HomeMy WebLinkAboutPermit Building 1996-5-22
SPRINOFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960691
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4561 IVY ST
Assessors Map #: 18020513
Lot: Block:
Tax Lot #: 03200
Subdivision:
OWner: NANCY IVES
Address: 251 SOUTH 67TH STREET
Phone #: 747-2470
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: MANOF HOME & GARAGE
NEW
Contractor
Const.
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 INV 006313 7
1042 Harn Lane Eugene OR 974040000
11/12/96
726-2171
11/12/96
726-2171
12/27/96
688-1600
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
OFFICE USE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 4
RANGE: E
# OF BLDGS: 2
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1456
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.
Lot Type: PANHANDLE
Setbacks
N S W E
House 24 12 29 10
Garage 75 20 10
SPRINGFIELD
Job Number: 960691
Page 2
Item
Main
Garage
FTG/PERIM FOUNDATION
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
240
Value
46,233.00
4,320,00
4,960,00
55,513,00
Building Permit Fee
Surcharge/Admin
80,50
6,45
TOTAL FEE
(A)
86.95
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,284.29
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved,
PLUMBING PERMIT
Item
Sanitary Sewer
Water
Storm Sewer
125
125
125
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
Curb Cut
ELECTRICAL PERMIT
WILLAMALANE SDC
105.00
20,00
8,~
11,20
0,00
88,56
1,000,00
TOTAL MISCELLANEOUS PERMITS
(E)
1,232.91
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, 8, C, D, and B combined)
3,7~.llJQ
--- 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.
Received By:
Plans Reviewed By: LISA HOPPER Date: OS/22/96
Building Site Reviewed By: LISA HOPPER
Job Number: 960691
Page 3
--- 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 tha~ 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.
- '-In \
, ..... ~,_;OL,\v_o~
SJ.gnature
F) s:;f!f;(h
Date
Receipt Number: ~\ ~\
~'1~C\(()
- 'ff)
Amount Received: 'Qf\~.
Received By: ~l\~
VALIDATION .on
Date Paid:
~
.
~,... Winamalane
'(;n' Park & Recreation District Job. No.
,.. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NA~E:~~~1l 1 ~~C)
ADDRESS:~S\ ~ lOt\\' .tit
.
QlLJOloq f
PHONE: ~I, QAi()
STATE: &LZIP: Q-l\.~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 1\S\o\ ~ \\l~ .t'i. \ (\ or
Plat Name: .hO()'\l~ Tax~t Number: W(12t::-~\~ ~ I
I
1. DEVELOPMENT TYPE (Check appropriate dwelling(s), sac calculations and dwelling t
ype definitions are on the back,)
A. Sinolp.-F8milv Dp.t8r.hp.r!
Single Family home
NO. OF UNITS 1
B. SinoIA-F~mily Attached
NO. OF UNITS
C. Multi-Familv Aoartment
NO. OF UNITS
D. ManufaQ1l,lrAri Homp. P::!rk,
NO. OF UNITS
WILLAMALANE SDC
, Manufactured home not in a park
X $1,000 per unit = $ ( Dei) ~
X $924 per unit = $
X $692 per unit = $
X $699 per unit = $
\000,00
o
$ \liDrn
3 / 2..?J I ~ ~Q
$
2. SDC CREDIT (if applicable) SaC-payer must furnish proof of
Willamalane Credit approval. See sac Credit Worksheet,
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if sac reduced for Credit)
i\~\
Development Services
City of Springfield
$
Date
.
.
CITY OF SPRINGFIBLD SYSTBMS DBVBLOPMBNT CHARGB
(RBSIDBNTIAL)
Name or Company: NANCY IVES
Location: 4561 IVY ST
Developement Type: R Building Size:
Job No.: 960691
Lot Size:
1. STORM DRAINAGB
Impervious Sq Ft 2876 X 0.210 Per Sq Ft a
2. SANITARY SBWBR - CITY
Number Of PFUs 18 X 43,43 Per PFU CI
(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 SBWBR - MWMC
Number Of PFUs
18
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. ADMINISTRATIVB FBBS
Base Charge (Subtotal Above) X
0,50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: OS/22/96
Page 1
Sq Ft
$603.96
$781,74
$442.31
$347.50
$0.00
$347.50
$2.175.51
$108.78
$2.284.28
.
Job Number: 960691
PIXTURE UNIT CALCULATION TABLB
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, Residential' Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
Number of
New Fixture
2
o
o
o
o
1
o
o
o
o
o
1
o
2
o
2
o
.
Page 2
Unit
Equivalent
Fixture
Units
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
2
2
1
6
4
TOTAL FIXTURE UNITS 18
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
x
0.00 =
0.00
CRBDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
.
SPRlalELD
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Developmenl Code, I understand and agree ~~ith tQe approval of
the attached pe~, ~lDe of the following manufactured homes will be place~al _ 12 \
~'I\ 'k ,-WO"'! . Springfield, Oregon, City Job Number '-'\!?Q I .
Type I Man~factured Home:
A multi sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feel,
that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare mela! siding or
roofmg, and that has been certified by the manufacturer to have an exterior thennal envelope meeting
perfonnance standards which reduce heat loss to levels equivalent to the perfonnance standards required
for single family dwellings at the time of construction, <::q:::... inilials
, I
Type II Manufactured Home:
A unit of not less than 12 feel in width enclosing a minimum floor area of 500 square feel, that has a
nominal roof pilch of2 feet in heighl for each 12 feet in width, thaI has no bare metal siding or roofing,
and that has been certified by the manufacturer 10 have an exterior thennal envelope meeling perfonnance
standards which reduce heat loss \0 levels equivalent to the perfonnance standards required for single
family dwellings at the time of construction, inilials
'I
.,
I further stale, by my signature below, that I have been provided with the following infonnalion:
Manufactured Home Blocking, Waler Line Conneclion, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, and Minimum requirements for pennanent steps,
I also understand that the manufactured home shall be placed on an excavated and backfilled foundatian
not to exceed 6 percenl slope within 10 feet of the perimeter enclosure, enclosed al the perimeter with
stone, brick or other concrete or masonry materials approved by the Building Official and with no more
than 24 inches of the enclosing malerial exposed above grade,
-~:'W~~J
Signature
n-;Bqh
Dale