HomeMy WebLinkAboutPermit Building 1997-8-21
SPRINGFIELD
~ I' tS. it (1ft. J j' 4
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971161
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4124 FORSYTHIA ST
Assessors Map #: 18020522
Lot: 103 Block:
Tax Lot #: 02000
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
Contractor
Const.
Contractor #
Expires
Phone
Plumbing:
YORKSHIRE HOMES 0101767
1049 Yorkshire Ct Se Salem OR 97301
MEIER PLUMBING 0095025
3457 Potts Dr NE Keizer~ 97303000
SALEM HEATING ~JYI_ ~~~1505
PO Box 12005 Salem O~ ~~o~o
NORTHSIDE ELECT (;~It()^ ~593
PO Box 12668 Salem ~~'nIr1~06liJSllt-'l
~AIL. ~...: D/~ 'I./. ~_
- - OFFic!80~s~e CJ v~~ .;;JP~
LAND, u'~.Y p}r'1T~ ~~8 ~ /f:'h # OF BLDGS: 1
ZONING CO~/dJr1te-4llta ,.o~~~ Iy~ /tytR...CCY GROUP: R3
# OF BDRMS: 3 ~ OIltS V~/8 ~T SOURCE: WH
RANGE: E D ~O~ IltOJNSUL PATH: TPC
08/24/97
838-0096
General:
11/01/97
393-0819
Mechanical:
05/19/98
581-1536
Electrical:
03/17/00
399-7609
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1419
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.
UNDER FLOOR 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
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH MECHANICAL - Prior to cover.
ROUGH PLUMBING - 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: 971161
Total Height: 16
Lot Type: INTERIOR
Page 2
Setbk From NPL: 40
Solar Approved: Y
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1044
375
$/Square Feet
64.66
16.27
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
2
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
WILLAMALANE SDC
SYSTEM DEVEL CHARGES
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
Value
67,505.00
6,101.00
73,606.00
355.00
28.40
383.40
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
18.10
14.80
60.00
1,000.00
2,092.86>
3,184.90
3 , 7 67-:"S1) ,it>
~(\~%.
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: 971161
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
1 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 ~~ite~~ times during construction.
q-z/--q/}
Signature
Date
Date Paid:
~ 1\ \~IDATION
R.~\.~'\
?Jl \Q, .~n
d\ffi~)
Receipt Number:
Amount Received:
Received By:
. JUb NU. ,<3..L/ I ~ {
ATTACHMENT A
'CITY OF SPRINGFIELD .SYSTEMS, DEVELOPMENT CHARGE'
WORKSHEET
NAME OR COMPANY: Yot..1(. .:; 1./ I J2.€ l~ OHC S
LOCATION:
4' I '2-4 \~ (U.tAJA. ~ {'
(tV '1'.4 Jr H&--A.no~ t..,rr Jli V
DEVELOPMENT TYPE:
S'r IZ
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE
,IMPERVIOUS SO. FT. .:....:z. otic,
, ,
'x $0. 2~6' PER SO. FT: $+72 j /I
,2. SANITARY'SE~ER-CITY
NO. OF PFU'S '8
iSee Reverse Side)
X $46.86 PER,PFU
$ 843.'48
. .', .
, , 3. TRANSPORTATiON
'NO OF UNITS X TRIP RATE X COST PER TRIP ,
, ,
X 1.0 f X $472.49 '
$ 477.2.1
,
x
, " X $472.49',
$
x
X $472.49
$
4. SANITARY SEWER-MWMC
Du Dd,
NO. OF Fffl'S X Z27.7'- PER fB:r+ $10 MWMCI ADM FEE $ .z g 7. 71;:..
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - 87.3+
TOTAL-MWMC SDC, $ Zoo .~2.
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ I qer~. 2."2-
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05 '
$ , 'iq . ~ ~
f)g,
,
SDC Coordinator
Date: 8-?......q7
TOTAL SDC , $' // {)9z...~
FIXTURE TYPE
& U '" I MUL.L. i\lUmOer or New l-txte^ Unit t:quivalent = Fixtur~. ,Units
J NET additional fixturesl. . '
, NUMBER OF UNIT FIXTURE
'... NEW FIXTURES EQUIVALENT, UNITS
, . ....,. v IU.. V & \II ,& '-' M'" '-' V L.
(NOTE: For remodels, calculate onl\
Bathtub... ..,.. ..'............... ..........,..... .............,... ...............
Drinking. Fountain...................:........ .......~ ........ ..........
Floo'r Drain...... .:'........... .'. ............................... .'............
Interceptors For Grease/OiI/Solids/Etc........ .........
Interceptors For Sand/Auto Wash/Etc.................. .
, Laundry Tub/Clotheswash~r........ ...... ..................\...
Clotheswasher - 3 Or More...................:.................
Mobile Home Park Trap (1 Per Trai/er).............:....
Receptor-For Refrigerato!lWater Station/Etc......,.
Receptor For Commercial Sink/Dishwasher/Etc.. ,
Shower, Single, Stall ...,.... "...... ~......... ..... ;,......... .........
Shower, Gang. ......~......... ~............ ..:.;....... ..................
Si,nk:'Bar, Com'merCial, Residential Kitchen............,............
Urinal, Stall/Wall. ..~..:.~........;... ,"...........~.. ...................
,Wash Basin/Lavatory, Single~........;-.....:..........:.......
Toilet, Pubiic Installation.. ~:........:.... .....:. ...............,. '
Toilet " Private.. ...,............................ ......~....~...... .,....
'Miscellaneous: "
\
2
'. 1
.2
3
6
2
6
6
1
3
2
i /Head
2
2
1
6
,4
?--
'Z.... '
'-
'2...
'2...
'Z..
z.
8
, I
TOTAL FIXTURE UNITS
=
J8
CREDIT CALCULATION ,TABLE:. Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
, r
f979 or before
,1980 .
1981
1982
1983'
1984
1985
1986
$3.9.7' -
, 3.89.
3.83
3.70
3.55
3.39 .
, 3.20
2.91:
1987'
1988
1989
1990,
1991
1992
1993'
1994
1995 '
1996
....
Rate per $1,000
Assessed Value
$2.56 .I
2:17
1.73
1 ~31
0.92
0.74
, 0.61
0.45
0.31
0.17 .
= 87.34-
=
I,'
Year
Annexed
Rate per $1,000
, Assessed Value.
Year
Annexed
Credit for Parcel or Land Only If Applicable
'3 .~7 " X$ 2.~./)~o
(Rate X Assessed Value)
X $
. (Rate X Assessed Value)
, ,
Improvement (if after annexation date) . .
CREDIT TOTAL"
$ 87.34-
, "
, RUNOFF COEFFICIENTS FO.R STORM DRAINAGE
(For Estimating Purposes Only)
Residemiai...;....................... 0.4
CommericaL...., ,............. .... 0.9
Industrial.............,.............. 0 5
Governmental................;...... 0.5
IMPERVIOUS AREA, = TOTAL: lOT SIZE X RUNOFF CO'EFFICIENT
.\
f1\ . .. .
. SYSTEM DEVELOPMENT CHARGE,
WORK'SHEET
NAME: '0~L \. ~~.. PHONE: 5/l~ .?:.?>~~
ADDRES~\~ ~. ~ \\t11k1",\~:IJ(LZIP: o.l~1
LOCATION OF PROPOSED BUILDING S)tE; ,
Street Address: 'L\:\tA- w5l\'fu~ .
Plat Name: \0uait), ~ Taxt:Lot Number: \(K'{(}{)~9f[()
1. DEVELOPMEN~ TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t .
ype definitions are on the back.)
Job. No.
(\f\ \.\ \Q\
\.
-
A. Sinale-Familv Detached
\. Single Family home
NO. OF UNIT$ \
Manufactured home not in a park
X $1.000 per unit = $ \tff)~
B. ,Sinale"-Familv Attached,
NO. OF UNITS
X $924 per unit = $
C. Multi-Family Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactl)red HQme Park.
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit , = $
$ \CffJ qJ
~
$ to(OPO
o ,&l /~\1
$
2. SDC CREDIT (it applicable)' SDC-payer must furnish proof of
Willamalane Credit approval. See sac Credit Worksheet.
3. TOTAL WILLAMALAN.E NET SDC ASSESSED
(if SDC reduced for Credit)
\ \ ~\ ~r\1)Q.f .
. dJvelopmenY S~~~~ D~partment
City of Springfield
Date