The URL can be used to link to this page

Home My WebLink AboutPermit Building 7-8-21 SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971151 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4108 FORSYTHIA ST Assessors Map #: 18020522 Lot: 117 Block: Tax Lot #: 03500 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 contractor~~~ExPires :r ~~~ ~b~ YORKSHIRE HOMES ~'1-~@'f;.~~~~~ \CO 08/24/97 o ~\C1(;. ~~\..\.. \l.\CO ?€ 'i'O~ MEIER PLUM~ ~~~~ S ~\l'i:.Vi1>~~S.fl~~'i:.'O 11/01/97 3457 Potts ~~~eit~~~ ~~~oo SALEM HEATING'~~~O~\ ~~O~\~0.Q1505 05/19/98 PO Box 12005 ~"cl.l_Ei~~~7~~\10 NORTHSIDE ELE~~ ~~~~~ 0080593 03/17/00 PO Box 12668 sa~~\~R 973090000 OFFICE USE -- LAND USE: 1111 ZONING CODE: MDR # OF BDRMS: 3 RANGE: E Phone General: 838-0096 393-0819 Mechanical: 581-1536 Electrical: 399-7609 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1427 # 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: 971151 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 Building Permit Fee Surcharge/Admin TOTAL FEE PLUMBING PERMIT --- Item Residential Bath(s) 2 Plumbing Permit Surcharge/Admin TOTAL CHARGE MECHANICAL PERMIT --- Exhaust Hood Vent Fan Dryer Vent 2 Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE WILLAMALANE SDC SYSTEM DEVEL CHARGES TOTAL MISCELLANEOUS PERMITS (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- Page 2 (A) = Value 68,022.00 6,101.00 74,123.00 358.00 28.64 386.64 Fee 160.00 160.00 12.80 172.80 4.50 6.00 3.00 15.00 10.00 1. 20 26.20 0.00 17.20 14.80 60.00 1,000.00 2,081.73 3,173.73 3,759.37 (C) (D) (E) 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: 971151 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. c:)~ ~~ ~-2/~q1 Signature Date Date Paid: ~~\~ALIDATION ~.~~-"' -, ~DlJv\O ~t)~ .~ Receipt Number: Amount Received: Received By: J UD I'C U. ,':L...LL) ATTACHMENT A \ - CITY OF SPRll~GFIELD SYSTEMS DEVELOt . leNT CHARGE WORKSHEET NAME OR COMPANY: YoRK. ~J.." rz.E J.J oMc~ , ' LOCATION: /46%, Foll-SY'HIA (4...JYA7T H~;;f!)~ L07 117) DEVELOPMENT TYPE: OS.l=. R' . BUILDING SIZE:- LOT SIZE SO. -FE: 1. STORM ORA I NAGE' ,IMPERV rous SO.' FT. 2.f 42. ' X $0.,226 PER SO~ FT. $ +" .+q 2. SANITARY SE~ER-CITY ,NO.' OF. PFU'S " IR (See'Reverse Si~~) X $46.86 PER PFU $ 843. 48' 3. TRANSPORTATION ,'NO OF UNITS X TRIP RATE X 'COST PER, TRIP X 1.01 ' X $472.49 $ 477. 2...1 , X t- $472.49 $ X X $472.49 $ 4. SANITARY SEWER-MWMC ,NO. OF ~ 1 ' x Zn 7(., PER FEU' + $10 MWMC/ADM FEE $ 287.76 MWMC CREDIT' IF APPLICABLE (SEE REVERSE) / $ - 8 7. '51- TOTAL -MWMC SOC. . $ foe> .4Z- SUBTOTAL (ADD ITEMS 1.2:3 & 4) $ I q FJ2. . ~t::) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 . .... : hE. . Date: SDC (oordi nator $ '1'q. 1"3 & - 2 -91 TOTAL SDC i2. tJKI. 7~ , ,. ....'\.. UI u... un... '-'I-\L'-'ULI-\,I iV1\1 II-\UL&.:.. lllumoer or New~' (NOTE: For remodels. calculate .he NET .additional fixtures) , , , " ,NUMBER OF FIXTURE TYPE '. '. NEW FIXTURES -es x.. unit equivalent = Fixture, Units \. .... " UNIT EQUIV ALENT FIXTURE UNITS' Bathtu b. .. . .. . ... . . . . . . . . .. . . .. . . . . .. . . . . . . . . .. . . . . ..... . . .. . . . . .. .. . .. .... .... Drinking. Fountain. ............. .......... ................................. Floor Drain....... ~........... .,.............................., ..;'......;.... Interceptors For Grease/Oil/Solids/Etc........,........ Interceptors For Sand/Auto WashiEtc............:..... Laundry Tub/Clotheswasher ...:.. ... ....;.........~............', Clotheswasher - 3 Or More...............~..................... Mobile Home Park Trap (1 Per Trailer).................. . Receptor For RefrigeratorlWater Station/Ete;....... Recept9r For C'ommercial Sink/Oishwa~her/Ete.; Shower; Single Stall....... ..........;. ......,....~..~....'..........~... , Shower, Gang.......... ..........:..... ...~... ..'.... ............... ..... Sink:" Bar, CommerCial, ,Residential Kitchen.............;.:.....,.. ' Urinal, Stall/Wall..... ~......... ..'............ .~"..................~... , Wash BasiniLavato,y, Single...................';.............. , ,Toilet; Pubiic Installation.....,.................................. ' Toilet, Private..:............ .'........ ~ ..'.... .......;..;~... .......;. ' 'Miscellaneous: , ' 2 ~ 1 ;2 3 , \ 6 2' 6 6 1 3 , 2 l/Head ,. \ ,2 2 2- " 6 2- 4 2..... '2- ~ , lZ.... ~ " TOTAL FIXTURE UNITS, = I 1% CREDfr CALCULATION TABLE: Based on assessed value.' If improvements occurred after annexation dat~ in tabie,' calculate credits separates.. ' '. Year Annexed " , Rate per $1,000 . Assessed Value Year,: Annexed , Rate per $1,000 Assessed Va,lue ,@ 1979 or before 1980 . '1981 1982 1983'. 1984 1985 1986' $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 . $2.56 2.17 1.73 1.31 0.9,2 0.74 0.61 0.45 0.31 ,0.17 Improvement (if after, annexation date) , ,,<, q, X$ 2.~.~' (Rate X Assessed Value) X $ . , (Rate X Assessed Value) = ~ 7 ~ 34 " Credit for Parcel or Land Only If Applicable CREDIT TOTAL ,= $ . ." . RUNOFF COEFFICIENTS FOR STORM DRAINAGE , . (For Estimating Purposes Only) , Flcsidemial... :...... ................. 0.4 Commerical................... ...... 0.9 Industrial.........................,.. 05 Governmental.......... ..........:. 0.5 , , , , . , IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT " ',. , (\f\\,\~ ( ... , . SYSTEM DEVELOPMENT CHARGE WORKSHEET 'NAME:l~L\~QfJJ' PHONE:~(}~.<6?J<6~ ADDRESJ \~ ~.. '. If" STATE:("\'/) ZIP: (\l~~ - '~\01\~ .v\L- LOCATION OF PROPOSED BUILDING S 'E: ' , , Street Address: '\\\t ~~(i) . .. . . , Plat Name: \0wUr> \ trd--- Tax Lot Number: t({)~~, 'D~ 1., PEVELOPME~ TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) \. - A. Sinale-Familv Detached \ Single Family home NO. OF UNITS' \ Manufactured home not in a park X $1,000 per unit = $ \ If[)~ r I B. Sinale'-Famil\LAttached, NO. OF UNitS X $924 per unit = ' $ ,C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home Pa~ NO. OF UNITS X $699 per unit = $ $ \Cfn pJ o $ tocopo I~\ I C\l $ WllLAMALANE SDC 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of WiUamalane Credit approval. See sac Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) \ \~\~Qf , ~velopmenY S~~~~ D~partment City of Springfield CR., Dare