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Home My WebLink AboutPermit Building 1997-7-10 (2) SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970648 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4080 FORSYTHIA ST Assessors Map #: 17023144 Lot: 87 Block: 40~ Tax Lot #: Subdivision: 08300 WYATT MEADOWS 2 Owner: KEYS HOMES INC. Address: P.O. BOX 25083 Phone #: 292-6578 City/State/Zip: PORTLAND, OR 97225 Describe Work: DUPLEX NEW Contractor Canst. Contractor # Expires Phone General: Plumbing: KEYS HOMES INC. 3514 Conser Rd NE M.P.1. 3514 Conser Rd NE FAR NORTH ELECT 155 B Ave Ste 330 0095155 Albany OR 9732100 0095155 Albany OR 9732100 0100894 Lake Oswego OR 97 11/17/97 292-6578 11/17/97 292-6578 Electrical: 06/29/97 636 -4115 _oY... U OFFICE USE -- \~~~ . ~ LAND USE: 112 0 .,o,?-~ ,r ~ 'CO ~ OF BLDGS: 1 ZONI!i~~DE: ~ ~"'\ ~~?-~ ~CCY GROUP: R3 l\.\.~'Mi~~ r;;.?-\~'CO O~~'i)rOHEAT SOURCE: WH R'roi~;~~ 'i:.'i)'U~<:;) ~~~~IJ INSUL PATH: P1 \ ~O?-''V O?- 'CO Do.~ _1:}\r,~'V ~r\C'I'i). To request sn inspection, call th~0~~o~~~~J6rding at 726-3769. 1'( \'O~ All inspections requested before 7:b~ a,m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. QUAD AREA: 3RSC # OF UNITS: 2 CONSTR, TYPE: VN WATER HEATER: E SQ FOOTAGE: 3340 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. 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. '.' SPRINGFIELD ~~ Job Number: 970648 Page 2 Lot Faces: E Solar Approved: Y Total Height: 26 Lot Type: PANHANDLE Setbacks S W E 10 27 30 Setbk From NPL: 30 N House 10 Item Main Garage Total Value BUILDING PERMIT Square Feet x 2940 400 $/Square Feet 64.66 16.27 = Value 190,100.00 6,508.00 196,608,00 Building Permit Fee Surcharge/Admin 651. 25 52,10 TOTAL FEE (A) 703.35 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 5,001.15 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved, PLUMBING PERMIT --- Item Residential Bath(s) 2 Fee 320,00 Plumbing Permit Surcharge/Admin 320,00 25.60 TOTAL CHARGE (C) 345,60 MECHANICAL PERMIT - - - Exhaust Hood Vent Fan Dryer Vent 4 9.00 12.00 6.00 Mechanical Permit Issuance Surcharge/Admin 27,00 10.00 2.16 TOTAL PERMIT (D) 39.16 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC PLAN REVIEW FEE 0,00 13.00 12.80 1,848.00 60.00 TOTAL MISCELLANEOUS PERMITS (E) 1,933.80 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 8,023,06 ~ &~t---.'\D 1.\\0 Cfj'd- C\ \ l\ SPRINGFIELD ~- Job Number: 970648 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 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 proper time, that card is located t will rem~ I Signatur.;~ - ( / that all required inspections are requested at the dress is readable from the street, that the permit front of the property, and the approved set of plans te at all times ,during construction. Date '-/ --- VALIDATION ~\O\O ~'C A , ~ ~.~~~ i~' Receipt Number: Date Paid: Amount Received: Received By: ,. . . SPRINGFIELD The 1cllf'llJ.dr;q prc;",::t flS submittad has tho folloY/ln zO"". '. .1..":':.. _l,jt 1.......juJra &p6ci~jc lend u~o apjJi>J.....;. 100i"9 M (J..;V Ootel-:JJQ ~/'A" 9 7 4 77' -'::L-L 716'!jJj769i Signature 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. 4fJ~0~ .\{)1~~(~M\ ~ O..L \-'ffi+'\;~f~"N D~:t :\'i\tJ ,,~OB Dl'S~PTION \.AI.. h \~\ ql'f' Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. nY\l1 ELECTRICAL PERMIT APPLICATION City Job'NumbeF o..lad\6 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dve1ling unit. Service Included: Items Cost Sum 1000 sq. ft. or less ~ $ 85.00 men Each additional 500 sq, ft or portion 4. Jaf)CO thereof S 15.00 Each Manuf'd Home. or Modular'Dvelling 40.00 Service or Feeder $ 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders r-~ \~AK~ Clo~l- Installation, Alterations Elec trical Con tractor.:n..' V- \\. ~\./\. or Relocation: Address~4~ ~ \,\J. t\u)U(~.n7\ 200 amps or less $ 50.00 City\\\\\s\w}\Oe...Phone~ DtitUfb~1 zg~ ::~~ ,~~\:g~c~ ~l~g:gg . ')1\n..H! ~\C~:. 60t ilLJJtb'i;'?\f'o ~Q..~ iiinps $130.00 Supervisor License Number ,) \L\~~O 'C.~w.\1>v,@~~lA~\a1ilps'1:b~ $300.00 ("\ \ fl 0 I~\S '? Jl,e<l~!iie'c t ~~e $ 40.00 Expiration Date \t I' '''\ {'\ ~O~\7J;;,\)V \S~~ . r\A p.\.1 C ~~9g.rMIX Services or Feeders Constr Contr, Number O\\:)V\\ r,OW-w.'e ~~I'i1'-iIa'fi.on, Alteration or Relocation 4. . \~ ,C\. ~ ~~'i ,~() 200 amps' 'or 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 The installation is being made on E. property I ovn vhich is not intended for sale, lease or rent, Ovners Signature: ~()-.\\ ~\ DAT~~-----~--~f\"~~.~~ 5. RECEIPT 11: ( .L( rY\ (~~~V)~ RECEIVED BY: T[j\t~ J-- 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 Lighting Limi ted 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 . ~~~8 ~ ' ",n - . . . Job. No. -.!l:J ()&tt~ " SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:~" t-f-nrK,L "CfuI-" PHONE(t7J~)2tit ,(tn'7fj ADDRESS: gn Dt})(, '2J:?ol?7;> j MauvL STATE: OY. ZIP;Cl'7,,;{~ LOCATION OF PROPOSED BUILDING SITE: Street Address: LJ..nRo -: ltIJ~1.- -rm-0 ~ lU ' Plat Name: \1 D'l-- 1] I I.J,LJ Tax Lot Number: () g-.30l:l I. 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling I ype definitions are on the back.} A, SinoIA-Fi'lmilv DAIi'lr.hArl Single Family home , NO. OF UNITS Manufactured home not in a park X $1,000 per unit = $ B, ~inoIA-Fi'lmilv Atti'lr.hAQ NO. OF UNITS ~ X $924 per unit = $1.iY:..~, 00 C. Multi-Familv AoMmAn~ NO. OF UNITS X $692 per unit = $ D. Manufa'1l'fArl HnmA Pi'lrk NO. OF UNITS X $699 per unit = $ $ { ~l}~. - WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) Db~meot City of Springfield ,1-/ ( ~-- Date ,_r " __,-"\_. $ I C(LJK- -~:~ .~~ ,-\,' , . . , \ \ \ ~ '- "\ ": r ,\ ~ ,~ SPRINGFIELD CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: KEYS Location: 4080 Developement Type: R HOMES INC, FORSYTHIA ST 4080 Building Size: Job No.: 970648 Lot Size: 1. STORM DRAINAGE Impervious Sq Ft 4290 X 0.216 Per Sq Ft = 2. SANITARY SEWER - CITY Number Of PFUs 46 X 44.75 Per PFU (see Page 2) 3. TRANSPORTATION Number Of Units 2 X X Trip Rate 1. 010 X X Cost Per Trip 451. 26 $911,55 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 46 Per PFU + 20,690 + MWMC Admin Fee 10.00 X X MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items 1, 2, 3 & 4) 5, ADMINISTRATIVE FEES Base Charge (Subtotal Above) X 0,50 TOTAL SDC Reviewed By: DENNIS ERNST Date: 05/07/97 Page 1 Sq Ft $926.64 $2,058.50 $911.55 = $961,74 $95,43 $866,31 $4,763.00 $238,15 $5.001.15 . SPRINGFIELD Job Number: 970648 Page 2 FIXTURE UNIT CALCULATION TABLE Fixture Type Bathtub Drinking Fountain Floor Drain Interceptors For Grease/Oil/Solids/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More 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 Water Closet, Public Installation Water Closet, Private Miscellaneous TOTAL FIXTURE UNITS = Number of New Fixture Unit Equivalent Fixture Units 4 o o o o 2 o o o o o 2 o 6 o 6 o 2 1 2 3 6 2 6 1 3 2 8 o o o o 4 o o o o o 4 o 6 o 24 o 2 2 1 6 4 46 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: 1969 Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : 27,500 x 3.47 95.43 o X 3,47 0.00 CREDIT TOTAL = $95,43 (If land value is multiplied by 1 then the parcel/land credit is not accurate,) '-. ~PR,t'ELD : 1 :),llng "n'd--Ud,.,v;...-...l t.Ll;j ::;uom~1~~ 11...... .'. ..' ., ,~... oesnotrc' '~~.I"r' l.;:"""I(O'l;"'J qUIre opec.,re t -.' l ' ,.. .... .-...... .,.; 225 FIFTH STREET SPRINGFIELD. OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zoning-1bd:.l . Ddt..~ 'U ~U . Authorizod Signatura Y\ N1 97477 . I I 726-3769 1. ~~OW~~\Cv \ 1ffY5.~\S+fTI6\ ?{'f) ~ ~ JOB DE~~jj (\. l\ \..QN\\' , }".~Jr\'il~ Permits are non-transferable an xpire if vork is not started vithin 18 days of issuance'or if vork is suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY .B. Electrical contractorj{\V""'~ f~tt AddressA.L\~ ~ \.\J, ~~~nq Ci ty\\\\\'S\'tt<O\O\0 Phone ~ 1{)t)tW6t1 ?NL4~ \(}'\,(\<6 Constr Contr, Number ()\\~()\\ Expiration Date L\. \~ .C\~ Supervisor License Number Expiration Date Sign~~~ Supervising Electrician ~~~ -- ;ne;s Name ?)~ ~9~ Address \ 5)()~~~ Ci ty\ M~Phone ~~ "fA~ OIlNER INSTALLATION Lo ~ 1 <3 The installation is being made on property I, ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: ----------fc5XliQ.. \ . ~~~!'!nll~~,3 "~ ELECTRICAL PERMIT APPLICATI~ City Job' Number: (\"IO\o\f) 3. COMPLETE FEE SCHEDULE BELOW A. Nev Residential-Single or Multi-Family per dve1ling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. 'Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum $ 85.00 S 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00. $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less \ $ 40.00 it) 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above C. D. Branch Circuits .' Nev, Alteration' or Extension Per Panel, One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 not included:) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limi ted Energy/Comm. E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40,00 40.00 20.00 $ $ $ $ 36,00 ~.~ . .~ , J .