HomeMy WebLinkAboutPermit Building 1996-6-14 (2)
SPRINQFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960666
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 49~
Assessors Map #: 18020422
Lot: 17 Block:
Office: 726-3759
Inspection Line: 726-3769
FORSYTHIA ST
Tax Lot #: 03200
Subdivision: BISHOP ESTATES
Owner: RIVERBEND HOMES
Address: PO BOX 593
Phone #: 744-8267
City/State/Zip: CRESWELL, OR 97426
Describe Work: S.F. RESIDENCE
NEW
Const.
Contractor Contractor # Expires Phone
General: RIVER BEND HOME 0096259 08/09/96 744-8267
PO BOX 593, CRESWELL OR 97426
Plumbing: BMC MECHANICAL 0103570 12/15/96 895-4575
648 W Oregon Ave Creswell OR 974260
Mechanical: GARIGAY HEATING 0070545 12/21/96 344-2481
4207 W 5th Ave Eugene OR 974020000
Electrical: JB ELECTRIC 0084200 06/22/96 687-5770
1786 Balboa St Eugene OR 974010000
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1811
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: PI
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 ---
FOOTXNG - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
STORM SEWER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAMXNG - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
CURB CUT - After forms are erected but prior to placement of concrete.
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: 960666
Page 2
Lot Faces: N
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 5985
Total Height: 17
Lot Type: INTERIOR
Setbacks
S W E
29 5 12
25 12
Lot Coverage: 30 \
Setbk From NPL: 42
N
House 38
Garage 18
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
1316
495
$/Square Feet
64.66
16.27
= Value
85,093.00
8,054.00
93,147.00
Building Permit Fee
Surcharge/Admin
415.00
33.20
TOTAL FEE
(A)
448.20
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,096.52
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Fee
192.50
Plumbing Permit
Surcharge/Admin
192.50
15.41
TOTAL CHARGE
(C)
207.91
- -- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
4
6.00
4,50
12.00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
25.50
10.00
2.05
TOTAL PERMIT
(D)
37.55
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL
0.00
19.45
12.40
1,000.00
124.20
TOTAL MISCELLANEOUS PERMITS
(E)
1,156.05
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,946.23
SPRINGFIELD
Job Number: 960666
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.
Plan Check Fee: 269.75 Date Paid: 05/15/96
Received By: LORNE PLEGER
Plans Reviewed By: DON MOORE Date: 06/05/96
Building Site Reviewed By: LISA HOPPER
Receipt Number: 21562
--- ADDITIONAL COMMENTS ---
PATH 1
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 rem~e ~ during construction. ~pr ftb
Signature
Date
VALIDATION ---
Receipt Number: <:/98 Z
Date Paid: ~-~.~
Amount Received: 'Jl&7Ytt:. '23
Received By: .d ~
'/'
.
.
Q wDwl o(f)
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NA~E: \_Ri\1!Y ~0Cl &MOD
ADDRESS: \,'00 ~)(, rcu~ 0lDl1WM
, ,
LOCATION OF.PROPOSED BUILDING SITE:
Street Addrer\:. 4C\\0\ +f\~ln ]
Plat Name: _ ~ ~ Ta~Lot Number: \ 8l2at 1-1. (Y3'J1tJ
1, DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
PHONE: 14-4.<l7JtI7_
STATEl_f1e... ZIP:..9J:121a
A. SinolA-Fllmilv DAtllr.hAn
\ Single Family home
NO. OF UNITS l
Manufactured home not in a park
X $1,000 per unit = $ --.lD{Y) pO
B. .sillale-Fllmilv Attllr.hAd
NO. OF UNITS
. X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Mllnllfllr.!lIrAtU:iQn1p, PArk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
$
$
L()(')().OO
,fY
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)
- \l~ l Qi,~r\oU /
Development s;1~~ bepartment Date
City of Springfield '
$, IDOO,OO
/
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: RIVERBEND HOMES
Location: 4971 FORSYTHIA ST
Developement Type: R Building Size:
Job No.: 960666
Lot Size:
l. STORM DRAINAGE
Impervious Sq Ft 2369 X 0.210 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 43.43 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
437.93
$442.31
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
Per PFU +
18.750 +
MWMC Admin Fee
10.00
X
X
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
0.50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 05/16/96
Page 1
Sq Ft
$497.49
$781.74
$442.31
=
$347.50
$72.35
$275.15
$1,996.69
$99.83
$2,096.52
.
. . ,
Job Number: 960666
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
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
o
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
2
2
1
6
4
TOTAL FIXTURE UNITS 18
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) :
20,850
X
3.47
72 .35
o
X
3.47
0.00
CREDIT TOTAL =
$72.35
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)