HomeMy WebLinkAboutPermit Building 1998-5-6
SPRINGFIELD
/.:tI'&'}{(!~N.
.'
~-
~~'-
"
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980306
225 North Fifth Street
Springfield, OR 97477
Office, 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1047 A ST
Assessors Map #, 17033541
Lot: Block:
Tax Lot #, 02700
Subdivision:
Owner: TERRY TRAVESS
Address, 5024 MAIN STREET
Phone #: 726-2171
City/State/Zip, SPRINGFIELD, OREGON 97477
Describe Work, MANUFACTURED HOME
NEW
~ Const.
Contractor ~ ~~ Contractor # Expires Phone
-9'v ~A) ~
General: GREAT WESTE~~~ ~ ~0046472 11/12/98 726-2171
5024 MAIN ST ~~~LD OR 974
Plumbing, OWNER 1b ~ ~ ~
~~ ~~
Electrical: HERITAGE INV ~A) ~ ~0~137 12/27/99 688-1600
1042 HARN LANE EUGE~ 6lF 91~ ~OO
lOb.... -9'<9. v,Q ~....
OFFICE~US~-~"~
QUAD AREA: 2RNW LAND USE:~O~ ~~ # OF BLDGS: 1
# OF UNITS: 1 ZONING CODE :~J\~ ~ OCCY GROUP, R3
CONSTR, TYPE, VN # OF BDRMS, 3 9s> '10 HEAT SOURCE, FE
WATER HEATER, E 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 ---
FOOTING - After trenches are excavated.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
MANUF HOME/MOBILE HOME SET UP - When all blocking is complete,
MANUFACTURED HOME SERVICE
MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Faces: N
Solar Approved, Y
Total Height, 15
Lot Type, INTERIOR
Setbacks
S W E
32 13 5
Setbk From NPL, 20
N
House 20
Item
Main
Garage
FTG/PERIM FOUNDATION
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
31,500.00
0,00
5,026,00
SPRINOFIELD
1.::711&.}t"!'N4
Job Number: 980306
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
Page 2
36,526,00
56,50
4,53
(A) 61. 03
Fee
25,00
25,00
25,00
75,00
6.00
(C) 81.00
105.00
20,00
8,40
1,000.00
86,40
2,004,15
(E) 3,223.95
3,365.98
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- PLUMBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MISCELLANEOUS PERMITS ---
Mobile Horne
State Issuance
Surcharge/Admin
WILLAMALANE SDC
ELECTRICAL PERMIT
CITY SYS DEVEL CHG
TOTAL MISCELLANEOUS PERMITS
--- 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.
Received By:
Plans Reviewed By: LISA HOPPER Date: 03/13/98
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
1 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 ORB 701.055 will be
used on this project.
SPRINGFIELD
Job Number: 980306
Page 3
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.
Vl ~ ~--=;;-
(\""Sig~ture
?--
- -
s--~-c;~
Date
Date Paid:
afLo~ATION ---
o. (0 .LI~
n ~3.0~y~
P}) VJ\ )
Receipt Number:
Amount Received:
Received By:
. .JOB NO. QS030L..
ATTACHMENT A
CITY OF SPRINGFIELD SYSrEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: IE.R.R.Y 7fi.a vF~ .;
LOCATION: 1047 II A N 5r..ecrST
DEVELOPMENT TYPE: "'j F. I?
BUILDING SIZE LOT SIlE SO Ft,
1. STORM I1RA T ~1j!GE
IMPERVIOUS SO, FT, / <)b!f X $0,226 PER SO, FT, $ < ,>4--L3 7
2, $ANTTARY SF~FR-CTTY
NO. OF PFU' 5 I 0/
(See Reverse Side)
X $46,86 PER PFU
$ cH3A'('
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
/
X 1,61 X $47249
$ +77,2./
X
X $472.49
$
X
X $472,49
$
4, SANITARY SFWFR-MWMC
NO, OF FEU'S
X 277: 7(,. PER FEU + $10 MWMC/ ADM FEE $ 287,7,=>
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$!;f, / (
TOTAL-MWMCSOC $ Z,33,'"S-
SUBTOTAL (ADD ITEMS 1.2,3 & 4) LL.qI'lR,7~
5. AI1MTN1STRAT1VF FFF~
BASE CHARGE (SUBTOTAL ABOVE) X .05
$
qr;: 4'1-
~
Date: 3-lg-q~
SDC Coordinator
TOTAL SOC $? 004, I~
. t ..,.,. VI U.. V...... '-'ML"-"U~ IIVI\I I HDI-I:.. Number or New FiWS X Unit Equivalent = Fixrure,Ur.tits
(NOTE: For remodels. calculate oWhe NET additional fixtures I
. 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""""",.,.",,,,,,,,,...,,,,...
Clothes washer . 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, R.esidel1tial Kitchen.....................,..
Urinal, Stall/Wall.."."..""".,.."""",....,..".....,...",..""
Wash Basin/Lavatory, Single..""....." ."" ."........ ,....
Toilet, Pubiic Instailatioll......, ......,.............."""..".
Toilet, Private..""........,..,,,,,....,..,,.,,,,....,,,,,,,,,,.,,,,
Miscellaneous:
2-
'Z.
'2-
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
=
4-
?
:?-
2..
R
J'{r
Based on assessed value. If improvements occurred alter annexation date in table,
CREDIT CALCULATION TABLE:
calculate credits separates.
,
Rate per $1,000
Assessed Vafue
Year
Annexed
Year
Annexed
L
"'--.L~d Qr hpfo.re
1980
1981
1982
1983.
1984
1985
1986
$ 3,9 r-----.::,
3,89
3.83
3,70
3,55
3,39
3,20
2,91
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Rate per $1,000
Assessed Value
"
I
I
I
$2,56
2.17
1.73
1,31
0.92
0,74
0,61
0,45
0.31
0.17
s4,/(
Credit for Parcel or Land Only If Applicable
'5.&17 X $ n,{,'\<?
IRate X Assessed Value)
X $
, (Rate X Assessed Value)
Improvement (if after annexation date)
=
=
CREDIT TOTAL = $ 54.//
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
nesiden[iai...; ...... ............ ..... 0.4
CommericaL""."",,,....,,,,,.,, 0,9
Industria!.,,,,..,,,,,,,,....,,,,,.... 0 5
GovernmentaL."""""",,,,,,,. 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
.
.
MANUFACTURED HOME LAND USE AGREEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX(541) 726-3689
As required by the City of Springfield Development Code, I agree that w}he apprpval of the attached
permits, one of the following manufactureslhomes will be placed at \lY'\-\.-^ S 1\00 j"
Springfield, Oregon, City Job Number \J., ~03()u:> '
-=:l. Type I Manufactured Home, A multi-sectional (double wide or wider) unit with an enclosed
floor area of not less than 1,000 square feel, that has a oominal roof pitch 00 feet in height for each 12
feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to
have an exterior thermal envelope meeting performance standards which reduce heat loss to levels
equivalent to the performance standards required of single family dwellings constructed under the State
Specialty Codes,
_ Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor area
of not less than 500 square feet, that has a nominal roof pitch of2 feet in height for each 12 feet in width
and that has no bare metal siding or roofing,
The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6
percent slope within 10 feet of the perimeter enclosure. The perimeter foundation wall surrounding the
home shall be constructed of stone, brick or other masonry materials, and with no more than 24 inches of
the enclosing material exposed above grade,
I further agree to meet all land use and City Code requirements of the above mentioned parcel within 60
days of the date of issuance of the manufactured home set up permit These requirements may include, but
are not limited to the items listed below, Specific land use requirements regarding your parcel are noted on
your approved set up plans and/or permit and your partition approval if applicable:
. Street Trees
. Paving Driveway
. Minimum 32 square foot storage structure
. Completion of partition approval
. Removal of any existing structures as noted on your partition approval
. Signing and recording of any required partition, easement, improvement agreements, etc,
. Final lot grading
. City Sidewalk and corbeut installation
. Any outside agency approval as required Le" Division of State Land approvaL
By my signature below, I agree to complete the above mentioned land use requirements.
Owner Signature
Date
/7 /1 ~ .,---.
;;.; - -------
Contractor Si~ature
---.
5'- - C - l'.r
Date
, . ,
.
.
Job. No.
(\~n~
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~ fit- \((\\110 D[)
ADDRESS: l1(')
t
PHONE:-:J tlo.7.JJj
STATE: erl-ZIP: itMJ1
..
\,
LOCATION OF PROPOSED BUilDING SITE:
Street Address: IM-l l 9\ &toJ-
Plat Name: 'f\ \t\ ./ Tax Lot Number: 1 t1()3()~ I 0 7~7cf)
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). sac calculations and dwelling t
ype definitions are on the back,)
A. SinaIA-F::Jmilv DAf::J~hAd
Single Family home
l Manufactured home not in a park
X $1,000 per unit = $ \0 D().oO ,
NO. OF UNITS
l
B. .sLnaIA'-F::Jmilv~Att:>~hp.ri
NO. OF UNITS
X $924 per unit = $
C. Multi-F::Jmilv AO::Jrtment
NO. OF UNITS
X $692 per unit = $ .
D. ,ManufacturAci Homll P::Jr!<.
WILLAMALANE SDC
$
$
\ noo 00
d
NO. OF UNITS
X $699 per unit =
2. SDC CREDIT (it applicable) SaC-payer must furnish proof of
Willamalane Credit approval. See SOC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(it sac reduced for Credit)
\l~'-)-\roW
Development Se\v1ces Department
City of Springfield
$ lOCO.DU
!5 I Lo/~
Date