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Home My WebLink AboutPermit Building 1997-10-8 ", .... SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971288 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 6892 FORSYTHIA ST Assessors Map #: 18020222 Lot: 11 Block: 4 Tax Lot #: 05700 Subdivision: CASCADE HGHTS 1 Owner: DENNIS MINIUM Address: 8745 THURSTON ROAD Phone #: 747-8495 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: S.F. RESIDENCE NEW Const. Contractor Contractor # Expires Phone Generaf: MINIUM 0062682 12/11/97 747-8495 8745 Thurston Rd Springfield OR 974 Plumbing: DON LEWIS 0033076 06/10/98 688-1931 500 Greenfield St Eugene OR 9740416 Mechanical: MARSHALLS 0025790 12/23/97 747-7445 4131 E St Springfield OR 974780000 Electrical: ANTONE 0082835 05/19/98 688-4444 27514 Snyder Rd Junction City OR 97 QUAD AREA: 4RSE # OF UNITS: 1 CONSTR, TYPE: VN WATER HEATER: E SQ FOOTAGE: 2255 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 4 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE 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. POST AND BEAM - Prior to floor insulation or decking. UNDERFLOOR MECHANICAL - Prior to insulation or decking. INSULATION - Floor; prior to decking wall/ceiling; Prior to cover WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench, ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power, ROUGH PLUMBING - Prior to cover, SHEAR WALL NAILING - Before covering sheathing with finish materials, 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 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. SPRINOFIELD . ~- Job Number: 971288 Page 2 Lot Faces: E Solar Approved: Y Total Height: 29 Lot Type: INTERIOR Setbacks S W E 15 35 15 15 Setbk From NPL: 37 N House 22 Garage Item Main Garage Total Value BUILDING PERMIT Square Feet x 1830 425 $/Square Feet 64.66 16,27 Value 118,328.00 6,915.00 125,243.00 Building Permit Fee Surcharge/Admin 491. 50 39.33 TOTAL FEE (A) 530.83 PLUMBING PERMIT --- Item Residential Bath(s) 3 Fee 192,50 Plumbing Permit surcharge/Admin 192,50 15.41 TOTAL CHARGE (C) 207.91 --- 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 PLAN REVIEW FEE SYS DEVEL CHARGES WILLAMALANE SDC ELECT PERMIT 0.00 24.25 14.80 319.48 2,312,39 1,000.00 183.60 TOTAL MISCELLANEOUS PERMITS (E) 3,854.52 TOTAL AMOUNT DUE (Excluding Electrical) (A, B, C, D, and E combined) unless otherwise noted tAI-IlJ ArLT ; 4,1(A()/UZ ,h5(AfIT 4,627.57 !JeJ,H ~ 57Jrt --- 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. SPAINOFIELD . :t1'~'}N:(rf'}~ Job Number: 971288 Page 3 Received By: Plans Reviewed By: DON MOORE Date: 10/02/97 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 3 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 rZ7~~all times during construction. / e:1 ,-);/ ,- '17 Signature Date --- VALIDATION Date Paid: :27(..,<:- !6-o'6~o;7 4, (p~ 7. &57 '-K~ Receipt Number: Amount Received: Received By: , " . . JOB NO ...;L7 II.. B a:. A IT ACHMENT A . CITY OF SPRINGFIELD 'SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: neNN/~ HlllJru'h LOCATION: MOX' 97 ';::"'nl?''''''Y r~A.- DEVELOPMENT TYPE: S'FL BUILDING SIZE LOT SIlF So. Ft. 1. .sTORM ORAINAGF IMPERV IOUS SO, FT. 2,1J~6 2. SANITARY SFWFR-rITY NO, OF PFU'S 2'2, - (See Reverse Side] X $0,226 PER SO. FT. $ -4:J~ ,7~ X $46.86 PER PFU LI 077~ , 3. JRANSPORT A Ti]!:! ,NO OF UNITS X TRIP RATE X COST PER TRIP I ' X 1,0 I X $472,49 $ 477,2-1 x X $472,49 $ x X $472.49 $ 4. SANITARY SFWFR-MWMr Qc) NO, OF f8:f-S J X 277. 7"- PER FEU + $10 MWMC/ADM FEE $ 287,76 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - <JC;,2.~ TOTAl -MWMr sor $' J fiR.. 5'"1 SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 2.Zo2.";2~ 5. AOMINTSTRATlVF FFtS BASE CHARGE (SUBTOTAL ABOVE) X .05 '/9t, $ liD,/{ Date: 9-/0-?Z. SDC Coordinator TOTAL sac. $ 2, ~/2.. ?'r , ,,',^ I vne VI~" '-'M&..'-'V""U'~ II-\O&"C; Number or New t-lx. X Unit Equivalent ~ Fixture Units (NOTE: For remodels, calculate on'.e NET additional fixtures) ", NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub........,...,..,......,.,..,...."'.., ,.........."...",.........".. Drinking. Fountain.......,.. ,......',..... ,... ,....... ........, ,....." Floor Drain,.. ,........., .......,.,....,..........,. ......... ....' ...,.. .... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher ....... ... ...... ....,."",.,." ",' Clotheswasher - 3 Or More....,................................ Mobile Home Park Trap (1 Per Trailer).................. 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 BasiniLavatory, Single..........,....................... Toilet. Public Installation.,.....,.,.,..., '....................,.. Toilet, Private......................."......................"...... Miscellaneous: z.. 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 '3 .3 TOTAL FIXTURE UNITS ~ CREDIT CALCULATION TABLE: calculate' credits separates. I A- 2- 2-. :3 1'2- 2...~ Based on assessed value. If improvements occurred after annexation date in table. Year Annexed Rate per $1.000 Assessed Value Year Annexed Rate per $1,000 Assessed Value I I CJ."I6'f 1979 or before 19BO 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 $3.az-.; 3.89 3.83 3,70 3,55 3,39 3.20 2,91 $2.56 2.17 1.73 1.31 0,92 0.74 0.61 .0,45 0.31 0.17 ~ 99,2., ' Credit for Parcel or Land Only If Applicable '3 "/7 X $ 2'i1t:JOl'I (Rate X Assessed Value) . X $ , (Rate X Assessed Value) ~ Improvement (if after annexation date) CREDIT TOTAL = $ 99,7<:;:: RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Fiesidential...;.......................O.4 Commerical....,.................... 0.9 IndustriaL........................,.. 05 Governmental...................... 0.5 IMPERVIOUS AREA. = TOTAL LOT SIZE X RUNOFF COEFFICIENT .~ 'e - Job. No. Q ~ \ '}56)( " SYSTEM DEVELOPMENT CHARGE WORKSHEET , NAME: \ ~~~ ~~ " PHONE:'f1t1. .~W ADDRESS: ~rAC() ~ ~&TATE:~ZIP: Q147,Z LOCATION OF PROPOSED BUILDING SITE: '..l+. ' Street Address: JdbC\ fL ~!tJ.tn) ~ II Q Or Plat Name:0n.~nru, t\~icW&x ~t Number: \ ~[)1DU1--06Jd) 1. DEVELOPMENT TYPI'O (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on lhe back.) \, A. 0innlA-F8milv DAt8r.hAr! l Single Family home , NO. OF UNITS Manufactured home not in a park X $1,000 per unit = $ _' (Xt) fV B. ~IA'-F~milv Att8r.hAr! NO. OF UNITS X $924 per unit = $ C. Mulfi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufacturer! Home Pa~ NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ .\DCD.OO Rf $ 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willamalane Credil approval. See sac Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ~"~~e~m City of Springfield $ \ trf) ,00 I I Date