HomeMy WebLinkAboutPermit Building 1997-7-10 (2)
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SPRINQFIELD
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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
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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:
.
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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
.\
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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 ; _~,._]~.:--';.'-;
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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:
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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
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'Job Number: 970645
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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
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