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Home My WebLink AboutPermit Building 1997-6-6 SPR'NC"."" ~ ' __..1&...---' -) "'1l r (h 'L 1"/3 / ~ I' AI-if (.; - j, -. J j~ ~- Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970652 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4127 FORSYTHIA ST 4129 Assessors Map #: 18020522 Lot: 96 I Block: Tax Lot #: 02700 Subdivision: WYATT MEADOWS 2 Owner: KEYS HOMES INC. Address: P.O. BOX 25083 Phone #: 292-6378 City/State/Zip: PORTLAND, OR 97225 Describe Work: DUPLEX NEW Contractor Const. Contractor # Expires Phone 0094105 09/29/97 292-6578 97225000 0094105 09/29/97 292-6578 97225000 General: KEYS HOMES INC. 7185 SW Sharon Portland OR Plumbing: M.P.I. 7185 SW Sharon Portland OR Mechanical: OWNER Electrical: FAR NORTH ELECT 0100894 155 B Ave Ste 330 Lake Oswego OR 97 06/29/97 636-4115 QUAD AREA: 3RSC # OF UNITS: 2 CONSTR, TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1120 ZONING CODE: MDR # OF BDRMS: 6 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH SQ FOOTAGE: 3340 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: 970652 Page 2 Lot Faces: N Solar Approved: Y Total Height: 26 Lot Type: INTERIOR Setbacks S W E 38 10 9 Setbk From NPL: 20 N House 28 Garage 20 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 2940 400 $/Square Feet 64.66 16.27 Value 190,100.00 6,508.00 196,608.00 Building Permit Fee Surcharge/Admin 651. 25 52.10 TOTAL FEE (A) 703.35 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 4,613.32 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. PLUMBING PERMIT --- Item Residential Bath(s) 4 Fee 320.00 Plumbing Permit Surcharge/Admin 320.00 25.60 TOTAL CHARGE (C) 345.60 MECHANICAL PERMIT --- Exhaust Hood Vent Fan Dryer Vent 4 9.00 12.00 6.00 Mechanical Permit Issuance Surcharge/Admin 27.00 10.00 2.16 TOTAL PERMIT (D) 39.16 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC PLAN REVIEW FEE 0.00 19.00 15.40 1,848.00 60.00 TOTAL MISCELLANEOUS PERMITS (E) 1,942.40 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 7,643.83 Job Number: 970652 Page 3 --- 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. Received By: Plans Reviewed By: BOB BARNHART Date: 05/16/97 Building Site Reviewed By: BRENDA JONES --- ADDITIONAL COMMENTS --- SAME AS 970638 615/617 S 41ST PL 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 1 imes during construction. f/ Date Paid: ~ - u _ [~IDATION ~~ \Q \()~C\ 1 .l~~~~ ~\i}-) Signature Date Receipt Number: Amount Received: Received By: Job. No. q, C)(fl'?~ . SYSTEM DEVELOPMENT CHARGE WORKSHEET ... NAME: ~I;) t-hnu... 17rur./' PHONE(~~) ~t ... (d?cF!J ADDRESS:..eo O~%aJO ~ STATE: Qy: Zlp:q'7'J''30 LOCATION OF PROPOSED BUILDING SITE: ..-r- .' Street Address: 4 ( d1 - LlI?q to-Y,=,~ tL, Plat Name: I ~ D't- 06 d-d- Tax Lot Number: Q'),.----ZOO \, 1. :,DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t .: ype definitions are on the back.) A. :,Sinale-Familv Detached, 0., t, ~.. ." ~ . ?' ~.~. - ~ !. ; .,' , " Single Family home Manufactured home not in a park . !'it ..~. . I e",. ...... NO. OF UNITS X $1,000 per unit = $ B. ,Sinale-Familv 811ached NO. OF UNITS rv X $924 per unit = $ ffi~. DE C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home Park NO. OF UNITS X $699 per unit = $ $ { ~4-~.- WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) Di~Q-~ment City of Springfield $ I ~LJK- j; I t~/Ji Date ;::;~:,~;:C;:'~::'~jr.~~:;;~:::~<' Zi'}.7'~::~~:: ;~~'~~ ~>~ ;~,:~J"":J . ~,_~,0r:",::.~;. 225 FIFTH STREET " ';:':;';i~-:':.:l N\rW SPRINGFIELD, OREGON 97477 Dut~Ji. -- -C(J- ~~~i~~IO~2~~~~T: 726-~ori"~~~'~f;;'.'i:,j f'f'A 3. COMPLETE FEE SCHEDULE BELO\[ 1. ~~fiI\W~~ST~~U\l\i~ .' \) _ \~D~<1f~N n~')a) -+- JOB DES~~~N (\~ (\ \2\'{\y \.-^~_~1j~ M"\lt) Permits are non-transferable an~xpire if vork is not started vithin lSb'days of issuance or if vork is suspended for 180 days. 2. CONTRACl'OR INSTALLATION ONLY ,B. Electrical contractorW-~~tt Address3L\'1\ ~ \.\J. t\uJl\(~\\~ Ci ty\\\\\~'\11{(\O~ Phone ~ D~iito<6t1 Supervisor License Number :\~~L\~ ' \(').\.q<6 Constr Contr. Number ()\\~CY\\ L\. \~ .C\~ Expiration Date Expiration upervising Electrician ~0 Ovners ~ame ~e-\ '_ ij~ ~ Address~ () ,\ A~~ Ci tYl ~tui)~' ~hone RJ~ fB ~ O~ INSTAL~TION lo ~"\ <3 The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: ~~~:-:~-\.Q:\O-~J~-~---iss~ 5. _~_~.....,..,n nv. . \l.l. ('--r-- ELECTRICAL PERMIT APPLICATION City Job'NumbeF,' C\10\o~'L A. Fev Residential-Single or Multi-Family per dvelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular'Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only unit. Cost Sum $ 85.00 S 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00, $ 40.00 c. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less \ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 1!L $ 55.00 $ 80.00 see "B" above ,. Nev,' Alteration or Extension Per Panel, One Circuit Each Additional Circuit or vith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included:) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~~ 'n~.UU .~ ~) ...;. ~ The following pro'<>~t. - zonir,g, and doe~J~.., es s~bi1'1l\l;;,:! !-: '3 '::') ~o':':)\ . c~pprc\j'al . ~ Ot rec-!l!ir,) 8~":t;I~:C Jf';l~T J'l"~," vlng . ,. ~ .......,..... , Zoning m cJ.- ( 97477"f,4/.:U:..rJ 726,"7d~'~'~-'''i~ S;"W)':- (\ ~ ''''' ..:"f0__.-.L4 vV\ . -I=~'--f'" 3. 1. ~LO~ATION 0i'1\WS~~ION ~. \ I~ f'\ *' '\' "_t..\ '\1)'(~l; trV' A. - ... , .... \ tr)~~~T-~ f)[D ",~OB DfSCRI. PTION {}f'1.11r\. \...~~.~l\~J\:\ q"f ~,0\\.J Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical contractor~\f"~ t'k& Address3L\'1\ ff- \.\1. t\wU(~\\q Ci ty \\\ \\srn$f\ O~ Phone ~ rJ:l& W'6~1 Supervisor License Number ~~~~L\~ \$.\.q~ Constr Contr. Number ()\\~CY\\ 4.\~.C\~ Expiration Date Expiration Date ~perViSing Electrician :ners Naf\~e\ . .. a},. ~ Address\ N () ,l A~()~~ CitYL~tui\ ~honeRJ~~~ lo~1<6 OVNER INSTALLATION The installation is being made on property I own whi~h is not intended for sale, lease or rent. Ovners Signature: DA~E~---------1CO~~~-OCf)-------------- RECEIPT #: ,a ',) ~\~r"o~ RECEIVED BY: 't'\\b~ ~ - ../ ELECTRICAL PERMIT APPLICATION Ci ty Job' Numbe~ C\1(jt.o5'2- COMPLETE-PEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dwelling Service or Feeder 4- 4 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only uni t. Cost Sum $ 85.00 \'10_ .s 15.00 J.c[) $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00, $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amp~'oT less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits ,. New, Alteration or Extension Per Panel One Circui t Each Additional Circuit or with Service or Feeder Petmit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. s. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 $ $ $ $ Il.?n 00 lL..50 . I.i' .40 _ ,804...... .A...Q CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: KEYS HOMES INC. Location: 4127 FORSYTHIA ST 4129 Developement Type: R Building Size: 1. STORM DRAINAGE Impervious Sq Ft 2580 2. SANITARY SEWER - CITY Number Of PFUs 46 (see Page 2) 3. TRANSPORTATION Number Of Units 2 X X Trip Rate 1. 010 X Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 46 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items 1, 2, 3 & 4) 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) X TOTAL SDC Reviewed By: DENNIS ERNST X X 0.216 44.75 Job No.: 970652 Lot Size: Per Sq Ft Per PFU X Cost Per Trip 451. 26 $911.55 X X Per PFU + 20.690 + 0.50 MWMC Admin Fee 10.00 Date: 05/06/97 Page 1 Sq Ft $557.28 $2,058.50 $911.55 $961.74 $95.43 $866.31 $4,393.64 $219.68 $4,613.32 Job Number: 970652 FIXTURE UNIT CALCULATION TABLE Page 2 Fixture Type Bathtub Drinking Fountain Floor Drain Interceptors For Grease/Oil/Solids/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More 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 Basin/Lavatory, Single Water Closet, Public Installation Water Closet, Private Miscellaneous TOTAL FIXTURE UNITS Number of New Fixture Unit Equivalent Fixture Units 4 o o o o 2 o o o o o 2 o 6 o 6 o 2 1 2 3 6 2 6 1 3 2 8 o o o o 4 o o o o o 4 o 6 o 24 o 2 2 1 6 4 46 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: 1969 Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : 27,500 X 3.47 95.43 o X 3.47 0.00 CREDIT TOTAL = $95.43 (If land value is multiplied by 1 then the parcel/land credit is not accurate.)