Loading...
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