HomeMy WebLinkAboutPermit Building 1996-4-17
SPRINQFIELD
Page 1
RBSIDENTIAL PBRMIT APPLICATION
CITY OF SPRINGFIBLD
COMMUNITY SBRVICBS DIVISION
BUILDING SAFBTY
Job Number: 960513
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4573 IVY ST
Assessors Map'#: 18020513
Lot: 10 Block:
Tax Lot #: 03200
Subdivision: STEELHEAD
owner: JOHN/LORI OHAVER
Address: 2185 PIERCE
Phone #: 686-4143
City/State/zip: EUGENE, OREGON 97405
Describe Work: MANUF HOME & CARPORT NEW
Cons t .
Contractor Contractor # Expires Phone
General: METZGER ENT 0101588 08/10/96 367-2523
430 8th Ave Sweet Home OR 973860000
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
OFFICB USB --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 4
RANGE: E
# OF BLDGS: 2
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 2012
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,
RBQUIRBD INSPBCTIONS
PBDBSTAL - Prior to cover,
FOOTING - After trenches are excavated,
FOUNDATION - After forms are erected but prior to concrete placement.
SANITARY SBWSR LINE - Prior to filling trench,
STORM SBWBR LINE - Prior to filling trench,
WATBR LINE - Prior to filling treneh,
ROUGH BLBCTRICAL - Prior to cover.
FRAMING - Prior to cover.
MANOF HOME/MOBILB HOME SBT UP - When all blocking is complete,
MANOF. HOME/MOBILB HOME BLBCTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MANOF. HOME/MOBILB HOME PLUMBING - After home has been connected to
water and sewer.
CURBCUT - After forms are erected but prior to plaeement of concrete,
SIDBWALK - After excavation is complete, forms and sub-base material
in place,
FINAL BLBCTRICAL - When all electrical work is complete,
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
FINAL SBT UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Faces: E
Setbk From NPL: 19
Lot Sq, Ft,: 8875
Solar Approved: Y
Total Height: 15
Lot Type: INTERIOR
House
Garage
N
1
10
Setbacks
S W
5 46
25
E
19
5
SPRINQFIELD
Job Number: 960513
Page 2
Item
Main
Garage
FTG/PERIM FND
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
88,000,00
0,00
8,950,00
101,950,00
Building Permit Fee
Surcharge/Admin
104,50
8,37
TOTAL FEE
(A)
112.87
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,391. 05
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
50
50
50
Fee
25,00
25.00
25,00
Plumbing Permit
Surcharge/Admin
75,00
6,00
TOTAL CHARGE
(C)
81. 00
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
PLAN REVIEW FEE
ELECTRICAL PERMIT
105,00
20,00
8,40
15,25
13.00
1,000,00
67,93
88.56
TOTAL MISCELLANEOUS PERMITS
(E)
1,318.14
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,903.06
--- 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: 04/17/96
Building Site Reviewed By: LISA HOPPER
SPRINGFIELD
Job Number: 960513
Page 3
--- ADDITIONAL COMMENTS ---
CARPORT PLANS REVIEWED AND APPROVED BY DON MOORE 4/23/96
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
will remain on the site at all times during construction.
,- ,01tlk- - d):.tt;e0)
Si~::re :0 //,
~- 2& - qp
Date
- -- VALIDATION
Date Paid:
'? /7 ;;!-
~0A0
/- I
'35't!J3-oG
~~
Receipt Number:
Amount Received:
Received By:
.
.
Job. No. \\\aQS\3
SYSTEM DEVELOPMENT CHARGE
NA~E:~\tX\lJ\1' . V KSHEET PHONE:,~~6 4-\4~' ,
ADDRESS: ~\~S \ STAi-E:~U-ZIP: C J4lE
LOCATION OF PROPOSED BUILDING SITE: ....t-
Street Addr~f. ~)\:\ 0 l
Plat Name: ~nThao6J - Lot ~umber: \ ~D?1J5 \ ~ 03lfO
1. .DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t
ype detinitions are on the back.)
A. SinolA-FAmilv DAtAc:hAQ
Single Family home
NO. OF uwrs I
B. SingIA-FAmilv...AttAc:hAci
NO. OF UNITS
C. Multi-Familv AoartmAnt
NO. OF UNITS
D. ManufacturAci HomA PArk,
NO. OF UNITS
WILLAMALANE SDC
I Manufactured home not in a ,p.,a(j)
X $1,000 per unit = $ lO(')( J .
X $924 per unit = $
X $692 per unit = $
X $699 per unit = $
$ \~mfXJ
~
$ lrillpJ
2. SDC CREDIT (if applicable) SDC-payer must fumish proof of
Willamalane Credit approval. See SDC Credit Worksheet,
$
3. TOTAL WILLAN!ALANE NET SDC ASSESSED
(if SDC reduce it)
\~&~en~~
City of Springfield
-I I 2~ I ~0
Date
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: JOHN/LORI OHAVER
Location: 4573 IVY ST
Developement Type: R Building Size:
Job No,: 960513
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2768 X 0,210 Per Sq Ft =
2. SANITARY SEWER - 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 SEWER - MWMC
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: DENNIS ERNST
Date: 04/18/96
Page 1
Sq Ft
$581. 28
$868,60
$442,31
=
$385,00
$0,00
$385,00
$2,277 .19
$113,86
$2,391. 05
SPRINGFIELD
~-
,
Job Number: 960513
II
.
.
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, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
Number of
New Fixture
Unit
Equivalent
Fixture
Units
4
o
o
o
o
2
o
o
o
2
o
2
o
2
o
8
o
TOTAL FIXTURE UNITS 20
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
2
2
1
6
4
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
0,00
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)
o
x
0.00 =
CREDIT TOTAL =
.
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 Development Code, 1 understand and agre~t& the approval of
tll.e attache~\its, one of the following manufactured homes will be placed,at 1\')
. ~\ ~. ' Springfield, Oregon, City Job Number L-\ ~,
Type 1 Manufactured 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 00 feet in height for each t2 feet in width, that has no bare metal siding or
roofmg, and that has been certified by the manufacturer to have an exterior thermal envelope meeting
performance standards which reduce heat loss to levels equivalentJ:/1o th ,p>I[ormance standards required
for single family dwellings at the time of construction, I' /. initials
v -
Type It Manufactured Home:
A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square feel, that has a
nominal roof pitch of2 feet in height for each t2 feet in width, that has no bare metal siding or roofmg,
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 for single
family dwellings at the time of construction, initials
1 further state, by my signature b~low, that I have been provided with the following information: .
Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, and Minimum requirements for permanent steps,
1 also unders.tand that the manufactured home shall be placed on an excavated and backfilled foundati<1l1
not to exceed 6 percent slope within 10 feet of the perimeter enclosure, enclosed at 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 material exposed above grade,
~.
Signature ~
;,,/
tJ1h~ffi /
L./- 2ft; -qto
Date