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Home My WebLink AboutPermit Building 2000-4-10 . I Job# 00-00231-01 I . Page 1 of 4 TRANS#:01-0001193 DATE:APR 10 2000 AMT RECD:2 $ 5520.84 CHANGE:$ 70.00 CASHIER: 003 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00231.01 225 North Fifth Street Springfield, OR 97477 Office: 726.3759 Inspection Line: 726.3769 Location Of Proposed Site: 1108 Delrose Ct Spr Assessors Map#: 17032344 Lot: 20 Block: Addition: Tax Lot #: 10200 Subdivision:ORCHARD VIEW Owner: Address: Lance Forsyth 3125 Willakenzie Phone Number: City/State/Zip: Eugene, OR 97401 New Value: $205,254 Scope Of Work: Single Family Residence NEW S,F.RESIDENCE OlJlC:K START lInnp.r nn.nn~21.n2 ..II in~np.r.tion~ ~hollln or.r.llr IInnp.r thi~ nllmhp.r Contractor Type Contractor Registration # Expiration Date Phone General Contr Lance Forsyth 3125 Willakenzie, Eugene, OR 97401 Electrical Contr Lynns Electric Co 102316 10/14/1999 541.726.7895 Po Box A, Fall Creek, OR 97438 Mechanical Contr Home Comfort Heating & Air Condit' 345-283.8 706 Oscar St, Eugene, OR Plumbing Contr Eugene Plumbing Co 44012 1/9/2000 541-484-7440 325 Dellwood Dr, Eugene, OR 97405-4909 Quad Area: # Of Units: Constr. Type: Water Heater: 5RNW 1 (VN) Wood Frame Office Use Land Use: Single Family Dwelling Zoning Code: LOR Bedrooms: 3 Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: 2817 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 working day. Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Required Inspections r Bulldinll I . Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i .After trenches are excavated. . After forms are erected but prior to concrete placement. .Prior to floor insulation or decking. .Prior to decking. . Prior to cover. . Before covering sheathing with finish materials. . Prior to cover. ~ Street Improvement: Fully Improved Curb Cut?0 Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/000000:00 AM Special Instructions: Other Utilities: Project Supervisor: Zoning: LOR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments:2 paved 9'x18' parking spaces are required Planner: AI Ward Urban Growth Boundary?D Quantity Of Fill: 74 cu yards Supplier: Drainage: Floodway FEMA: n/a Wall Insulation Drywall Final Building UnderfJoor Plumbing UnderfJoor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing UnderfJoor Mechanical Rough Gas Rough Mechanical Final Mechanical Curbcut Sidewalk . . Page 2 of 4 I Job# 00-00231-01 I Required Inspections I- ---Building --I . Prior to Cover . Prior to taping, . When all required inspections have been approved and the building is compiete, I 'Plumbing . Prior to insulation or decking, . Prior to cover or placement of concrete. . Prior to cover. . Prior to filling trench, . Prior to filling trench, - Prior to filling trench. . When all plumbing work is complete. i- --Mechanical --I . Prior to insulation or decking, - Prior to cover. - When all mechanical work is complete. r- Public Works -- '1 -After forms are ereceted but prior to placement of concrete. Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside. 5' o 8 To Curb and Gutter 4 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 1 Land Use: Single Family Dwelling Pave Driveway? 0 3: Glenwood Area? 0 Additional Requirements: LDAP Required Required Attachments: Source Locn: Material: Flood Plain FEMA: n/a . Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 iArea (Sq. Feet) I Main: 2817 Accessoryll95 Fee Residential Plan Check Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Minimum Plumbing Permit Fee Three Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical New Sidewalk New Curbcut Total Public Works Residential. Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1990 Total System Development I Job# 00-00231-01 I . Page 3 of 4 # Of Stories: 2 Height (feet): 22 Current Units: 0 Proposed Units:1 Census Code: New SF . detached Total:3312 Paid On Receipt# Plan Check 04/10/2000 1193 BuildinR 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 PlumbinR 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 Mechanical 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 Public Works 04/10/2000 1193 04/10/2000 1193 System Development 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 04/10/2000 1193 Value/Quantity I 205,254 205,254 1 1 1 1 4 1 1 35 1 3,422 27 1 1 1 1 59 Fee Amount $436.48 $436.48 $671.50 $47.01 $20.15 $738.66 $.00 $192.50 $13.48 $5.78 $211.76 $4.50 $2.00 $.00 $.96 $6.00 $12.00 $4,50 $3.00 $10.00 $2.24 $45.20 $60.00 $60.00 $120.00 $793,90 $1,303,29 $491,60 $242.76 $22.05 $10.00 $138,04 $.102,90 $2,898.74 Fee S.F, Residence - Willamalane Total Willamalane SDC . Plan Review.LDAP/Gr: 51 to 100 cu yds Total LDAP/Grading Grand Total Plan Check Type Initial Review-Res Engineering-Res Planning.Res Structural-Res Checked By Bob Barnhart Steve Templin AlWard Don Moore Job# 00-00231-01 Paid On Receipt# Willamalane SDC 04/10/2000 1193 LDAP/Gradinll 04/10/2000 1193 Date Completed 02/10/2000 02/14/2000 02/17/2000 02/17/2000 . Page 4 of 4 Value/Quantity Fee Amount 1 $1,000.00 $1,000.00 1 $70.00 $70.00 $5,520.84 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 a:o~t O~m~n on the site at all times during construction. Sigliature/" / ~~ Dati 7- . SYSTEM DEVELOPMENT CHARGE WORKSHEET . NAME: ~~ ~tYl ~~ PHONE: '3.'-t~ -~~O ADDRESS: 3\ &5. \.u ~ ~~~~.sTATE: W. ZIP: '17'1.0\ LOCATION OF PROPOSED BUILDING SITE: \\oto b~~ ~ . Job. No. C() c..D&3 \ -G1 Street Address: Plat Name: \ 1().~~44 Tax Lot Number: l O~ 0') 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t ype definitions are on the back.) A. RinolA-FRmilv OAtR~hArf y. Single Family home NO. OF UNITS \ Manufactured home not in a park Ve:> X $1,000 per unit = $ \UJO - B. RinolA-FRmilv AttR~hArf NO. OF UNITS X $924 per unit = $ C. Mulli-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactured HomA Pml~ NO. OF UNITS X $699 per unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (If applicable) SOG-payer must furnish proof 01 Willamalane Credit approval. See sac Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SOC reduced for Credit) $ ~pment Services Department City of Springfield ~ I /D I t)() Date , ~.1 .... ..'..... '~ . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00.00231.01 NAME OR COMPANY: LANCE FORSYTH LOCATION: 1108 DELROSE COURT TAX LOT NUMBER 17.03-23-44.10200 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE DWELLING UNITS: BUILDING SIZE: 3312 LOT SIZE: 12514 1. STORM DRAINAGE IMPERVIOUS SQ, FT, 3422.00 x $0.232 PER SQ. FT, $793,90 I 2. SANITARY SEWER.CITY NUMBER OF PFU's (SEE REVERSE SIDE) 27 x $48,27 PER PFU $1.303.29 I 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP TOTAL TRANSPORTATION SDC $491.60 I $0.00 I $491.60 I x x 1.01 x $486.73 PER TRIP x $486.73 PER TRIP 4. SANITARY SEWER. MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x $242.76 PER FEU $242.76 I B. IMPROVEMENT COST: NUMBER OF FEU's x $22.05 PER FEU $22.05 I ($102.90)1 $10,00 I $171.91 I $2.760,70 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINIST.RA TlVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $138.04 I -- - -:;z2 A.-/ S~~R '2.11 ~ I?.FYY> "iSAfE' TOTAL SDC CHARGES I $2,898.741 . . PLUMBING FIXTURE UNIT (PFU) CALCULA TION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE, FOR R~S, CALCULAT~ 0N1.Y THE NET ADDITIONAl. FIXl1JRESl FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OILlSOLIDS/ETC. INTERCEPTORS FOR SANDI AUTO W ASHIETC. LAUNDRY TUB/CLOTHESW ASHERlMOP SINK CLOTHESW ASHER. 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, ST ALUW ALL WASH BASIN/LA V A TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION ~ MISCELLANEOUS: FIXTURES NEW OLD 2 2 3 3 UNIT EQUIVALENT 2 I 2 3 6 2 6 6 I 3 2 I 2 2 1 6 4 '," ) -11 V." " PLUMBING FIXTURE UNITS 4 o o o o 4 o o o o 2 o 2 o 3 o 12 o o o TOTAL PLUMBING FIXTURE UNITS=I 27 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 RATE PER $1,000 ASSESSED VALUE $4.47 $4.38 $4.32 $4.20 $4.03 $3.88 $3.68 $3.38 $3.03 $2.62 YEAR ANNEXED 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $1.75 x IMPROVEMENT (IF AFTER ANNEXATION DATE) , 'x' RATE PER $1,000 ASSESSED VALUE $2,18 $ 1.75 $ 1.35 $1.17 $ 1.03 $0,86 $0.71 $0.57 $0.39 $0.18 58.800 CREDIT TOTAL $102.90 $0,00 $102.90