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Home My WebLink AboutPermit Building 1998-6-22 (2) .- " ~ SPRINGFIELD NOTICE: THIS PERMIT SHALL EXPIRE IF THlEwalil:INTIAL PERMIT APPLICATION AUTHORIZED UNDER THIS PERMIT IS ~fY OF SPRINGFIELD COMMUNITY SERVICES DIVISION COMMENCED OR IS ABANDONED FOR BUILDING SAFETY , ANY 180 DAY PERIOD, 225 North Fifth Street Springfield, OR 97477 Page 1 Job Number: 980515 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4068 FORSYTHIA ST Assessors Map #: 17023144 Lot: 82 Block: Tax Lot #: 08100 Subdivision: WYATT MEA 2 Owner: TOM WIRFS Address: PO BOX 237 Phone #: 747-8704 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: S.F, RESIDENCE NEW Contractor Canst. Contractor # Expires Phone General: TOM WIRFS 0032947 1275 S 2ND SPRINGFIELD OR 974770000 Pl'umbing: BMC 0103570 648 W OREGON AVE ,CRESWELL OR 974260 Mechanical: BMC 0103570 648 W OREGON AVE CRESWELL OR 974260 Electrical: BILLS ELECTRIC 0021351 3170 W 11TH EUGENE OR 974020000 06/28/98 747-8704 12/15/98 548-7510 12/15/98 548-7510 04/28/99 687-1851 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR, TYPE: VN WATER HEATER: E SQ FOOTAGE: 1735 OFFICE USE -- LAND USE: 1111 ZONING CODE: MDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: P1 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, WATER LINE - Prior to filling trench, SANITARY SEWER LINE - Prior to filling trench, S~9RM SEWER LINE - Prior to filling trench, POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover ROUGH PLUMBING - Prior to cover. ,ROUGH ELECTRICAL - Prior to cover, ROUGH MECHANICAL - Prior to cover, FRAMING - Prior to cover. SHEAR WALL NAILING - Before covering sheathing with finish materials, 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: 980515 . Page 2 Lot Faces: S Topography: 2 Solar Approved: Y Lot Coverage: 33 % Setbk From NPL: 16 Lot Sq, Ft,: 5103 Total Height: 15 Lot Type: INTERIOR Setbacks S W E 5 5 N House 23 Garage 20 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1263 472 $/Square Feet 64,66 16,27 Building Permit Fee Surcharge/Admin TOTAL FEE (A) PLUMBING PERMIT --- Item Residential Bath(s) 2 Plumbing Permit Surcharge/Admin TOTAL CHARGE (C) , MECHANICAL PERMIT - -- Exhaust Hood Vent Fan Dryer Vent GAS / FIREPLACE 2 M~~hanical Permit Issuance Surcharge/Admin TOTAL PERMIT (D) --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut WILLIAMALANE CITY SDC PLAN REVIEW FEES TOTAL MISCELLANEOUS PERMITS (E) (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) a~/cuc I.pft,...,f 'i-t'fJ --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- Value 81,666,00 7,679,00 89,345,00 403,00 32,24 435.24 Fee 160,00 160,00 12,89 172.80 4,50 6,00 3,00 4,50 18,00 10,00 1.44 29.44 0,00 17,80 13,30 1,000,00 2,298,98 60,00 3,390.08 4,027,56 /67-.t.{{) 't/9'7,?{;, 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. , . SPRINGFII!LD . Page 1 ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW RESIDENTIAL IMPROVED STREET Developer: TOM WIRFS M~il Address: PO BOX 237 Tax Lot #: 1702314408100 Subdivision: WYATT MEA 2 SPRINGFIELD, Project Lot: 82 OREGON 97477 Address: 4068 Blk: Eng, Job No,: 980515 Phone #: 747-8704 FORSYTHIA ST Rev. No.: Book: Street Gravel Ac Mat 4068 FORSYTHIA ST EXISTING IMPROVEMENTS Curb Full Imp SW Width Curbside Setback Y 5 FEET 12:1 FLAIRS Existing Curbcut: N ENGINEERING REQUIREMENTS Additional Right of Way: N Improvemen~ Agreement: N Easements: N SANITARY SEWER CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344 Available: Y Size of Line: 8 Location From N, Make Connection: Stubbed Out TO Property Line: Y Depth: 4-6 In, Tee: 6 In, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT PER PLUMBING CODE Ft STORM SEWER Available: Y Pipe Downspouts And Drains To: CURB & GUTTER Pipe Parking Lot Drainage To: N/A New Curbcut Appr, : Sidewalk Permit: Y Curbcut Permit: Y Y Width: Width: SIDEWALK AND STANDARD 5 Ft Ft DRIVEWAY INFORMATION Width: 22 Ft Flairs: 6 Length: 52 Ft Ft ENCROACHMENT AND ASSESSMENT Encroachment Permit Required: N Sanitary Sewer In Lieu Of Assessment: N SPECIAL NOTES AND REQUIREMENTS All work within the public right of way shall be in conformance with the City of Springfield standard specifications for construction. All existing unused curbcuts or portions thereof shall be restored to full curb height as directed by the City. The owner/developer is responsible to relocate any utilities and establish private or public easements when the utilities conflict with the development, at their expense. Reviewed By: DENNIS ERNST Date: 05/11/98 SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION , . SPRINGFIELD . Job Number: 980515 Page 3 Received By: Plans Reviewed By: AL WARD Date: 06/04/98 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS A SEPERATE ELECTRICAL PERMIT IS REQUIRED, DRIVEWAY REQUIRED TO BE PAVED 1 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 ORB 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 lo~~the front of the property, and the approved set of plans will remai~ site at all times during construction, ~~fe~ Signature --- VALIDATION Date Paid: !J S ti 'Iv <; (, /7 L /7 i Lfj 9 '-f. 9? () 'a.(/ tJ~ Receipt Number: Amount Received: Received By: -'.', , . . --. . '. JOB NO, 7'lo'){C ATIACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: 7;,,,-,, ~JJ?F<" 40GB FOt2:sy rH/~ . LOCATION: DEVELOPMENT TYPE: oS F- D BUILDING SIZE lOT SIZE 'i0, Ft, 1. STORM ORA HIAGF, IMPERV IOUS SO _ FT _ 2-/;7/ X $0,226 PER SQ, FT: $ 5i~s- 2, SANITARY SEYER-CITY NO, OF PFU' SIr (See Reverse Side) X $46,86 PER PFU $ 8'4'3. <If 3, TRANSPORTATiON 'NO OF UNITS X TRIP RATE X COST PER TRIP X J. () I X $47249 $ 477.2-/ X X $472 49 $ X X $47249 $ 4, SANTTARY SEWFR-MWMC DlJ'S NO, OF tt\:i-'S I ,x 277,76PER FEU + $10 MWMClADM FEE $ 237,7&_ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SOC $ Z'a7,76 SUBTOTAL (ADD ITEMS 1. 2,3 & 4) $ 2/' ~ 't.SO 5, AOMTNTSTRATTVF FF~ BASE CHARGE (SUBTOTAL ABOVE) X ,05 --. $ JDt;, 4:~ Date: SDC Coordinator TOTAl SDe $ ?, z.qg. qa I . , '^ I VI..... ,vn.., \..tM....\..tU....M' IVIII I MoD....!:. Number 01 New ~ixtls X Unit Equivalent = Fixtur,e ,U~its (NOTE: For remodels, calculate onee NET additional fixtures) . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub, ........".."....,.."""""""",..",..",..,..,...."",..,.., Drinking. Fountain"..""""""".".""",....,..""""""..", Floor Drain....".'"""""""""",.""""..,......"..,......"...., Interceptors For Grease/Oil/Solids/Etc..........,...... Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher".."""....,....,....,..",..", Cloiheswasher - 3 Or More..,............,....,..,............, Mobile Home Park Trap (1 Per Trailer),....,......,..,.. 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 BasiniLavatory, Single.."....,........,................ Toilet, Public Installation.. ....,.......", ....,....,..,.......... Toilet, Private....,....,............, ,.,.., ....,....,..,..,.......... Miscellaneous: '2. 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 'Z- TOTAL FIXTURE UNITS = z. Z- .... 2... '2.... ~ ISf CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table, calculate credits separates, II Year Annexed Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983' 1984 1985 1986 $3,97 3,89 3,83 3,70 3,55 3,39 3,20 2,91 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Rate per $1,000 Assessed Value $2,56 2,17 1.73 1,31 0,92 0,74 0,61 0.45 0,31 0,17 Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ , (Rate X Assessed Value) = Improvement (if after annexation date) = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residemial..,;..,..,.."...."....... 0.4 Commerical.......,..,.........,.." 0,9 Industrial.....,................,...., 05 Governmental...,............,...., 0,5 IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT , . , . f\~ ' ~t~~ y!i!I!!!!~!~~~ Job. No. (\ t~\ ~ , fV SYSTEM DEVELOPMENT CHARGE 'WORKSHEET ' w1 NAME: \~ \})\~~~ PHONE: :\4l g-,()-r ADDRESS: ~ l~ &he c:O?f) . STATE: &e ZIP: L J1J1 I -, LOCATION OF PROPOSED BUILDING SITE: \.1 h' ), ",' Street Address: 41:l1o~ Th(S\ft\ l ~n Plat Name:U[\ \.\_~ Tax Lot ~mber: \fYQA?J'AA-(JG\rf) 1. PEVELOPMEN.t TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t ' ype definitions are on the back.) . .. ., A. S,inolp.-Fl'lmilv Dp.tl'l~hp.Q \ Single Family home , NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $ l Dei).ad B. S,inole'-Familv Atta~hed NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufacturp.d Homp. Pa~ WILLAMALANE SDC $ $ 1000 ~X) ';;5 / $ In 00' ,OU I? '? NO. OF UNITS X $699 per unit = 2. SDC CREDIT (If applicable) SOG-payer must furnish proof of Willamalane Credit approval. See SOC Credit Worksheet. $ 3. TOTAL W1LLAMALAN~,N.o ET~ SOC ASSESSED @SDC_IMU ~~~ ~~\:Epartmern . oat I City of Springfield - ~ \ ' ' Z-L SPRINGFIELD Page 1 ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW RESIDENTIAL IMPROVED STREET Developer: TOM WIRFS Miil Address: PO BOX 237 Tax Lot #: 1702314408100 Subdivision: WYATT MEA 2 SPRINGFIELD, Project Lot: 82 OREGON 97477 Address: 4068 Blk: Eng, Job No,: 980515 Phone #: 747-8704 FORSYTHIA ST Rev, No,: Book: Street Gravel Ac Mat 4068 FORSYTHIA ST EXISTING IMPROVEMENTS Curb Full Imp SW Width Curbside Setback Y 5 FEET 12:1 FLAIRS Existing Curbcut: N ENGINEERING REQUIREMENTS Additional Right of Way: N Improvemen~ Agreement: N Easements: N SANITARY SEWER CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344 Available: Y Size of Line: 8 Location From N, Make Connection: Stubbed Out To Property Line: Y Depth: 4-6 In, Tee: 6 In, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT PER PLUMBING CODE Ft STORM SEWER Available: Y Pipe Downspouts And Drains To: CURB & GUTTER Pipe Parking Lot Drainage To: N/A New Curbcut Appr, : Sidewalk Permit: Y Curbcut Permit: Y Y Width: Width: SIDEWALK AND STANDARD 5 Ft Ft DRIVEWAY INFORMATION Width: 22 Ft Flairs: 6 Length: 52 Ft Ft ENCROACHMENT AND ASSESSMENT Encroachment Permit Required: N Sanitary Sewer In Lieu Of Assessment: N SPECIAL NOTES AND REQUIREMENTS All work within the public right of way shall be in conformance with the City of Springfield standard specifications for construction. All existing unused curbcuts or portions thereof shall be restored to full curb height as directed by the City, The owner/developer is responsible to relocate any utilities and establish private or public easements when the utilities conflict with the development, at their expense. Reviewed By: DENNIS ERNST Date: 05/11/98 \ SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION /... v -. 'e-- l i~ BACKFLOY PREVENTION DEVICE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION .. " ..:.~ . ,:,. I....,.. , 225 FIFTH STREET SPRINGFIELD OR 97477 OFFICE: 726-3759 INSPECTION LINE: 726-3769 .. ;:::::::;:;-::--~r~~~---\Q~-7a~;--- OYNER: '%.61'"'> Ht:J/f'tES L. L, G. / ADDRESS: ?-v. &,." ~/~ ..e,t. -":. PHONE U( 56~ 6f{2.; 5~2\ . ~.p /pb--'" ~iEjt.,. ZIP: . D_.~ U', 'i:!... -a'-S: ..... "t ~ BACKFLOY PERMIT IS $15.00 + $. 751..g:r~ rsu:~'6hiRGE) + $'.45 (ADMIN. FEE) = $16.20 . .~ ~.. .n '". . CONT~CTOR: .K evs /-/r) nJ;S2o, . ','\ ADDt:fl!-~ .:j asc; ~ (:,.:..- "") '~'" PHONE 1IJ~()3 ) b 1/- m.-:::>) CITY: Pc-'7 /4.n/! ~~~TE~:. .6X ZIP: ~7.,;2.?- s- CONSTRUCTION CONTRACTORS REGISTRATION 11: qq/o~\1I'~_ EXPIRES: &'/ he , - , \)',l~'" , ' BY SIGNING THIS PERMIT/APPLICATION, I AGREE TO CALL FOi(\N INSPECTION ONCE THE BACKFLOY PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE FOR INSPECTION (726-3769). STATE THAT ALL INFORMATION ON THIS PERMIT/AP~L:_C~TB'N ;r.;; n r ~ CORRECT. ."O' , ~ <f<'( ~x t ,//- " '~L//~ 0/< t/ ,', to';' . CITY: "-'..- ""r1ft~ FOR OFFICE USE _____________________________________._________________________~_~_______________ 1 DATE OF APPLICATION: {. 21 -q~ RECEIPT 11: A't},d)." ,. ISSUED BY: TOTAL AMOUNT COLLECTED:' 5\, 1n rA~JOB 11: Q"O(dt'l -----------~~------------------------------------------------------------------