HomeMy WebLinkAboutPermit Building 1995-10-18
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951533
225 North Fifth Street
Springfield, OR 97477
Office, 726-3759
Inspection Line, 726-3769
Location of Proposed Work: 4536 IVY ST
Assessors Map #, 18020513
Lot, 4 Block,
Tax Lot #, 03200
Subdivision, STEELHEAD
Owner: TIM LONGSWORTH
Address, 1646 E STREET
Phone #, 746-5139
City/State/Zip, SPRINGFIELD, OREGON 97477
Describe Work, MANOF HOME & GARAGE
NEW
Contractor
Canst.
Contractor #
Expires
Phone
General, GREAT WESTERN 0046472
5024 Main Street Springfield OR 974
Plumbing, GREAT WESTERN 0046472
5024 Main Street Springfield OR 974
Electrical, HERITAGE INVEST 0063137
1042 Harn Lane Eugene OR 974040000
11/12/95
726-2171
11/12/95
726-2171
12/27/95
688-1600
QUAD AREA, 3RSC
# OF UNITS: 1
CONSTR, TYPE, VN
WATER HEATER, E
OFFICE USE --
LAND USE, 1150
ZONING CODE: LOR
# OF BDRMS, 3
RANGE: E
.
# OF BLDGS, 1
OCCY GROUP, R3
HEAT SOURCE: FE
SQ FOOTAGE: 1404
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
PEDESTAL - Prior to cover,
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement,
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench,
WATER LINE - Prior to filling trench,
ROUGH ELECTRICAL - Prior to cover,
FRAMING - Prior to cover.
MANOF HOME/MOBILE HOME SET UP - When all blocking is complete,
MANOF, HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MANOF, HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer.
CURBCUT - After forms are erected but prior to placement of concrete,
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL ELECTRICAL - When all electrical work is complete,
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Total Height, 15
Solar Approved, Y
Lot Type, PANHANDLE
House
Garage
N
21
30
Setbacks
S W
16
10 23
E
25
Job Number, 951533
Page 2
Item
Main
Garage
FTG/FND
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
384 14,10
Value
47,000,00
5,414,00
4,900,00
57,314,00
Building Permit Fee
Surcharge/Admin
86,50
6,93
TOTAL FEE
(A)
93,43
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,227,88
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved,
PLIlMBING PERMIT
Item
Sanitary Sewer
Water
Storm Sewer
120
120
120
Fee
40,00
40,00
40,00
Plumbing Permit
surcharge/Admin
120,00
9,60
TOTAL CHARGE
(C)
129,60
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
Sidewalk
WILLAMALANE
ELECTRICAL PERMIT
105,00
20,00
8,40
11,20
1,000,00
88,56
TOTAL MISCELLANEOUS PERMITS
(E)
1,233,16
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,684,07
--- 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.
- - - ADDITIONAL COMMENTS - --
DRIVEWAY REQUIRED TO BE PAVED
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,
Job Number, 951533
Page 3
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 ~t all times during construction.
\~nat~R Ullby:-
Date
1
Date Paid,
\ q 0Z5T10N
\0 ' \~qs
~Ol
Receipt Number,
Amount Received:
Received By,
"
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726-3753
FAX (503) 726-3689
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City,of Springfield
that with the approval of the attached
.'manufactured homes will be placed at
Springfield, Oregon, City Job Number
Development Code, I understand
permitsA one ~f the ~llowing
4r-Sn\,p ~\)l..\- ~T
L\.c:..\c::..~~ .~
and agree
Type I Manufactured Home. A multi-sectional (double wide or wider)
unit with an enclosed tloor 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 to levels
equivalent to the performance standards required of single family
dwellings Gol'l.............. ..:..:..~ ...uJ..;;... ;;:I'C; :;..0."'1;. t:r.......:......: ty Ood-e$..
C\X~~~~
Tvt'e II Manufac,tured Home, A uni t of not less than 12 feet in width
with an enclosed tloor area of not less than 500 square feet, that has
a nominal roof pitch of 2 feet in height for each 12 feet in width and
that has no bare metal siding or roofing.
I further state, by my signature below, that I have been provided with the
following information:
_ Manufactured Home blocking
- Yater line connection
- Street tree standards
_ Sanitary sewer connection
- Electrical connection
_ Minimum requirements for permanent steps
I also understand that if I am installing a Type I Manufactured Home, the home
shall be enclosed at the perimeter with stone, brick or other masonry materials,
and with no more than 12 inches of the enclosing material exposed above grade.
~lJ~
Signature '
/0 'If, 9s-
Date
.
.
'CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: TIM LONGSWORTH
Location: 4536 IVY ST
Developement Type: R Building Size:
Job No" 951533
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2028 X 0,210 Per Sq Ft
2. SANITARY SEWIlR - CITY
Number Of PFUs 20 X 43,43 Per PFU ~
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
437,93 ~
$442,31
Transportation Total
4. SANITARY SEWIlR - KWMC
Number Of PFUs
20
Per PFU +
18,750 +
MWMC Admin Fee
10,00
X
X
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5, ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0,50
TOTAL SDC
Reviewed By, TROY MCALLISTER
Date: 09/22/95
Page 1
Sq Ft
$425,88
$868,60
$442,31
~
$385,00
$0,00
$385,00
$2,121.79
$106,09
$2,227,88
.
.
Job Number: 951533
.
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
1
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
'0
o
2
o
2
o
2
o
8
o
2
2
1
6
4
20
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occured
after annexation date, credits are calculated separately,
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0,00
0,00
o
0.00
0,00
X
CREDIT TOTAL =
, $0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)
.
.
,
q(),~
SYSTEM DEVELOPMENT CHARGE
U WORKSHEET
NAME, j~~ PHONE, ~.5Jsl
ADDRESS: () f.~.r STATE:~IP: qm7
LOCATION OF PROPOSED BUI~NG SITE:
Street Address: ~ ~\o ~\)'+- ~ Q 01-
Pial. Name: ~(\~~ ' Tax'fot Num~er: \ )<tQ.(E3rJ32ItJ
1, DEVELPPMENT TYPf': (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back,)
A. f>innIA-Fllmilv DAtll~
Single Family home
,. Manufactured home not in a park
l X $1,000 per unit = $ IDm,cO
<> ,)
, NO, OF UNITS
B. ~IA-F'Rmil\l Attached
NO, OF UNITS
X $924 per unit = $
C, ,Multi-Familv wartment
, NO. OF UNITS
X $692 per unit, = $
~; 1<1anuf~rAd HomA Pllrk
, ",',: NO. OF UNITS
,_,'I"
"'0
. .\' '".. .
,'X $699 'i>~r~'~nit :' =,:' ': $
. ;'. " ~ .,' .::~ "" .- "',; :.'.: . ,,' . . .
" ,\," ',\()m.CD',
' ""$ .
'r;j
..":.
.' '.' "
WILLAMALANE SDC
, ' ,
.' - - -. --
2. SqC~REDIT (if applicable) SDC-payer mUstfu~shpro6f.cii "
, willamalane Credit approval. See SDC Credit Woril'slleet, " ,'$
.. _ ." j- -I.' "'
. ".'_..~.,' - :.~.~;:'it_::~""'l~""
"3.' TO:r.AkWILLAMALANE NET SDC A~SE~S~p;"',' '$" '\ff:nW
\l~~:~'''_f''Creda)'</'' . I
. Development Se Date
City of Springfiel