HomeMy WebLinkAboutPermit Building 1996-10-29
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SPRINGFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OP SPRINGPIELD
COMMUNITY SERVICES DIVISION
BUILDING SAPETY
Job Number: 961361
225 North Fifth Street
Springfield, OR 97477
Office:
Inspection Line:
Location of Proposed Work: 3705 KATHRYN AVE
Assessors Map #: 17023043
Lot: Block:
Tax Lot #: 03000
Subdivision":
OWner: RICHARD BRIGGS SR
Address: 3705 KATHRYN AVENUE
Phone #: 726-5689
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: MANOPACTURED HOME
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
EMERALD LIF'ESTY
575 South A Street
OWNER
0066750
Springfield OR 9
05/18/97
746-2999
Plumbing:
Electrical: OWNER
QUAD AREA: 3RNC
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
OPPICE USE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 2
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 891
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 ---
POOTING - After trenches are excavated,
MANOP HOME/MOBILE HOME SET UP - When all blocking is complete.
MANOP. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MANOP, HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer.
PINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Type: CORNER
House
N
30
Setbacks
S W
64 10
E
10
Item
Main
Garage
FTG/PERIM FOUNDATION
Total Value
BUILDING PERMIT
Square Feet x
$/Square Feet
Value
39,890,00
0.00
2,500.00
42,390.00
Building Permit Fee
Surcharge/Admin
38.50
3,09
TOTAL PEE
(A)
41. 59
I
SPRINGFIELD
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Job Number: 961361
Page 2
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B)
63,50
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved,
--- PLUMBING PERMIT ---
Item
Mobile Home
Fee
15,00
Plumbing Permit
Surcharge/Admin
15.00
1.20
TOTAL CHARGE
(C)
16,20
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
ELECTRICAL PERMIT
105.00
20,00
8.40
43.20
TOTAL MISCELLANEOUS PERMITS
(E)
176,60
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
297.89
--- 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: 10/29/96
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL,COMMENTS
REPLACEMENT HOME
TWO OFF STREET PARKING SPACES ARE 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,
SPRINGFIELD
1:1"..l/I!l.N"
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Job Number: 961361
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.
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Date
Date Paid:
--- VALIDATION ---
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Receipt Number:
Amount Received:
Received By:
.
SPR_FIELD
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726,3753
FAX (541) 726,3689
MANUFACTUREDHOMESE~UPAGREEMENT
As required by the City of Springfield Development Code, I understand and agresat ~th the a~o al of
the attached pennits, one of the following manufactured homes will be placed.9t [10.0 ~ IS;
. Springfield, Oregon, City Job Number (..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 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 thenna! envelope meeting
perfonnance standards which reduce heat loss to levels eqUiVa~e ~ ~the perfonnance standards required
for single family dwellings at the time of construction,)f:' initials
;; v
Type II Manufactured Home:
A unit of not less than 12 feet in width enclosing a minimum floor area of 500,square feet, that has a
nominal roof pitch of2 feet in height for each 12 feet in width, that has no bare metal siding or roofmg,
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 for single
family dwellings at the time of construction. initials
I further state, by my signature below, that I have been provided with the following infonnation:
Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, and Minimum requirements for pennanent steps,
I also understand that the manufactured home shall be placed on an excavated and backfilled foundation
not to exceed 6 percent slope within 10 feet of the perimeter enclosure, enclosed at the perimeter w.ith
stone, brick or other concrete or masonry materials approved by the Building Official and with no more
than 24 inches of the enclosing material exposed above grade,
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Date
--'
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: RICHARD BRIGGS SR
Location: 3705 KATHRYN AVE
Developement Type: R Building Size:
1, STORM DRAINAGE
Impervious Sq Ft
280
2, 8ANITARY SEWllR - CITY
Number Of PFUs
(see Page 2)
o
~
3. TRANSPORTATION
Number Of Units
x
Trip Rate
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
o
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
TOTAL SDC
Reviewed By: DENNIS ERNST
x
x
Job No,: 961361
Lot Size:
0,216
Per Sq Ft =
44.75
Per PFU =
x
Cost Per Trip
x
X
Per PFU + MWMC Admin Fee
20.690
0.50
Date: 10/25/96
Page 1
Sq Ft
$60.48
$0,00
$0.00
$0.00
$0,00
$0,00
$60.48
$3.02
$63.50
T ...
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,
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Job Number: 961361
.
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
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, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
Number of
New Fixture
Unit
Equivalent
Fixture
Units
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
2
1
6
4
TOTAL FIXTURE UNITS 0
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
x
0.00 =
0.00
o
x
0.00
0.00
CREDIT TOTAL =
$0,00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)