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HomeMy WebLinkAboutPermit Building 1995-10-5 SPRINGFIELD ~*' 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 ~*' 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 ,,- c4./ )() ---7 --- r S signature- Date -- - VALIDATION Date Paid: /5' 2p.,{. /~/J/'U '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 1.1./