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HomeMy WebLinkAboutPermit Building 1997-7-10 (2) ~ ~ SPRINQFIELD . Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970645 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4095 FORSYTHIA ST 4099 Assessors Map #: 18020611 Lot: 69. Block: Tax Lot #: 05100 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 Const. Contractor # Phone Expires General: KEYS 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 OFFICE USE - - 1\'\~ I{IlOr\\< LAND US~: ~\l:' P\~~ \fW.?~ ~~: 1 ZONING }"'I-ID~ S\'\~\.\. ~~ IS 'jl~ \.~.\l-.OUP: R3 # OF BD S ~~WI D~~ i~ ~rSl5bRCE: WH RANGE: Ei \'\O~\tf.O \}~ \S ~'O~"'O'iNSUL PATH: P1 fo.Ui Cf.\) O~ ~n~~f.~ . ?t;.~OO. To request an inspection. call the 24 ho~~~~\ng at 726-3769. 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. FRAMING - Prior to cover. INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover DRYWALL - Prior to taping. PRE BACKFILL: To verify site is clean of debris prior to final grading and backfill. 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: 970645 Lot Faces: N Solar Approved: Y N House 28 Garage 20 Item Main Garage Total Value Building Permit Fee Surcharge/Admin TOTAL FEE , I' 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 = Value 190,100.00 6,508.00 196,608.00 651.25 52.10 (A) 703.35 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 4,613.32 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 ~o~~ _ \(. ~'(, \c; ~O:- MIlCHANICAL PERMIT -{ft\'?<'V r.:..~~\ - 1?- ...,O,,\\f;,<C;:,-(, Sy,"~'(,~ ~~~~O~'(,O ~O \' r.:..~"" 'V~'v ,,~\'l ~y,\S <? ~t.'(,'iJ O~ \S ,,'V~y,O ~~'Vr.:..'iJ <?'(,~O'iJ' O~'I:fI. 'iJ"~ C; \%f;} ,,~~ --- MISCELLANEOUS PERMITS --- TOTAL MISCELLANEOUS PERMITS (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUB (A, B, C, D, and E combined) ~ -t- 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 20.20 15.40 1,848.00 60.00 (E) 1,943.60 7,645.03 a4<6<W ~93,13 l SPRINGFIELD Job Number: 970645 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 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 will remain on the site~at all times during construction. /'V C Signature'T Date Date Paid: --- VALIDATION \ ~\t$~P \'~~<. G\ ~' .1..:-'11\ I- , ~~~-~?; ~\DC0 . Receipt Number: Amount Received: Received By: . . Job. No. ct1 of.t~~ SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~':-J l-hmu~ 1A1L. PHONE(~0)Vit ,(J?1e, ADDRESS: 1?.n O"'lc 'f:f2.a..~0' Pr~ STATE: DVo ZIP!i'1-;{gt:7 , LOCATION OF PROPOSED BUILDING SITE: Street Address: 4oQC;.- LffJqq +1rY'7~' ' Plat Name: I ~ 0'2" O(p r J Tax Lot Number: DC,/OD .\ ,. 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. SinolA-FAmilv DAfAr.hArl Single Family home , NO. OF UNITS B. SinoIA-FAmil'LAttAr.hAd NO. OF UNITS ~ C. Multi-Familv ADArtment NO. OF UNITS D. MAnufAc:fJ1red HomA PArk NO. OF UNITS WILLAMALANE SDC Manufactured home not in a park X $1,000 per unit = $ X $924 per unit = $11-1.} ~. 0.9 X $692 per unit = $ X $699 per unit = $ $ I ~4-t- 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) ~(\wW Development Serv.Department City of Springfield $ I C(LJ K -- i- ;7 .! iiD! - 97 Date " f ; _~,._]~.:--';.'-; - \- . ." SPRINGFIELD The follcwing prc!ect as s:;;ubrnittcrl h:-s thJ follo\''''J zO'1ing. and doos not r6quire &pv.;llic LI10 U...,) approval. 225 FIFTH STREET ZOning-lY\di( SPRINGFIELD, OREGON 97477 nee,'1'/ 10 ,C/7 INSPECTION REQUEST: J26-376S OFFICE: 726-3759 Authonzod Signature 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders r... """-MI\ Clo^..I.- Installation, Alterations Electrical Contractor.::ll.\.\{ \\.~ \ ()(\/\ or Relocation: AddressA.4-'1\ ~ \.\J. t\u)l\:*"nq 200 amps or less $ 50.00 CitY\\\~S\WIO~ Phone ~ nQtld6t1 2gi :~~~ ~~. :gg :~~~ ~l~g:gg ~~n)~ 601 amps to 1000 amps $130.00 Supervisor License,Number ,\ IL~~ Over 1000 amps/volts $300.00. \('\ . \ ' fl 0 Reconnec t Only "- $ 40.00 Expiration Date \ I VI n >JI.Orr...... 0\ r\A C. Tempor~):x~~~vi~or Feeders Constr Contr, Number \:)V\\ Ins~~io~"i~\eration or Relocation A n 0 C~ .,t>.\.\. <e: ~~~ ~Orr. Expiration Date "\' \~ ''"'\1\ ~\O~~ ~~S"20~~n$~~q~ss $ 40.00 ,. ~'C-~ ~ all'Jl~\io' 400 amps $ 55.00 ~erViSing ectrici<lil:"'S Orr.'t.~O ~~1i'01 to 600 amps $ 80.00 \>.Ij"y.l ~c.~\b\le~~O amps or 1000 volts see "B" above _r.~~Y:J :-( ~~ . V () ,/ \\"-~n. \. \\.^ v:.,,\~O~ranch Circuits Owners Name \\\: \ \\\'" \a ~~' (\r\ O-z.. New, Alteration or Extension Per Panel Address\ ~\ I ~:~ Ci ty\ ~ 'Phone..5J~ 'fJ..1 $ 35.00 lo~1<3 1. ~~~5,AL~~~\rU \ <f-~l E\'CRIp;~\ ('() ",~OB D\>SCRIPTION ""j" -:l AO ~l '\"~' ,- n"\ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. OYNER INSTALLATION ELECTRICAL PERMIT APPLICATION City Job' Numbe]: ~11104:5 nNl 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less & $ 85.00 \f1D~ Each additional 500 sq. ft or portion 4. \oO~ thereof S 15.00 Each Manuf'd Home. or Modular, 'Dwelling Service or Feeder $ 40.00 .' One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 ~ Sign/Outline Lighting $ 40.00 ~~ Limited Energy/Res _____ $ 20.00 :s:J ~'\..Limi ted Energy/Comm. $ 36.00 _______________________ 1- - .~- . SUBTOTAL OF ABOVE ~D!=D DATE: :4t ~ -'~-J~__ 5% Sta~e, Surch~rge I' . ~l;J RECEIPT I: ( , r" _ 3% Admln1stratlve Fee . __ _ 1P .'1.0 RECEIVED BY: rJ\l_x TOTAL ~.~ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: '.' . . CITY OF SPRINGFIELD SYSTEMS DBVBLOPMBNT CHARGE (RESIDENTIAL) Name or Company: KEYS Location: 4095 Developement Type: R HOMES INC. FORSYTHIA ST 4099 Building Size: Job No.: 970645 Lot Size: 1. STORM DRAINAGE Impervious Sq Ft 2580 X 0.216 Per Sq Ft 2. SANITARY SEWBR - 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 Transportation Total 4. SANITARY SBWBR - MWMC Number Of PFUs 46 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 TOTAL SDC Reviewed By: DENNIS ERNST X X X Cost Per Trip 451. 26 = $911.55 Per PFU + 20.690 + 0.50 MWMC Admin Fee 10.00 Date: 05/07/97 Page 1 Sq Ft $557.28 $2,058.50 $911: 55 $961.74 $95.43 $866.31 $4,393.64 $219.68 $4,613.32 . 'Job Number: 970645 . FIXTURE 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 = 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.) .. . ~ Th3 toUowing prc1et\ r~q~i~O spe.ciiic lano u~ IN\\ng, and does nO ~ approv~1. J AI' zonlng_{i)WI Dcl:'~..:lt _elL 97l<.,7.-7J<lzod Signature \'\ M 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 .. -EhECTRICAL PERMIT APPLICATION Ci ty Job Numbe~' ex f\ Dlo45 1. 4t)C\5:4faf~~. A. \ ,.hI;;GAL~ pESCRIPTION ' 'IS(Y~\' Q~\CD . -\-- _ JOB,{lE~PTION (\. I~ 1..[.\"(\ \\ I 'I ~}... ~l\'\ ) " ,- - Permits are non-transferable an xpire if work is not started within 18 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. Electrical contractor~\(~~ flftt Address~4~ ~ \.\J. \-\w~~\q Ci ty \\\ \\5\'t'Kt\ 0\0 Phone ~ '6Ol2.lcRit1 Supervisor License Number ~L\~ Hl.\^C\<6 Expiration Date 'Constr Contr. Number ()\ \:)(Y\ \ Expiration Date 4.. \~ .o..~ o~ners Name ~e~0~9~ Address\ 5)Cl\~()~~ Ci tYL~~Phone 5J~ rp.,~ O\INER INSTALLATION lo ~ 1<3 The installation is being made on property I own which is not intended for. sale, lease or ren t. Ovners Signature: ---------------, A . -!'\- - DATE: \lJ'\o . v( \ ~~~!-'!nll~v. I\-~~(}Il,\_ ~~ 3. COHPLETE FEE SCHEDULE BELOY New Residential-Single or Hulti-Family per dwelling unit. Service Included: Sum Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Modular. 'Dwelling 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 $.85.00 S 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. 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 1000 volts D. Branch Circuits $ 40.00 if) S 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel, Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limi ted Energy/Comm. One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included:) $ 40.00 $ 40.00 $ 20:00 $ 36.00 ~-~ . ~hl ) . J ,