HomeMy WebLinkAboutPermit Building 1997-8-21
SPRINGFIELD
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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