HomeMy WebLinkAboutPermit Building 1999-10-26
SPRINGFIELD
NOTICE:
THISPERMITSHALLEXPIRE IFTHE WORK
AUTHORIZEDUNDERTHISPERMI~g1rIAL PERMIT APPLICATION
COMMENCED OR IS ABANDONED CITY OF SPRINGFIELD
ANY 180 DAY PERIOD. . COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 991350
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1903 INLAND WAY
Assessors Map #: 18030233
Lot: Block:
Tax Lot #: 07100
Subdivision:
Owner: ROGER SLAYTER
Address: 1903 INLAND WAY
Phone #: 744-8051
City/State/Zip: SPLFD OR, 97477
Describe Work: MANUFACTURED HOME
NEW
Contractor
Cons t .
Contractor #
Expires
Phone
General: EMERALD LIFESTY 0066750
575 SOUTH A STREET SPRINGFIELD OR 9
Plumbing: HARDACKER & OLE 0079496
83278 N 6TH ST CRESWELL OR 97426000
Electrical: DIXION ELECTRIC 0066894
33736 MARTIN RD CRESWELL OR 9742600
05/18/00
747-4008
02/19/01
895-4307
07/18/01
895-2440
QUAD AREA: 5RSW
OCCY GROUP: R3
OFFICE USE --
LAND USE: 1150
CONSTR. TYPE: VN
# OF BLDGS: 1
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 werking day,
inspections requested after 7:00 a.m. will be made the following wcrk day.
/
REQUIRED INSPECTIONS ---
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 tc.
water and sewer.
PEDESTAL - Prior to cover.
FINAL SET UP - After all required inspections are approved and porches
skirt~ng, decks, venting, house numbers, etc. have been installed.
-~"
Lot Faces: S Lot Sq. Ft.: 7600 Lot Coverage: 14 %
Topography: 2 Setbacks
N S W E
House 20 5 10
Garage 25
BUILDING PERMIT ---
Item Square Feet x $/Square Feet Value
Main 0.00
Garage ATTENTION:Oregon law requires you to 0.00
FTG/FDN follow rules adopted by the Oregon Utility 3,000.00
MANU/ HOME Notification Center. Those rules are set forth 40,000.00
Total Value in OAR 952-001-001 0 through OAR 952-001- 43,000.00
Building Permit Fee 0090. You may obtain copies of the rules by 38.50
caiiir.g the center. (Note: the telephone
Surcharge/Admin numberforthe Oregon Utility Notification 3.86
TOTAL FEE Center is 1-800-332-2344). (A) 42.36
.
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Job Number: 991350
Page 2
--- PLUMBING PERMIT ---
Item
Mobile Home
Fee
15.00
Plumbing Permit
Surcharge/Admin
15.00
1. 50
TOTAL CHARGE
(C)
16.50
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
CITY SDC
105.00
30.00
10.50
45.31
TOTAL MISCELLANEOUS PERMITS
(E)
190.81
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
249.67
--- 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: 25.03 Date Paid: 10/05/99
Received By:
Plans Reviewed By: AL WARD Date: 10/19/99
Building Site Reviewed By: BOB BARNHART
Receipt Number: 35777
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
TIE-DOWNS ARE REQUIRED FOR THE FOUNDATION.
FLOOD ELEVATION CERTIFICATE IS REQUIRED TO BE COMPLETED BEFORE FINAL OCCUPANCY
r/Illlll El.;:; I/A-Tt dVl "IS- o. 6 ' (PentA)
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 describl~d 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
~l ;:2i] :rt:J!;imes during construction./o~ U,-'7r
Signatur~ Date /
Job Number: 991350
-- - VALIDATION
Receipt Number:
03 577'-/
Ib/N/ff
'Pf1, /7
~
#Wt.-J
Date Paid:
Amount Received:
Received By:
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Page 3
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JOURNAL.JOB NO. q'j (<.,50
ATTACHMENT A
.CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: 12--'0<:-"'-- Su::.-. ."1'1---:>1-
..
LOCATION:
/'10 :) .::t::N L. 'h-." w --.,
\
. TuJ:l Irs 0'307.- 3'3 -07 (00
DEVELOPMENT TYPE: tl1Awut:-AorUYU5Y) J.l.,.,oAkro ~PL./\C(L~-r
1I.te'.!_~
. BUll..DING SIZE: /02--to LOT SIZE SQ. Ft.
tV E'>V \ 0'2..<# s~
I. STORM DRAINAGE 0<..1> '!reto "f
o::l.t'F \ Be.. sf
IMPERVIOUS SQ. FT. I'6'Co X $0.232 PER SQ. FT.
S 4~.1$'
2. SANITARY SEWER-CITY ,A/fJT"^" <'-fry ,f- ,.
NO. OF PFU'S
(See Reverse Side)
v
r--.
X $48.27 PER PFU
S
3. TRANSPORTATION
NO OF UNITS X TRlP RATE X COST PER PM PEAK HOUR TRlP -1?G"P(..Pt<..~-r
________ X ~ X $486.73 PER TRIP
s
---
---
_____X
/ X $486.73 PER TRIP
S -~
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4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S _____ X
S ~
./ PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S
/X / PERFEU
S -e-
<S -e-- >
s 10.00
S ?)
'-"
S 43,lS
S Z,\G:,
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOT AL-MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5: ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
C::::--.-r .
- I Gt..4S / ~_ .______
. SDC Coord?n:;r -
ATTACH'A.WPD
Date: /<?-1zfiQ
$
"'is. 31
TOTALSDC
FIXTURE UNIT CALC~ nON TABLE: Nwnber of New .... es X Unit Equivalent = Fixture Units
(NOTE: For remodels; calculate only ue additional fixtures) ,.
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.............. ............................ ...............:............ .
Drinking Fountain.. .................... ...............................
Floor Drain....... ...... ............................. ......................
Interceptors For GreaselOiI/Solids/Etc.....................
Interceptors For Sand/Auto Wash/Etc......,...............
Laundry Tub/ClotheswasherlMop Sink......:.............
Clotheswasher - 3 Or More......................................
Mobile Home Park T'i'P (1 Per T!'!iler)....................
Receptor For Refrigerator/Water Station/Etc...........
Receptor For Commercial SinklDishwasherlEtc......
Shower, Single Stall.................................................
Shower, Gang............. ................ ......... ..... ................
Sink: Bar, Commercial, Residential Kitchen............
Urinal, S tall/W 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
" ,
.. .
. .,-~
".;.I.
TOTAL FIXTURE UNITS =
CREDIT CALCULATIO!i TABLE:
credits separately.
'I
Based on assessed value. If improvements occurred afier annexation date in table, calculate
Year Rate per $1,000 l
Annexed Assessed Value
1989 2.18
1990 1.75
1991 1.35
1992 1.17
1993 1.03
1994 0.86
1995 0.71
1996 '0.57
1997 0.39
1998 0.18
-
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
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 DR.\INAGE
(For Estimating Purposes Only)
Residential........................... 0.4
Commerical......................... 0.9
Industrial.........................;.... 0.5
Govemmental.................:....., 0.5.
,
FIXUNIT. WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT