HomeMy WebLinkAboutPermit Building 1997-12-8
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971681
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4013 FORSYTHIA ST
Assessors Map #: 18020611
Lot: 78 Block:
Tax Lot #: 04200
Subdivision: WYATT 2
OWner: COZY HOMES
Address: PO BOX 237
Phone #: 747-8704
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: S.F. RESIDENCE
NEW
Plumbing:
AII_
. ;lI17C Const.
Contractor ~~8p' ~'contractor # Expires
-4(;1'; ~.-94f/
COZY HOMES . CO~.-9~rB~47 06/10/98
~~~5 S 2nd spr~'61 1VCS'DO&~~~/.-9S'/~ 12/15/97
648 W Oregon Ave cr~~~~ ~~jt4~p' ~f.tS'Ih_
MARSHALLS ~.-9I(j.QZ~1!.o:: ~.-94f17' I'.U~.f/97
4131 E St Springfield OR 974'-'i800'o~ONS'D /841(')
BILLS 0021351 ~O.-9 o.rl128/98
3170 W 11th Eugene OR 974020000
Fhone
General:
747-8704
632-4765
Mechanical:
747-7445
Electrical:
687-1851
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1606
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: SGC
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.
UNDERFLOOR MECHANICAL - 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,
CURBCUT - 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,
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SPRINQFIELD
Job Number: 971681
Lot Faces: N
Solar Approved: Y
N
House 25
Garage 18
Item
Main
Garage
Total Value
Building Permit Fee
surcharge/Admin
TOTAL FEE
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
surcharge/Admin
TOTAL PERMIT
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
ELECTRICAL PERMIT
WILLAMALANE SDC
SYSTEMS DEVEL CHARGE
Total Height: 19
Lot Type: INTERIOR
Setbacks
S W E
5 5
5
Page 2
Setbk From NPL: 50
BUILDING PERMIT ---
Square Feet x
1206
400
$/Square Feet
64.66
16.27
PLUMBING PERMIT ---
2
--- MECHANICAL PERMIT ---
2
--- MISCELLANEOUS PERMITS ---
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 ---
(A)
= Value
77,980.00
6,508.00
84,488,00
388.00
31. 04
419.04
Fee
160.00
160.00
12.80
172.80
6.00
4.50
6.00
3.00
19.50
10.00
1. 57
31. 07
0.00
18.40
14.80
60.00
124.20
1,000.00
2,106.07
3,323.47
3,946.38
(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
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Job Number: 971681
Page 3
Received By:
Plans Reviewed By: TOM MARX Date: 11/26/97
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.
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/2.-1-'27
Signature
Date
Date Paid:
-- - VALIDATION
~'fAD&-
- \A~PJ,qfJ
2A4~.~<b
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Receipt Number:
Amount Received:
Received By:
CITY OF
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I A IT ACHMENr"A~"~'~" ""A'"'.'-"'~r.".W"~..."!_,,.,...., ...",,,""?tl~....,,,- '.....r,
. . . .', .....i.,r ~.:c.~.-r,;. '"\;. ~"'. ,:-~~....~._'. .... ,'. ,
SPR GFIELD SYSTEMS DEVELOPMENT CHARGE"'<: ,~:. .~..' .
WORKSHEET
NAME OR COMPANY:
CO 2Y UOM6S
LOCATION:
40 (--:, r-oJZ.;"'Y(HI~
DEVELOPMENT TYPE:
~. F. R .
BUILDING SIZE
LOT SIZE
SQ. Ft.
1 . STORM [)RA H!!lGF
It1PERV IOUS SO. FT. ? 2 '" I
x $0226 PER SQ. FT, $ Fin?',73
2. SANITARY SFWFR-CfTY
, ,
NO. OF PFU' S J 8
(See Reverse Side)
X $J6.86 PER PFU
$ t\4 3......1:.8
3. TRANSPORTAT!ON
NO OF UNITS X TRIP RATE X COST PER TRIP
X I . n I X $472 49
$ 477,2./
x
X $47249
$
x
X $47249
$
"
4. SANiTARY SFWFR-M~MC
Dw
NO. OF Fflf-S X 277.7(", PER FEU + $10 MWMC/ADM FEE, $ 2R7.7to
M~I~IC CREDIT IF APPLICABLE (SEE REVERSE) $- //1,40
TOTAl -MWMC S[)G. $ /74, ..3tn
SUBTOTAL (AOD ITEMS 1. 2.3 & 4) ,$ 21 00 &>. 78
5. A[)MiNISTRATiVF FFES
BASE CHARGE (SUBTOTAL ABOVE) X .05
$
lOO.2Cf
M.
Date :_11- ?t.~97
SOC Coordinator
TOTAl S[)C $' 2: IOte. ,07
riA I unc: UIIII h l"~Ll,,UL~ IVIII,I ~DLC:; Number ot New Fixtures X. Unit Equivalent ,= ,Fixture-Units....
(NOTE: Forremodels,. calculate-onl. NET'a~~iti?_~<;! fix!uresl" - .. .'" . .~~. -.. .
.. , _.. .'.., . . -r, :;, I", TO, ,NUMBER OF UNIT FIXTURE.
FIXTURE TYPE ...,,';..' NEW FIXTURES EQUIVALENT UNITS
Bathtub..,.,......"...............................,..............,......... ,
Drinking. Fountain...,....................,............... ...... .......
Floor Drain.................. ...........,..................... ..............
Interceptors For Grease/OiI/SolidsIEtc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher........................,..........
Clothes washer - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailerl..................
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.......... ........................
Toiiet, Public Installation,............... ..... ........... ........
Toilet, Private.................................... ...................
Miscellaneous:
2.
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
'2....
2..
TOTAL FIXTURE UNiTS
=
4
'2
2.
:2
~
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18
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
$3,0
3.89
3:83
3.70
3.55
3.39
3.20
2.91
,','
1987
1988
1989
1990
199,1
. 1'!J92
1993
1994
1995
1996
~., 1979 or before
1980
1981
1982
1983
198<1
1985
1986
Credit for Parcel or Land Only If Applicabie
<, . q7 X $ 29., t:Jt:oQ.. =
IRate X Assessed Value)
X $ =
, (Rate X Assessed Value I
Improvement (if after annexation date):
.
Rate per 51,0;;;-1
Assessed Val~; I
I
$2.56
2.17
1. 73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
II
1/ I : 40
CREDIT TOTAL = $ /1 J. 40
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
h~sideiidGI...:. ..... ............ ..... 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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Job. No. Q~\\O~\
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SYSTEM DEVELOPMENT CHARGE
WORKSHEET '.
NAME: . ~~~ ~ ~' PHONE:'141.<6lrt1-
ADDRESS:\ ~ ~ ~1.D(\ ,^~I~ STATE: ~ZIP: Q1f17
LOCATION OF PROPOSED BUILDING t,:A; I .
Street Adqre~s: 4\)5 ~ffi1 ~ ,~D-J
Plat Name~\lMt-) I ?~i\.~ Tax Lot Number: \ <?:!JlOIoU 0t7L0
1. DEVELOPM~T TYP!=:. (Check appropriate dwelling(s). sac calculations and dwelling t
ype definitions are on the back.)
A. Sinolfl-F8milv DflI8r:hflrl,
\ Single Family home
NO. OF UNITS
Manufactured home not in a park
X $1.000 per unit = $ \teO,~
B. Sinolfl'.F8milv Att8r:hflQ
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufact!lrflrl Homfl P8rk,
WILLAMALANE SDC
$
$
\ OCX) ,CD
[7
NO. OF UNITS
X $699 per unit =
2. SDC CREDIT (if applicable) SaC-payer must furnish proof of
Willamalane Credit approval. See SDC Credi' Workshee'. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~ (
~~~ent Se 'c s Department
City of Springfield
$ (OOO~
I~ P) fill
Date