HomeMy WebLinkAboutPermit Building 1997-6-6 (2)
SPRINGFIELD
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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
~~
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