HomeMy WebLinkAboutPermit Building 1992-7-28
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RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726.3769
Office: 726.3759
N/A
LOT:
OWNER'
Lochaven Partners
ADDRESS:
CITY'
1199 N. Terry St.
Eugene
DESCRIBE WORK' Mobile Home set un
NEW
x
REMODEL
ADDITION
CONTRACTOR'S NAME
Ernie & Son's
GENERA' .
PLUMBING' Harrison Construction
MECHANICAL" Ernie & Son's
ELECTRICA' .
Herita2e Electric
QUAD AREA:
\Q\\1J:)
~~iY\
\
Y..,I
. OF BLDGS'
OCCY GROUP:
. OF STORIES:
WATER HEATER:
SPRINGFIELD
A-v~
- .
BLOCK'
STAT'"
OR'
.
q. fj \~,~
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
, TAX LOT'
SUBDIVISION'
N/A O(g(lX.)
Lochaven
PHONE:
688-9123
~~
~' ,
r
ZIP' 97402
,- Concrete strin<lers - Accessorv Value $ 11JO~
OTHER M.H. Value $ ,j.L).I/>.-~nOO
DEMOLISH
ADDRESS
CONST,
CONTRACTOR'
41497
EXPIRES PHONE
2/2/92 484-6505
689-'1762
2/2/92 484-6505
344-1500
87922 LaPorte Dr.. Eu~.
1441 N. HI1". 99
20-236PB
855 \~. 24th
20-2ROC/63137
411.97
87922 LaPorte Dr., Eu~.
- OFFICE US~
LAND USE: \\~()
. OF UNITS' ~I
CONSTR. TYPE: .
HEAT SOURCE: "t:...-
V
RANG'"
o Rough Mechanical - Prior to
cover.
D Rough Eloctrlcal - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulalion - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After installation.
o Insert - After fireplace,approval
and Installation of unit.
rtycurbcut & Approach - After
torms are erected but prior to
placement of concrete.
~Sidewalk &.Drlveway - After
Lf-J excavation Is complete, forms
.and sub.base material In place.
o Fence - When completed.
o Street Trees"'; When all required
trees are planted.
FLOOD PLAIN: - ")
ZONING CODE: ( J )JU
. OF BDRMS: . ~
SECONDARY HEAT:
\
SQUA'RE FOOTAGE:
\
\4~~
,
To request an Inspeclion, you must call 726.3769. This Is a 24 hour recording. Alllnspeclions requested before 7:00 a.m. will be
made the same working day, Inspecllons requested afler 7:00 a.m, will be made the following work day.
) REQUIRED INSPECTIONS
o Temporary Electric
/
/
D Site Inspection - To be made
after excavation. but rlor to
settl~
~ ~~~:.'H' _ :"I~r Electrical?
~ooting - After trenches are
7- excavated.
o Masonry - Steel location, bond
beams. grouting.
o Foundation -'After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underlloor Plumbing/Mechanical
_ Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulati<~'n - Pi-lor to'
decking.
r7'f'?sanitary Sewer - Prior to filling
~ trench.
'c7OStorm Sewer - Prior to filling
lZJ trench.
~ater Line - Prior to filling
~ i;ench.
o Rough Plumbing - Prior to
cover.
o Final Plumbing - When all
plumbing work Is complete,
D Final Electrical - When all
electrical work Is complete.'
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
,.~loCklng and Set.Up - ~hen all
r blocking Is complete.
rlumblng Connections -. When
home has been connected to
water and sewer.
nectrlC81 Connecllon - When
locking, set.up, and plumbing
inspections have been approved
and the home Is connected to
the service panel.
7Snal - After all required
,Inspections are approveel and ,
porches, skirting, decks, and
venting have been Installed.
Lot faces
Lot Type.
Lot sq. fig.
Interior
Lot coverage
Corner
Topography
Panhandle
Total height
Cul.de.sac
BUILDING PERMIT
ITEM SQ, FT,
X $/SQ, FT.
Main'
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
.' <
.....
.S THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
-"...
Setbacks
PL. HSE GAR ACC I
J ."-1.';. -.' ;:.:V:; I
N~ j,
S
W
,E
~J)U~3D
'1/~
,
~~~q
"45
,~r\Cf5
SYSTEMS DEVELOPMENT CHARGE .iSpC~
(B) IJri.~~.' ro
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
N'
Water
FT.
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhau:i.t Hood
Ven t Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCEl.LANEOUS PERMITS
Mobile Home
State Issuance
State surchyg;...
Sldewal'( ~ It
Curbcut 0 ft
Demolition
State Surch.,ge
, ! t ,till s,QQ...
'.qo~:~1
tal Mlscel,a~dus Permits
(E)
TOTAL AMOUNT IDUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
!-JS.cUo
~)~~ '
'1, CL/
evS.
'7::5. ex)
,,~.ll5
'78.r1.~
f\;0
j[DOO
C'\'YJ CD
,p).;I5
Jq ,(Y)
I
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thatlhe said
conSlruction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield. Including
Development Code, regulating the construction and 0 of
buildings, and may be suspended or revoked a ny tlmo
upon violation of any provisions of said or . <1nces.
Plan Check Fee' _, ./
Date Paid: _ \ ~
Receipt Number' \)./("
Re7
....plans Reviewed By
OalO
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being improvod.
ADDITIONAL COMMENTS
~f\wJ\)()toj: \~l4
~+ T: 1?l\4'L()
~~9~ C'f ~rku.xu21(LJ
t,.
By signature, I '51_ate 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 Oreg<?n pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division,
I further certify that only contractors and employees who
are In compliance with OAS 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 Iront
of the property. and the approved set of plans will remain
on the site at all times during construction.
Slgnatur/?&l--hJ:7JvJ~
Date' 7-..2- ~ --7 L-
"
VALIDATION: ~,,\ Ii
RECEIPT NUMBER r I J... ~-L , \ \
DATE PAID (1 . (~V -<--t 0':'-
f f'>( n5jc9. --",AMOUNT RECEIVED
, RECEIVED BY '-
... ct8. &4_
..:---. ..,..
.
.
SPRINGFIELD
DEVELOPMENT: SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT' .
225 FIFTH STREET
SPRINGFIELD. OR 97477
(503) 726-3753
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, I understand and agree
that ~ith the approval of the attache~p'~,~o of~~.f~lJ~ng
manufactured homes will be placed at ,'I -1~l~
Springfield, Oregon, City Job Number, ) -~ .
Ty?e I Manufactured Home. A multi-sectional (double ~ide or wider)
unit ~ith 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
~idth, 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
d~ellings constructed under the State Specialty Codes.
Ty?e II Manufactured Home. A unit of not less than 12 feet in ~idth
~ith 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 ~idth and
that has no bare metal siding or roofing.
I further state, by my signature belo~, that I have been provided ~ith the
follo~ing information:
- Manufactured Home blocking
- Vater line connection
- Street tree standards
- Sanitary se~er 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 with stone, brick or other masonry materials,
and with no more than 12 inches of the enclosing material exposed above grade.
\1e~K~&M-
/'"' "" . I
;J - U- '72----
Date
.
.JOB NO. !lillD15
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANH(X'J1Q1;f~ I.. /)h1Jl;S
LOCATION: 'l()f1 ~n0M 1 ,.ell. l.o\110 nil SL/
DEVELOPMENT TY~ _AmJU..l}A~ q 0 /
BUILDING SIZE: \4t\l 0 -\;,~\ 2.- LOT SIZF \ oC['1)
1. STORM riRAINAG~ ~ .. ~
IMPERVIOUS SQ. FT. ~~:' \1<3Lo X $0.192 PER SQ, FT,
SQ. Ft.
Cq31,4W
~
2. SANITARY SEWER-CITY
ILo
NO. OF PFU'S
(See Reverse)
X $39.78 PER PFU
43lo~
---- ----
3. TRANSPORTATION
".
NO OF UNITS X TRIP RATE X COST PER TRIP
I
X
X $401.05
X $401. 05
~
X
$
SUBTOTAL (ADD ITEMS 1,2, & 3) $
1
,
X
X $401. 05 $
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
Gl Jf\ffi
----------
TOTAL-CITY SDC $
\
,
\
5. SANITARY SEWER-MWMC
NO. OF PFU'S \j 0 x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ~(j~~
(Use PFU Total From Item 2 Above)
$ 21).gs
TOTAL-MWMC SDC~ ,-)
TOTAL SDC lli035..()'Q'
. '
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X It Equivalent = Fixture Units (NOTE:
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
Bathtub...... ..... ..................,.. .... .............. ............. .......
Drinking Fountain....................................,..,..,.... ......
Floor Drain,... .......,......,.........,...............,.. .........,......,
Interceptors For Grease/Oil/Solids/Etc,..,.............
Interceptors For Sand/Auto Wash/Etc..............,...
Laund ry Tub /Clotheswasher"..,........,.....,.....,...,....,
Clotheswasher - 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..,.,..,.,...,....,..,.....,.,.,."......",.
Urinal, Stall/Wall.,......,.,.,..".....,.,.....,..,.,.,..,....."..,..,.
Wash Basin/Lavatory, Single...,..""..".,...,..,....""...
Water Closet, Public Installation.............,....,.........,
Water Closet, Private,....,..,.....,..,..,..,.....,..,."...,....,..
Miscellaneous:
NUMBER OF
NEW FIXTURES
UNIT
EQUIVALENT
FIXTURE
UNITS
2
1
2
3
6
2
6
6
1
3
'2
1 /Head
2
2
1
6
4
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
$2,83
2,76
2,71
2.60
2.46
2,33
Year
Annexed
1985
1986
1987
1988
1989
1990
1991
Rate per $1,000
Assessed Value
1
$2,16
1.90
1.60
0,25
0,87
0,50
0.16
Credit for Parcel or Land Only If Applicable
Improve,ment (if after annexation date)
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential..,.."...".......,.........,........,................. 0.4
CommerciaL..."..................,.........................., 0.9
Industrial....,... ...., ............., .....,....,..,.....,............ 0,45
Governmental"..........,......",...........,.....,.....,...,. 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT