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HomeMy WebLinkAboutPermit Building 1997-8-21 SPRINGFIELD ::tl'~ Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971166 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4128 FORSYTHIA ST Assessors Map #: 18020522 Lot: 102 Block: Tax Lot #: 02100 Subdivision: WYATT MEADOWS 2 Owner: YORKSHIRE HOMES Address: 189 SOUTH PACIFIC HWY Phone #: 503-838-0096 City/State/Zip: MONMOUTH, OREGON 97361 Describe Work: S.F. RESIDENCE NEW Plumbing: Const. Contractor NOTICE: Contractor # ERf(res PERMIT SHALL EXPIRE IF THE WO YORKSHIRE HOMJ~IS .,cnlll\loWTHro7PERMIT IS ~:2 4/97 1049 Yorkshir~lfftl-\Q~I~~trr ~' 97301 OR MEIER PLUMBIN<tOMMENCEO OR tfIDAe~~ONeO F '11/01/97 1464 Rogue Riv~~y~WK~pe~~e.OR 9 SALEM HEATING AN 113U 000.1505 05/19/98 PO Box 12005 Salem OR 973090000 NORTHSIDE ELECT 0080593 03/17/00 PO Box 12668 Salem OR 973090000 Phone General: 838-0096 855-9636 Mechanical: 581-1536 Electrical: 399-7609 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1427 OFFICE USE -- LAND USE: 1111 ZONING CODE: MDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: TPC 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. 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. ELECTRICAL SERVICE - Must be approved to obtain permanent power. 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. CURB CUT - 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. SPRINGFIELD ~I'~ Job Number: 971166 Page 2 Total Height: 16 Lot Type: INTERIOR Setbk From NPL: 40 Solar Approved: Y Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1052 375 $/Square Feet 64.66 16.27 Value 68,022.00 6,101.00 74,123.00 Building Permit Fee Surcharge/Admin 358.00 28.64 TOTAL FEE (A) 386.64 PLUMBING PERMIT --- Item Residential Bath(s) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160.00 12.80 TOTAL CHARGE (C) 172.80 MECHANICAL PERMIT --- Exhaust Hood Vent Fan Dryer Vent 2 4.50 6.00 3.00 Mechanical Permit Issuance Surcharge/Admin 15.00 10.00 1.20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE WILLAMALANE SDC SYSTEM DEVEL CHARGES 0.00 17.50 14.80 60.00 1,000.00 2,091.22 TOTAL MISCELLANEOUS PERMITS (E) 3,183.52 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,769.16 --- 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. Job Number: 971166 Page 3 Received By: Plans Reviewed By: BOB BARNHART Date: 08/14/97 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 2 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 remag~ite;j times during construction. ~-Z.1-9? Signature Date Date Paid: --- VALIDATION A f\ '<10 ~B .0\ C\~ () -\ts\. \ It ~\\D\_) Receipt Number: Amount Received: Received By: J un 1'1 U. ,-:L1...LJ ATTACHMENT A -CITY OF SPRINGFIELD SYSTEMS DEVELU~MENT CHARGE WORKSHEET NAME OR COMPANY: YoRK. ~,.." ~E J..I oM6<" . LOCATION: 4(2...8 r:l>ASYTNfA (WYA7f htr~o~4.)e, LOf /0'-') DEVELOPMENT TYPE: "S.f=_R. BUILDING SIZE:- LOT SIZE SO. -F'f 1. STORM ORA I NAGE' IMPERV IOUS SQ.- FT. 2/" IY2.. X $0.226 PER SO. FT. $ 470.5) 2. SANITARY SE~ER-CITY ,NO. OF P FU ' S ' J en (See'Reverse Side) X $46.86 PER PFU $ 843. 48' ,3; TRANSPORTATION . 'NO OF UNITS X TRIP RATE X 'COST PER TRIP X ).01 X $472.49 $ 4- 77. 2..1 , X x' $472:49 $ X X $472.49 $ 4. SANITARY SEWER-M\.oJMC .NO. OF ~ 1 ' X Zn 7G. PER FEU' + $10 MWMClAD~ FEE $ 287.7b MWMC CREDIT'IF APPLICABLE (SEE REVERSE) .' $ - 87.31- TOTAL-MWMC SOC $' fQCl .4~ SUBTOTAL (ADD ITEMS 1. 2: 3 & 4) $ J, '10, I. '-f- 5. AOMIN!STRATIVE FEES BASE CHARGEn.U U~BTOTAL ABOVE) X .05 ~ ' Date: SDC 'Coordinator $ qc;.n 8- z- ~ 7 ' TOTAL SOC U.tyqj. Z'Z- , (NOTE: For remodels. calculate 0 .. ..". VI U.. VI\J" '-'_'-'-'VI " I 'VI\J . _ULL. Numoer or l\lew l-l' FIXTURE TYPE ,le NET additional fixtures) NUMBER OF , .., NEW FIXTURES 's x., Unlt equivalent = Fixwr,e, Units ~~ ".", Bathtub.................... ....................... .................... .... .... Drinking. Fountain... .......... ................. ........ .... ...... ......., Floor Drain.......'............ ................... ...... ...:.. .... ......;.... Interceptors For Grease/Oil/Solids/Etc.. ...... ,..... ... Interceptors For Sand/Auto WashiEtc................... Laundry Tub/Clotheswasher. ........... .:.............. ....... Clothes washer . 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/WaterStation/Etc:....... Receptor For Commercial Sink/Dishwasher/Etc.. Shower; Single Stall.................;...... .,...,..................... Shower, Gang....................:........:.... .'~....................... Sink:" 8ar, CommerCial, Residential Kitchen........................ Urinal, Stall/Wall.....;.........................~.................. ..... , Wash 8asiniLavatorv ,Single...... .............';......... ..... , Toilet; Public Installation......... ~.................... .......... Toilet, Private..:............ .'........~.;...........; ...:..........;. 'Miscellaneous: "2.. 'Z- TOTAL FIXTURE UNITS UNIT EQUIVALENT 2 -1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 = FIXTURE UNITS :l-. '2- '2- 2..... oz.... " , 18 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurr~dafter annexation date in tabie, calculate credits separates. . " Year Annexed " ,@ 1979 or before 1980 ' '1981 1982 1983" ,19,84 ,1985 .1986: Rate per $1 ,QOO . Assessed Value Year,. Annexed $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 <.. q7 X $ 2.~.~ (Rate X Assessed Value) X $ , (Rate X Assessed Value) , Creclit for Parcel or Land Only If Applicable Improvement (if after annexation date) , Rate per $1,000 Assessed Value , J, r: . $2.56 2.17 1.73 1.31 0.9.2 0.74 0.61 0.45 0.31 0.17 ; !' = -.!L7~ 34_ CREDIT TOTAL =, $ , IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) , Flesidemial...; ..............,........ 0.4 Commerical......................... 0.9 Industrial............................. 0 5 Governmental....................:. 0.5 SPRINGFIELD ~- Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971157 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4132 FORSYTHIA ST Assessors Map #: 18020522 Lot: 101 Block: Tax Lot #: 02200 Subdivision: WYATT MEADOWS 2 Owner: YORKSHIRE HOMES Phone #: 503-838-0096 Address: 189 SOUTH PACIFIC HWY City/State/Zip: MONM~UTH, OREGON 97361 ~O~ Describe Work: S. F. RESIDENCE ~~~~ ro ~O~ NEW ~'0~ ~r..~~~ '\ - \.. <(;.1" \~ ~~~ yO'(\ Contractor ~\C~. K C;)~~\J (r.,.~'r~~ # Expires Phone tN.O ~~~ ~~'V ~~~ General: YORKSHIRE H~~~ ~~~ ~,~r01767 08/24/97 838-0096 1049 YOrkShi~~~~~e~g~~~~7301 Plumbing: MEIER PLUMBIN~ ~~~~ ~~~~U095025 11/01/97 393-0819 (jO ~~ '\) Mechanical: SALEM HEATING ~~~~ 0001505 05/19/98 581-1536 PO Box 12005 Salem OR 973090000 Electrical: NORTHSIDE ELECT 0080593 03/17/00 399-7609 PO Box 12668 Salem OR 973090000 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1419 OFFICE USE -- LAND USE: 1111 ZONING CODE: MDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: TPC 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. 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. ELECTRICAL SERVICE - Must be approved to obtain permanent power. 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. CURB CUT - 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. SPRINGFIELD ~. Job Number: 971157 Page 2 Total Height: 16 Lot Type: INTERIOR SetbkFrom NPL: 40 Solar Approved: Y Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1039 375 $/Square Feet 64.66 16.27 Value 67,182.00 6,101.00 73,283.00 Building Permit Fee Surcharge/Admin 355.00 28.40 TOTAL FEE (A) 383.40 PLUMBING PERMIT --- Item Residential Bath(s) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160.00 12.80 TOTAL CHARGE (C) 172.80 MECHANICAL PERMIT --- Exhaust Hood Vent Fan Dryer Vent 2 4.50 6.00 3.00 Mechanical Permit Issuance Surcharge/Admin 15.00 10.00 1. 20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE WILLAMALANE SDC SYSTEM DEVEL CHARGES 0.00 17.50 14.80 60.00 1,000.00 2,077.23 TOTAL MISCELLANEOUS PERMITS (E) 3,169.53 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,751.93 --- 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. SPRINGFIELD Job Number: 971157 Page 3 Received By: Plans Reviewed By: BOB BARNHART Date: 08/14/97 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 2 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 remain on the site at all times during construction. g~ ~ <6-2(-'17 Signature Date Date Paid: R~1~50N ~ffi ) Receipt Number: Amount Received: , Received By: .'. , Job. No. (\f\ \}lot(J ." (, A. 'Sinale-Familv Detached ',\ Single Family home NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $ \ l(f)~ B. Sinale"-Famil'Llillached NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home Park. NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ \(Xf) pJ ~ $ toOOPO . ~ ~ \ I C\\ Date $ 2. SDC CREDIT (if applicable) SDC-payer mustfumish proof of. Willamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) . ~v~~~~partment City of Springfield