The URL can be used to link to this page

Home My WebLink AboutPermit Building 1999-9-20 ~ It. . . Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF, SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991234 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4521 IVY ST. Assessors Map #: 18020513 Lot: Block: Tax Lot #: 03202 Subdivision: t::!!t:Jcc:tUor-B- MEADOW -sreet.H~ Phone #: 579-0247 City/State/Zip: JUNCTION CITY OR,97448 Owner: STEVE BJORNSON Address: 375 S,W,JUNIPER Describe Work: MANUFACTURED HOME NEW Contractor Const. Contractor # Expires Phone General: MELVIN REED 0070495 PO BOX 491 HILLSBORO OR 971230000 11/26/98 000-0000 QUAD AREA: 5RSC OCCY GROUP: R3 OFFICE USE -- LAND USE: 1150 CONSTR, TYPE: VN # OF BLDGS: 1 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, FOUNDATION - After forms are erected but prior to concrete placement, 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. CURBCUT - After forms are erected but prior to placement of concrete, FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. Lot Faces: N Topography: 2 Lot Lot Setbacks S W 13 10 Sq, Ft,: 8456 Type: CORNER Lot Coverage: 31 % N E 19 House Garage 18 Item Main Garage FTG/FDN GARAGE FTG/FDN MANU/ HOME Total Value BUILDING PERMIT --- Square Feet x $/Square Feet = Value 0,00 0,00 5,500,00 5,000,00 80,000,00 90,500,00 Building Permit Fee Surcharge/Admin 86,50 8,66 TOTAL FEE (A) 95.16 .. . . . . , Job Number: 991234 Page 2 PLUMBING,PERMIT Item Sanitary Sewer Water Storm Sewer Mobile Home 50 50 SO Fee 25,00 25,00 25,00 15,00 Plumbing Permit Surcharge/Admin 90,00 9,00 TOTAL CHARGE (C) 99,00 --- MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/Admin Sidewalk Curb Cut CITY SDC WILLAMALANE 105,00 30,00 8,40 64,80 60,00 2,419,46 1,000,00 TOTAL MISCELLANEOUS PERMITS (E) 3,687.66 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,881.82 --- 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: 56,23 Date Paid: 09/08/99 Received By: Plans Reviewed By: AL WARD Date: 09/19/99 Building Site Reviewed By: BOB BARNHART Receipt Number: 035491 --- ADDITIONAL COMMENTS --- A SEPERATE ELECTRICAL PERMIT REQUIRED DRIVEWAY REQUIRED TO BE PAVED 6 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 locateg ~t th ont of the property, and the approved set of plans will rem . e site at a times during construction. 9-OJO -99 '7!2re -~ J--' Date ~ . Job Number: 991234 Receipt Number: Date Paid: Amount Received: Received By: --- VALIDATION o'35vn 7 1 (J-.d(&J'1 ~Cjgl. 'h2- dJVtJ~ . . . , Page 3 JOURNttORJOBNO.qqIL?f A TT ACHMENT A , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . NAME OR COMPANY: "776<15- "MTOf!.'V:5OI--! LOCATION: 4'\z..1 T".." oS 7 DEVELOPMENT TYPE: M K. J.JI-1' BUILDING SIZE: LOT SIZE SQ,Ft. }, STORM DRAINAGE ..F'-II.... ~,ll sa.. ~ 2.!"'30~II4-0 P/k.J I Qy2..4 = 4~b IMPERVIOUS SQ. FT. ~,4 3 2.- X $0,232 PER SQ, FT. 2, SANITARY SEWER-CITY S ,qt:".2."Z..- NO, OF PFU'S (See Reverse Side) ,13 X $48,27 PER PFU S Rt:.P. UP 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP , X 1,()7 X $486,73 PER TRIP S 4Q,. G.C> X X $486,73 PER TRIP s 4, SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO, OF FEU'S J X z.4'Z..~ PER FEU S z.4-2.7CD , B, IMPROVEMENT COST: NO, OF FEU'S X 22.6'<PER FEU S ''2'2.0'''-- MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ - 12'7, 2f:> > MWMC ADMINISTRATIVE FEE S 10,00 TOT AL-MWMC SDC $ I 4 7. 5"? 5. ADMINISTRATIVE FEES: BASE CH~SUBTOT AL ABOVE) X ,05 l-1/, Date: 0,-/+-99 SDC Coordinator ATTACH'A.WPD SUBTOTAL (ADD ITEMS 1,2,3 & 4) $? . ~,., a.2.s'"' $ //5"- 7' I TOTALSDC $ 2;4ICf,'fC, FIXTURE UNIT CALCULA.1ION TABLE: Number of New Fixture.Unit Equivalent = Fl<<ture Unils (NOTE: For remodels, calculate only the NEIWtional fixtures) . . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.............. ..,......,...........,.........., ......... ,............, Drillidng Fountain,.... '......""" ,....""", ......., ......"""", Floor Drain""..""....." ,......""""" ,........, ,..,........ ......., Inlercep,lors For GreaselOiIlSolids/Etc..",..""..,.., '.., Interceptors For Sand! Auto WashlEtc............,........, Laundry Tub/ClotheswasherlMop Sink.........,.......... Clolheswasher.3 Or More.............................,..,...., Mobile Home Park Trap (I Per Trailer),.................. Receptor For RefrigeratorlWater Station/Etc....,...... Receplor For Commercial SinklDishwasherlEtc...... Shower, Single Stal!."".........,.."..,.."",..,..",....,.."", Shower, Gang,.",......." ,......",..", ,....""" ,...." ,.."""", Sink: Bar, Commercial, Residential Kitchen............ Urinal, SlalllW al!."",.."",..,..,....""", ......".."""", ,.." Wash Basin/Lavatory, Single,......""",....".."",....".. To ilet, Public Installation"""""""".. ,..""" ,..""""", Toilet , Private"",..""..,......,....".."""",........,..,...."" Miscellaneous: CREDIT CALCULATION TABLE: credits separately, r 'Z.... 2 I 2 3 6 2 6 6 I 3 2 IIHead 2 2 1 6 4 ? "?- TOTAL FIXTURE UNITS 4- .., 2- '2- R IR Based on assessed value, If improvements occurred after annexation date in table, calculate Year Annexed Rate per $1,000 Assessed Value $4.47--::> 4,38 4.32 4,20 4,03 3,88 3,68 3,38 3,03 2,62 Year Annexed - <::[9'79-or'befv", 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 Credit for Parcel or Land Only If Applicable 4, q. "7 X $ 25,4 7u = (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) FIXUNIT,WPD I;<~ CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL".."......,",....,'" 0,4 CommericaL....,..,......,....... 0,9 Industria!."...,......,....,.."'.."" 0.5, GovernmentaL................,.. 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 I ,Assessed Value j I 2,18 1.75 1.35 1.17 1.03 0,86 0,71 0.57 0.39 0,18 1~7,LC,.' . . . . p,.... Willamalane t,,,,!, Park & Recreation District Job. No. '\'\ \~i fV SYSTEM DEVELOPMENT CHARGE WORKSHEET )_,\Il--'~~. ~~~ ' ADDRESS: '615 S.W.~~, LOCATION OF PROPOSED BUILDING SITE: Street Address: . ,-\~(Q \.'-= ~ S ~ , '() 'Tax Lot Number: O~Q M NAME: PHONE: S 1 ~ ~ '-\. 7 STATE: On. ZIP:9...1'{'-I.~ Plat Name: \ ~o~('\~ \ ~ 1. DEVELP..PMENT TYPE (Check approprtate dwelling(s). SOC calculallons and dwelUng t ype definitions are on the back.) , . A SinQIA-FRmilv DAtR~hAd Single Family home' " NO. OF UNITS \ " Manufactured home not in a park tX:> X $1,000 per unit = $ l CYO') - B. ~inClIA'-FRmilv AtfR~hAd. NO. OF UNITS X $924 per unit = $ C. ,Multi-Familv Aoarfment NO. OF UNITS X $692 per unit = $ D. ,MRnllfRr;Wred Home PRJ:k ' NO. OF UNITS X $699 per unit = $ WILLAMALANE SDC $ 2. sec CREDIT (If appncable) SDC-payer must fU~Sh proof of WiUamalane Credit approval. See SOO Or edit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If soe reduced for Credit) $ R~1-- " b~40pment Services Department City of Springfield ~ ~/ 9f Date