The URL can be used to link to this page

Home My WebLink AboutPermit Building 7-6-10 SPRINGFIELD ~. Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970872 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4105 FORSYTHIA ST 4107 Assessors Map #: 18020522 Lot: 67 Block: Tax Lot #: 03200 Subdivision: WYATT 2 Owner: RON HOLLAND Address: 1220 MARSH STREET Phone #: 805-543-4071 City/State/Zip: SAN LUIS OBISPO, CA Describe Work: DUPLEX NEW Contractor Const. Contractor # Expires Phone General: R NEUHARTH 0066019 6343 C Street Springfield OR 974780 Electrical: BINNS ELECTRIC 0073762 210 Wallis Str Unit #C Eugene OR 97 06/19/97 747-3846 06/06/98 687-1362 QUAD AREA: 3RSC # OF UNITS: 2 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: Vii!i>,dJ \\DOlo OFFICE USE -- LAND USE: 1120 ZONING CODE: MDR # OF BDRMS: 2 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: PI 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 TEMPORARY POWER 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/Ceilingi 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: 970872 Page 2 Lot Faces: N Solar Approved: Y Total Height: 27 Lot Type: INTERIOR Setbacks S W E 83 14 14 14 14 Setbk From NPL: 34 N House 20 Garage 20 Item Main Garage ELEVATED DECKS Total Value BUILDING PERMIT Square Feet x 1306 300 104 $/Square Feet 64.66 16.27 8 Value 84,446.00 4,881.00 832.00 90,159.00 Building Permit Fee Surcharge/Admin 397.00 31.76 TOTAL FEE (A) 428.76 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 2,513.75 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) 2 Fee 182.40 Plumbing Permit Surcharge/Admin 182.40 14.59 TOTAL CHARGE (C) 196.99 MECHANICAL PERMIT --- Exhaust Hood Vent Fan Dryer Vent 2 9.00 6.00 6.00 Mechanical Permit Issuance Surcharge/Admin 21.00 10.00 1. 68 TOTAL PERMIT (D) 32.68 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC PLAN REVIEW FEE ELECTRICAL PERMIT 0.00 19.00 18.70 1,848.00 60.00 226.80 TOTAL MISCELLANEOUS PERMITS (E) 2,172.50 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, 0, and E combined) 5,344.68 SPRINGFIELD Job Number: 970872 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: DON MOORE Date: 06/06/97 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 rema~te~ ~t~ring construction. / -/0 - Cf) Signature' Date - - - VALIDATION Date Paid: 5\.cltC\, . ~.\\).qJ _5::'\ ~ \.o~ \!\~~ - Receipt Number: Amount Received: Received By: . - The, following proi0~t as r;I,.;bm~2d h['~ \1:'1 b:!oY!ing zonmg, and does loGi r;;quire 5:pE:c1iic L"d U;';0 approval. Zoning, .YV\M Da-le .tR-Ul!!1J_ 974'Y;910riZOO Signature r'\ tv\ 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. ,\{D~T\O~ S-t{fx~7 oJ \~~GnSr1S~PB~aro ~ a ~ ~ . , \\/j)~~I9fn I1t1 [) \\oD\o \.....\.J - \ f ~ - ~, Permits are non-transferable ~d expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contract~~\f\(\~ ~ Address rO \() u)\ n 11'l * Q; '., Ci ty 5 f1~ Phone ~ fl. \C:Jfi- Supervisor License Number ~\~ Expiration Date \ (), \ C\55 Constr Contr. Number \~lL.d2- Expira tion Da te l.o .le . Q.~ The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: ---------------------------~-- ~------ Mrn: &~ l J RECEIPT .#:~m)lJ-+_, q\, RECEIVED BY: - 11\\1 y\. ' ELECTRICAL PERMIT APPLICATION City Job Number 0. ~O~1~ A. 3. COMPLETE FEE SCHEDULE BELO~ Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Temporary Services or Feeders Installation, Alteration or Relocation tn,aJ 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder B. 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 C. 200 amp~~r less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits Items rR Cost Sum 12f1D $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 volts 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 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fe~ TOTAL $ 35.00 $ 2.00 not included) $ $ $ $ 36.00 cO(B:~ ---..jJ h ,~J rOH.I;':Xfj . 40.00 40.00 20.00 SPRINGFIELD ~. ::I~'- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: RON HOLLAND Location: 4105 FORSYTHIA ST 4107 Developement Type: R Building Size: Job No.: 970872 Lot Size: l. STORM DRAINAGE Impervious Sq Ft 2503 X 0.216 Per Sq Ft 2. SANITARY SEWER - CITY Number Of PFUs 22 X 44.75 Per PFU (see Page 2) 3. TRANSPORTATION Number Of Units 1 X X Trip Rate 1. 010 X X Cost Per Trip 451.26 $455.77 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 22 Per PFU + 20.690 + MWMC Admin Fee 10.00 X X 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 0.50 TOTAL SDC Reviewed By: DENNIS ERNST Date: 06/06/97 Page 1 Sq Ft $540.65 $984.50 $455.77 $465.18 $52.05 $413 . 13 $2,394.05 $119.70 $2,513.75 Job Number: 970872 Page 2 FIXTURE UNIT CALCULATION TABLE 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 o o o o o 2 o o o 2 o 2 o 2 o 2 o 2 1 2 3 6 2 6 1 3 2 o o o o o 4 o o o 4 o 4 o 2 o 8 o 2 2 1 6 4 22 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) : 15,000 X 3.47 52.05 o X 3.47 0.00 CREDIT TOTAL $52.05 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) Job. No. ~~b ~~~ \. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:~~ ~\\\U'fL PHONE: %S ~3 4fJll ADDRESS:JW[\~ I J:lf\. STATE: 0A ZIP: LOCATION OF PROPOSED BUILDING~ k\M en Street Address: !\\\)':1 ~L\\lY\ ~(S\.\!\ntoJ Plat Name:VJIi\11. \ 1mj". Tax Lot NU~ber: JJtrltJ~'L2... 03UfJ 1. DEVELOPME~ 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 B. Sinale"-Familv M?ched NO. OF UNITS A c. Multi-Familv Aoartment NO. OF UNITS D. Manufactured Home Park Manufactured home not in a park X $1,000 per unit = $ X $924 per unit = $ \'64 ~ {XJ X $692 per unit = $ NO. OF UNITS X $699 per unit = $ $ \~~~fJ) % $ \~~ cp t - ^ Cr \J) /_\u_/ - $ WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See sac Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ~) Development Se . City of Springfield I' Date