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Home My WebLink AboutPermit Building 1998-3-4 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING 'SAFETY Job Number: 980110 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 5172 FORSYTHIA ST Assessors Map #: 18020421 Lot: Block: Tax Lot #: 01800 Subdivision: Owner: JERRY/MARIANNE HIBMA Address: 5172 FORSYTHIA STREET Phone #: 746-8625 City/State/zip: SPRINGFIELD, OREGON 97478 Describe Work: ADDITION TO RES & CARPORT ADDITION Contractor Canst. Contractor # Expires Phone Electrical: MORTHAN HOMES 2278 10TH ST SPRINGFIELD OWNER 0093876 OR 9747700 09/17/98 726-3082 General: QUAD AREA: 3RSC OCCY GROUP: R3 SQ FOOTAGE: 204 OFFICE USE -- LAND USE: 1111 CONSTR. TYPE: VN ZONING CODE: LDR INSUL PATH: Pl 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 >lork day, REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. F~UNDATION - After forms are erected but prior to concrete placement. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover SLAB - To be made after all ins lab building service equipment, conduit piping, and other equipment items are in place but prior to concrete ROUGH ELECTRICAL - Prior to cover, FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping, FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete, Lot Faces: S Solar Approved: Y N S House 18 Item Main Garage Total Value Building Permit Fee Surcharge/Admin TOTAL FEE Total Height: 10 Setbacks Setbk From NPL: 10 W E 10 BUILDING PERMIT Square Feet x 204 $/square Feet 64,66 Value 13,191. 00 0,00 14,295,00 110,50 8.85 (A) 119.35 Job Number: 980110 Page 2 --- PLUMBING PERMIT --- Item Storm Sewer Fee 25.00 Plumbing Permit Surcharge/Admin 25,00 2,00 TOTAL CHARGE (C) 27.00 --- MISCELLANEOUS PERMITS --- Surcharge/Admin CITY SYSTEM DEV CHG 0.00 86.78 TOTAL MISCELLANEOUS PERMITS (E) 86.78 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, 0, and E combined) 233.13 --- 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: 71,83 Date Paid: 01/27/98 Received By: LISA HOPPER Plans Reviewed By: DON MOORE Date: 03/04/98 Building Site Reviewed By: LISA HOPPER Receipt Number: 28591 -- - ADDITIONAL COMMENTS --- PAVE DRIVEWAY IF NOT EXISTING PAVEMENT PLANS REVIEWEDD AND APPROVED BY MICK NOLTE, MORTIER ENGINEERING DRIVEWAY REQUIRED TO 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 I and I further certify that any and all work p'~rformed 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 describ,.d herein, and that NO OCCUPANCY will be made of any structure without permis,3ion of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORB 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 Willl:,/e~ai~the ::.:: at all times during construction, fJl 7trne / ;rkM~ {p 1CM8 Si~~~ Date / Job Number: 980110 Receipt Number: Date Paid: Amount Received: Received By: --- VALIDATION 't <6ql(JJ 3,Lt,C\g: d~~.t~ , ~VJfL-- I~I'~ Page 3 . .. .. -.,r'" . .' 1'1' -'J" ~.t'''''I'''''<i','n"'O~I''l~~.'''''~~B' ~'"-~'''''~IULl~NO-,,-a-~''.b~'''''1JtJ~~.''''''' ", - , ." ...... " ',...,,,..... '-"'..'~'< ....,.".,...,,_.."r,~ .... '~'.~'"'' '<'~'''IlU. . .~",,_"~or. ..""'I..'..'r:_....~~""'" ..'....'F... ' ",' .. . -J. . "'-" ...."..,..: '-~.......~..;.'"r~~ -'""~iiIi- . ~..' ....-~.., '"" "fi" .. . .' "'~~"n;.......... <. '.. ,~, .' . .1."..'..~.A":r:TAC. H""M'''E'-N'i"J..j'.A "S'is;..r..~.' ~. ~ ~l.:>:."H'l '".,,!fi.,U;:"...,..lS,'.t...',..;i.l";:;l. ";'{; ;"1'...'.... ,. - . ".. ':1. .IX"'''''' -;!jl;" ~I' ",\!tOr "":~;.~~"~1'1IiI'~~""" CITY' OF S PRGFIEID~f:sysTEMs~'I5N~ro "NT!;CAX~GE:1~\~t~~t;,~.r:::-;';"'~. WORKSHEET NAME OR COMPANY: 36UV C HAJtIA,Uu'<; 1-I'.R1'14 LOCATION: I)f 7 Z/;:;::,,e, SY TN /4 DEVELOPMENT TYPE: A/J/J///v"-' 70 5, F /2.. I BUILDING SIZE LOT SIZE SO. Ft. 1 . STORM ORA I fiAGE 1I1PERV IOUS SO FT. '3G;.C,. X $0.226 PER SQ, FT. $ 82..C.S" 2. SANITARY SF~FR-CfTY NO. OF PFU'S (See Reverse Side) . X $46.86 PER PFU $ 19- 3. TRANSPORTATION 'NO OF UNITS X TRIP RATE X COST PER TRIP X X $472. 49 $ -t9- X X $472.49 $ X X $472.49 $ 4. SANiTARY SEWFR-MWMC NO. OF FEU'S X PER FEU + $10 MWMC/ADM FEE $ .0 .- MWMC CREDIT IF APPLICA8LE (SEE REVERSE) $ TOTAL-MWMC SDC $ SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ ,\Z,~r 5, ADMiNISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 4. I"; f)t, Date: 1-30 :-18 SDC Coordinator TOTAL sac $ 8(,,7 f?r ~"'J:<'.:.;""~ --.,- :$-.....:..:::;._::.;~:.~..:.... -;",':"-1:;'"'"'7,...~ - ---:-- 7 - - - - - - - -- --- . .-...--. -. ..- n . "n.._' -- n. -..... -.......valt;:IIL = n^lUr~~UnI1S~'~' j;,~;,,'/(NOTE::.,.For remodels. c.alculate only I NET additional fixtures) .. . . ~":.'~; :Y:"'''':.':;~~'':'''''.'!''S'.~-~:'~ ::.'.....:: " , . . .. . ........ NUMBER OF UNIT, . r FIXTURE .~.' ' .:,' FIXTURE TYPE~" ... NEW FIXTURES EQUIVALENT UNITS \ Bathtub,..,......"."..".".""""..""",.",..",.".",..""....", , Drinking.' Fountain"",,'.,.,.".".......,.....,..,."."."........,. Floor Drain............. ..........,..,."..,.,..............,.... ...... ..... Interceptors For Grease/Oil/SolidsiEtc...........,..... Interceptors For SandiAuto WashiEtc................., Laundry Tub/Clotheswasher.,..".,......,.. ................., Clotheswasher - 3 Or More..................................... Mobile Horne Park Trap (1 Per Trailer)................., Receptor For Refrigerator/Water Station/Etc........ Receptor For Cdrnrnercial Sink/Dishwasher/Etc.. Shower, Single Stall...................................,............. Shower. Gang..,...,..,....,..,................,....,..,............... Sink: Bar. CommerCial. Residential Kitchen........................ Urinal, Stall/Wall...,..........,.,...........,............,........,..... Wash BasiniLavatory, Single.................,..,..,....,..... -. ---Toilet:-Public'lnstallatio. ,..................,.......,..... ........ Toilet. Private..................,... .... ....,........,...........,... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value, If irnprovernents occurred after annexation date in table, calculate credits separates. 'I I Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983' 1984 1985 1986 $3,97 3,89 3,83 3,70 3,55 3,39 3.20 2,91 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ . (Rate X Assessed Value) = Improvement (if after annexation date) = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residenri31...; ...... ...... .... ....... 0.4 Commerical.............,........... 0,9 Industria!............................ 0 5 Governmental...,.................. 0,5 IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT 'I Rate per $1,000 Assessed Value $2,56 2,17 1,73 1.31 0,92 0.74 0,61 0.45 0,31 0,17 J