HomeMy WebLinkAboutPermit Building 1997-7-10
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SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970646
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4079 FORSYTHIA ST 4081
Assessors Map #: 18020611
Lot: 70 Block:
Tax Lot #: 05000
Subdivision: WYATT MEADOWS 2
owner: KEYS HOMES INC.
Address: P,O, BOX 25083
Phone #: 292-6378
City/State/Zip: PORTLAND, OR 97225
Describe Work: DUPLEX
NEW
Contractor
Canst.
Contractor #
Expires
Phone
General:
09/29/97
292-6578
KEYS HOMES INC, 0094105
7185 SW Sharon Portland OR 97225000
M,P,I, 0094105
7185 SW Sharon Portland OR 97225000
Electrical: FAR NORTH ELECT 0100894 06p7
155 B Ave Ste 330 Lake Oswego OR 97 ~~~ ~o~
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OFFICE. ~B, -- ~\. ~1-'f ''CO ,?~,?\"1'" ,,:O'r-
LNiIrt~..N'S'O~ r;;.'r- ~~~ O~~\) # OF BLOGS: 1
Z~Nf'?~};:~: ~ ~~~'V OCCY GROUP: R3
# a.J;'\\~D~~~ O'r- \s ~ HEAT SOURCE: WH
RAN~~~"~c.~\) ~.o\), INSUL PATH: P1
,.O~~€ ('\~'( '?€
v . .\l,li\v
To request an inspection, call the 2~~hour recording at 726-3769.
Plumbing:
09/29/97
292-6578
636-4115
QUAD AREA: 3RSC
# OF UNITS: 2
CONSTR, TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 3340
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,
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,
FRAMXNG - 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,
SPRINGFIELD
Job Number: 970646
Lot Faces: N
Solar Approved: Y
N
House 28
Garage 20
Item
Main
qarage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Total Height: 26
Lot Type: INTERIOR
Setbacks
S W E
63 14 14
Page 2
Setbk From NPL: 20
BUILDING PERMIT ---
Square Feet x
2940
400
$/Square Feet
64,66
16,27
(A)
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B)
Value
190,100,00
6,508,00
196,608,00
651.25
52,10
703,35
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Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved,
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
PLAN REVIEW FEE
PLUMBING PERMIT ---
4
(C)
MECHANICAL PERMIT u_
4
(D)
--- MISCELLANEOUS PERMITS ---
TOTAL MISCELLANEOUS PERMITS
(El
(Excluding Electrical)
unleee otherwise noted
TOTAL AMOUNT DUll
(A, B, C, D, and B combined)
~
Fee
320,00
320,00
25,60
345.60
9,00
12,00
6,00
27,00
10,00
2,16
39.16
0,00
20,20
15,40
1,848,00
60,00
1,943.60
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SPRINGFIELD
Job Number: 970646
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: BOB BARNHART Date: 05/16/97
Building Site Reviewed By: BRENDA JONES
- - - ADDITIONAL COMMENTS ---
SAME AS 970638 615/617 S 41ST CT
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 ens~re tpat all required inspections are requested at the
proper time, that eaJ.~ address is readable from the street, that the permit
card is located a:/::'~ fr6nt of the property, and the approved set of plans
~ ".~~ ci... '""i., ,","C"""Ci...
/~nature
I
Date
Date Paid:
L./'.. ,--:" VAL:;il{'TION
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Receipt Number:
Amount Received:
Received By:
,.
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RBSIDENTIAL)
Name or Company: KEYS
Location: 4079
Developement Type: R
HOMES INC.
FORSYTHIA ST,4081
Building Size:
Job No.: 970646
Lot Size:
l. STORM DRAINAGE
Impervious Sq Ft 2580 X 0.226 Per Sq Ft
2, SANITARY SEWER - CITY
Number Of PFUs 46 X 46.86 Per PFU
(see Page 2)
3, TRANSPORTATION
Number Of Units
2 X
X Trip Rate
1. 010 X
X
Cost Per Trip
472.49
$954.43
Transportation Total
4, SANXTARY SEWER - MWHC
Number Of PFUs
46
X
X
Per PFU + MWMC Admin Fee
20,690 + 10,00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5, ADHINISTRATIVB FBES
Base Charge (Subtotal Above) X
0,50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 05/07/97
Page 1
Sq Ft
$583.08
$2.155,56
$954.43
$961,74
$95.43
$866.31
$4,559,38
$227,97
$4,787,35
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:~" l-hm..L 17r1A'~. PHONE(~?;)2tjt-(hlf3
ADDRESS: J?O pt})( '2L?a..X'0 I p(~ STATE: o.v. zIP!h';J~
, .
LOCATION OF PROPOSED BUILDING SITE:
11~~ '
Tax Lot Number: (C) 5lJlJD
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461q.... {foFf,
I~ t;'V Dv H
Street Address:
Plat Name:
.
Job. No. a'1 ()f.pl./f.p
1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back,)
A. Sln.{'IA-Fflmilv DAtflr.hAcf
Single Family home
, NO. OF UNITS
B. ~inoIA-Fflmilv Attached
NO. OF UNITS
C. ,Multi-Familv Aoartmen~
NO, OF UNITS
D. Manufactured Home Park
NO. OF UNITS
WILLAMALANE SDC
Manufactured home not in a park
X $1,000 per unit = $
1--
X $924 per unit = $ l.R4X. 00
X $692 per unit = $
X $699 per unit = $
$ I ~ltt.-
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)
Db~m'm
City of Springfield
I C(LJK-
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...:4.-1 --J ~
Date -
$
.
.
SPRINGFIELD
The following ,
Z0 "!.'1~, end d pr~!€lct as submitted h:J$
approval. Oe" not r6quire SPecific l::t~~ ~~~owing
loni"", rY\O;V
225 FIFTH STREET ' DOI.1/ 10 ~q7
SPRINGFIELD, OREGON 974Tl.ulb ~ I
INSPECTION REQUEST: 726-37'69'00 Signature 1V1\A
OFFICE: 726-3759
3.
1. ~~F ~N~IO\r)(s}((\Vl,A.
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~OB Df:SCRIPTION
h \,\ 0 "1-'
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days. '
ELECTRICAL PERMIT APPLICATION
City Job NumbeF C\lUo'\to
COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less ~ $ 85,00 \f1()
Each additional 500
sq. ft or portion 4 leD
thereof S 15.00
Each Manuf'd Home, or
Modu1ar'Dvelling
Service or Feeder $ 40.00
2, CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
'A. """'~" C\,,^..l.. Installation, Alterations
Electrical Con trac tor.1l\. V" \'\1J11JI \ ().(,\:;\ or Relocation:
AddressdL\~ !:L \.\J. t\\D~~\\q 200 amps or les~c.'tlO~'l-. $ 50.00
\ \ : \\. ~""\ VJ ~ t\ ,..oAt7 201 amps t9.I'~Q611rmll:!~O\ $ 60,00
Ci tym \6\ \Jlu\ O~ Phone...lJJ DV UlOI~~ ~ 401 ~~:f.'l'O'WP'S $100,00
Supervisor License Number ~/\1t\~ \\O~ ~~~~~r ~~ni~'6~i?' g~g:gg
(\ \ 0.0 ,y..\S a,at~ne~~:e~~y- $ 40,00
Expiration Date \\ I' . {'\ ~,y..OP \)O~
~'C ~~oh~~\Services or Feeders
Constr Contr. Number O\\~O'\\ CO~ ~i!~Iration, Alteration or Relocation
Expiration Date 4.. \~ .C\~ ~~'l \00 amps"oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80,00
Over 600 amps or 1000 volts see "B" above
~~ctrician
/ ,"om ,,"' ~Gb~ ~
Address\ ~ (\ . I ~~
Cityl ~~Phone ~~~'L
O~ INSTALLATION 19 ~ 1 <3
The installation is being made on E,
property I ovn vhiCh is not intended
for sale, lease or rent.
Ovners Signature:
DATE: {'.', ~
RECEIPT #: . : L\ _
RRCElVED BY: -U
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel,
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm,
not included)
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee,
TOTAL
$ 40,00
$ 40,00
$ 20,00
$ 36,00
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