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Home My WebLink AboutPermit Building 1998-12-31 NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ~~~NTIAL PERMIT APPLICATION AUTHORIZED UNDER THIS PERMIT l~vC'rTY OF' SPRINGF'IELD COMMENCED OR IS ABANDONED FGR>MMUNITY SERVICES DIVISION ANY 180 DAY PERIOD. BUILDING SAF'ETY Page 1 Job Number: 981529 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4104 F'ORSYTHIA ST Assessors Map #: 18020522 Lot: 66 Block: Tax Lot #: 03400 Subdivision: WYATT MEADOWS Owner: DON DAVIS Address: PO BOX 783 Phone #: 744-8161 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: S.F'. RESIDENCE NEW Contractor Const. Contractor # Expires Phone General: TADER CONSTRUCT 0006787 03/15/99 484-7533 Mechanical: MARS HALLS 0025790 4110 OLYMPIC ST SPRINGFIELD OR 9747 12/23/98 747-7445 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN SECONDARY HEAT: HP SQ FOOTAGE: 1570 OF'F'ICE USE -- LAND USE: 1111 ZONING CODE: MDR # OF BDRMS: 3 WATER HEATER: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE RANGE: E 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 --- SITE - To be made after excavation but prior to setting forms. F'OOTING - After trenches are excavated. F'OUNDATION - After forms are erected but prior to concrete placement. UNDERF'LOOR PLUMBING - Prior to insulation or decking. UNDERF'LOOR MECHANICAL - Prior to insulation or dec~r~ NT . POST AND BEAM - Prior to floor insulation or deckimr,. t: lON.Oregon law requires you to INSULATION - Floor; prior to decking Wall/cei~Btffi~'}J1E36ae8P~the Oregon Utility WATER LINE - Prior to filling trench. in OA~a Ion. enter. Those rules are set forth SANITARY SEWER LINE - Prior to filling trench. 0090 \fI952 001-001~thro~ghOAR952_001_ STORM SEWER LINE - Prior to filling trench. C ;fi OU ;ay obtarn copies of the rules by ROUGH PLUMBING - Prior to cover. a ng t e center. (Note: the telephone ROUGH MECHANICAL - Prior to cover. numbe~or the Oregon Utility Notification ROUGH ELECTRICAL - Prior to cover. enter is 1-800-332-2344). ELECTRICAL SERVICE - Must be approved to obtain permanent power. SHEAR WALL NAILING - Before covering sheathing with finish materials. F'RAMING - 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. F'INAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. F'INAL ELECTRICAL - When all electrical work is complete. F'INAL BUILDING - When all required inspections have been approved and the building is complete. Job Number: 981529 Page 2 N House 36 Garage Lot Sq. Ft.: 5369 Total Height: 14 Lot Type: INTERIOR Setbacks S W E 5 5 Lot Coverage: 29 % Setbk From NPL: 67 Lot Faces: S Topography: 2 Solar Approved: Y 19 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1107 463 $/Square Feet 64.66 16.27 Value 71,579.00 7,533.00 79,112.00 Building Permit Fee Surcharge/Admin 373.00 29.84 TOTAL FEE (A) 402.84 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 --- Furnace Exhaust Hood Vent Fan Dryer Vent 2 6.00 4.50 6.00 3.00 Mechanical Permit Issuance Surcharge/Admin 19.50 10.00 1. 57 TOTAL PERMIT (D) 31.07 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut CITY SDC. WILLAMALANE PLAN CHECK 0.00 12.70 14.80 2,143.44 1,000.00 80.00 TOTAL MISCELLANEOUS PERMITS (E) 3,250.94 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,857.65 --- 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: 981529 Page 3 Received By: Plans Reviewed By: AL WARD Date: 12/23/98 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- A SEPERATE ELECTRICAL IS REQUIRED. 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. ~....,-~-- '~--- ---........ /.'-- . ~' Signature /2-S/-7"r Date --- VALIDATION Date Paid: ()32-'I'I1 I 2. (~, / ff "5 g S-7-. t,r-/1 JtJ~ Receipt Number: Amount Received: Received By: ~CITY ~oT~s' ATTACHMENT A _H'~ u_ ,.-. i~ I S-~i rNGflELD SYSTEMS DEVEL MENT CHARGE ~- J WORKSHEET - . '~--~ ' NAME OR COI1PANY: T1rJ DcWIs LOCATION: 4104 fO'6~cx.. DEVELOPMENT TYPE: SFO BUILDING SIZE: LOT SIZE SQ c" . . I l.. 1. STORM DRAINAGE /570 1- /qt;<o) = :2-@o-l-5J) 2. +- IMPERVIOUS SQ, FT. :J3/K X $0,227 PER SO, FT. $ ,;;-:zro,/9 2. SANITARY Sfi..JER-CITY NO. OF PFU'S (ir (See Reverse Side) X $47.14 PER PFU $f54r r5~ 3. TRP.NSPORTATION o;:e,. X \. C I X $475.32 '.. $ tteo,o+ X X $475,32 $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 1/1,# PER FEU $ Z77,4q.- B. IMPROVEMENT COST: NO. OF FEU'S X 2-0,20 PER FEU $ "7-5, ZO r MWMC CREDIT IF APPLICABLE ,(SEE REVERSE) MWMC AOMINISTRP,TIVE FEE < $ /;2.t?, oS' > $ 10,00 TOTAL-MWMC SDC $ /twr bY $ c?? o1-/. :3::; $ //J;(, Of SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 VVlSL SDC Coordinator AITACH' A. WPD Date :J1dn.,/q[/ TOTAL SDC $ :l/43Af ~- - ~ - - - .---. ""'''',",v' v, "",y rl.l<,lurt::>" urlll eqUivalent == Fixture,Units '~l , (NOTE: For remadels, calculate only teNET additional fixtures) , , ( NUMBER OF UNIT FIXTURE FIXTURg TYPE NEW FIXTURES EQUIVALENT UNITS " Bathtub............. ........................ .............. ............. ../... Drinking Fountain......... ............... .............. ............. ..~ Floor Drain.......... ....................... ........... ............ ..... .1.. , ~ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry1T~/Clotheswasher........... ........................ Clotheswasher - 3 Or More................,.................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sjnk/D~hw2sher/Etc.. Shower, Single Stall.. ...~............... ....................... ..... Shower, Gang.............................. ......,..................... Sink: Bar, Commercial, Residential Kirc::en........................ Urinal, Stall/Wall.. ............................,...,........ ...... ...... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation........................................ Toilet, Private...... ...... ........................................... Miscellaneous: I 1 2 1 2 ;z '1 '" / 6 2 6 6 1 3 2 1 IHead 2 2 1 ;;L { d- I II d-- d..- II 6 4 K J j J~ TOTAL FIXTURE UNITS = /'{ 1\\ CREDIT CALCULA Tlo\NI\TABLE: Basec on assessed value. If improvements occurred after annexation date in taole, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 1989 1990 1991 1992 1993 1994 1995 1996 1997 ... II !j $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 \ \ I Credit for Parcel or Land Only If Applicable K- ~ 12<1,5 d-- X $ 4 ,~i- == /?&. oS- (Rate X Assessed Value) X $ == (Rate X Assessed Value) CREDIT TOTAL == $ Improvement (if after armexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL.......................... 0.4 Commerical......... ....... ......... 0.9 Industrial............................ 0 5 Governmental........ .............. 0.5 FIXUNIT. WPD IMPERVIOUS AREA == TOTAL LOT SIZE X RUNOFF COEFFICIENT " .\ fI\ . SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: \J~ ~\j~ ' ADDRESS: ~ (Q rot ~~, ..killA _' LOCATION OF PROPOSED BUILDI~E-= Street Address: 4$)i\ ~S~O-J Plat Name: \ U vrlb ~ ~x ~ot Number: \ ~(J?j) f()'2,~ $~~DO 1. PEVELOPM~T ;YPE (Check appropriate d~elling(S). SOC calCulat~ns and dWe~ling t ype definitions are on the back.) Job. No. Q~ \~ PHONE: -lL\4 <6,. \.0 ' STATE:t91L.ZIP: 1-l1L7 (, - A. ,SinQle-Familv Detached, \ Single Family home NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $ l f'On ,07.J B. ,Sinale"-Familv Attached NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ ,D. .~antJfacttJred Home Park. NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ \t\nn pn $z) $ \1)00. 0 0 IL, S/, Cf? Date 2. SDC CREDIT (if applicable) SDG-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SOC reduced for Credit) ~~hr~~~ent City of Springfield