HomeMy WebLinkAboutPermit Building 1999-6-21
.
~
,
ATTENTION:Oregon law requires YOU,;,"
follow rules adopted by tns Oregon Ut,,:ty
Notification Center, Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies rMS'fdMMi\~ PERMIT APPLICATION
calling the center, (Note: the tele~~'t'.}'" OF SPRINGFIELD
h 0 Utility 1\18:~!!!Cr!jIO"
numberfort e regon C MMUNITY SERVICES DIVISION
Center is 1-800-332-2344). BUILDING SAFETY
Page 1
Job Number: 990758
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3514 INDUSTRIAL AVE
Assessors Map #: 17023043
Lot: Block:
Tax Lot #: 01501
Subdivision:
OWner: ERLA SQUIRE
Address: 3514 INDUSTRIAL AVE
Phone #: 741-3537
City/State/zip: SPLFD OR,
Describe Work: MANUFACTURED HOME/CARPORT
NEW
Coos t .
Contractor Contractor # Expires Phone
General: EMERALD LIFESTY 0097001 05/18/01 746-2999
575 S A St Springfield OR 974770000
PI wooing: ADVANCE BUILDIN 0066923 07/20/00 465-3394
28748 ROYAL AVE EUGENE OR 974020000
QUAD AREA: 3RNC
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 working day,
inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
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.
Lot Faces: S
Topography: 2
Lot
Lot
Setbacks
S W
11
Sq, Ft.: 6000
Type: INTERIOR
Lot Coverage: 18 %
House
Garage
N
16
E
5
42
Item
Main
Garage
MANU/ HOME
FTG/FDN
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0,00
0,00
33,500,00
4,000,00
37,500,00
Building Permit Fee
Surcharge/Admin
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
44,50
3,57
~
~
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Page 2
(~ 48.07
105,00
30,00
8,40
168,51
(E) 311,91
359.98
Job Number: 990758
TOTAL FEE
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
CITY SDC
I ~
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: 32,87 Date Paid: 06/08/99
Received By:
Plans Reviewed By: AL WARD Date: 06/21/99
Building Site Reviewed By: BOB BARNHART
Receipt Number: 034359
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES 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
::::"~c'"~:":'"~' "mo. '""0' ''''''"'''"0 9
~,
--
Job Number: 990758
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VALIDATION
()3l/f'f f
6(2'/77
318. >0
&tJR'
Page 3
",
.
. ..'
j;)
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
.
JOUR_OR JOB NO. '1'1 () '7 s<<
NAME OR COMPANY: h1,uL Sc..II~
a '
LOCATION: 3'S 14 \V1dLA.-::r\;-,o--Q
DEVELOPMENT TYPE: SF 0
, 1~'10" OL.P 4~O
BUILDING SIZE: p '" ~~ ,. NSW iOlDtOT SIZE
SQ, Ft.
1- STORM DRAINAGE ~4-~
IMPERVIOUS SQ, FT, Z4- X $0,227 PER SQ, FT, $ ,q .61-
;
..
2, SANITARY SEWER-CITY
NO, OF PFU'S 3 X $47.14 PER PFU $ 141,4"2-
(See Reverse Side) .
3, TRANSPORTATION
NO OF, UNITS X TRIP RATE X COST PER TRIP
::t:::
X ~' X $475,32
$ ~ . ,,]'" NA
X
X $475,32
\ $ .
4, SANITARY SEWER-MWMC
A, REIMBURSEMENT COST:
NO, OF FEU'S I- X 2,-nHPER FEU
B, IMPROVEMENT COST: '
$ .A 1 1 . ..I.
I
NO, OF FEU'S -I-- X 2.~ PER FEU
$.;1.=- "
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
<$- - >
$ .IQ,QQ.
TOTAL-MWMC SDC $ N p...
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5, ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X ,05
$ lloo.4C1
.I
$ q,o"Z-
rY\'SL-
SDC Coordinator
ATTACH' A, WPD
Date:~
TOTAL SDC $ Iu,~.? I
FIXTURE lJl\IIT CALCULA_N T A,BLE: Number of New Fixtur.unit Equivalent = 'Fixture Un~ts~"
(NOTE: For remodels, calculate only t~ET additional fixtures) , . ..
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub''''"''''''''"''''''''''''''"'.''.''' .
Drinking Fountain.."..,..........,..,..,..,...."..,..".. ,....,..,..
Floor Drain""....,..,....." ..,..,.., ..-'.......... ....,.",..,.,..,......
Interceptors For Grease/Oil/Solids/Etc........,..,....,
Interceptors For Sand/Auto Wash/Etc..........,..,....
Laundry 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, Residential Kitchen,........,......,......,
Urinal, Stall/WaIL.. ,..,...., ...."..,.................,.., ,....,.... ,..,
Wash Basin/Lavatory, Single'...."..,..,......,.."""....,.,
,Toilet, Public Installation.."..,................,..,.."",......
Toilet, Private,......"",................,............,......,......
Miscellaneous:
2
.. 1
" i
'3
6
i
6
6
., "
,3
2
l/Head
2
2
1
6
4
.
TOTAL FIXTURE UNITS
=
.3
, CREDIT CALCULATION TABLE: Based on ass,essed value, If improvements occurred after annexa,ion date in table,
calculate credits separates,
I
Year
Anne'x~d
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
$4,27
4,18.
4,12
3,99
3,83
3,68
3,48
3,18
2,82
2,42
1989
1990
1991
1992 '
1993
1994
"", ,1995
1996
1997'
$1,98
1.55
1,15
0,96
0,83
0,67
0,52
0,38
0,21
=<I
Improvement' (if after annexation date)
X'$' =
(Rate X Assessed Value)
X$ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Credit for Parcel or Land Only If Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(Fo, ESlimating Purposes Only)
Residential"",..",..""".."..", 0.4
CommericaL"""",.."",..",.., 0,9
,lndustriaL..,....,........,___..,.... 0 5
Governmental:,..,:............,.., P,5
.... f
. '
I'
FIXUNIT.wPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
SPRINGFIELD
The following project es submitted has the following
zoning, and does not require specific land use
approval.
Zoning
/ p ~ 611 - a, 4
"
J-.. !'){2-
225 FIFTH STREET
SPRINGFIELD, OREGON 9~lllF;
INSPECTION REQUEST: Aatlioa.~6%ignature
OFFICE: 726-3759
~
1.
LOCATION OF INl}TALLATIOlj.,
35/1./ ::J:Aldusrtll,J/
LEGAL DESCRIPTION
nO').. ~{)lf ~ O/~I
ELECTRICAL PERMIT APPLICATION
ri ty Job Number 0/10 75' r
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
JOB DESCRIPTION 1000 sq.ft. or less S 85.00
M&M,I-- J..f.JI,-P NOTICE: Each addi tional 500
THIS PERMIT SHALL EXP~F,Uc: WbtllRr t ion
Permits are non-transferable,~~~~~ ~~A~b~ $ 15.00
if work is not started with~I~~NDERTH CAMhY1~@THome, or
of issuance or if work is s~fDf)RISABANI!:l~~elling 0-
180 days. ANY 180 DAY PERIOD, Service or Feeder ?.-, $ 40.00 () 0
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
Installation, Alterations
Electrical Contractor or Relocation:
Address / _ ~'~ onlawrfOQirlllllPsubr less $ 50.00
/ AI Itl~"V..,-,-g, 7-.(\h'M1PG1ti1i~ 400 amps $ 60.00
Ci ty lll'ione follOW rules adopted by th~4Q,i.:-;~aiP.!tlt tl.trt1600 amps $100.00
, /.: Notification "'''IlL''''' Those r~bb;ijP.1i2,tQi1l000 amps $130.00
Supervisor License Number II" OAR 952-001-0010throu'd~~fttt.,o.cma~l!lps/vol ts $300.00
/ 0090 You may ootaln cOPllrec~~~c5ngnly $ 40.00
Expiration Da,{e ~"ilinnthecenter,(Note:tne It:tT~ti n
/ ' number for the OretOfl ulF~M~l,glR~y gervices or Feeders
Constr Contr. Number ('onIAris1-800-33tnsti'lliation, Alteration or Relocation
, EX;Zir ~n D, ate 200 amps"or less $ 40.00
201 amps to 400 amps $ 55.00
Si ature of Supervising Electrician Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Ovners Name t:t2~ ~~
Address 3, Ii JlJdu~""~/J
City~.cl Phone 7'(/,1537
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
OS Signature: ~
0--' r-' _7)
,,,,;----' ---~---------------
l\r.A..t.J.l"-l ff:
RECEIVED BY:
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation '
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
, , <?rJ (;J
'-(, (i cJ
')., 't 0
t''f, L/(I