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Home My WebLink AboutPermit Building 1996-1-2 SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951815 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4973 FORSYTHIA ST Assessors Map #: 18020422 Lot: 15 Block: Tax Lot #: 03000 Subdivision: BISHOP ESTATES OWner: RIVERBEND HOMES Address: PO BOX 593 Phone #: 744-8267 City/State/Zip: CRESWELL, OREGON 97426 Describe Work: S.F. RESIDENCE NEW Const. Contractor Contractor # Expires Phone General: RIVERBEND HOMES 0096259 06/30/96 744-8267 Plumbing: BMC MECHANICAL 0103570 12/15/95 632-4765 648 W Oregon Ave Creswell OR 974260 Mechanical: GARIBAY 0043251 12/01/90 344-2481 4207 W 5th 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: 1775 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 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 --- TEMPORARY POWER ROUGH PLUMBING - Prior to cover. 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. WATER LINE - Prior to filling trench. STORM SEWER 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. CURB CUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is completet 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. . , .' Job Number: 951815 Page 2 Lot Faces: N Setbk From NPL: 52 Lot Sq. Ft.: 5985 Solar Approved: Y Total Height: 17 Lot Type: INTERIOR N Setbacks S W 30 5.6 E 5.6 House Garage 18 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1280 495 $/Square Feet 56.20 14.10 = Value 71,936.00 6,980.00 78,916.00 Building Permit Fee Surcharge/Admin 370.00 29.60 TOTAL FEE (A) 399.60 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 2,226.49 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 (Cl 172.80 - - - MECHANICAL PERMIT - -- Furnace Exhaust Hood Vent Fan Dryer Vent 3 6.00 4.50 9.00 3.00 Mechanical Permit Issuance Surcharge/Admin 22.50 10.00 1. 81 TOTAL PERMIT (D) 34.31 MISCELLANEOUS PERMITS --- surcharge/Admin Sidewalk WILLAMALANE SDC ELEC PERMIT 0.00 19.45 1,000.00 124.20 TOTAL MISCELLANEOUS PERMITS (E) 1,143.65 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,976.85 --- 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. SPRINGFIELD Job Number: 951815 Page 3 Plan Check Fee: Received By: Plans Reviewed By: BOB Building Site Reviewed 240.50 Date Paid: 11/20/95 Receipt Number: 19646 B~T Date: 12/20/95 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. ~ A:1~ //:?-/9~ Date Signature --- VALIDATION Date Paid: /9 ~ j .3 ~0~ 797/d,gJ _.~ Receipt Number: Amount Received: Received By: Page 1 ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW RESIDENTIAL IMPROVED STREET Developer: RIVERBEND HOMES Mail Address: PO BOX 593 CRESWELL, OREGON 97426 Tax Lot #: 1802042203000 Project Address: 4973 Subdivision: BISHOP ESTATES Lot: 15 Blk: Eng. Job No.: 951815 Phone #: 744-8267 FORSYTHIA ST Rev. No.: 950295 Book: Street Gravel Ac Mat 4973 FORSYTHIA ST EXISTING IMPROVEMENTS Curb Full Imp SW Width Curbside Setback Y 5 FEET 12:1 FLAIRS Existing Curbcut: N ENGINEERING REQUIREMENTS Additional Right of Way: N Improvement Agreement: N Easements: N SANITARY SEWER CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344 Available: Y Size of Line: 8 Location From N, Make Connection: Stubbed Out To Property Line: Y Depth: 4-6 In. Tee: 4 In. S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT PER PLUMBING CODE Ft STORM SEWER Available: Y Pipe Downspouts And Drains To: CURBS & GUTTERS OR STORM SEWER Pipe Parking Lot Drainage To: N/A New Curbcut Appr. : Sidewalk Permit: Y Curbcut Permit: Y Handicap Ramp: N Y Width: Width: SIDEWALK AND STANDARD 5 Ft 30 Ft DRIVEWAY INFORMATION Width: 18 Ft Flairs: 6 Length: 63 Ft Ft ENCROACHMENT AND ASSESSMENT Encroachment Permit Required: N Sanitary Sewer In Lieu Of Assessment: N SPECIAL NOTES AND REQUIREMENTS All work within the public right of way shall be in conformance with the City of Springfield standard specifications for construction. All existing unused curbcuts or portions thereof shall be restored to full curb height as directed by the City. The owner/developer is responsible to relocate any utilities and establish private or public easements when the utilities conflict with the development, at their expense. Reviewed By: TROY MCALLISTER Date: 11/22/95 SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION '. . , Job. No. q5lA5 . SYSTEM DEVELOPMENT CHARGE WORKSHEET ' NAME:\ ~'\l~r\ ~O [) PHO'NE: l14.ffio 1 ADDRESS: ~f) \~ t-A~_) ~llt.ll.-sTATE:~ ZIP:~ LOCATION OF PROPOSED BUILD~9 SITE: . ') Street AddrRs:. 4C\13 '\{~i(8!7l-'n.l9-J PlatName:ti~ ., TaX-~Number: \YIjlJj{}J~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Sinale-Familv Det8cheQ \ Single Family home , NO. OF UNITS I Manufactured home not in a park X $1,000 per unit = $ --.l.DQ() ~ B. SinIJIA-Fl'lmilv Attached NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufatjured Home Park NO. OF UNITS WILLAMALANE SDC X $699 per 'unit = $ $. \mlJ (JJ Ji 2. SDC CREDIT (if applicable) SDC;>ayer must furnish proof of Willamalane Credit approval. See SOC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) \ \Pn )~ Developmemt Servic City of Springfield $ \na\o? / I Date 2- I /0 ~,,-.,;::;o, . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: RIVERBEND HOMES Location: 4973 FORSYTHIA ST Developement Type: R Building Size: 1. STORM DRAINAGE Impervious Sq Ft 2680 2. SANITARY SEWER - CITY Number Of PFUs 18 (see Page 2) 3. TRANSPORTATION Number Of Units 1 X X Trip Rate 1. 010 X Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 18 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 TOTAL SDC Reviewed By: TROY MCALLISTER X X X X 0.210 43,43 Job No.: 951815 Lot Size: Per Sq Ft Per PFU = X Cost Per Trip 437.93 $442.31 Per PFU + 18.750 + 0.50 MWMC Admin Fee 10.00 Date: 11/22/95 Page 1 Sq Ft $562.80 $781.74 $442.31 $347.50 $13.88 $333.62 $2,120.47 $106,02 $2,226.49 t'~ .;;, . Job Number, 951815 FIXTURE UNIT CALCULATION TABLE 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 2 o o o o 1 o o o o o 1 o 2 o 2 o . Page 2 Unit Equivalent Fixture Units 2 1 2 3 6 2 6 1 3 2 4 o o o o 2 o o o o o 2 o 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: 1960 Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : 4,000 x 3.47 13.88 o x 3.47 = 0.00 CREDIT TOTAL = $13.88 (If land value is multiplied by 1 then the parcel/land credit is not accurate.)