HomeMy WebLinkAboutPermit Building 1995-10-5
SPRINGFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951317
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4982 FORSYTHIA DR
Assessors Map #: 18020400
Lot: 8 Block:
Tax Lot #: 02900
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
Contractor
Canst.
Contractor #
Expires
Phone
Plumbing:
RIVERBEND HOMES
670 Pine Ct Creswell
HALLAHAN
0094352
OR 974260000
0070318
10/14/95
744-8267
General:
11/16/94
581-3620
Mechanical: GARIBAY 0070545
4207 W 5th Ave Eugene O~ 974020000
Electrical: BILLS 0021351
3170 W 11th Eugene OR 974020000
12/21/95
344-2481
04/28/96
687-1851
9UAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1377
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 ---
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.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
CURB CUT - After forms are erected but prior to placement of concrete.
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,
SPRINGFIELD
Job Number: 951317
Page 2
Lot Faces: S
Topography, 2
Solar Approved: Y
Lot Sq. Ft.: 7125
Total Height: 14,5
Lot Type: PANHANDLE
Setbacks
S W E
10 7
Lot Coverage: 19,3 %
Setbk From NPL: 27
N
House
Garage 12
7
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
977
400
$/Square Feet
56.2
14.1
= Value
54,907.00
5,640.00
60,547.00
Building Permit Fee
Surcharge/Admin
316.00
25.28
TOTAL FEE
(A)
341.28
--- SYSTEMS DEVELOPMENT CHARGE (SDCI ---
(B) 2,081. 63
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)
ELECTRICAL PERMIT
WILLAMALANE SDC
2
Fee
160,00
0.00
0.00
Plumbing Permit
surcharge/Admin
160,00
12.80
TOTAL CHARGE
(C)
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
Curb Cut
ELECTRICAL PERMIT
WILLAMALANE SDC
0.00
11,95
11.95
108.00
1,000.00
TOTAL MISCELLANEOUS PERMITS
(E)
1,131.90
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
3,761.92
SPRINGFIELD
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Job Number: 951317
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.
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
205.40
Date Paid: 08/09/95
Receipt Number: 18656
MOORE Date: 10/04/95
By: LISA HOPPER
A & T ESTIMATE ONLY.
LISTED IN A & T
DRIVEWAY REQUIRED TO
- - - ADDITIONAL COMMENTS
INDIVIDUAL LOTS NOT
BE PAVED
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
Wil~a/~n ~~~~ll times during construction.
;1
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signature-
Date
-- - VALIDATION
Date Paid:
/5' 2p.,{.
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'37(p/,fl
.(jJ~.
Receipt Number:
Amount Received:
Received By:
.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~~\A~ vbonrl t\\)'1\\()D PHONE:l44.~1Jol'
ADDRESS: .~ D 0n1 ~~J ~ J\Q Dill! STATE: ~IP: cht:Ll.(]
LOCATION OF PROPOSED BUILDING SITE:
Street Address: L\.-C\ <t 1__ \11'\5\ k~n \0-../
Plat Name: ~\ l\\\nO ,- Tax'tot ~umber: \ 9-t'(Ltf\:t() O??\CD
\
1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back,)
.
Job. No.
C\~\~\'L
A. .sinl')'A-F~milv DAt::JchAQ
\
Single Family home
, NO. OF UNITS t
Manufactured home not in a park
X $1,000 per unit = $ \~(f)~
B. ~in()IA-F::Jmilv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartrnen~
NO. OF UNITS
X $692 per unit = $
D. rv'IanufaeturAd HornA Parls
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ \ t\('f) ~
2. SDC CREDIT (if applicable) SDC~payer must furnish proof of P/
Willamalane Credit approval. See SDC Credit Worksheet. $ )()
3. TOTAL WILLAMALANE NET SDCASSESSED
(if SDC reduced for Credit)
~~~~~"i~m'm
City of Springfield
$ '\N\J.CO
/,/ I 5"
Date
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