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Home My WebLink AboutPermit Building 1998-1-30 .. ,.::t11tS-Jl,AN4 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980066 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 3781 JASPER RD Assessors Map #: 18020613 Lot: Block: Tax Lot #: 09700 Subdivision: Owner: RODNEY RIEL Address: 3910 RICHLAND Phone #: 726-1704 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: MANUFACTURED HOME NEW Contractor ::I<Fonst. cc!!J-r&tor # ~~ ~.!(Jg:. R.t:::12 ~~Q If If ~, ~[!?B ~~~ ::::t9:,;r ~ if ~ ~. -- ~Iai' uIDl fl:'- ~ ...,~~q~ J:S Iflr ~P.':LDR ~ ~@riJiSt;$ 3 ~:~~ 't' ,0 ~ call the !4~our recording at 726-3769. Expires Phone General: OWNER Plumbing: OWNER Electrical: OWNER QUAD AREA: 3RSC # OF UNITS: 1 CONSTR, TYPE: VN WATER HEATER: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1560 TO request an inspection, All inspections requested before 7:00, inspections requested after 7:00 a,m, " a.m. \"i11 , i will be made the same working day, be made the following work day, REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated, SLAB - To be made after all ins lab building service equipment, conduit piping, and other equipment items are in place but prior to concrete SANITARY SEWER LINE - Prior to filling' trench, STORM SEWER LINE - Prior to filling trench, WATER LINE - Prior to filling trench, MANUFACTURED HOME SERVICE MANUF HOME/MOBILE HOME SET UP - When all blocking is complete, 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. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. Lot Faces: N Setbk From NPL: 15 Lot Type: PANHANDLE Setbacks N S W E 15 150 10 39 BUILDING PERMIT Square Feet x $/Square Feet Value 40,000,00 0,00 House Item Main Garage :i1'..'}[fJ!l'N" Job Number: 980066 Page 2 Surcharge/Admin 2,32 TOTAL FEE (A) 31.25 PLUMBING PERMIT Item Sanitary Sewer Water LINE TO DRYWELL 250 250 Fee 55,00 55,00 15,00 Plumbing Permit Surcharge/Admin 125,00 10,00 TOTAL CHARGE (C) 13S.00 --- MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/Admin WILLAMALANE SDC ELECTRICAL PERMIT SYSTEM DEVEL CHGS 105,00 20,00 8,40 1,000,00 86,40 1,787,28 TOTAL MISCELLANEOUS PERMITS (E) 3,007.08 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,173.33 --- 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: 01/21/98 Building Site Reviewed By: LISA HOPPER - - - ADDITIONAL COMMENTS - - - 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. ~6 d c?Z/ ~, , / 19nature (-')0- ry Date Job Number: 980066 Receipt Number: Date Paid: Amount Received: Received By: -- - VALIDATION 'd.~/p(P'-f 1-36 -C?g $0,113,"33 cKM) Page 3 T , . . DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726,3753 FAX (541) 726,3689 MANUFACTURED HOME LAND USE AGREEMENT As required by the City of Springfield Development Code, I agree that with the app oval of the penn its, one of the following manufactulJ'l! homes will be placed at ~'l 'il . Springfield, Oregon, City Job Number ~ <i..~ ' / Type I Manufactured Home, A multi-sectional (d~uble wide or wider) unit with an enclosed floor area of not less than 1,000 square feet, that has a nominal 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 thennal envelope meeting perfonnance standards which reduce heat loss to levels ,equivalent to the perfonnance standards required of single family dwellings constructed under the Stale Specialty Codes, _ Type II Manufaclured 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 roofmg, 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 pennil. 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 pennit 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 . Ciiy Sidewalk and curbcut installation . Any outside agency approval as required Le" Division of State Land approval. By my signature b~low, I agree to complete the above mentioned land use requirements. ~ wner Signature 7 .v~ (- 3()-QS( Date Contractor Signature Date , . . JOB NO.'1J<(,)06b ATTACHMENT A ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: Qn()NEY 'P'I"L LOCATION: .3 7B \ '.T A40tSlL Ro DEVELOPMENT TYPE: MC<.. I-t D.....t=: BUILDING SIZE 1. STORM ORA HlilGE D~Y"""E:'l..L.. IMPERV IOUS SO, FT, 2, SANITARY ';P.jFR-CiTY r NO, OF PFU'S '2-0 (See Reverse Side) 3, TRANSPORT AT i ON lOT SIZF SO, Ft, X $0,226 PER SO, FT, $ ~ X $46,86 PER PFU $ Q37,2.0 ,NO OF UNITS X TRIP RATE X COST PER TRIP X I, t:J I X $472,49 $ A, 77, z.' x X $472,49 $ x X $472,49 $ 4, SANITARY ';FWFR-MWMC DUt.! NO, OF-F-Et::M / X 27],7(, PER FEU + $10 MWMC/ADM FEE $ 287.7b MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl -MWMC SDC. 1> zB7,7(.. SUBTOTAL (ADD ITEMS 1.2,3 & 4) $/,702./7 S, AOMINISTRATIVF FFF~ BASE CHARGE (SUBTOTAL ABOVE) X ,OS, , $ R.'>:!.L l~, Date: J-Zr-<f8, SDC Coordinator TOTAl sor $ 1.78.7, ?!i? . " '^. uno... u"". """"'0..."" U L..... IIUIII I MoDLC; Number 01 New Fix_s X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate o.e NET 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 WashiEtc.................. Laundry Tub/Clotheswasher,..",..""....,......".." ...." Clotheswasher. 3 Or More,..........,.....................,.., Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Oishwasher/Etc.. Shower, Single Stall................"....,..,....,.................. Shower, Gang""".....""""""""""""""",..,.."",..,.., Sink: Bar, CommerCial, Residential Kitchen......,................, Urinal, Stall/Wall.",..,.."""....""""",....,..",.."""",.... Wash Basin/Lavatory, Single....,..,..,............,..,......, Toilet, Pubiic Installation....,..",..,.."......,................ Toilet, Private............,............"..,......................... Miscellaneous: L 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 2. '2. TOTAL FIXTURE UNITS = 4 2.. ';Z.. 'Z... -z... 6 20 CREDIT CALCULATION TABLE: calculate credits separates, I Based on assessed value, If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed I 1979 or before 1980 1981 1982 1983' 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 $3,97 3,89 3.83 3,70 3,55 3,39 3,20 2,91 Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Valuel X $ , (Rate X Assessed Value) = Improvement (if after annexation date) = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential...:,...."......,....,.... 0.4 Commerical.,....,...."",........, 0,9 Industrial.,.......................... 05 Governmental....................., 0,5 IMPERVIOUS AREA. = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value --,i I $2,56 2,17 1,73 1,31 0,92 0.74 0,61 0.45 0,31 0,17 "'. . . Job. No. '~WJ\olP .\ SYSTEM DEVELOPMENT CHARGE WORKSHEET ' fl,A' NAME: ~rAt\Q}} ~\Q~, ' PHONE: ~1.~. \lm ADDRESS:2J).\fi) \(\~~ M STATE:fJib.ZIP: ctl41o' LOCATION OF PR~~K. ~D\ B~~~N~;.I:~ 0 "^ ,J , Street Address: (j \ t> '\.j\AiJ\ ~'-' ~K UJ.. Plat Nanie: t\ t(\U T~X Lot Number: ~Ofd.-C)( ill ~1c() 1, DEVELOPMENT T~E (Check appropriate dwelling(s). sac calculations and dwelling t ype definitions are on the back.) (, , A. Sinale-F3milv Detached Single Family home , NO. OF UNITS I Manufactured home not in a P(2) X $1.000 per unit = $ \(Y1). B. Sinale'-F3milv Attached NO. OF UNITS X $924 per unit = $ C. Mulli-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. M3nuf3ctlJred Home P3~ $ $ l OW.cO {If lOaD ,W NO. OF UNITS WILLAMALANE SDC X $699 per unit = 2. SDC CREDIT (if applicable) SaC-payer must furnish proof of Willamalane Credit approval. See SDC Credit WotKsheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if sac reduced for ere) ~lir.}m~~~Partmem City of Springfield $ / Date I 30 I Cf(