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Home My WebLink AboutPermit Building 1999-4-26 (2) Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990374 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 6904 FORSYTHIA ST Assessors Map #: 18020222 Lot: 10 Block: 4 Tax Lot #: 05800 Subdivision: CASCADE HEIGHT 1 Owner: GLENN/MARSHA GOODSEL Address: 175 49TH STREET Phone #: 746-3985 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: S.F. RESIDENCE NEW Contractor Const. Contractor # Expires Phone General: KEVIN JONES 0094455 4496 HOLLY ST SPRINGFIELD OR 974780 Plumbing: RS PLUMBING 0103816 2234 DAKOTA ST EUGENE OR 974021018 Mechanical: ALL PRO MECHANI 0101786 365 N 52ND PL SPRINGFIELD OR 974780 Electrical: OWNER 03/07/00 726-6979 01/04/00 461-4714 09/20/99 746-9931 QUAD AREA: 4RSE # OF UNITS: 1 CONSTR. TYPE: VN 'SECONDARY HEAT: FP INSUL PATH: P1 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 WATER HEATER: G SQ FOOTAGE: 2463 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG RANGE: E 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 --- SITE - To be made after excavation but prior to setting forms. FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. UNDER FLOOR MECHANICAL - Prior to insulation or decking. ROUGH GAS - after line is installed and capped if not attached to an appliance POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. UNDERFLOOR DRAIN - Prior to cover or placement of concrete. 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. SIDEWAL~ - After excavation is complete, forms and sub-base material in place. SPRINGFIELD Job Number: 990374 Page 2 FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: S Topography: 8 Solar Approved: Y Lot Sq. Ft.: 8137 Total Height: 25 Lot Type: INTERIOR Setbacks S W E 12 Lot Coverage: 30.33% Setbk From NPL: 35 N House 14 Garage 18 BUILDING PERMIT --- Item Main Garage COVERED DECK Total Value Square Feet 1856 607 234 x s/square Feet 69.64 18.34 15 Value 129,252.00 11,132.00 3,510.00 143,894.00 Building Permit Fee Surcharge/Admin 532.00 42.56 TOTAL FEE (A) 574.56 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 GAS LINE & W/H GAS F.P. 3 6.00 4.50 9.00 3.00 5.00 4.50 Mechanical Permit Issuance Surcharge/Admin 32.00 10.00 2.56 TOTAL PERMIT (D) 44.56 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW ADJUST. WILLAMALANE SDC CITY SDC 0.00 20.65 15.40 4.39 1,000.00 2,605.84 ~~6-G- 110. ~O 'i!tb.o~.1-=--r'"I!.IU.I.l: .L TOTAL MISCELLANEOUS PERMITS (El 3.-'>'. - s7~6.4rB Job Number: 990374 Page 3 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) ~,.~. J-& -1-57B ,bO ~ --- 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: Received By: Plans Reviewed By: DON Building Site Reviewed 341.41 Date Paid: 03/22/99 Receipt Number: 33220 MOORE Date: 04/15/99 By: LISA HOPPER --- ADDITIONAL COMMENTS --- PATH 1; LAND ALT.PERMIT APPLIES DRIVEWAY REQUIRED TO BE PAVED 3 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 I times during construction. ~, .--;< ~ r /' Signature ,?,~ -it DZ - ;:;- --- VALIDATION Date Paid: ~:JC:,c,/ ./;2 ~/1> )' A (-'/0 ~O T~) /,.,C/ J /~ /L( ",.... ~ Receipt Number: Amount Received: Received By: NAME OR COMPANY: JOURNAL OR JOB NO. I '. ATTACHMENT A .' .' {/fq 0374- CITY OF SPRINGFIELD SYSTEMSDEVELOP~T CHARGE WORKSHEET ~OQ (.AM Ftir9JtrXW I . LOCATION: . 'DEVELOPMENT TYPE: Sf: 0 BUILDING SIZE: LOT SI7F SQ. Ft. 1. STORM DRAINAGE OOg-)Z-1- r.9.+0~)+-IO(Zo)--rJ"lr.,3 IMPERVIOUS SQ. FT. _ ~\l X $0.227 PER SQ. FT. ~~ 2. SANITARY SEWER-CITY NO. OF PFU'S ~R (See Reverse Side) X $47.14 PER PFU $ I03l,go 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 1.01' X $475.32 1-480.01- X X $475.32 $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 211.# PER FEU , $ 2.'1'1.44- B. IMPROVEMENT COST: ' i NO. OF FEU'S , X 2.5.20 PER FEU $ 25.20 MWMC CREDIT IF APPLICABLE (SEE REVERSE)' < $ \~~,C)r., > MWMC ADMINISTRATIVE FEE $ 10.00 TOTAL -MWMC SDC $ \ '6'1. '5~ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $~4l) I. '15 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 $ \24.di VYl~L.. SDC Coordinator ATIACH'A.WPD Date:~?COJCf) TOTAL SDC $ 8.&OS, ~4- ". ., '. _: .v. . ..," . ~ .. . . .. . - ,. :. ',' ", c.o '".' . '''''' ....,,1,.1;:":.';<..,.. . .-.... . ._~_ " FIXTURE UNIT CALCULAlLON TABLE: N~,?,be.r of New Fixtur~Unit Equivalent = Fi~~~re U(1~ts'" (NOTE: For remodels, calculate only err additional fixtures! '.'. ".... . , NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain................ .......................... ........... Floor Drain................... ........ ...................................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher. ... ......... ..... ... ...... ..... ... Clotheswasher . 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer!.................. 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, Singl~.................................. Toilet, Public Installation........................................ Toilet, Private........................................................ Miscellaneous: r 2 1 2 3 6 :2 6 6 1 3 2 l/Head 2 2 1 6 4 I "',J , r'1 ( II -Y 1/ TOTAL FIXTURE UNITS = :2.. I :;L 4- ::L ~ S? ~d . CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year"1 ... Annexed Rate per $1,000 Assessed Value . Year' Annexed 1979 or before 1980 1981 1982 1983 1984 . 1985"" ' , , ,- 1986 1987 1988 $4.27 4.18 4.12 3.99 3.83 :3.68 3.48 3.18 2,82 2.42 . 1989 1990 1991 1992 1993 1994 .",.1,9a5 1996 1997 Rateper $1,000' I Assessed Value 1 $1.98 1.55 1.15 0.96 0.83 0.67 0,52 0.38 0.21 = IZ3.C?t- Credit for parcei' ~d.and Only If Applicable 4. z:;t X' '$:";;(~.~;;z., (Rate X Assessed Value! X$ (Rate X Assessed Value) CREDIT TOTAL Improvement (if after annexation date) = RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential..,.,............,........, 0.4 Commerical.........,............... 0.9 IndustriaL........................... 0 5 Governmental...................... 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT = $ " ~\f'Q, ~\o ~e~~..e 225 FIFTH STREET ~e(;~~r.\"" SPIilNGFIELD, OREGON 97 477 ..~o#',e ..'?~ INSPECTION REQUEST: 726-3769~eC'~,e ~ OFFICE: 726-3759 ~~Q,~..f'O 'o~o f\o MfllIO~_~. . \~(~D~EtW~~ ?c,~r9\Q,f'e\~' ~~~oj)\~~L A4\r'?14\~ Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLI ~ctrical Contractor ~ Add~ ~ Ci ty ~ Ph~e Supet'visor Ntn:'ber ELECTRICAL PERMIT ,>\PLICATION ity Job Numberq~f)?J~~ Expiration Date /" Constr Cpntr. Numbe~ E. 'l;/ xplra tlon ate Signa~ of Supervising The installation is being made on property I ovn vhich is not intended for sale, lease,or rent. Ovners Signature: ---------------,-z--~:T---------------- DATE: 4/~(,h '7 '3 RECEIFT #: I ~> &'0/ ' RECEIVED BY: _/."~/"7 - J /( ~__ / ou"'- Nev Residential-Single or Multi-Family per dvelling Service Included: 1000 sq.ft, or less Each additional 500 sq, ft or portion thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder ,B. 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 unit. Cost Sum $ 85.00 ffi $ 15.00 46 $ 40.00 It ems I ~ $ 50.00 $ 60,00 $100,00 $130.00 $300,00 '$ 40,00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less ": $ 40.00 ~ 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightinp Limited Energy/Res Limited Energy/Comm C. E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL Ovners Name \"'\\ ~ {'\.[\-\-~~~ (lrro.~Wranch Circui ts \, t:... A (\~A^ ~\.\ rYJ/li- Nev, Alteration or Extension Per Panel Address \ \ -~) ~\l \ M\l.\ Ci ty ~~f '^ Phone -"1\ \~5~~~h C~~~~~~onal \ " '. Circui t or vi th Service 01lNER INST LATION or Feeder Permit .' .r, $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~ /3(),tJD i-J>:SU ' ~SO ~ 5,'1'0 \~?> IdJ 0 li()/rJ . . fl" , .. ~I'... 'Willamalane '"t,""f' Park & Recreation District, fV SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: G\~0\\~OOr~ G~ PHONE:lf\.\[).~~_ ADDRESS: \~~ }fl.*,,~, 'STATE: \)~ ZIP: C\~~ Job. No. Qq()~on4 LOCATION OF PROPOSED BUILDING SITE: 'l\".....\- ' Street Addrf\s.,s: \ cA.[):t ~\S\M\Q _ C)\\ ef ~\ ' Plat Name:\l\<N'MQ_ ~\\1sT~Lot Number: \~~('fCf!JfJ 1. DEVELOPMENT TVP~, (Check a~~tate dwelling(s). SOC calculations and dwelling I ype definitions are on the back.) A. Sinale-Familv Detached \ Single Family home' " NO. OF UNITS \ B. ~Ie'-Fflmilv Aftflr:hed Manufactured home not in a park , CD X $1,000 per unit = $ \ If{) . . NO. OF UNITS X $924 per unlt = $ C. Multi-Familv Aoartmen\ NO. OF UNITS X $692 per unlt = $ D. ~anlJfar:tlJred Hnme Park NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ \\iJO W 2. SDC CREDIT (II applicable) SOG-payer must furnish proof of Willamalane Credit approval. See sac Credit Worksheet. $ o \~N\\D 3. TOTAL WILLAMALANE NET SDC ASSESSED (II SOC reduced for Credit) ~p~~w.~epartmenl City of Sprihgfi~~r\c~ $ 4, U,'7J Date