HomeMy WebLinkAboutPermit Building 1997-8-2
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971159
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4136 FORSYTHIA ST
Assessors Map #: 18020522
Lot: 100 Block:
Tax Lot #: 02300
Subdivision: WYATT MEADOWS 2
Phone #: 503-838-0096
City/State/Zip: MONMOUTH, OREGON 97361
~op.\(
Describe Work: S. F. RESIDENCE ~ W:'i\\~ ~
,~S~\C~: . r-V- r;'f..~I?\~\\:r IS ~
~~p.\t.li '0\"1 cPo ~ ~Op.
Contractor i\\IS l~QI.I~eOiltr:l>.~iQ Expires
01\\O?\ O? 15 (>.'0
YORKSHIRE HOME! \I,\t.~~C~Q ,Q6~?7 08/24/97
1049 Yorkshire W'1je_ll.~~5R' 97301
MEIER PLUMBING (>.~ \'0\1 0095025
3457 Potts Dr NE Keizer OR 97303000
Mechanical: SALEM HEATING 0001505
PO Box 12005 Salem OR 973090000
Electrical: NORTHSIDE ELECT 0080593
PO Box 12668 Salem OR 973090000
OWner: YORKSHIRE HOMES
Address: 189 SOUTH PACIFIC HWY
Phone
General:
838-0096
Plumbing:
11/01/97
393-0819
05/19/98
581-1536
03/18/00
399-7609
QUAD AREA: 3RSC
# OF'UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1419
OFFICE USE --
LAND USE: 1111
ZONING CODE: MDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: TPC
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 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.
CURBCUT - 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.
SPRINGFIELD
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
Developer: YORKSHIRE HOMES Job No,: 971159
Mail Address: 189 SOUTH PACIFIC HWY MONMOUTH, OREGON 97361 Phone #:
503-838-0096
Tax Lot #: 1802052202300 Project Address: 4136 FORSYTHIA ST
Subdivision: WYATT MEADOWS 2 Lot: 100 Blk: Eng. Rev. No.: Book:
Street Gravel Ac Mat
4136 FORSYTHIA ST
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
Y
5 FEET
12:1 FLAIRS
Existing Curbcut: N
ENGINEERING REQUIREMENTS
Additional Right of Way.: N
Improvement Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344
Available: Y
Size of Line: 8
Location From N,
Make Connection:
Stubbed Out To Property Line: Y Depth: 4-6
In. Tee: 6 In.
S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
PER PLUMBING CODE
Ft
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: CURB & GUTTER
Pipe Parking Lot Drainage To: N/A
New Curb cut Appr. :
Sidewalk Permit: Y
Curbcut Permit: Y
Y
Width:
width:
SIDEWALK AND
STANDARD
5 Ft
32 Ft
DRIVEWAY INFORMATION
Width: 20 Ft Flairs: 6
Length: 50 Ft
Ft
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
SPECIAL NOTES AND REQUIREMENTS
All work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. All existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense,
Reviewed By: DENNIS ERNST
Date: 08/02/97
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
SPAINOFIELD
Job Number: 971159
Page 2
Total Height: 16
Lot Type: INTERIOR
Setbk From NPL: 40
Solar Approved: Y
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1044
375
$/square Feet
64.66
16.27
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
MECHANICAL PERMIT - --
Exhaust Hood
Vent Fan
Dryer Vent
2
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
WILLAMALANE SDC
SYSTEM DEVEL CHARGES
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
Value
67,505.00
6,101. 00
73,606.00
355.00 ,
28.40
383.40
Fee
160.00
160.00
12,80
172.80
4.50
6.00
3.00
15.00
10.00
1.20
26.20
0.00
17.50
14.80
60.00
1,000.00
2,078.64
3,170.94
3,753.34
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.
SPRINGFIELD
Job Number: 971159
Page 3
Received By:
Plans Reviewed By: BOB BARNHART Date: 08/14/97
Building Site Reviewed By: LISA HOPPER
- -- ADDITIONAL COMMENTS ---
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 remai~~Sit~~1 times during construction.
f-2./-f!7
Signature
'-
Date
Date Paid:
~~~,...,..
~1'~ 2t
n,\ffi )
Receipt Number:
Amount Received:
Received By:
JUb NU. 9JJ J .t;-q
. ATTACHMENT A I .
. CITY OFS~NGFIELD .SYSTEMS. DEVEL MENT CHARGE
WORKSHEET
NAME OR COMPANY: Yo%../( <'/.4 I flc 1:.J ok-E ~
LOCATION: . 4 , ~<:; Ff)R.<.Y7~h4. (tJrA7T' h~4""<US l..-r/6d \
. /
DEVELOPMENT TYPE:
S F 1<..
BUILDING SIZE'
LOT SI7~
c;O,-r=t,
1. STORM ORATNAGF.
. IMPERV IOUS SQ. FL . 2 . tJ7J:'
X $0.226 PER SQ. FL $ 4t;A.5;) .
. 2, S8M.TTARY SF\oJFR-C:fTY
NO. OF PFU'S 18
(See Revecse. Side)
X $46.86. PER PFU.
$' 843.' 4t5
.. . 3, . IIW:1S.PORTATiON
.NO OF UNITS X TRIP RATE X.COST PER TRIp.
x , . {) , X $472.49 .
$ 477.2.1
'. .
X
. .. X $472.49...
$
X
X $472,49
$.
4. SANTTARY SFWFR-MWMC:
D~ . D~
NO, OF fBJ'S . X 277.7&. PERfB:r+ $10 MWMC/ADM FEE L.287, 7€.
MWMC CREDIT IF APPLICABLE (SEE REVERSE). $ - 87.3+
TOTAl -MWMC SOC. $ Zoo, <(.2-
SUBTOTAL (ADD ITEMS 1.2.3 & 4) 1J!1...7t:y~€.C
5. ADMINTSTRATTVF FFES
BASE CHARGE (SUBTOTAL ABOVE) X ,05
. $. qI'J.'9g-
A~
Date' 8-'2..-97
SDC Coordinator
TOTAL SOC: $ 7. 07~ (;.1-
.. .". vnL un.... '-'M'-~" IIVI... . MULL.:.. l'\lumOer OT l\lew r'Ars x. UOIt equivalent ;:; Fixtur~..l!njt~
(NOTE: For (emodels. calculate .a.he NET additional fixtures!. W . .
, . .. . . - NUM8ER OF. . UNIT . FIXTURE .
FIXTURE TYPE ..~ NEW FIXTURES EQUIVALENT UNITS
Bathtub.... '..., '..,........,....,."..,.....,......,.,....".... ,:.. '.......
... Drinking. Fountain..,.,....,.........:..,....,......,:.....,........... ,
Aoo.r Drain..... ,::,.,............,.....",.,.,.,..,.......,.,..............
Interceptors For Grease/OiIlSolidsJEtc...........:,..,.
Interceptors For SandlAuto Wash/Etc,......,..:.-..,...
. Laundry Tub/Clotheswasher,..,.,...."...,.......,.......;,..,.
.Oot/ieswasher - 3 Or More,.............,....:................,
Mobile Home Park Trap (1 Per Trailer!.,....,..,..,:....
Receptor For RefrigeratorlWater Station/Etc,......,.
Receptor For Commerciai Sink/Dishwasher/Etc..
Shower, Single StalL..,.,.......,:.".".,......",..,............:.
Shower, Gang.... ..:....,...,..,...,..".,..,.:....,.... ,.. ...,........,
Sink: 'Bar. CommerCial. Residential Kitchen...:.......,..,.........:
Urinal, StalllWall.. .;..:.., ,.... ,.. ,... :\".... ......... ..........,. ,....,
Wash 8asiniLavatory, Single:.........:..,..:..,:......:.......: .
". , . , . '"
Toilet. Public Installation..;;,......,:..,...:..:,....,..,..,.....,..
Toilet.. Private.....:.............,...",..,..............:..:........
Miscellaneous: . . .
\
\
'2..
z.
TOTAL FIXTURE UNITS
2
..1
2
3
6
2
6.
6
1
3
2
l/Head
2
2
1
6
.4
z
'L-
.~
'Z...
~
8
=
18
CREDIT CALCULATION TABLE:. Based on assessed value. If improvements occurred after. annexation date in table.
calculate credits separates,
..1.
I,'f
Year
Annexed
1979 or before
.1980.
1981
1!i82
1983.
1984
1985
1986
Rate per $1,000
Assessed Value.....
Year
Annexed
$3.97
.3:"'9
3.83
3.70
3.55
3,39.
.3,20
2,91
1987
1988
1989
.1990.
1991
1992
.1993.
1994
1995
1996
.,
I
Credit for Parcel or Land Only If Applicable
3.9.7. .. X .$ .22. hila
IRate X Assessed Value!
X $
. . IRate X Assessed Value)
IlTlprovement (if after annexation date) : .
=
Rate per $ 1,000
ASsessed Value
$2.56
2:17
1.73
1:31
.0.92
.0.7.4-
.0.61
.0,45
0,31
0.17.
87. 34-
CREDIT TOTAL = $ 87.3<1-
. RUNOFF COEFFICIENTS FO.R STORM DRAINAGE
(For Estimating Purposes Only)
Residential...;,.....,......,. .,.,.,.. 0.4
CommericaL.,:.........:.,.".,..., 0.9
IndustriaL........,...............,.. 0 5 .
GovernmentaL,.......,..........., 0.5.
. .
IMPERVIOUS AREA. = TOTAL LOT SIZE X RUNOFF COEFFICIENT.
.
,
(.
~~ Willamalan~
., ~l.j. Po" & R~:~::S::ELOPMENT CHA~:: No, (\1\ \\~
. WORKSHEET .
NAME: ~~~U.Q_) \ ~W... 'PHONE: 5D'3 .~?>CX.fY\\l 0,
. ADDRES~ \~ ~,\mi~~) \\ill}, I {'\01\~: lJ\L.. ZIP: ,(x l?i Q\ ...
LOCATION OF PROPOSED BUILDING SltE: . . '..
Street Address: 4\~\o .. li)
Plat,N~me: \0uili), ~ Ta Lot Number: \)So'Jh~ ~ (J'J:${)
1; DEVELOPMH. t TYP~ (Check appropriate dwelling(S), SDC calcuia;ions and dwelfing t .
. . ype definitions are on theback.) . .' .
. "
A. llinQlp-F::!milv Dflt::!r:hflri
\.. Single Fa~i1Y home
NO. OF UNITS \
.,
Manufactured home not in.a park
. $ \N't\dJ. .
X $1 ,000 per unit = U. k )
B. f'innle.-F::!mifl( Aft::!r:her
. \
NO. OFUNITS '
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit - . $ .
D. ,ManllfactllrArl Hnmp. P::!rk
NO. OF UNITS
WILLAMALANE SDC
'x $699 per unit =.$
. $ \(TI) pJ
~
$ t 000 pO'
PJ ,A\ tQ[L
Date
$.
I
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of .
WiUamalane Credii approval. See sop Credit Worksheet,
3. TOTAL WILLAMALANE NET SDC ASSESSED
. (if SDC reduced for Credit) .
~-.~,...
. . . r...
. velopme~T SeIVI ~ Department .
City o,f Springfield
. '
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