HomeMy WebLinkAboutPermit Building 1997-9-29
SPRINGFIELD
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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