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Home My WebLink AboutPermit Building 1993-7-9 LOCATION OFPROPOSED WOl):r <, ~q 8- ASSESSORS MAP' ' \ <i( ~. 0 ~ \4 R BLOCK' ( 0 - n OWNER' J Yh)~' f~r t-f , ADDRES!, f:) n I _ (\ N () ~ CITY: "'- ),C>y' _ STATE:.r:Jll Q hJJ(\ '~ " . r4.. \ --() DESCRIBE WOR' J ~ )ro f\ ~ , i ~ ~hf'\\o * (-::\(\Jl0 n-Q ./ REMO~~L AD[\r'):lN . - DEMOLISH OTHA , ",';; ., RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT' NEW :~:::::T~1~\~~ ~ ~ . PLUMBING~~'Nlo MECHANICAL:] 11 ELECTRL~ Q:\t' (\ . f1 O(\\J}1 L.t' ) . .~ . q~5B JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: .f2d!lor ) , SUBDLVLSLON: -.tiN ~_ () n "l'QJrtf. PHONE: JJ4f1-Bo=tt ZIP: q/~ A 1Xf CON ST. ADDFl~Sf:sq~ 1"o~~~~~~R~\\.dX~IRES __"_ ' ~~ \fJ..~B3 OUAD AREA: ~ ~Q~ . OF BLDGS: -ri-:::-- OCCY GROUP: ~p-.x.b.tL . OF STORIES: . CU WATER HEATER: PHONE rYi.c:I:"t~ RANGE: - OFFLCE USE - \ \ <=2{) ~JtV__ t=''L- ~ FLOOD PLAIN: ZONING CODE: lllE--J . a.. . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: \1jL\-l f2- To request an inspecticn, you must enll 726-3769. This is a 24 hour recording. 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. o Temporary Electric D Site Inspection - To be made after excavation, but prior ;etting to~s. , f-7f~nderslab u an ~ Mechanical - Prior Wooting - Afler trenches are L....:fT" ~xcavaled. o Masonry - Steel location, bond beams, groutinO. . ~undation - After forms are erected but prior to conpete placement.. . o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical _ Prior to insulalion or decking. o Post and Beam - Prior to floor Insulation or decking. .' o Floor Insulation - Prior to decking. ~ Sanitary Sewer - Pflor to filling {~ trench. _~Storm Sewer - Prior to filling ~ trench. . Ir7f')Nater Line -:- ~d0..._t(} filling u.rvtrench. . o Rough Plumbing ~ Prior to C""Ovcr.-.....~ ~..... LAND US:::: . OF UNITS' CONSTR. TYPE: HEAT SOURCE: RI.:QUIRED INSPECTIONS o Rough Mechanical - Prior to cover. ...rJ Rough 71.clriCn oc;V t:p cover \aA~~- o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to faclng materials and framing Insp. ~ FramingqaAML/ o WaIL/CeiLing L~:Ul:~-- Prior to cover. o Olywall - Prior to tapln;}. D Wood Slove - After i:.st<lllation. o Insert - After fireplace approval a~d lnstallatlon of unit. ryCUfbCllt & Approach - Alter ~ f.OIms are erected but prier to ~1:'CClllC!'Lt of concfP.I(~ rr'-Li Si(:l1.......<li~ & Drivewav __ ;\iter ~ cx,':(lvation l!i COITlPtcte, forms and sl..!b-base material in I'lace. o Fl.!l1ce - When cQmplCIC{1. ['"7f)7',rcct Trees -- \,'\'hen all rc~:Jlrcd 'rtn.!es me planted. o Final Plumbing - When all plumbing work is complete. f'ZV Final Electrical - \^Jhen ail T electricaG /f jii~~et:, o Final Mect~~~:: all mechanical work Is complete. ~inal Building - When all required inspections have been approved and 9~-i1~n~!1 /Iff ~ completed, V (,LIL7- o Other MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewcr. MlectriCa! Ccnnection - When blocKing, set-up, and plumbing inspections have been approved and the home is connected to the service panel. ?- 1Final - After all required ~ -..; inspections are approved and porches, skirting, decks, and venting havc been installed. . . . .... " Lot faces Lol Type Se t bac ks l IS THE PROPOSED WORK IN THE Lot sq. IIg. _ Interior I P.L, HSE GAR ACC I HISTORICAL 'DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage _ Corner If yes, t~is application must be signed $ Panhandle Is I and approved by Ihe Historical Topography I Coordinator prior to permit issuance. Total height _ Cul.de.sac W , E .1 APPROVED' BUILDING PERMIT so. FT. X $/SO, FT. = 5L~Ulw )C<,/090 _/ D -C0ffiO 'lIJlo?f) Building Permil Fcc C \ 5 1038'" I! In. St.") J '.J c,..P) 53 l~.~.~ SYSTEMS DEVELOPMENT CHARGE (SDC)-$ (B) tJ '2 '150 't!- ITEM Main Lrll1.- lJ.,/n Carport r~-oo Garage Total Value State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Balh(s) N' Sanitary Sewer FT, FT. FT. /:).c; 00 ,-tyS 00 ~E5 ,CO Water Storm Sewer Mobile Home PlumbIng Permit f)5.cJ ~~ 0<i? 15 State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnsertlFireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge (2) Total Permit (D) MISCELLANEOUS PERMITS Mobile Home \ C5.o0 cQf) OJ ,..5,'~ 1?l.CO I~CO , State Issuance State Surcharge Sidewalk &0- II Curbcut ~ ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (exc'uding electriCal);) r::11 ) (A, B, C, 0, and E Combined) 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 provisi,ons of said ordi,nances, Plan Check Fee: Date Paid: Receipt Nurnber:__ Received By: Plans Reviewed By Date Systems Development Charge is due' on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~>r\ffiO-rifl. 1o'G. ,,-~T\ \~~C\U (~l\Q^(, \G\I\U ' By signature, I state and agree, that I have cc:refurly exaniined the completed application and do 'hereby certify that all ~nformation 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 Ci,ty of Sprin9field. and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ot any structure without permission of the Building Safety Division, I further certify that only corftractors and employees who are In' compliance willl ORS 701,~55 will be used on this project. VAll DATION: RECEIPT NUMBER 9V?8 7-/07 ::2 cSI.5~ 0 ~ '~ ...--?_-- /!':.,- -- N'/ - , x.q, i DATE PAID AMourH flECEIVED RECEIVED BY . '. ~..... . SPRtt.'ELD DEVELOPMENT SERVICES DEPARTMENT '", , 225 FIFTH STREET SPRINGFIELD. OR 97477 (503) 726-3753 FAX (503) 726-3689 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree that with the approval of the attached ~~.,one~fOllOWing manufac tured homes will be placed at _' '-1 rl ~ ..) Springfield, Oregon, City Job Number , ~ . >- Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 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 of 2 feet in height for each 12 feet in width and that has no bare metal siding or roofing. I further's ta te, by my signa ture below, tha t I have been provided' wi th the following information: '. Manufactured Home blocking - Vater line connection - Street tree standards Sanitary sewer connection - Electrical connection' - Minimum requirements for permanent steps " I also understand that if I am installing a Type ,I Manufactured Home, the home shall be enclosed at the perimeter .wi th stone, brick or other masonry materials, and with no more than 12 inches of the enclosing material exposed above grade. i i / ./ {)u 7 7. ", -0/- Cf:-r Date , , ~.. '..~ '- . .6 NO. 4~Dq'Se, CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: VA-VI D LoVE: LOCATION: ,=>,'" 1... KALM \ A. \'iSO"2-0Yl'-l- - 0'"2- rOO DEVELOPMENT TYPE: LD~ - NE-W M"'tJu. UoM!<. " l1-oME: G-AlZ- D.W BUILDING SIZE: I~c..b ;U.,C2A', Z(.-,(.1..'f LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ~, \'-\ , x $0.203 PER SQ. FT. ~ (.,?'2. I~~ '- ~ 2. SANITARY SEWER-CITY NO. OF PFU'S 15 X $42.08 PER PFU ~757't!~ (See Reverse) '-- .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 1.01 X $424.31 X X $424.31 G4-z,&~) "- .-/ $ X 4. SANITARY SEWER-MWMC NO. OF PFU'S \ f, x $15.125 PER PFU + $10 MWMC ADM FEE $ "Z.~2 22.- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ~~ ~9 jOTAL-MWMC SDC ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ "2..-0 t4 ~ 01. X $424.31 $ 5. ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~L~ 7h/'i? \J Kip Burdick " SDC Coordinator ~ \D2- ~ ........... .-/' JOTAL SDC $ '2r \ ~O afj. FIXTURE UNIT,CALCULAttN TABLE: Number of New Fixtures.1 Equivalent = Fixture Units (NO:rE: For remodels. calculate only the NET additional ri~1ures) .... .. -,' NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS 2. 2 1 2 3 6 2 6 ,6 1 3 2 1 /H ead 2 2 1 6 4 Bathtub.........................., .............." Drinking Fountain...........,..,.....,.......... , .........,......... Roor Drain......................,.........,.,.... ,............ Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc..,............... Laundry Tub /Ootheswasher.........,....,..,.....,....,...... Ootheswa~er . 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor F9r Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower. Single' Stall......................,........................,. Shower, Gang................................,.,....,.."........,...... Sink, Bar. COmmercial................,...,......."....,.......,.. Urinal. StallfWall..................................,.." ................ Wash Basin/Lavatory, Single,...,...,.,.....,....,............ Water Ooset, Public Installation............................. Water Ooset, Private...,...........,.......,.......,....,.......... Miscellaneous: I \ 2- 1.- TOTAL FIXTURE UNITS a.t t.. Z "Z- ", .J~ CREDIT CALCUUl.TION TABLE: Based on assessed value. If improvements occurred after annexation date in table. calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 ,?'2.-\ X $ \(n."Z.cf (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ '5'2. 'l..! S'2.'l.! Credit for Parcel or Land Only If Applicable = = Improvement (d after annexation date) Rate per $1,000 Assessed Value S 2.24 1.93 1.57 1.18 0.79 0.44 0.28 RUNOFF COEFFICIENTS FORSTORM DRAINAGE Residential........................................................ 0.4 COmmercial...................................................... 0.9 Industrial........................................................... 0.45. Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT