HomeMy WebLinkAboutPermit Building 1995-12-13 (2)
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951645
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4974 FORSYTHIA ST
Assessors Map #: 18020400
Lot: 7 Block:
Tax Lot #: 02900
Subdivision: BISHOP
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 0104040 01/19/96 538-5069
12543 SW 134TH AVE TIGARD OR 972230
Plumbing: BMC MECHANICAL 0103570 12/15/95 895-4575
648 W Oregon Ave Creswell OR 974260
Mechanical: GARIBAY 0043251 12/01/90 344-2481
4207 W 5th Eugene OR 974020000
Electrical: BILLS ELECTRIC 0021351 04/28/96 687-1851
3170 W 11th Eugene OR 974020000
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1781
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: SGC
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,
UNDERGROUND PLUMBING - Prior to filling trench.
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
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.
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.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
FINAL ELECTRICAL - When all electrical work is complete,
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
Job Number: 951645
Page 2
Lot Faces: S
Topography: 2
Solar Approved: Y
Lot Sq, Ft,: 5999
Total Height: 15.5
Lot Type: INTERIOR
Setbacks
S W E
18 5
22 5
Lot Coverage: 30 %
Setbk From NPL: 45
N
House 33
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT -..-
Square Feet x
1277
504
$/square Feet
56,2
14,1
= Val ue
71,767,00
7,106,00
78,873.00
Building Permit Fee
Surcharge/Admin
370.00
29.60
TOTAL FEE
(A)
399.60
..-- SYSTEMS DEVELOPMENT CHARGE (SDC) ..-..
(B) 2,211.94
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
(C)
172 . 80
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
2
6,00
4,50
6,00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
19,50
10,00
1. 57
TOTAL PERMIT
(D)
31.07
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
WILLAMALANE SDC
ELECTRICAL PERMIT
0,00
20.80
14.95
80.00
1,000.00
124.20
TOTAL MISCELLANEOUS PERMITS
(E)
1,239.95
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
4,055.36
--- 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: 951645
Page 3
-..- ADDITIONAL COMMENTS ....-
ESTIMATE ONLY ON A & T VALUE, INDIVIDUAL TAX LOTS
NOT ASSIGNED AS OF 10/17/95
SIMILAR TO 4970 FORSYTHIA
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.
~~~
/ L./f .>/~..--
Date
Signature
..-.. VALIDATION
Date Paid:
/980<1-
12(l3/S'S
4e<,~, ~b
~~
Receipt Number:
Amount Received:
Received By:
.
'.
,
~~\lcAD
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~\\ut.~-, ~[) PHONE: 'l44.62J11
ADDRESS: ~ 0 ~ ffi-=)) 0\ntil \o~ STATE: ~ ZIP: Q1jLlo
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 4C\~~ ~r.st ttnia_
. Plat Name: ~\ ~~f)~ '. - T~I0-Lot Number: WlIlll4fY) n9J)(})
1. DEVELPPMENT TYPE; (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back.)
A. SinoIA-F::tmilv DAt::tchAd
\ Single Family home
. NO. OF UNITS t
Manufactured home not in a park
X $1,000 per unit = $ l(f{) (1J .
B. Sinale..F::tmilv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment .
NO. OF UNITS
X $692 per unit = . $
. D. Mamlf.aQUJred HomA Park.
NO. OF UNITS
WILLAMALANE SDC
. ..
. X $699 per'unit':=, ,:f'
I.. $ '.\Offi .m,
.{3
. .
$-\~DtD.@'
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of"
. Willarnalane Credit approval. See sac Credit Worksheet. . $'
. 3..TOTAL. WILLAMALANE NET SDC ASSESSED.
.'. , (if SDC reduced for Credit)
· . \~t'{) ) \ ~()Q0
Development ~~~epartment
City of Springfield .
/1.. I _11 I fS' .
Date
,;.J
,...;,
.
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: RIVERBEND HOMES
Location: 4974 FORSYTHIA ST
Developement Type: R Building Size:
Job No,: 951645
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft . 2614. 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
Transporta~ion Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
X
X
Per PFU +
18.750 +
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items I, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER
MWMC Admin Fee
10,00
Date: 10/17/95
Page 1
Sq Ft
$548.94
$781. 74
$442.31
$347.50
$13.88
$333.62
$2,106.61
$105.33
$2,211. 94
,j'-i ,..'
.
Job Number: 951645
.
Page 2
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
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
1
o
o
o
o
1
o
o
o
1
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
2
o
o
o
o
2
o
o
o
2
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 a
$13.88
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)