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Home My WebLink AboutPermit Building 1996-4-10 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 960432 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4969 FORSYTHIA DR Assessors Map #: 18020400 Lot: 16 Block: Tax Lot #: 02900 Subdivision:' BISHOP Owner: RIVER BEND HOMES Address: PO BOX 593 Phone #: 744-8267 City/State/Zip: CRESWELL, OREGON 97426 Describe Work: S.F. RESIDENCE NEW Canst. Contractor Contractor # Expires Phone General: RIVER BEND HOME 0099071 08/09/96 744-8267 PO BOX 593, CRESWELL, OREGON 97426 Plumbing: BMC MECHANICAL 0103570 12/15/96 895-4575 648 W Oregon Ave Creswell OR 974260 Mechanical: GARIBAY HEATING 0070545 12/21/96 ' 344-2481 4207 W 5th Ave Eugene OR 974020000 Electrical: JB ELECTRIC 0084200 06/22/96 687-5770 1786 Balboa St Eugene OR 974010000 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1600 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE INSUL PATH: SGC 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. UNDERFLOOR MECHANICAL - 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. 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 ELECTRICAL - When all electrical work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete, Job Number: 960432 Page 2 Lot Faces: N Setbk From NPL: 55 Lot Sq. Ft.: 5985 Solar Approved: Y Total Height: 19 Lot Type: INTERIOR House Garage N 30 20 Setbacks S W' 25 10 E 10 10 Item Main Garage Total Value BUILDING PERMIT Square Feet x 1145 455 $/Square Feet 64.66 16,27 Value 74,036,00 7,403.00 81,439.00 Building Permit Fee Surcharge/Admin 379,00 30.32 TOTAL FEE (A) 409.32 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 2,181.70 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. 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 --- Furnace Exhaust Hood Vent Fan Dryer Vent 2 6,00 4,50 6,00 3,00 Mechanical Permit Issuance Surcharge/Admin 19.50 10.00 1. 57 TOTAL PERMIT (D) 31. 07 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut PLAN CHECK FEE WILLAMALANE SDC ELECTRICAL PERMIT 0.00 19.45 14.20 60.00 1,000.00 167.40 TOTAL MISCELLANEOUS PERMITS (E) 1,261.05 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 4,055.94 SPRINGFIELD ~- Job Number: 960432 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: 04/03/96 Building Site Reviewed By: LISA HOPPER - - - ADDITIONAL COMMENTS A & T ESTIMATE ONLY. INDIVIDUAL LOT NOT LISTED IN COUNTY SYSTEM AS OF 4/1/96 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 arc 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. \\~((2leL /8rgnature ~~CJ/9c0 Date Date Paid: --- VALIDATION A\tWt 4./0CJ(n. ~)~ Receipt Number: Amount Received: Received By: . . C\ \.oO\~ SYSTEM DEVELOPMENT CHARGE "".. ' WORKSHEET . .. '.' ' ' NA~E:~; ~ ~ ~"nrl ~HONE: 14L\-~1' ADDRESS~_\)l\) < ~ ffi~ STAi-E:~IP: C\tta..o LOCATION OF PROPOSED BUILDIN~ITE: Street AddrR: -~\sf!.. ~ . An,.!') Plat Na~~ Tax Lot Nu r: ~"'{)'lY\Ol.-.J 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t ype definitions are on the back.) A. Sinole-F8milv Det8r.heQ J Single Family home NO. OF UNITS l Manufactured home not in a pa~ X $1,000 per unit = $ \ t'fD . B. .$inale-F8milv Att8r.~ed NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS _ X $692 per unit = $ D. M8mlf8ctllrp.n Homp' P~rk NO. OF UNITS WILlAMAlANE SDC 3. TOTAL WILl<a:MALANE \ . ;::. ~f SO reduced for Credit) Uill ). Developmenf Service\ "i\epartment City of Springfield X $699 per unit = $ $ \t'ff)~ cY $ I.rYD.00 4- / \CJ/% $ 2. SDC CREDIT (if applicable) SOC-payer must furnish proof of Willarnalane Credit approval. See sac Credit Worksheet. Date ~ . , I' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: RIVER BEND HOMES Location: 4969 FORSYTHIA DR Developement Type: R Building Size: Job No., 960432 Lot Size: 1. STORM DRAINAGE Impervious Sq Ft 2576 X 0.210 Per Sq Ft 2. SANITARY SEWER - CITY Number Of PFUs 18 X 43.43 Per PFU (see Page 2) 3. TRANSPORTATION Number Of Units 1 X X Trip Rate 1. 010 X X Cost Per Trip 437.93 = $442.31 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 18 X X Per PFU 18.750 + MWMC Admin Fee + 10.00 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items 1, 2, 3 & 4) 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) X 0.50 TOTAL SDC Reviewed By: DENNIS ERNST Date: 04/02/96 Page 1 Sq Ft $540.96 $781.74 $442,31 $347.50 $34.70 $312.80 $2,077.81 $103.89 $2,181.70 . SPRINGFIELD ~- Job Number: 960432 FIXTURE UNIT CALCULATION TABLE Page 2 Fixture Type Bathtub Drinking Fountain Floor Drain 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 2 o o o o 1 o o o o o 1 o 2 o 2 o 2 1 2 3 6 2 6 1 3 2 4 o o o o 2 o o o o o 2 0' 2 o 8 o 2 2 1 6 4 18 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) : 10,000 X 3.47 34.70 o X 3.47 0.00 CREDIT TOTAL = $34.70 (If land value is multiplied by 1 then the parcel/land credit is not accurate.)