HomeMy WebLinkAboutPermit Building 1999-8-18
NTIO 'nrego I .
~ - n aw reqUires you to
· '" oP!en by the OreqOn Utility
in OAR 952' ~~r:'el ThOSE: fI!les are set forth
0090 ~ - HJ01(1fhroughOAR952_001_
'. au ma" ohfam copies of the rules b
callino thE' cenler ("'ote th t I Y
b ' , e e ephone
num er tor th~ Oregon Utility Notification
Centerrs 1-ROO-332-2344).
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990997
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1646 HARBOR DR,
Assessors Map #: 18030232
Lot: Block:
Tax Lot #: 02400
Subdivision:
Owner: LOLA OLLAR
Address: 1646 HARBOR DR.
Phone #: 747-3423
City/State/zip: SPLFD OR,97477
Describe Work: MANUFACTURED HOME
NEW
Contractor
Const.
Contractor #
Expires
Phone
General: EMERALD LIFESTY 0066750
575 SOUTH A STREET SPRINGFIELD OR 9
Plumbing: HARDACKER OLEAR 0079496
83278 N 6TH ST CRESWELL OR 97426000
Electrical: DIXON ELECTRIC 0066894
33736 MARTIN RD CRESWELL OR 9742600
05/18/01
747-4009
02/19/01
895-4307
07/18/00
895-2440
QUAD AREA: 5RSW
# OF BLDGS: 1
VN
INSUL PATH: PI
OFFICE USE --
LAND USE: 1150
OCCY GROUP: R3
FLOOD PLAIN: Y
CONSTR. TYPE:
SQ FOOTAGE: 1026
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 ---
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOQR DRAIN - Prior to cover or placement of concrete.
WATER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
LINE TO SEPTIC TANK - Prior to filling trench.
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.
PEDESTAL - Prior to cover.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
House
N
7
S
15
w
Setbacks
E
Lot Faces: E
Item
Main
Garage
M.H. FDN.
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
0.00
4,000.00
4,000.00
Building Permit Fee
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
44.50
Job Number: 990997
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Page 2
4.A\p 6-.-5'1'
(A) ~
Fee
25.00
25.00
25.00
15.00
90.00
<bpC ~
(C) ~
105.00
30.00
10.50
45.31
(E) 190.81
~
3'3'& .rV\
SurchargelAdmin
TOTAL FEE
--- PLUMBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
CITY SDC
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.
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
28.93
Date Paid: 07/23/99
Receipt Number: 34971
MOORE Date: 08/11/99
By: BOB BARNHART
--- ADDITIONAL COMMENTS
SEPARATE ELECTRICAL PERMIT IS 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.
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
W~l~e~al onJ thi Sit:_~l;imes during construction. 8 -lid --97'
Signa~ ~ '" Date
SPRINGFIELD
Job Number: 990997
-- - VALIDATION
Receipt Number: -.B'5c9..LA
Date Paid: f2J_. t~.q,f
Amount Received: ~32;~!1~
Recei ved BY:C:1I r.ffi.J .
Page 3
JOURNAL .08 NO. qqoCfCf?
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
.
NAME OR COMPANY:
LOLA OLLAfL
LOCATION:
J r;, 4(;, IJ~A....(WL. OiL
DEVELOPMENT TYPE:
M (:c #d.....s fZ.7YoUO-l.r5,...i!',...J7
BUILDING SIZE:
I. STORM DRAINAGE
LOT SIZE
tJc"-' R-<>",~ 67>'56) -t4v(.o) '" 18'
SQ. Fl.
IMPERVIOUS SQ. FT. / f?{. X $0.232 PER SQ. FT.
$ 4>3,/S-
2. SANITARY SEWER-CITY No Mst.J AV-6''-c. ,c,,..,.....,u:~
NO. OF PFU'S A-
(See Reverse Side)
X $48.27 PER PFU
$ <9-
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
~
X X $486.73 PER TRIP $ .............
X X $486.73 PER TRIP $
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S X PER FEU $
, B. IMPROVEMENT COST:
NO. OF FEU'S X PER FEU $
MWMC CREDIT IF APPLICABLE (SEE REVERSE) <$ >
. MWMC ADMINISTRATIVE FEE $ 10.00
TOT AL-MWMC SDC $ 0
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 4~1\
5, ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 2,/~
~ Date:_7 - Z. 9.::22
SDC Coordinator TOTALSDC $ 4l),3/
ATTACH'A.WPD
,
FIXTURE UNIT CALCULA nON TABLE: Number of New Fl' tures X Unit Equivalent = Fix~re Uni~s
(NOTE: For remodels, calculale only th<a!: additional fixtures)
.- NUMBER OF UNIT FIXTURE '
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
-'I
Bathtub....................... ............................. ..................
Drinking Fountain................................... ..................
Floor Drain. ........ ....................... ......... ....... ................
Interceptors For Grease/Oil/Solids/Etc.....................
Interceptors For Sand/Auto Wash/Etc......................
Laundry Tub/Clotheswasher/Mop Sink....................
Clotheswasher - 3 Or More.....................:................
Mobile Home Park Trap (I Per Trailer)...................
Receptor For Refrigerator/Water Station/Etc...........
Receptor For Conunercial SinklDishwasher/Etc......
Shower, Single Stall.................................................
Shower, Gang.......... .......:......:... ........ ........ ...............
Sink: Bar, Conunercial, Residential Kitchen............
Urinal, StalllW all............;.......... ..:............. ...............
Wash Basin/Lavatory, Single...................................
Toilet, Public Installation.........................................
Toilet , Private..........................................................
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE:
FS separatelY~ear
Annexed
Based on assessed value. If improvements occurred after annexation date in table, calculate
-.
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.47
4.38
4.32
4.20
4.03
3.88
3.68
3.38
3.03
2.62
1989
1990
1991
1992
1993
1994
1995
1996
1997
, 1998
2.18
1.75
1.35
1.17
1.03
0.86
0.71
0.57
0.39
0.18
Credit for Parcel or Land Only If Applicable X $
(Rate X Assessed Value)
Improvement (if after annexation date) X $
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential........................... 0.4
Conunerical......................... 0.9
Industrial.............................. 0.5
Governmcntal...................... 0.5
FIXUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
- ., ..
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 approval of the attached
penn its, one of the following manufactured homes will be placed at /(04-(0 HAR.eoo
Springfield, Oregon, City Job Number 11 n qq 7
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
feef in width, that has no ba(e metal siding or roofing, and that has been certified by the manufacturer to
have an exterior thennal envelope meeting perfonnance slandards which reduce heat loss to levels
equivalent to the perfonnance standards required of single family dwellings constructed under the State
Specialty Codes.
-.x.. Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor area
~ot 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.
:rhe manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6
percent slope witliin 10 feet of ihe perimefer enclosure. The perimeter foundation wall surroundirig 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.
1 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 penn it. These requirements may include. buf
are not limited to the items listed below. Specific land use requirements regarding your parcel are nOfed 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
. City Sidewalk and curbcut installation
. Any outside agency approval as required i.e., Division of State Land approval.
By my signature below, I agree to complete the above mentioned land use requirements.
ow.,'_/jnatu,/ I
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r m_;""rure-
L~
Date
--
8-/f-fF
Date