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Home My WebLink AboutPermit Building 1997-6-16 (2) # SPRINQFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970898 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4101 FORSYTHIA ST 4103 Assessors Map #: 18020611 Lot: 68 Block: Tax Lot #: 05200 Subdivision: WYATT 2 Owner: RON HOLLAND Address: 1220 MARSH STREET Phone #: 805-543-4071 City/State/Zip: SAN LUIS OBISPO, CA Describe Work: DUPLEX NEW Contractor Const. Contractor # Expires Phone General: R NEUHARTH 0066019 6343 C Street Springfield OR 974780 Electrical: BINNS ELECTRIC 0073762 210 Wallis Str Unit #C Eugene OR 97 06/19/98 747-3846 06/06/98 687-1362 QUAD AREA: 3RSC # OF UNITS: 2 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1606 OFFICE USE -- LAND USE: 1120 ZONING CODE: MDR # OF BDRMS: 2 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: PI 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. POST AND BEAM - Prior to floor insulation or decking. XNSULATZON - 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. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: N Total Height: 27 Setbk From NPL: 32 ~. SPRINGFIELD Job Number: 970898 Solar Approved: Y N House 20 Garage 20 Item Main Garage DECKS Total Value Building Permit Fee Surcharge/Admin TOTAL FEE Lot Type: INTERIOR Setbacks S W E 81 11 11 11 11 BUILDING PERMIT Square Feet x 1306 300 104 $/Square Feet 64.66 16.27 8 (A) --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- Page 2 Value 84,446.00 4,881.00 832.00 90,159.00 397.00 31. 76 428.76 (B) 2,928.81 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 PLAN REVIEW FEE ELECTRICAL PERMIT WILLAMALANE SDC PLUMBING PERMIT --- 2 (C) MIlCHANICAL PERMIT - -- 2 (D) --- MISCELLANEOUS PERMITS --- TOTAL MISCELLANEOUS PERMITS (E) (Excluding Electrical) unless otherwise noted TOTAL A................. DUB (A, B, C, D, and E combined) Fee 182.40 182.40 14.59 196.99 9.00 6.00 6.00 21.00 10.00 1.68 32.68 0.00 20.20 14.20 60.00 183.60 1,848.00 2,126.00 5,713.24 SPRINGFIELD Job Number: 970898 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: DON MOORE Date: 06/11/97 Building Site Reviewed By: LISA HOPPER - - - ADDITIONAL COMMENTS A & T ESTIMATE ONLY FOR CREDIT PURPOSES ONLY 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 tL2t ~~" ";J:)'"" ooo.'=oUoo t -1.-0 Slgnature Date Date Paid: - -- VALIDATION A~\ \{l\\o.(K\ ~ 13. ~1- ~~ Receipt Number: Amount Received: Received By: ., ~ . . CITY OF SPRINGFIBLD SYSTEMS DEVELOPMENT CHARGE (RBSIDENTIAL) Name or Company: RON HOLLAND Location: 4101 FORSYTHIA ST 4103 Developement Type: R Building Size: Job No.: 970898 Lot Size: 1. STORM DRAINAGE Impervious Sq Ft 2223 X 0.216 Per Sq Ft 2. SANITARY SEWER - CITY Number Of PFUs 22 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 - MWKC Number Of PFUs 22 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: 06/11/97 Page 1 Sq Ft $480.17 $984.50 $911.55 =' $465.18 $52.05 $413.13 $2,789.34 $139.4\11' $2,928.81 J ."-:. . Job Number: 970898 . PIXTURE UNIT CALCULATION TABLE Page 2 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 CREDIT CALCULATION Number of New Fixture Unit Equivalent Fixture Units o o o o o 2 o o o 2 o 2 o 2 o 2 o 2 1 2 3 6 2 6 1 3 2 o o o o o 4 o o o 4 o 4 o 2 o 8 o 2 2 1 6. 4 22 TABLE: Based on assessed value. after annexation date, credits (calculations are by $1000) Year Annexed: 1969 Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : If improvements occured are calculated separately. 15,000 X 3.47 = 52.05 o x 3.47 0.00 CREDIT TOTAL a $52.05 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) .. . SYSTEM DEVELOPMENT CHARGE WORKSHEET . NAME:~Of\ \ ~\t\f\(\ . . PHONE: ~rf> ~~~4Ol \ ADDRESS: 1L1I5 ~'f\ ~ 4~ STATE: rA ZIP: LOCATION OF PROPOSED BUILDI~~~ . Street Address: 4\n\ C=>\4\f\.~ lCl) - \ ~ b1Dlo\ \ () {1f)JfJ . Job. No. C\ ~mH){ \. Plat Name: 1. DEVELOPMEN TYPe: (Check appropriate dwelling(s). SDC calculations and dwelling I ype definitions are on the back.) A. Sinolp.-F::lmilv Dp.t::lchp.d Single Family home Manufactured home not in a park X $1,000 per unit = $ NO. OF UNITS B. Sinole.-F::lmilv Att::lcherj NO. OF UNITS r-1 X $924 per unit = $ 1~4~~ C. Multi-Familv Aoartmen~ NO. OF UNITS X $692 per unit = $ D. ManufR&Wred Homp. Park. NO. OF UNITS X $699 per unit = $ $ I ~-\-y; ~ d $ \~~~ \~I C\, , $ WILLAMALANE SDe 2. SDe eREDlT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See sac Credit Worksheet. 3. TOTAL WILLAMALANE NET SDe ASSESSED (if SDC reduced for Credit) \tffi)\ ~0oJ :J Developmen~A~,b~hartment City of Springfield D~ I . . $"'~ING~'.lI~I_O ZW,;P::. tmd oC.JS not rcquiI"I) o;.:;;':;'~;ll-'; Iw,Il'-' '_ .U "''''':>~ovaj "r r . ~oning__M(tv D:::tow0 -q'J 225 FIFTH STREET I\uihcrtzod slgnotu,o-Il.M SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. .{U~\~N ~{O~T~\\11 n.J ~~~ff~~~1ti) ) . ~t~\E~c:pPTION ~.cN.n0 Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contract~r~f\f\<) ~~ . Address ~ \() llX\ \ l j)~ ~ ~- . . Ci ty a t\Ul Q.- Phone ~ f) . \CUf2- superviso~ License Number ~\~ Expiration Date \().\C\<6 Constr Contr. Number -r2>-u.cfL Expiration Date l..o. Lo .Q~ Signature of Supervising Electrician UL / /$..... .O~ners Name ~ ~\JJ\i\d AddressJ1.JD\ UM ,1t' one ~(JSS~ '2l .401\ Cit OVNER INSTALLATION The installation is being made on property I o~n ~hich is not intended for sale, lease or rent. Owners Signature: -------------------------~:-~------ DATE: \ \.I)',\'U.V\ l RECEIPT ll: - ~\l\~\t~ RECEIVED BY: - . ). , 1<1 RrTI>J:CAL PERHITrt.:P~~R~, City Job Number ~~lJ~() 3. COMPLETE FEE SCHEDULE BELO~ A. Ne~ Residential-Single or Multi-Family per d~elling unit. Service Included: Items Cost Sum 1000 sq.ft. or less ~ $ 85.00 ~ Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular .D~elling Service or Feeder $ 40.00 B. 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 C. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100u volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above Ne~, Alteration or Extension Per Panel " Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or ~ith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ $ $ $ 36.00 \~ .C;, 1/ '\ 15<7,.(,,71'. 40.00 40.00 20.00