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HomeMy WebLinkAboutPermit Building 1997-9-29 SPRINGFIELD ~- Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971417 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4115 FORSYTHIA ST 4117 Assessors Map #: 18020522 Lot: 93 Block: Tax Lot #: D3000 Subdivision: WYATT MEAD 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 06/19/98 747-3846 06/06/98 687-1362 QUAD AREA: 3RSC # OF UNITS: 2 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1606 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 --- \NO~~ FOOTING - After trenches are excavated. . \~E. \r ,\'\E. 0' FOUNDATION - After forms are erected but prior to con~~~~~ce~~t~E.~? E.~~~\S~ UNDER FLOOR PLUMBING - Prior to insulation or decking. S ?E.~W\\' E.~ ,\,\\S? ~O rO~ POST AND BEAM - Prior to floor insulation or decking. ,\,\~ ~\lE.OU~O B~~OO~ INSULATION - Floor; prior to decking Wall/Ceiling; ~~o ~U~~\S~ SANITARY SEWER LINE - Prior to filling trench. OW\W\E.~C ~~\OO. STORM SEWER LINE - Prior to filling trench. C ~&OO~'f? WATER LINE - Prior to filling trench. ~'f 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. Lot Faces: N Total Height: 28 Setbk From NPL: 37 Job Number: 971417 Page 2 Solar Approved: Y Lot Type: INTERIOR Setbacks S W E 81 9 9 81 9 9 N House 20 Garage 20 Item Main Garage DECK 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 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 PLAN REVIEW FEE WILLAMALANE SDC ELECTRICAL PERMIT SYS DEVEL CHARGES 0.00 19.75 15.40 60.00 1,848.00 183.60 3,629.37 TOTAL MISCELLANEOUS PERMITS (E) 5,756.12 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 6,414.55 --- 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. Job Number: 971417 Page 3 Received By: Plans Reviewed By: DON MOORE Date: 09/24/97 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- A & T ESTIMATE ONLY FOR SDC CREDITS 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 Zit the ei,te ~"i;ring construction. Signature r-~9-? ) Date --- VALIDATION Date Paid: 2?~~J , -- - Y2-p / b~~ ~y~~ Receipt Number: Amount Received: Received By: 2~ Willanllalane t'--l Park & Recreation District Job. No. f. SYSTEM DEVELOPMENT CHARGE {) " WORKSHEET - NAME:~ \\ti\(\flrl .. PHONE: <ltEJ.ff\3Ar ADDRESS: \121) 'f{)J\t.I,~M~STATE:1.&ZIP: LOCATION OF PROPOSED BUILDING SIT~~~ ~ Street Address: 4\ \tQ -\- AWl m ~ --htJl ) Plat Name: ~k Jl!t\ 11._\ ~~-, Tax Lot Number: _R>O~, J5~'d{):rro 1. PEVELOPMENAYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) ,-- ... \. A. Sin91e-Family- Detacheej Q~\~f Single Family home Manufactured home not in a park $ ~4?;.(X) o $ lG46.W , NO. OF UNITS X $1,000 per unit = B. SinaleO-Familv 8ttQched. NO. OF UNITS .J1 C'< X $924 per unit = C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home Park. NO. OF UNITS WlllAMAlANE SDC X $699 per unit = $ 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WlllAMAlANE NET SDC ASSESSED (if SDC reduced ft;)1"~ JJL; Development Ser'viqes Department City of Springfield $ $ {3iD~ ( ') I 2-1 I ~ '} Date ATIACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . .JOB NO. ,Q7/-4, '7 NA,ME OR CQr'1PA,NY. PON J-!()LLAAJD LOCATION: 4tlb 4 41t7 FOQ,-,sYTt-!/A DEVELOPMENT TYPE: nu J/L (;)tC BUILDING SIZE LOT SIZE SO Ft, 1, STORM DRAINAGE It1PERV IOUS SO FT, 2 So I X $0,226 PER SQ. i-! $ /i(."l),?:3 2, SA,~JITARY SE"jER-CIT'I NO OF PFU' S Z'Z-- (See Reverse Side) X $J6. 86 PER PFlJ . $ /030, OJz- 3, TRANSPORTi::.iION NO OF UNITS X TRIP RATE X COST PER TRIP 2- X 1,01 X $47249 $ Q!J4.43 x X ,$472,49 $ x X $472.49 $ 4, SANITARY SEi,~ER-~I\'jf~C OLl NO,OF-FftJ-!-S z.. X 477'7~ PER FEU + $10 MWMC/ADM FEE $ q~.c).6~ MWMC CREDIT IF ,LWPLICABLE (SEE REVERSE) $- 5'1.55 TOTAL -M\~rlC SDC $ 90S. 97 SUBTOTAL (ADO ITE~lS 1.2.3 & 4) $ 3.4S-0 ./ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 $ /72-,8) HL, , Date: . q-2~-17 ' SDC Coor'di nator TOTAL SOC $ 3 I to zq, 3 7 , , riA a una: un.. I \"~L\"U LJ- (NOTE: For remodels, calculate only. FIXTURE TYPE luna I ~,DLa::. Number ot New Fixtu.,U~lt~q~iValent:~,f,ix~ure.Ynits'''':'''''- ..; NET additional fixtures)' .' '.' ''''~:"', " . "..' , -'. " NUMBER OF UNIT" ';'" FIXTURE NFW FIXTURES EQUIVALENT UNITS' I Bathtu b...,.,....... , .... ,.' , ....,. . ~. , , . ..,. , .......,. , '........, , , ,...,.... Dri n ki ng. Fa u nta in.. .... .. .. .. , , . . .. . , , . .. .. . . .. .. .. . .. ': .. .. .. . .. ... .. . Floor Drain".,."'...,.,.,...".,.,.........."...."..",..............,,.. Interceptors For GreaseiO i IISo I id s/E tc........... .. ,:.. Interceptors For Sand/Auto Wash/Etc.................. La u n d ry Tub I C lot h e s was her. . .. . , , . , .. .. .. .. .. .. .. .. .. .. . .. .. . Clotheswasher - 3 Or More.......................:............. Mobiie Home'Park Trap (1 Per Trailer).................. Receptor For RefrigeratorlWater S tation/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. S ho wer, S i ngl e S ta II. .. , .. .. .. .. .. , .. . .. .. .. .. .. .. ...... .. .. .. .. . .. .. S ho we r, G a n g .. .. .. .. .. .. .. , . , . , .. , . , , . '.. , , .. .. .. .. .. .... . .. .. .. .. .. ... Sink: Bar, CommerCial, Residential Kitchen........................ Urinal, Stall/Wall...........,...............................,., ~...,.... Wash Basin/Lavatory, Single............................... i" To ii e t; Pu bi i c in sta II ati 0 n , .. . . . .. .. .. .. .. .. .. .. ... .. .. ., : .. .. .. .. T oi I et , Pri vat e.. . .. .. .. . . . .. .. .. . , , , . . , .. .. .. , .. . .... .. .. ... , , , , .. .. , Miscellaneous: 2-. 2 1 2 3 6 2 6 6 1 ,3 2 l/Head 2 2 1 6 4 4- -z.. 4- 2- 4> 2- 2.. 2- 8 . TOTAL FiXTURE UNITS z.. -z..- CREDIT CALCUlAT.ION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year, Annexed ~~ ~7~ or before. l!:1tlu 1981 1982 1983 i984 1985 1986 Rate per $1,000 Assessed Value $:..:? 3.83 3.70 3.55 3.39 3.20 2.91 Year, " Annexed Rate per $1,000 Assessed Value 1987 1988 1989 1990 1991 1992 1993 ' 1994 , 1995 1996 $2.56 2.17 1.73 1.31 0.92 ',0.74 0.61 0.45 0.31 0,17 Improvement (if after annexation date) ~<, · q 7 X $ I 5; tJocJ (Rate X Assessed Value) X ' $ , (Rate X Assessed Value) SCJ ,5'~ Credit Jor Parcel or Land Only If Applicable == , CREDIT TOTAL == $ S9. (:)6 - RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating' Purposes Only) Fi~sjdenri3!.... .0..... .......00,_. ..... 0.4 Commerical................... ...... 0.9 Industrial.................::~'..'...... 0 5 Governmental...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT