Loading...
HomeMy WebLinkAboutPermit Building 1999-12-21 '- SPRINGFIELD .. . . , Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991626A 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1822 INLAND WAY Assessors Map #: 18030233 Lot: Block: Tax Lot #: 02500 Subdivision: Owner: TROWBRIDGE TRUST Address: 1866 HARBOR DR Phone #: 747-6733 City/State/Zip: SPLFD OR,97477 Describe Work: NEW QUAD AREA: 5RSW OFFICE USE LAND USE: 1111 --- MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/Admin 105.00 30.00 10.50 TOTAL MISCELLANEOUS PERMITS (E) 145.50 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, c, ~, and E combined) 145.50 --- 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 I regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. --- ADDITIONAL COMMENTS --- THIS PERMIT IS FOR M.H. SETUP ONLY - TO BE ADDED TO THE PARENT PERMIT 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 pe!rformed shall be done in accordance with the Ordinances of the City of Spri.ngfield, 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 permisElion 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 will remain on the site at all times during construction. /~~ /U /7-2-/- 9<7 Date Signattf j " SPRINGFIELD Job Number: 991626A Receipt Number: Date Paid: Amount Received: Received By: -- - VALIDATION S bf. 5' I /2-/2.1('5' '9 I~').~O ~ 4- - Page 2 [it SPRlalELD 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 permits, one of the following manufactured homes will be placed at ----'E.,...?.- /Nt-A"'>> WA'I-' Springfield, Oregon, City Job Number qe;.I (P'J./- . V--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 10 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 of2 feet in height for each 12 feet in width and that has no bare metal siding or roof mg. . . . . The manufactured home shall be placed on an e~cavated.;nd back-filled foundation not to exceed 6 percent slope within 10 feet of the perimeter enclosure. 'The perimeter'foundaiion wall surrounding the home shall be constructed of"stone, brickor other masonry materials, and with no more than 24 inches of the enclosing material exposed above grade. I funher 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 permit. These requirements may include, but are not limited to the items listed below. Specific land use requirements regarding your parcel are noted on your approved set up plans and/or permit and your pan it ion 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. . 'Fi:!-M.... e;l-~vA"I""'N cep..TI FICATj;!. By my signature below, I agree to complete the above mentioned land use requirements. A m ..:kD~ Owner Signature rJ /.2-11;.-97' Date Contractor Signature Date ~ . . A TT ACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 991626 NAME OR COMPANY: TROWBRIDGE FAMILY TRUST LOCATION: 1822 INLAND WAY TAX LOT NUMBER 18030233-02500 DEVELOPME,NT TYPE: MANUFACTURED HOME (REPLACEMENT) BUILDING SIZE: LOT SIZE 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 0.0 x $0.232 PER SQ. FT. 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) $48.27 PER PFU o x 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP o 1.01 x $486.73 PER TRIP x $486.73 PER TRIP x x TOTAL TRANSPORTATION SDC $0.00 I $0.00 I $0.00 I $0.00 I $0.00 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's $242.76 o PER FEU x B. IMPROVEMENT COST: NUMBER OF FEU's $22.05 PER FEU o x MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) T 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $0.00 I '"-y ;-~ /- ~>.~ /~H9 SDC COORDINMUR lDAVE TOTAL SDC CHARGES I $0.00 I $0.00 I $0.00 I $0.00 I $0.00 I $0.00 I ~ $0.00 I . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ PLUMBING FIXTURE UNITS (NOTE, FOR REMODELS. CALCULATE ONL V TH~ N~T ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASWETC. LAUNDRY TUB/CLOTHESW ASHER/MOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, ST ALUW ALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INST ALLA TION MISCELLANEOUS: FIXTURES UNIT NEW OLD EQUIVALENT 2 I 2 3 6 2 6 6 I 3 2 I 2 2 I 6 4 PLUMBING FIXTURE UNITS o o o o o o o o o o o o o o o o o o o o TOTAL PLUMBING FIXTURE UNITS~I 0 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986' 1987 1988 RATE PER $1,000 ASSESSED VALUE $4.47 $4.38 $4.32 $4.20 $4.03 $3.88 $3.68 $3.38 $3.03 $2.62 YEAR ANNEXED 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $1,000 ASSESSED VALUE $2.18 $ 1.75 . $ 1.35 $1.17 $1.03 $0.86 $0.71 $0.57 $0.39 $0.18 x :. .. ..= . I .$0.00 I $0.00 x CREDIT TOTAL $0.00