HomeMy WebLinkAboutPermit Building 1996-1-2 (2)
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951815
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4973 FORSYTHIA ST
Assessors Map #: 18020422
Lot: 15 Block:
Tax Lot #: 03000
Subdivision: BISHOP ESTATES
OWner: RIVERBEND HOMES
Address: PO BOX 593
Phone #: 744-8267
City/State/Zip: CRESWELL, OREGON 97426
Describe Work: S.F. RESIDENCE
NEW
Const.
Contractor Contractor # Expires Phone
General: RIVERBEND HOMES 0096259 06/30/96 744-8267
Plumbing: BMC MECHANICAL 0103570 12/15/95 632-4765
648 W Oregon Ave Creswell OR 974260
Mechanical: GARIBAY 0043251 12/01/90 344-2481
4207 W 5th 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: 1775
OFFICE USE --
LAND USE, 1111
ZONING CODE: LOR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
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 ---
TEMPORARY POWER
ROUGH PLUMBING - Prior to cover.
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
SANITARY SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
STORM SEWER 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.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is completet 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.
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Job Number: 951815
Page 2
Lot Faces: N
Setbk From NPL: 52
Lot Sq. Ft.: 5985
Solar Approved: Y
Total Height: 17
Lot Type: INTERIOR
N
Setbacks
S W
30 5.6
E
5.6
House
Garage
18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1280
495
$/Square Feet
56.20
14.10
= Value
71,936.00
6,980.00
78,916.00
Building Permit Fee
Surcharge/Admin
370.00
29.60
TOTAL FEE
(A)
399.60
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,226.49
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)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(Cl
172.80
- - - MECHANICAL PERMIT - --
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
3
6.00
4.50
9.00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
22.50
10.00
1. 81
TOTAL PERMIT
(D)
34.31
MISCELLANEOUS PERMITS ---
surcharge/Admin
Sidewalk
WILLAMALANE SDC
ELEC PERMIT
0.00
19.45
1,000.00
124.20
TOTAL MISCELLANEOUS PERMITS
(E)
1,143.65
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,976.85
--- 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.
SPRINGFIELD
Job Number: 951815
Page 3
Plan Check Fee:
Received By:
Plans Reviewed By: BOB
Building Site Reviewed
240.50
Date Paid: 11/20/95
Receipt Number: 19646
B~T Date: 12/20/95
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 remain' on the site at all times during construction.
~ A:1~
//:?- /9~
Date
Signature
--- VALIDATION
Date Paid:
/'9 ~ j .3
~0~
797/d.gJ
_.~
Receipt Number:
Amount Received:
Received By:
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
Developer: RIVERBEND HOMES
Mail Address: PO BOX 593 CRESWELL, OREGON 97426
Tax Lot #: 1802042203000 Project Address: 4973
Subdivision: BISHOP ESTATES Lot: 15 Blk: Eng.
Job No., 951815
Phone #: 744-8267
FORSYTHIA ST
Rev. No.: 950295 Book:
Street Gravel Ac Mat
4973 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: 4 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: CURBS & GUTTERS OR STORM SEWER
Pipe Parking Lot Drainage To: N/A
New Curbcut Appr. :
Sidewalk Permit: Y
Curbcut Permit: Y
Handicap Ramp: N
Y
Width:
Width:
SIDEWALK AND
STANDARD
5 Ft
30 Ft
DRIVEWAY INFORMATION
Width: 18 Ft Flairs: 6
Length: 63 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: TROY MCALLISTER
Date: 11/22/95
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
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Job. No.
q5lA5
. SYSTEM DEVELOPMENT CHARGE
WORKSHEET '
NAME:\ ~'\l~r\ ~O [) PHONE: l14.ffio 1
ADDRESS: ~f) \~ t-A~.) ~llt.ll.-sTATE:~ ZIP:~
LOCATION OF PROPOSED BUILD~9 SITE: . ")
Street AddrRs:. 4C\13 '\{~i(8M'n.l9-J
PlatName:ti~ ., TaX-~Number: \YIj}Jjr}J~
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinale-Familv Det8cheQ
\ Single Family home
, NO. OF UNITS I
Manufactured home not in a park
X $1,000 per unit = $ ---1DQ() ~
B. SinIJIA-Fl'lmilv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufatjured Home Park
NO. OF UNITS
WILLAMALANE SDC
X $699 per 'unit =
$
$. \mlJ (JJ
Ji
2. SDC CREDIT (if applicable) SDC;>ayer must furnish proof of
WiUamalane Credit approval. See SOC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
\ \Pn )~
Developmemt Servic
City of Springfield
$ \na\o?
/ I
Date
2- I /0
~,,-.,;::;o,
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: RIVERBEND HOMES
Location: 4973 FORSYTHIA ST
Developement Type: R Building Size:
1. STORM DRAINAGE
Impervious Sq Ft
2680
2. SANITARY SEWER - CITY
Number Of PFUs 18
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
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: TROY MCALLISTER
X
X
X
X
0.210
43.43
Job No.: 951815
Lot Size:
Per Sq Ft
Per PFU =
X
Cost Per Trip
437.93
$442.31
Per PFU +
18.750 +
0.50
MWMC Admin Fee
10.00
Date: 11/22/95
Page 1
Sq Ft
$562.80
$781.74
$442.31
$347.50
$13.88
$333.62
$2,120.47
$106,02
$2,226.49
t'~
.;;,
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Job Number: 951815
FIXTURE UNIT CALCULATION TABLE
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
2
o
o
o
o
1
o
o
o
o
o
1
o
2
o
2
o
.
Page 2
Unit
Equivalent
Fixture
Units
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
18
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1960
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
4,000
x
3.47
13.88
o
x
3.47 =
0.00
CREDIT TOTAL =
$13.88
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)