HomeMy WebLinkAboutPermit Building 1999-12-21
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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
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SPRINGFIELD
Job Number: 991626A
Receipt Number:
Date Paid:
Amount Received:
Received By:
-- - VALIDATION
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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.
. .
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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
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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