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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