HomeMy WebLinkAboutPermit Building 1997-7-10
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970647
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4071 FORSYTHIA ST
Assessors Map #: 18020611
Lot: 71 Block:
"\OlS
Tax Lot #:
Subdivision:
04900
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
Const.
Contractor #
Expires
Phone
General: HEYS HOMES INC, 0094105
7185 SW Sharon Portland OR 97225000
Plumbing: M,P, I. 0094105
7185 SW Sharon Portland OR 97225000
Electrical: FAR NORTH ELECT 0100894
155 B Ave Ste 330 Lake Oswego OR 97
09/29/97
292-6578
09/29/97
292-6578
06/29/97
636-4115
OFPICE USE --
LAND USE: 1120 _~F BLDGS: 1
ZONING CODE: MDR ~r;y,;<;Y GROUP: R3
# OF BDRMS: 6 'X-~ ~T SOURCE: WH
RANGE: E &:. '*~ ~~ ,cqNSUL PATH: P1
:-p'{(l ~~'" ~O~
~ {\y~ v.\~~~~
To request an inspection, call the ~\<9~r~reco~~in~ ~v'26-3769.
.,.),.0 ~~~ Yj~ '?:J ~<o
All inspections requested before t~~~~~~~~~e the same working day,
inspections requested after 7:00 a,~~~~~~~~~e following work day,
REQUIRED ~~E~~NS ---
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,
PRAMING - Prior to cover.
INSULATION - Floor; prior to decking
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,
PINAL MECHANICAL - When all mechanical work is complete,
PINAL ELECTRICAL - When all electrical work is complete,
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
QUAD AREA: 3RSC
# OF UNITS: 2
CONSTR, TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 3340
wall/ceiling; Prior to cover
SPRINGFIELD
Job Number: 970647
Lot Faces: N
Solar Approved: Y
N
House 28
Garage 20
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Total Height: 26
Lot Type: INTERIOR
Setbacks
S W E
48 15 15
Page 2
Setbk From NPL: 20
BUILDING PERMIT ---
Square Feet x
2940
400
$/Square Feet
64,66
16,27
= Value
190,100,00
6,508,00
196,608,00
651.25
52,10
(A)
703.35
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 4,651.43
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
MECHANICAL PERMIT - - -
4
--- MISCELLANEOUS PERMITS ---
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL A...""......"... DUE
(A, B, C, D, and E combined)
\~
Fee
320,00
320,00
25,60
(C)
345.60
9,00
12,00
6,00
27,00
10,00
2,16
(D)
39.16
0,00
19,00
15,40
1,848,00
60,00
(E)
1,942.40
7,681.94
~t~4
'h.~\) .
..-/~,
SPRINGFIELD
~-
Job Number: 970647
Page 3
--- BUILDING VALUE. PLAN CHECK AND BUILDING PIlRMIT ---
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:
Building Site Reviewed By: BRENDA JONES
/ /9
--- 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 e
proper time, that e
card is located at
will remain on t
. _d~/
S1gnature y
V
hat all required inspections are requested at the
ress is readable from the street, that the permit
ont of the property, and the approved set of plans
at all times during construction,
Date
Receipt Number:'
VALp> TION ---
0\..
}\Q~ 0
Date Paid:
~ l(~\l) O{,_
\)0\:)D?J4 .
, ~\~J~~
Amount Received:
Received By:
.
.
SPRINGFIELD
Thcfnllovling project as submitted hrts the follow
20' :11;; hl~d doan not roquire specific land U90
epj:.rov~1.
Zonino ~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97 4 ~r,o-:J- to-q.-l
726-Al1169ized Sign.ture
1. ~~eN -fF~~~LAT~~l~' A.
\~~b\cr~m .
.~Mb
\. ~OB D~SCRIPTION
~l '" vy-
Permits are non-transferable and expire
if work is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
Expiration Date
Si~~cian
-;;'m ,... ~~ ~O~ ~
Address\ ~() l - -. ~~ '
City\ ~~Phone~~_iA~
O~ INSTALLATION 1.0 ~ 1 <b
nrv1
ELECTRICAL PERMIT APPLICATION
r.i ~v ,Job Number Q1Qo,\ 1
3. COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
4-
4
uni t.
Cost Sum
$ 85.00 ~
S 15.00 ~[)
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
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 liB" above
D.
Branch Circuits
.'
Nev, Alteration' or Extension Per Panel
$ 35.00
$
2.00
1000 sq.ft. or less
Each addl}ional 500
, sq. f~~r~ortion
ther~ ~
E~~i~~~~~~:' or
~Kf€~r Feeder
~ ~ ~
2. CONTRACTOR INSTALLATION ONLY B. ~'i~~ or Feeders
IA ~ ",-Mf'\ C\,.,^J.. ~~( ation, Alterations
Electrical Contractor:n.'V' \'\ U1..!Jl \ r I.rXA #' * jg ocation:
Address~4t1\ fL \.\l. t\wl1r~~ ~~et'l~ or less
\ \ :\\, ~ 0 ~/'M.. t\'i:::a....~ gp1' ps to 400 amps
Ci ty~ \6\ \J\ III 0"-,, Phone JJJ '6\~1~1~-.~~amps to,600 amps
'}~n.AQ 0<.: ~ ~ ~ amps to 1000 amps
Supervisor License Number ,) I L-I: ~ ~ ~ ~'!ier 1000 amps/volts
\ () . \ ' q <6 G $'I\econnec t Only
O\\~f\4\ C.
Constr Contr. Number ~\/\
Expiration Date 4.. \~ .C\.~
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
not included)
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting-----
Limited Energy/Res
AI\ Limited Energy/Comm
~ \:\1 ~ )
DA;:E~----------~O~_L~=~:~~'^ ~ I ~ ~~B~~;~; ~~r~~~~~e
RECEIFT 11: ~ ',,, f!&.~1().J \ 37. Administrative Fee
RECEIVED BY: 'V, \.i.i}-.-J . "" TOTAL
The installation is being made on
property I ovn vhiCh is not intended
for sale, lease or rent.
Ovners Signature:
S 40.00
$ 40.00
$ 20.00
$ 36.00
XD~ .
.-L'~~ .
&!~
'.
.
Job. No.
Ct 10&'11
,"
, SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~':J t-hmt_L 1A1At..-. PHONE(f;ll?;)2t12.-W716
ADDRESS: _fo 9l5Je 'It?,,C{o' VttrHautrL STATE: o.v: zlp!i"1jrgt:j
,
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 401[- (f01c; Yrrv~(jihJ(1J '
Plat Name: I <;., D'V (Xp 11 Tax Lot Number: (J l{C( 0 0
I,
1. DEVELOPMENT TYPE (Check appropnale dwelling(s), SDC calculations and dwelling I
ype definitions are on the back,)
A. SinolA-F8milv DAt8chAO
Single Family home
Manufactured home not in a park
, NO. OF UNITS
X $1,000 per unit = $
B. Sin9IA-F8milv Att8chAQ
NO. OF UNITS
~
X $924 per unit = $ .LKY:~. 00
C. Multi-Familv Ao8rtment
NO. OF UNITS
X $692 per unit = $
D. Manuf~urAd Home P8rk
NO. OF UNITS
X $699 perunit = $
$ I ~l.J.~,-
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)
D~d~me",
City of Springfield '
$
~\rl J ~l DJ. ,91_
Date ,/\ / , \
,~I{ uO X .'. ~J' "
I C(LiK--
\ \ .-' \ ',- \ c' /
\, \, ~. v/' F
\. -- -
"
.
.
CITY OF SPRINGFIELD SYSTBMS DBVBLOPMBNT CHARGE
(RESIDENTIAL)
Name or Company: KEYS
Location: 4071
Developement Type: R
Job No,: 970647
HOMES INC,
FORSYTHIA ST
Building Size:
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2748 X 0,216 Per Sq Ft
2. SANITARY SBWBR - 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
c
Page 1
Sq Ft
$593,57
$2,058,50
$911. 55
=
$961,74
$95,43
$866,31
$4,429.93
$221. 50
$4.651.42
,
.
Job Number: 970647
.
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
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,)