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Home My WebLink AboutPermit Building 1995-9-28 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951473 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4557 IVY ST Assessors Map #: 18020531 Lot: 12 Block: Tax Lot #: 03200 Subdivision: STEELHEAD Owner: RONALD WARNER Address: 1110 J STREET Phone #: 726-8613 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: MANOP. 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 0063137 1042 Harn Lane Eugene OR 974040000 11/12/95 726-2171 11/12/95 726-2171 12/27/95 688-1600 QUAD AREA: 5RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 2 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1350 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, WATER LINE - Prior to filling trench, SANITARY SEWER LINE - Prior to filling trench, STORM SEWER 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 SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. Lot Faces: S Solar Approved: Y Total Height: 14 Lot Type: INTERIOR Setbacks S W E 53 8 10 20 6 23 Setbk From NPL: 38 N House 25 Garage Job Number: 951473 Page 2 Item Main Garage FTG/PERIM FND Total Value BUILDING PERMIT --- Square Feet x $/Square Feet 400 14,10 = Value 49,000.00 5,640,00 5,000,00 59,640,00 Building Permit Fee Surcharge/Admin 86.50 6,93 TOTAL FEE (AI 93.43 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 2,377.40 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 53 53 53 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 WILLAMALANE ELECTRICAL PERMIT 105.00 20.00 8.40 15.70 12,88 1,000,00 88,56 TOTAL MISCELLANEOUS PERMITS (E) 1,250.54 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, S, C, D, and E combined) 3,850.97 --- 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 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. Job Number: 951473 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 at all times during construction. B J Aj)~j) jA/1JtLU o;~1S- Signature Date - -- VALIDATION Date Paid: 1,147 r'-~/9-I ~~,)o ~ 7 '-t~~/J)~ Receipt Number: Amount Received: Received By: - . . . I 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726,3753 FAX (503) 726,3689 DEVELOPMENT SERVICES DEPARTMENT .- MANUFACTURED HOME SET-UP AGREEMENT As required by the 'ci ty ,of Springfield that with the approval of the attached manufactured homes will be placed at Springfield, Oregon, City Job Number Development Code, I understand permit~ ~e of the fol~owing A?~I_~\ 1Ik' ~~\ 10 r ~~I4r1~ t\ . and agree Ty~e I Manufactured Home. A multi-sectional (double wide or ~ider) unlt 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 eaRS true .:eJ l,.I..J_.. ..I.... 5..~..... :....(j,aJ,c.l ~:". :eEles (b; ~ -\..u-M Db ~()\\. Type II Manufac,tured Home. A uni t of not less than 12 feet 1n wid th 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. DPAJnif1/b~ Signature q --;;J, g->Jr Date " , .'-. -.', ~. -, ,.'. ..- ..- -. .-. -, --- . '. . ~,... Willamalane ..~~ Park & Recreation District .. SYSTEM DEVELOPMENT CHARGE WORKSHEET N.A.M~~~-t~~J'f\ \1~\\r$)~HONE: (211) 9{()\3 ADDRESS: \\\() 7\ &-"-Q~~ STATE:~IP: C11i-ll , Job. No. q:s \4-l6 LOCATION OF PROPOSED BUILDING SITE: Street Address: L\S05l ~$ l k ~ PlatName: ~\\O-Ol rlJ, -;~ Lot Number: \~~B\'D3tU:D 1. DEVELOPMENT TYPf: (Check appropriate dwelling(s), SDC calculations and dwelling t ype definitions are on the back,) A. SinoIA-Fl'lmilv Dp;tl'lr.hArl Single Family home , NO. OF UNITS \ \. Manufactured home not in a pa~ X $1,000 per unit = $ \~DD, B. ,Sj,noIA-Fl'lmilv Attl'lr.hAQ NO. OF UNITS X $924 per unit = $ C. ,Multi-Familv Aoartment NO. OF UNITS X $692 per unit, =' $ , .. " " - -, , D. ,Ml'lnlJf~d HomA Park l\' '.. ,', ..'t,....' , . ., . ': ~ ;:'~:'::-'.I.' ,,' NO. OF UNITS ;'- , : X: $699, p~(unit, ", =':.:', $ $" \ roD .00. " 'j.-/, $' )?I . . WILLAMALANE SDC , ' , ' .) ':;: ;.~ , ,." " " , 2., ,SpC CREDIT (if applicable) SDC-payer must fumish p'roof of' . ,. Willamalane Credit approval. See SDq C?rr;dit Worksh,eet: .,'\'. ,,' ,'i..;.' "":'.', '" '_. . 3., TOT AI:. WILLAMALANE NET SDC ASSESSED :/'; , ,:, (ifSDC reduced for Credit) , i\~ Development S'e- '~es Department City of Springfield ~ \DOO IDb. '. " " -. ..<. I I Date