The URL can be used to link to this page

Home My WebLink AboutPermit Building 2000-07-27Job# 99-01049-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of 3 SPRINGFIELD TRA|{SS:01r000I6?6 Dn Ttr. Tl ll n? nnnnUnlL,rJUL L{ iUtJU Al{T RE[D:2 $ 1?0.?5 [HffltEi: IAEHItR:05? 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 236 Smith Lp Spr AssessorsMap#: 17023231 Lot: Block: Addition: Job Number: 99-01 049-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 01917 Subdivision: ctTY oF SPRfiNGFfiELq OREGON Owner: Great Western Homes lnc Address: 62939 Hwy 97 Scope Of Work: Manufactured Home on Private Lot $39,100.00 Manufactured Home & Carport Phone Number: City/State/Zip: New 541-385-3151 Bend, OR 97701 Value: $40 Contractor Type General Contr Contractor Great Western Homes lnc 62939 Hwy 97, Bend, OR Electrical Contr Heritage lnvestors lnc Of 1042Horn Ln, Eugene, OR IHIS 62939 Hwy 97, Bend, OR 97701 sODAY 72 ABe /vo, Registration # 46472 Expiration Date 11112t01 Phone 541-385-3151 541-688-1600 541 -385-31 51 12t27t00 IF PEB, Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC To request an inspection call the 24 hour a.m. will be made the same working day, in working day. Office Use - Land Use: Zoni Code: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: before 7:00 Footing Framing FinalBuilding MH Electrica! Rough Electrical MH Service Final Electrical the following -After trenches are excavated. - Prior to cover. -when all required inspections have been approved and the building is complete. Electrical -When blocking, setup, and plumbing inspections have been approved and the home is connect -Prior to cover. -*n", all electrical work is complete. Plumbing MH Plumbing -After home has been connected to water and sewer. Water Line Sanitary Sewer Line Sanitary Sewer Cap FinalPlumbing MH Set Up MH Final Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq Main: Job# 99-01 049-01 Page 2 of 3 Required lnspections Plumbing -Prior to filling trench. - Prior to filling trench. -Capped within five feet of the property line and capped with an approved material as required b -When all plumbing work is complete. Manufactured Home -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number # Of Stories: Height (feet): Current Units: Proposed Units: Census Gode: Does not apply Accessory:Total Fee Paid On Receipt# Value/Quantity Fee Amount Transfered Records Plan Check Fee Electrical Permit Plumbing Permit SDC-Storm Sewer SDC-Sanitary Sewer SDC-Transportation SDC-MWMC SDC-Ad ministrative Fee SDC-Willamalane Manufactured Home MH State lssuance Garage/Carport Total Transfered Records 0B/1 3/1 999 08/1 3/1 999 0B/1 3/1 999 0B/1 3/1 999 08/1 3/1 999 08/1 3/1 999 0B/1 3/1 999 08/1 3/1 999 0B/1 3/1 999 0B/1 3/1 999 0B/1 3/1 999 0B/1 3/1 999 35216 3521 6 35216 3521 6 35216 3521 6 3521 6 3521 6 35216 35216 3521 6 35216 52 82 90 428 869 492 179 9B 1,000 105 30 B1 $52.33 $82.00 $90.00 $427.s8 $868.86 $491.60 $178.80 $98.34 $1,000.00 $105.00 $30.00 $80.50 $3,505.01 State Surcharge For Building Permit Renew Permit - Building Building Administrative Fee Total Building 0712712000 07t27t2000 07127t2000 2696 2696 2696 40 $.00 $40.25 $.00 $40.25 Electrical Renew Permit - Electrical State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 07t27t2000 07t27t2000 0712712000 2696 2696 2696 41 $41.00 $.00 $.oo $41.00 Plumbin State Surcharge For Plumbing Permit Renew Permit - Plumbing Plumbing Administrative Fee Total Plumbing 07127t2000 07127t2000 0712712000 2696 2696 2696 $.00 $45.00 $.00 $45.00 45 Job# 99-01049-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Manufactured Home Renew Permit - Manufactured Home State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 0712712000 0712712000 0712712000 2696 2696 2696 53 $52.s0 $.00 $.00 $52.s0 Grand Total 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 propery, and the approved set of plans will remain on the site at all times during construction.i ' 'q 0[a#- Signature C Date $3,683.76 7-)7-@ SPRI]{GFTELO Springfield, OR 97477 LocaEion of Proposed Work: 235 SMITH Lp Assessors ivlap #: L702323L Lot : 1,7 Block: E Inspection Line : 726-3769 Tax Lot #: Subdivision: 0L9t7 FISHERS PLAT Owner: GREAT WESTERN Address: 5024 MAIN STREET Describe Work: II{ANUF HOME & CARPORT Phone #: 725-2a71 Ci-tylsrate/zip: SpRTNGFTELD, oREGoN 97478 NEW General-: Plumbing: Electrical Contractor GREAT WESTERN 0045472 5024 MAIN STREET SPRINGFIELD OR 974 GREAT WESTERN 0046472 5024 MATN STREET SPRINGFIELD OR 974 HERITAGE INV 0063137 1042 HARN LANE EUGENE OR 974O4OOOO Const. Contractor #Expires L1"/1,2/ee 1.1./L2/ee 1,2/27/ee Phone 726 -2)-71_ 126 -2a'7t 588-1500 QUAD AREA: 3RNC # OF UNrTS: 1 CONSTR. TYPE: VN WATER HEATER: E -- oFFrcE USE -- LAND USE: 1150 ZONTNG CODE: MDR # OF BDRMS: 4 RANGE: E # OF BLDGS: 2 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1387 To reguest an inspection,call- the 24 hour recording at 726-3769. A11 inspections requested before 7:OO a.m. will be made the same working d.ay,inspections requested after 7:00 a.m. will be made the following work day. --- REQUTRED TNSPECTIONS ___ FOOTING - Aft.er trenches are excavated.. FOITNDATION - After forms are erected but prior to concrete placement. ITNDERFLooR DRArN - prior to cover or pl-acement of concrete. !4ANUF HoME/[loBrrJE HoME sET up - when arr b]_ocking is compl-ete. IiI,ANUF. HOME/MOBTIJE HOME EIIECTRICAI. - WhEN blOCKiNg, SEIUP, ANdplumbing inspections have been approved and home j-s connected to panel ldANuF. HOME/MoBrLE HOME PLUMBTNG - After home has been connected towat.er and sewer. PEDESTAL - Prior to cover. FRAIIING - Prior to cover. WATER LINE - Prior to fil_l-ing trench. SA-MTARY SEWER LINE - prior to filling trench. STORM SEWER LINE - prior to fill_ing trench. FrNAt sET uP - After all required inspections are approved. and porchesskirting, decks, venti-ng, house numbers, etc. have been instal_Ied..FrNAL BurLDrNc - when all required inspections have been approved andthe buil-ding is complete. Lot Faces: E Topography: 2 Lot Sq. Ft.: GOTO Lot Type: INTERIOR Se!backs SWE 9 ro l_8 House Garage Accessory N 5 Lot Coverage: 27.942 225 SPFINGF!ELD Job Number: 991-049 SPilNGFIETT', Page 2 ftem Mai-n carage y/ M.H. FDN Total Value Building Permit Fee Surcharge/Admin TOTAI, FEE --- BUILDING PERMIT --- Square Feet x $/Square Feet Value 0.00 3.boo ' oo s, 500 . 00 9, 100 . 00 (A) 80.50 6 .4s g,o(z) *dW.1t.r. --- PLIIMBING PERMIT --- Item Sani-tary Sewer Water Storm Sewer Mobile Home Plumbing Permit Surcharge/admin TOTAL CHARGE Fee 25.00 25 .00 25 .00 15.00 90.00 ,Fqgo (c)erlc Mobi-Ie Home State Issuance Surcharge/admin Sidewalk Curb Cut PLAN REVIEW FEE WTLLAMALANE SDC CITY SDC ELECT. PERMIT TOTAL MISCELLANEOUS PERMITS --- MISCELI,ANEOUS PERMITS --- ):' c-c-" (E) 105.00 30.00 10.50 80.10 50.00 52.33 1,000.00 2,055 .Lg 90.20 3 , 493 .3L (ExcLuding Elect,ricat ) unless ot,herwise noted --- TOTAL A}IOI'NT DUE --- (A, B, C, D, and E combined)3,677.45 --- BUILDING VALUE, PLAN CHECK AND BUILDTNG PERMIT --- This permit is granted on the express condition that the said constructionshal1, in al-l respects, conform to the ordinance adopted by the city ofSpringfield, including the Development Code, regulating the construction anduse of buildings, and may be suspended or revoked at. any time upon violationof any provisions of said ordinances. Received By: Plans Revj-ewed By: DON MOORE Building Site Reviewed By: LISA HOppER Date:08/az/99 --- ADDITIONAIJ COMMENTS SEPARATE ELECTRICAL PERMIT IS REQUIRED SPRIlilGFIELD Job Number: 991049 SPilNGFIELD, Page 3 DRIVEWAY REQUIRED TO BE PAVED 4 STREET TREES REQUIRED By signature, I staEe and agree,that I have carefully examinedthe completed application and do hereby certify that all information hereonis true and correct, and I fur ther certify that any and al_l work performed.shall be done in accordance wi th the Ordi,nances of the City of Springfield,and the Laws of the State of Oregon pe rtaining to the work described herein,and that NO OCCUPANCy wiII be made of any structure without permission of theCommunity Services Division, Building Safety. f further certify that onlycontractors and employees who are in compliance with ORS ZO1.055 wi1l beused on this project I further agree to ensure that al_I required inspections are requested. at theproper time, that each address is readable from the street, that the permitcard is located at the front of the property, and the approved set of planswill remain on Ehe slte at all t imes during construction (rua*I -/ 7-2]Signature Date Receipt. Number: Date paid: Amount Received: Received By: ( CITY OF SPR"VGFIELD, OREGON SPR. ,FIELD D EV E LOP M ENT S ERW C ES DE PARTM E NT MANUFACTURED HOME LAND USE AGREEMENT As required by the City of Springfield Development Code, I agree that with the approval of the permits, one of the following manufactured homes will laced at Springfield, Oregon, City Job Number Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each l2 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 constructed under the State Specialty Codes. Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor 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. The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6 percent slope within l0 feet of the perimeter enclosure. The perimeter foundation wall surrounding the home shall be constructed of stone, brick or other masonry materials, and with no more than24 inches of the enclosing material exposed above grade. I further agree to meet all land use and City Code requirements of the above mentioned parcel within 60 days of the date of issuance of the manufactured home set up permit. These requirements may include, but are not limited to the items listed below. Specific land use requirements regarding your parcel are noted on your approved set up plans and/or permit and your partition approval ifapplicable: r Street Trees o Paving Driveway o Minimum 32 square foot storage structureo Completion of partition approval r Removal of any existing structures as noted on your partition approvalo Signing and recording of any required partition, easement, improvement agreements, etc.o Final lot grading . City Sidewalk and curbcut installation. Any outside agency approval as required i.e., Division of State Land approval. By my signature below, I agree to complete the above mentioned land use requirements. 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX(541) 726-368e Date 9-,3- Contractor Signature Date f2 I)r-Jt-eaas --SPFtINGFIELD tor the of the rules bYNOTICE; THISPERMI.. ..,.I:.:XPIREIFTIJEWOHK AUICOBfAh'g.ISNOT -,3I59 oF. Permi ts - transferable expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMIBACTOR INSTALLATION ONLY Electrical Contractor {e"ffu> Address 2/Z ,4e Ci ty Phone 73f -/9ocs Supervi-sor License Number vf5-s Expiration Date,/z/ ot constr contr . Nunber (r 7/97 *- EE Expiration Date tilrr signa /of Supervisins Electrician 0wners Name Address 3. COHPI.,ETE FEE SCEEDTILE BELOV A. Nev Residential-Single or Multi-FamilY Per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home- or $ 8s.00 $ 1s.00 Modular 'Dvelling Sertice or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: c. D. Branch Circuits Nev, Alteration or Extension Per Pane1 One Circuit Each Additional $ 3s.00 E 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 4O.OO Over 401 to 600 amps - S 80.00 Over 600 amps or IO0OETIS see uBu aEiG PERHIT n 1 Su \ I i I nI lxt B I I I ffi-*-$ s0.00 $ 60.00 $100.00 $130.00 $300.00s 40.00 Ph""J1?,\;Ci ty OVNER TNSTALII\TION The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent. 0vners Signature: DATE: :l';::i.:'rlll!,'"""L $. z.oo' !_y Hiscellaneous (Service/feeder not includer -Each installation Pump or irrigation Sign/Out1ine Lighting- Limi ted Energy/Res -Limited Energy/Comm SUBTOTAL OF ABOVErt st^t" surcharge 3Z Administrative Fee TOTAL 00 00 00 00 $ 40. $ 40. s 20. s 36. d) RBCEIVED B \v' 5 I 009Q. You n '.1.,C {:-r,,* JOURNAL O'. JOB NO' ATTACIIMENT A crry oF spRINGFTELD sviinvrs DEVELOPMENT CIIARGE WORKSHEET NAME OR COMPANY:Oee^t /,t )e.s LOCATION: 236 4pt,tH LoctP DEVELOPMENT TYPE 14 Fc, l-lar*, e, BUILDING SZE LOT STZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. t3 6'7 ;z?ozlie -t $4, x$0.232 PER SQ. FT s +27,5s $ 8c8.8G $4al ,Go Hoa<€ . QacaG : D/o 1,617 2. SAMTARY SEWER-CITY NO. OF PFU'S I 8 X $48,27 PER PFU (See Reverse Side) 3. TRANSPORTATION NO OF LINITS X TRIP RATE X COST PER PM PEAK HOI'R TRIP X I, o I X S486.73 PER TRIP X 5486.73 PER TRIP 4. SANITARY SEWER-MWMC A. REIMBLIRSEMENT COST: NO. OF FEU'S X Z4Z,?APER FEU B. MPROVEMENT COST: NO. OF FEU'S I X zz,o{ PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATTVE FEE SDC Coordinator ATTACH'A.WPD S Z4Z,7C S 7^,o<- s 10.00 X $ TOTAL-MWMC SDC S t78 .8o SUBToTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATTVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .0s $ ,,q66. S4 I t Date: 8 - 8-4n TOTALSDC $ 2,ra{, 16 I FIXTURE UNIT CALCULATION TABLE! Number of Nerv Fixrures X Unit Equivatent: Fixture UnjtsNOTE, For remode(s, calculate only the l.rEf additional fixtures) NUMBER OF NEW FIXTURES TINIT EQUIVALENT FIXTURE UNITS Bathrub........ Drinking Fountain...... FIXTURE TYPE Z Floor Drain... Interceptors For Grease/OiUSolids/Etc Interceptors For Sand/Auto Wash,/Etc. Laundry Tub/Clotheswasher/Ivfop S ink.................. Clotheswasher - 3 Or More. Mobile Home Park Trap (1 Per Trailer).. Receptor For RefrigeratorAfater Station/Etc........... Receptor For Commercial S ink/DishwasherlEtc...... Shorver, Single Stall. Shower, Gang............ Sink: Bar, Commercial, Residential Kitchen........... Urinal, StalVWall. Wash Basin/Lavatory, Single........... Toilet, Public Installation. Toilet, Private Miscellaneous: TOTAL FIXTURE LTNITS t8 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits Credit for Parcel or Land Only If Applicable 4,47 X S Zl,lto :Q6,ot (Rate X Assessed Value) Improvement (if after annexation date)x $_ = (Rate X Assessed Value) CREDITTOTAL :S q6,AI 'z- 2 1 2 J 6 2 6 6 z z_ - ---T- /Head I J 2 I 2 2 I 6 4 2- 2* Year Annexed Rate per $ 1,000 Assessed Value Year Annexed Rate per $ 1,000 Assessed Value 1981 1982 I 983 1984 l 985 1986 1987 r988 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 s4.47 I 989 1990 1991 1992 l 993 1994 1995 t996 1997 l 998 2.r8 1.75 1.35 t.t7 1.03 0.86 0.71 0.57 0.39 0.18 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential... Commerical. Industrial...... Governmental.-. 0.4 0.9 0.5 0.5 FIXUNIT.WPD IMPERVIOUS AREA: TOTAL LOT SIZE X RUNOFF COEFFICIENT <tgcc; NAME: WitlamalaRe F u?ri &-n-"Ee a tio n D i stri ct SYSTEM DEVELOPMENT WORKSHEET Job. No. CHARGE PHONE: | *"nrfactured home not in a Park ADDRESS:STATE: LOCATION OF PROPOSED BUI ING Street Address Plat Name:Tax Lot Number: 1. pEVELOPMENT TypE (ChgS appropdare dwelling(s). sDC calculations and dwelling t ype definitions are on the back.) A. Single-Family Detached Single Family home D eve lo pment 00 NO. OF UNITS X $1,000 Per unit = $ B. Single-Family Attached NO. OF UNITS X $924 Per unit C. Multi-Familv Apartment NO. OF UNITS X $692 per unit D. Manufactured Home Park NO. OF UNITS X $699 per unit = $ WLLAMALANE SDC $ 2. SDC CREDIT (if applicablo) SDOaayer must fumish proof of Wllamatane creoit-approvit. See 1oc crem Wodcsheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for =$ =$ I,l)[)D OD 00 City of Springfield Date $ ZIP: