~\S~.PTION \..^' )\ I Permits are non-transferable and expire if work is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical contractor~\f"~ f\.f'tt Address~4~ f'L \.\J. t\w~~\\~ City~\\s'<'tt<DIO~ Phone ~ 'ntil.W6\1 ~I\'L~~ \(\.\,c\<6 Constr Contr. Number ()\\~()\\ Expiration Dat~ 4.. \CC> .C\~ SSign~'~ .. ~ ' rVlSln ~.,:,. ,... \'\e~ ~ Gb s:\v\ Address \ ~()~ ~~()~ City~ ~~Phone RJ~_tf\~ O~ INSTALLATION lo CO 1 <3 Supervisor License,Number Expiration Date The installation is being made on property I, o~n which is not intended for sale, lease or rent. Ovoers Signature: -------------T~------?f---------------- DATE: ,(J' t(l . '--if . - RECEIPT I: , I, . i~\J?(')"\ RECEIVED BY: Fl'\IL'If\. ELECTRICAL PERMIT APPLICATION Ci ty_ Job' NumbeF Q\l()\ tf\L\ 3. COMPLETE FEE SCHEDULE BELO~ A. Ne~ Residential-Single or Multi-Family per d~elling Service Included: It ems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular, 'D~elling Service or Feeder L A. 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 unit. Cost Sum S 85.00 \f1f)PO S 15.00 JaO~ $ 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"oT less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 vol ts see "B" D. Branch Circuits above " Ne~, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ 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) $ 40.00 $ 40.00 $ 20.00 $ 36.00 d3)OO \\,~U f(l.qu ~'" 'il: :4\,0 '-, ,. . . CITY OP SPRINGPIBLD SYSTEMS DEVELOPMENT CHARGB (RBSIDENTIAL) Name or Company: KEYS Location: 4135 Developement Type: R Job No.: 970654 HOMES INC. FORSYTHIA ST 4137 Building Size: Lot Size: 1. STORM DRAINAGB Impervious Sq Ft 2580 X 0.216 Per Sq Ft = 2. SANITARY SEWER - CITY Number Of PFUs 46 X 44.75 Per PFU = (see Page 2) 3. TRANSPORTATION Number Of Units 1.0 2 X X Trip Rate 1. 010 X Cost Per Trip 451. 26 $911.55 Transportation Total 4. SANITARY SEWER - MWMC 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 PBBS Base Charge (Subtotal Above) X 0.50 TOTAL SDC Reviewed By: DENNIS ERNST Date: 05/06/97 Page 1 Sq Ft $557.28 $2,058.50 $911.55 $961.74 $95.43 $866.31 $4.393.64 $219.68 $4,613.32 ( "r . Job Number: 970654 . Page 2 FIXTURE UNIT CALCULATION TABLE Fixture Type Bathtub Drinking Fountain FloOT DTain Interceptors For Grease/Oil/Solids/Etc Inteceptors For Sand/Auto 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 = Number of New Fixture Unit Equivalent Fixture Units 4 o o o o 2 o o o o o 2 o 6 o 6 o 2 1 2 3 6 2 6 1 3 2 8 o o o o 4 o o o o o 4 o 6 o 24 o 2 2 1 6 4 46 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: 1969 Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : 27,500 X 3.47 95.43 o X 3.47 = 0.00 CREDIT TOTAL = $95.43 (If land value is multiplied by 1 then the parcel/land credit is not accurate.)