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HomeMy WebLinkAboutPermit Building 1997-6-6 (2) SPRINGFIELD , I' ~- Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970653 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4131 FORSYTHIA ST 4133 Assessors Map #: 18020522 Lot: 97 Block: Tax Lot #: 02600 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 # Expires Phone General: KEYS HOMES INC. 0095155 3514 Conser Rd NE Albany OR 9732100 Plumbing: M.P.I. 0101487 PO Box 121 Depoe Bay OR 973410000 Electrical: FAR NORTH ELECT 0100894 155 B Ave Ste 330 Lake Oswego OR 97 11/17/95 292-6578 08/04/95 765-4391 06/29/95 636-4115 QUAD AREA: 3RSC # OF UNITS: 2 CONSTR. TYPE: VN INSUL PATH: Pi OFFICE USE -- LAND USE: 1120 ZONING CODE: MDR # OF BDRMS: 6 SQ FOOTAGE: 3340 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH 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. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover SANITARY SEWER LINE - Prior to filling trench. STORM SEWSR 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. CURBcur - 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. SPAINOFIELD Job Number: 970653 Lot Faces: N House Garage N 28 20 Item Main Garage Total Value Building Permit Fee Surcharge/Admin TOTAL FEE Total Height: 26 Setbacks S W E 39 10 10 Page 2 Solar Approved: Y BUILDING PERMIT --- Square Feet x 2940 400 $/Square Feet 64.66 16.27 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- ~ Value 190,100.00 6,508.00 196,608.00 651.25 52.10 (A) 703.35 (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 MECHANICAL PERMIT - - - 4 --- MISCELLANEOUS PERMITS --- TOTAL MISCELLANEOUS PERMITS (Excluding Electrical) unless otherwise noted TOTAL AMOUNT 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 7,643.83 SPRINGFIELD Job Number: 970653 Page 3. -- - BUILDING VALOIl, 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 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 maae 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~t the fr nt of the property, and the approved set of plans will remain on the sit . ~l times during construction. ~ Signature Date --- VALIDATION Date Paid: ~llidT \.0 \0 0..-"\ ~.L~ = Receipt Number: Amount Received: Received By: .. ~ Job. No. cA-, D (J??-; ; SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~l:> l+nnu.. --cru~. PHONE(~~)2t1t -~e, ADDRESS: _fo ~~lc '2.&:?tJ<i'o' vlmlauvL STATE: Qy: ZIP!1--'';f~ ,. . LOCATION OF PROPOSED BUILDING SITE: Street Address: L(I~ I - Lll~~ ~~~t. .Nafl)e::J.~ 0'2- 05 #J/'l, ~~(L .-:;, .. I. Tax Lot Number: o~ao 1. DEVELOPMENT TYPE '(Check appropriate dwelling(s). SDC calculalionsand dwelling t ype definitions are on the back.) - . A. Sinale-F8milv Det8r.h'ert Single Family home Manufactured home not in a park . , . . NO. OF UNITS X $1,000 per uni~ = ) $' '':. .i..~ . . "'. . B. ,Sinale-F8milv Atf8r.hAQ NO. OF UNITS 'l...- X $924 per unit = $ ~~. 00 C. Mulli-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. ,Manufacluren Home P8rk NO. OF UNITS X $699 perunit = $ $ I ~l.f.~.- 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 $ I C(LJ K -- to . to... q1 llJ~ I ~I 4"1 Date . ..'",,' . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: KEYS Location: 4131 Developement Type: R Job No.: 970653 HOMES INC. FORSYTHIA ST 4133 Building Size: Lot Size: 1. STORM DRAINAGE Impervious Sq Ft 2580 X 0.216 Per Sq Ft 2. SANITARY SEWER - 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) S. ADMINISTRATIVE FEES Base Charge (Subtotal Above) X 0.50 TOTAL SDC Reviewed By: DENNIS ERNST Date: 05/06/97 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: 970653 . Page 2 " FIXTURB UNIT CALCULATION TABLB 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 B 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 1:1 0.00 CRBDIT TOTAL ~ $95.43 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) .'. ~PR.IELD U I ,;' j':..''''' g."'........."...."'... .......- .,.... ....... ... zoning, and dC9S not requiro cpe.cinc land uos epproval. ZOning~ D"'e\:Ltl{-\f)~- 97lit~7oriZ~d Si9n,,-;uraJ~lV\ 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. ALOjiATION 09, f~W.LAp:DN .\.I^ ; r . 0.;-,\:"1\ -\- '-'(\'(),"'I ~\S~~ A. . \~~~R~PTDO~loCD . ~?-Aa ~~OB D~S~PTION \. -^' )\~ \~\ Q ry-' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. Electrical contractor~V""~ f!..ett Address~L\'1\ f'L \.\.l. t\wl~<~nq Ci ty\\\\\cs'fU<{10e-- Phone ~ ntJtt0<6'\-1 Supervisor Lice~se Number :\~~L\~ Expiration Date \\) . \, Q.'6 Constr Contr. Number ()\\~CY\\ Expiration Date 4.. \~ .C\~ ~"~ o':ers Name ~e['P ~Q~ ~. Address\ ~() \~t:\()~~ Cityl ~~Phone~~~~. 01lNER INSTALLATION . lo ~ 1 <3 The installation is being made on property I. own which is not intended for sale, lease or rent. Owners Signature: ------------------------- ~. --- DATE: ~ '0\.0.....-'\ RECEIPT II:. ~ "\~ .~ ~ RECEIVED BY: -" ~ ELECTRICAL PERMIT APPLICATION City Job' Numbe~ (\~CXO~~ 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'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 R. "\- Cost Sum $ 85.00 IflO S 15.00 ~O $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 S 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits .' New, 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 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 ~~ ,,,U{) .A4'i<: ,",\f)