HomeMy WebLinkAboutPermit Building 1997-8-21
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971164
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4140 FORSYTHIA ST
Assessors Map #: 18020522
Lot: 99 Block:
Tax Lot #: 02400
Subdivision: WYATT MEADOWS 2
Owner: YORKSHIRE HOMES
Address: 189 SOUTH PACIFIC HWY
Phone #: 503-838-0096
City/State/Zip: MONMOUTH, OREGON 97361
Describe Work: S.F. RESIDENCE
NEW
~}l#-
contractor~. ~?\~~rac~~~i Expires Phone
Q~\C' X\l>.\.\. ~ ?~~~'
General: YORKSHIR~ o~~\i5 ~O~~~~~WZV~O~ 08/24/97 838-0096
1049 Yor~\F\!e ~tt~\\ alS"'~ 301 11/01/97
Plumbing: MEIER PL~ DO~~ 0095025 393-0819
3457 potts~~~Z?~~097303000
Mechanical: SALEM HEAT 'Q\) 0"'1 0001505 05/19/98 581-1536
PO Box 1200~~~em OR 973090000
Electrical: NORTHSIDE ELECT 0080593 03/17/98 399-7609
PO Box 12668 Salem OR 973090000
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1427
OFFICE USE --
LAND USE: 1111
ZONING CODE: MDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: TPC
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 SBWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATBR LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICB - 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,
CURB CUT - 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 ELBCTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
~
SPAINQFIELD
Job Number: 971164
Page 2
Total Height: 16
Lot Type: INTERIOR
Setbk From NPL: 40
Solar Approved: Y
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1052
375
$/Square Feet
64,66
16.27
Value
68,022.00
6,101.00
74,123,00
Building Permit Fee
Surcharge/Admin
358.00
28.64
TOTAL FEE
(A)
386.64
PLUMBING PERMIT ---
Item
Residential Bath (s),
2
Fee
160.00
Plumbing Permit'
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(C)
172.80
MECHANICAL PERMIT - --
Exhaust Hood
Vent Fan
Dryer Vent
2
4.50
6.00
3,00
Mechanical Permit
Issuance
Surcharge/Admin
15.00
10.00
1.20
TOTAL PERMIT
(D)
26.20
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
WILLAMALANE SDC
SYSTEM DEVEL CHARGES
0.00
17.50
14.80
60.00
1,000.00
2,081. 73
TOTAL MISCELLANEOUS PERMITS
(E)
3,174.03
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
3,759.67
--- 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 sai~ ordinances.
BPRINQFIELD
/.~I,....}{(I.)~
Job Number: 971164
Page 3
Received By:
Plans Reviewed By: BOB BARNHART Date: 08/14/97
Building Site Reviewed By: LISA HOPPER
- - - ADDITIONAL COMMENTS ---
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
will remain on the site at all times during construction.
c;) a., -f1 J)
-}(-?U?
Date
Signature
Date Paid:
N\ALIDATION - --
~~~I_LQr)
~'~f'^ )
Receipt Number:
Amount Received:
Received By:
JUO I~U. 'f!1:1L(...
. ' ATIACHMENT A .' ~
'C~TY OF SP~NGFIELDSYSTEMS DEVEL~ENT CHARGE
WORKSHEET '
NAME OR COMPANY: YoRK.<;/-IIIlE 1-I0M/:<'
LOCATION:
DEVELOPMENT TYPE:
c::.J=_ R','
BUILDING SIZE:'
lOT SIZE
SO. -Ff.
1. STORM ORATNAGr
.., ,04-'-
IMPERV IOUS SQ, ,FT. L...
X $0.226 PER SQ. FT. $ 4" 41
2. SANTTARY SF~FR"r[TY
'NO. OF, PFU'S " I~
(See'Rever:seSiqeJ
X $46.86 PER PFU
$ 843.48'
3: JMNS.P(JRTATi]t:!
, 'NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.01 X $472,49 $ 477.~'
, '
, X X $472.49 $
X X $472.49 $
4. SANiTARY SFWFR-MwMr
,NO. OF ~
I ' X 2n 71:. PER FEU' + $10 MWMC/AD~ FEE $' Z87. 7~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)' $ ';'H7.3+
TOTAl -MWMr sor $ foe' .4Z-
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 'I q ~ 2... ~Gl
5. ADMTNTSTRATTVF FFF~
BASE CIWlGE (Sn~l.ABOVEJ X .05
l:ir... Date: 'g-2.-q7
$ qq.l~,
SDC 'Coord i na tor
TOTAL SOC $ '7 . oR f . 73
,
,
. . & ai" VI h... V~'I.. '-'.t""\LVV...iI&." IV'" I ~_ULL.:... I\lUmOer Qll\lew ruAs A.UOlt equivalent = Fixtur.~: ~nits .
(NOTE: For remodels.. calculate o.,e NET add.tlonal fixtures) , .' ' ,,'
, , , ' ,NUMBER OF UNIT, FIXTURE
FIXTURE TYPE '. \ NEW FIXTURES EQUIVALENT 'UNITS
Bathtub. ...................................................................... ,
Drinking. Fountain........................:........................,...,
Floor Drain......:....:....... .,.................... ;,....:............;....
Interceptors For Grease/OiIlSolids/Etc.................
Interceptors For Sand/Auto Wash/Etc............:.....
Laundry TubfClotheswasher.. .:....... ..:............ ...... ...'
Clotheswasher - 3 Or More..............:......................
, ,
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For RefrigeratorfWater Station/Etc:.......
Receptor For C'ommercia'l Sink/Dishwasher/Etc..
Shower; Single Stall.................:. ......,.....................:...
Shower. Gang..........:........:........:... ....:.......... ...........
Sink:' Bar. Comm~rcial.Residential Kitchen........................
Urinal. StaIIlWall.;...:........................:........'................ '
, , Wash Basin/Lavatory. Single..................::..............
,Toilet; Public Installation.................:...;.................. '
Toilet, Private..:..:...........:.....:..;...........;..::..........;. '
'Miscellaneous:
I,
\
2
~ 1
2
3
6
2'
6
6
1
3
2
1/Head '
2
.2
1
6
4
2-
:
'2-
~
L.
'2..
.......
'2- '
"
TOTAL FIXTURE UNITS. = ' ,~
CREDIT CALCULATION TABLE:
calculate credits separates., ,',
r"
',@,
Based on assessed value,. If improvements occurred after annexation date in tabie. ' ,
Year,
Annexed
. \:
Rateper $1.000,'
Assessed Value
Year,:'
Annexed '
, Rate per $1,000
Assessed Value
I
1979 or before
1980,
'1981
1982
1983"
1984
'/;9,85
1986'
$3.97, '
'3.89
3.83
3.70
3.55
. 3.39
3.20
2.91
1987
1988' .
,1989
'1990 I,',
1991
1992
1993
1994
1995
,1996
"$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0"17
I,
, Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
7.q.LX$~
(Rate X Assessed Value)
X $
, (Rate X Assessed Value)
:n~34
CREDIT TOTAL, = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only) ,
Fiesidential...:..............,........O.4
Commerical......................... 0.9
Industrial............................ 0 5
Governmimtal...;.................:. 0.5
. IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
.
.
..
,D,'.. Winamalan~' .
~,-'Y', Park & Recreation Distric~
,.. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:~\\~\L\.~O~) PHONE:5D~'~?>~~
ADDRES-~ \~ ~. ~ti.C~;\\t~" ST~TE:\JQ.... ZIP: (\1:?i~\
I , - ~{ ,,\~ '
LOCATION OF PROPOSED BYI~DING S E:' , " '
Street Address: ,*Y\~ 't\{){qt\\\n.:.." ,"
Pla~ Name: \0uatt>\ ~ Tax'Lot Number: ~~1.'LD1. L\-cO
1. DEVELOPME~YPf': (Check appropriat~'dweiling(S).' SDC calcUlations and dwelling t '
ype aefinitions are on the back.) ,
Job. No.' (\f\\\l 04'
(.
.
A. SinnIA-F;:Jmilv DAt;:Jr.hArl,
\ Single'Family home
NO. OF UNITS \
, /'
Manufactured home not in a park'
X $1,000 per unit = $ \ tf()~
B. Sinnle'-F;:Jmilv Attached
NO. OF UNITS
X $924 per unit = $
C.' Multi-Familv Aoartment'
NO. OF UNITS
X $692 p~~ unit, = '$
D. M;:JntJfsll<llm'!rl HnmA P;:Jrk,
NO. OF UNITS
, '
, X $699 per unit = $
$\ \fn <<J "
jJ,
'$ t 000 pO
PJJ~ ,'/ a0
Date '
WILLAMALANE SDC
'" "
2. SDC CREDIT (if applicable) SDC-payer must fumish proofof ,
, Willamalane Credit approval. See SDC Credit Worksheet., , $ ,
, ,
3. TOTAL WILLAMALANE NET SDCASSESSED
(if SDC reduced for Credit)
\ ,N"\ '\
, ~~nTserv
, City of Springfield