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Home My WebLink AboutPermit Building 7-9-4 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971153 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4114 FORSYTHIA ST Assessors Map #: 18020522 Lot: 118 Block: Tax Lot #: 03600 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 Const. Contractor Contractor # Expires Phone General: YORKSHIRE HOMES 0101767 08/24/98 838-0096 1049 Yorkshire Ct Se Salem OR 97301 Plumbing: MEIER PLUMBING 0095025 11/01/97 393-0819 3457 Potts Dr NE Keizer OR 97303000 Mechanical: SALEM HEATING 0001505 05/19/98 581-1536 PO Box 12005 Salem OR 973090000 Electrical: NORTHSIDE ELECT 0080593 03/17/00 585-4879 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: 971153 Page 2 Lot Faces: S Solar Approved: Y Total Height: 16.5 Lot Type: CORNER Setbacks S W E 32 5 10 18 5 25 Setbk From NPL: 42 N House 27 Garage Item Main Garage Total Value BUILDING PERMIT Square Feet x 1044 375 $/Square Feet 64.66 16.27 Value 67,505.00 6,101.00 73,606.00 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 WILLAMALANE SDC PLAN REVIEW FEE SYSTEMS DEVEL CHARGE 0.00 29.35 14.80 1,000.00 60.00 2,083.39 TOTAL MISCELLANEOUS PERMITS (E) 3,187.54 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,769.94 --- 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 ~I'~ Job Number: 971153 Page 3 Received By: Plans Reviewed By: BOB BARNHART Date: 09/02/97 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 remain on the site at all times during construction. C)~ ~ Signature Date l' - tfJ 97 , Date Paid: --- VALIDATION ~1~C\\ l\ .4.Q1 ''!2\ (cC\ ~qt ~li\J Receipt Number: Amount Received: Received By: JOB NO .9J...l1 _l3" 3 ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELuyMENT CHARGE WORKSHEET YDRK.c::;l4llZE: J-(OM6:~, IN C- NAME OR COMPANY: LOCATION: -4// 4 F"oI2.6YT/-iIA. -GT DEVELOPMENT TYPE: ~ F P BUILDING SIZE: LOT SIZE <;0. Ft. 1 ' STORM ORA I ~jAGE IMPERVIOUS SO, FT. 2... 0 4-q X $0.226 PER SO. FT. $ 4C::.3.o7 2. SANITARY SE~ER-CITv NO. OF PFU'S l~ (See Reverse Side) X $46.86 PER PFU $ C<S43#4~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X Lvo1 X $472,49 $ 477.2..1 x X $472,49 $ x X $472,49 $ 4. SANITARY SEWER-MWMC pu D~ NO. OF FftrS X Z777yER ffiJ + $10 MWMC/ADM FEE $ 2..87,7h MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ (') 7,34' TOTAL-MWMC SDC $ '200,4"'2- SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ l. q~4, I B 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 $ CJCJ I Z( Date: SDC Coordinator TOTAL SDC $ ~ 9,3 , .3q ,CI^ I unc. UI\l11 L.I-\LL.ULI-\ IIUI\l ll-\DLC.: Number or New Flxtwps X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate ani' "e NET additional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE UNIT EQUIVALENT Bathtub.......... ........ .......,....."................. .................... Drinking. Fountain. .........",.....,....... .... ........ .......,....... Floor Drain,...... '......................................................... Interceptors For Grease/Oil/SolidsiEtc................. Interceptors For Sand/Auto W ash/Etc.................. Laundry Tub/Clotheswasher,..............................,... Clotheswasher - 3 Or More..................................... Mobi!e Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall......,.......................................... Shower, Gang.... ............,.......,................... .............. Sink: Bar, CommerCial, Residential Kitchen........................ Urinal, Stall/WaiL...........,......................... ................. Wash Basin/Lavatory, Si ngle....,.. ........................... Toilet, Public Installation................,....................... Toilet, Private......................,................................ Miscellaneous: 2. 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 L.. TOTAL FiXTURE UNITS = FIXTURE UNITS Z-. "'Z-.. '2- 'Z-. ":?- 3 ~8 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed ----s;; ~"/ $ 3 :9.:0 ;:s.l::l8 3.83 3.70 3.55 3.39 3.20 2.91 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1979 or before I :180- 1981 1982 1983 1984 1985 1986 Rate per $1 ,000 Assessed Value $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17 07,34' ' - -....- --.,.. Credit for Parcel or Land Only If Applicable 3.97 X $ 22.~:> = (Rate X Assessed Value) X $ = , (Rate X Assessed Value) Improvement (if after annexation date) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Fiesidemial...:....................... 0.4 Commerical..................... .... 0.9 Industrial............................ 0 5 Governmental...................... 0.5 IMPERVIOUS AREA = TOT AllOT SIZE X RUNOFF COEFFICIENT ~ 7, 3t:f- .~ f'\'" . . ~t.>J ~9 YY}!I!C-:!!!!~!!~ Job. No. C\flHflO (. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: '0~~u Q.J" ~Q[.0 . PHONE: 5/l?> .?:.3~.('f\\l 0 ADDRESsJ \~ ~. \m;~t> ~~. l' STATE:Q'{L ZIP: (\l~\ \ n01\~ ' LOCATION OF PROPOSED BUILDING E: " Street Address: ~\\~ ~tCLJ ..A . Plat Name: \0l\f\.ft) \ ~ \\ax Lot Number: ~~& ~.D3fcW 1. . DEVELOPME~ ~YPE (Check appropriate dwelling(~). SDC calculations and dwelling t ype definitions are on the back.} \, A. ,Sinole-FamilvDetached. \ Single Family home NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $ \tff)~ B. ,Sinole"-Familv Attacheej NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. !v1anufaQfured Home Park. ' . ' X $699 per unit = $ $ \ CfX) .ct) % $ to(X)PO q I + I O-A Date . NO. OF UNITS. WILlAMAlANE SDC 2~ SDC CREDIT (if applicable) SDC-paY!3r must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WlllAMAlANE NET SDC ASSESSED (if SDC reduced for Credit) \,~,\l@Qf · ~~nYS~'rv~ D~partment City of Springfield