HomeMy WebLinkAboutPermit Building 1998-02-203P'IINOFIELD
RESIDENTIAI, PERMIT APPI,ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVTSION
BUII.DING SAFETY
Page 1
ilob Number: 980175
225 North Fifth Street
Springfield, OP 97477
Locatsion of Proposed Work: 226 L9TH ST
Assessors t"tap #: L7033642
Lot: Block:
office:
Inspection Li-ne:
726 -37 59
726 -37 69
Tax Lot #: 00200
Subdivision:
Owner: GREAT WESTERN HOMES
Address: 5024 MAIN STREET
Describe Work
Phone #: 726-2L72
citylsrate/zip: SPRINGFTELD, OREGON 97478
A"DDITION
-- OFFIEE USE
To requeat an inspection, calf the 24 hour recording aE 725-3769.
A11 inspectj-ons 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.
--- REQUTRED TNSPECTTONS ---
SITE - To be made after excavation but prior to setting forms.
FOITNDATION - After forms are erected but prior to concrete placement.
MA}IUF HOI{E/MOBILE HOME SET UP - When all blocking is compLete.
!{ANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
PEDESTAL - Prior to cover.
ldAlIUF. HOME/MOBItE HOME PLITIIBING - After home has been connected to
waLer and sewer.
FINAL SET Up - After all required j-nspections are approved and porches
skirting, decks, venLing, house numbers, etc. have been installed.
WATER LINE - Prior to filling trench.
SNiIITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
FINAL BUILDING - When all reguired inspections have been approved and
the building is compfete.
Lot Faces: E
Topography: 2
House
Lot Sq. Ft
W E
11 30
5 718
Setbacks
Lot Coverage: 22.65t
N
30
S
7
Item
Main
Garage
M.H. FDN.
Total- Value
Building Permit Fee
Surcharge/admin
--- BUII.DING PERI{IT ---
Square Feet x $/Square Feet VaIue
0.00
0.00
5, o00. oo
5, ooo . oo
50.50
4.05
TOTAI, FEE (A)54.55
SPFIXGF!ELE'
ilob Nurnber: 980175
SPruNGFTEI^O,
Page 2
PLI'I{BING PERITTIT - - -
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
Surcharge/edmin
TOTAI, CIIARGE (c)
Fee
25.00
25.00
25.00
15.00
90.00
7 .20
97 -20
--- MISCELIJAI{EOUS PERMITS ---
Surcharge/admin
CITY SDC
M. H. ELECTRIC
PLAN REVIEW
TOTAL MISCELTAI.IEOUS PERMITS
0.00
344 .42
86.40
40.00
(E)47 0 .82
(Excluding Electrical )
unless oEherwise notsed
--- TOTAL AI,IOI'NT DUE ---
(A, B, C, D, and E combined)522 .57
--- BUILDING VALUE, PLAI{ CHECK A}ID BUILDING PERUIT ---
This permiE 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:
Pl-ans Reviewed By: DON MOORE
Building Site Reviewed By:
Dare: 02/20/98
--- ADDITIONAL COMMEMTS ---
MANUFACTURED HOME IS REPLACING PREVIOUS HOME DEMOLISHED IN 1997
By aignature, I atsate 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 Ehe StaEe of Oregon pertaining to the work descrj-bed herein,
and that NO OCCUPANCY will be made of any strucEure 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 Ehis project.
I further agree to ensure that af1 reguired 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 properLy, and the approved set of plans
wi 11 in on the site at aII ti-mes during construction
;-zo* /(
Signa Date
SPFIi.GFIELEl
Job Number : 9801-7 6 Page 3
Receipt Number
Date Paid
--- VAI,IDATION ---
Z*
-2A
Amount Received , 622->2
Received By ,12-rax*.--7
Tof ;1] 1
Rece i vecl:
Check *:
Thank /our Lisa H.
Ci+,y of $pr.ingf :i.r.rld
^ ee5 Fifth Str.eetsErrngfietd, 0R gT4l7
( 503 ) ?ee,-3753
105.oCI
.r.(j
40.00
t re
Tr.ansact ion n trflrher 0eBg49Mar.ch 0?2 1338 3;BS AM
Received fr.cnr: %._..--,ff:[:::'gs_ffi
Cityr SFRINGFTEJ -"'ri,
o* Zip: e?+re
_Bui lding_
Joh *r 9g0t76
ltescr.ipt ion
FeE
Hch i 1e Honre
iYH State Sr-rr.char.ge
MH Issu.:ncr.
3i{ Adnrin Fee
Anrf,1 33. 4n
133 " 4n Chect:
I
I
JOB N0. 11 0 /ze
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY L
LOCATION 274, t 4rs 5z
DEVEI-OPMENT TYPE 11 H ro Pe?t-o.e ocz lo,:<e / Corna
BUILDING SIZE CT SIZ F SQ Ft
1. STORM DRAINAGI OLD 4aet Ex<€Eer leul
II'1PERV IOUS SO
2 . SAN IIARY SE,NER _C iTY
NO. OF PFU'S
x $0.226 PER SQ. rT. $ €-
X $.+6 86 PER PFU $ 3ZF oz--
$+
$
$
PER FEU + $10 MI,JI'1C/ADM FEE s-+
FT ,O
1
(See Revers: Srde)
3. TRANSPORTATiON
NO OF UNITS X TRIP RATE X COST PER TRIP
X x $472 49
x $472.49
x $472.49
X
X
A+SANITARY SEWER-MIdMC
NO. OF FIU'S X
MI^IMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBIOTAL ABOVE) X .05
$
TOTAL-MI^IMC SDC $
SUBTOTAL (ADD ITEMS 1.2,3 & 4)s izq. oL
$ t6.40
SDC Coordi nator
Dale: z- t4 1t
TOTAL SDC $ .?44,4L
I r'\ I \" tL vrr' I v'al-rs\-, l-^1 I l\., lY I ADLE. NumDer ot New Ftxtures X Unit Equivalent = Fixture Unjts(NOTE: For remodels, calculate.onl, : NET additional fixtures)
FrxruBE rypE ilH#?iXffES eoJ,[T,_.*, ;',X,t',oLD N€4)
Bathrub......
Drinking Fountain....
Floor Drain..................
lnterceptors For GreaselOil/SolidsrEtc.............
lnterceptors For Sand/Auto Wash1Etc.............
Laundry Tub/Clotheswasher.....
Clotheswasher - 3 Or More....
Mobiie Home Park Trap fi per Trailer) .............
Receptor For Refrigerator/Water StationiEtc.....
Receptor For Commercial Sink,,Dishwasher/Etc.
Shower, Single Stail...
Shower, Gan9.........
Sink: Bar, Commercial, Residerrtial Kitchen.......
Urinal, Stall/Wall...
Wash Basin lLavatory , Single...
Toilet, Pubiic lnstallation.
Toiler, Private.......
Miscellaneous:
.2
TOTAL FIXTURE UNITS
Ner
I
=(>
2
't
2
3
o
2
o
b
adeiH
1
J
Z
I
2
2
1
b
4
I =O
CREDIT CALCULATION TABLE: Based on assessed value. If rmprovements occurred after annexation date in rable,calculate credits se arates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
x $_
(Rate X Assessed Value)x$
(Rate X Assessed Value)
sCREDIT TOTAL
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1979 or before
1 980
'r981
1 982
1 983
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
3.5 5
3.39
3.20
2.91
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
vz.co
2.17
1.73
1.31
o.92
o.74
0.61
0.45
o.31
o.17
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
Hesroeniiai.......
Commerical......
lndustrial..........
Governmental...
0.4
0.9
o5
o.s
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFTCTENT
=l
')
__-
I
4
-7
CITY OF OBEGO'V
SPRI]YGFIELD
D EVE LOP M E NT S E RVI CES DE PA RT M E NT
o Sffeet Trees. Paving Drivewayo Minimum 32 square foot storage structurer Completion of partition approvalo Removal of any existing structures as noted on your partition approval' Signing and recording of any required partition, easement, irnpiou"*"nt agreements, etc.. Final lot grading. City Sidewalk and curbcut installation
' Any outside agency approval as required i.e., Division of state Land approvar.
below, I agree to complete the above mentioned land use requirements
Owner Date
MANUFACTURED HOME LAND USE AGREEMENT
As required by the cify of springfield Development code, I agree that with the urr.oru, of the attachedpermits,oneofthefollowingmanufacturedtromlwiIlbepIaJeou,
Springfield, Oregon, Ciry Job N"^Ar, ?lgO / Ze . -
'< Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosedfloor area of not less than 1,000 square feet, that has a nominal .oof fit"rr of 3 feet in height for each I2feet in width, that has no bare metal siding or roofing, and that rras ueen certified by the manufacturer tohave an exterior thermal envelope meeting performance standards which reduce heat loss to levelsequivalent to the performance standards required of single family d;;li.gr constructed under the stateSpecialty Codes.
Type II Manufactured Home. A unit of not less than 12 feetin width with an enclosed floor areaof not less than 500 square feet, that has a nominal roof pitch orz r"al, height for each l2feet in widthand that has no bare metal siding or roofing.
The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6percent slope within l0 feet of the perimeter enclosure. The perimeter foundation wall surrounding thehome shall be constructed of stone, brick or other masonry materials, and with no more than24inches ofthe enclosing material exposed above grade.
I further agree to meet all land use and city code requirements of the above mentioned parcel within 60days of the date of issuance of the manufactured home set up p"..ir. n es" r"quirements may include, butare not limited to the items listed below. Specific land use requirements regarding your parcel are noted onyour approved set up plans and,/or permit and your partition aiproval if appricable:
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX (541) 726-368e
,iiif
Contractor Signature Date
l
By my
IW
CITY OF OFEGO'V
225 FITTE STREET
SPRINGFIEI,D oREGONAglerl0d
INSPECTION REQUESTT 726-3769
OFFICE: 726-3759
1. LOCATION OF
LEGAL DESCRI
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALI.,ATION ONLY
Electrical Contractor &"Aa
Exp
Signature of Su pervising Electrician
Ovners
Address
DATE:
SP GFIELO
a-q submitted
roguiro epoclffc land
has tho bllcrfldrE
uao
EI..ECTRICAL PERHIT APPLICATION
ty Job Nunber
3. COUPI,ETE PEE SCEEDTII,E BELOV
A. Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
I tems Cos t
$ 8s.00
Sum
Address /O {z 7{',*-200 amps or less
201 amps to 400 amps
-401 amps to 600 amPs
-
601. amps to 1000 amPs-
Over 1000 amps/vo1ts
Reconnect Oniy
Ci ty Phone 7Zf -/€ott
Supervi-sor License Number 7i5- s
Expiration Date Z
Constr Contr. Number 3t>7 Be Temporary Services or Feeders
Installation, Alteration or Relocationc
iration Date / z{qs
B
E
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.strative Fee
TOTAL
200 amps''or less
201 amps to 400 amps
-Over 401 to 600 amPs
0ver 600 amps or 1OOO vo-fts
$ 1s.00
z s 40.00 #?
a5ffi
oe
s s0.00
s 60.00
s100.00
$ 130. 00
s300.00s 40.00
$ 40.00
s ss.00
$ 80.00
see lrBll
ciw ?fr. Yhone 72b472-
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35'00
n""n aaaitional
Circuit or vith Service
or Feeder Permit
-
$ 2'OO
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/OutIine Lighting-
Limi ted Energy/Res
-
Limited EnergY/Comm
s 40.00
$ 40.00
$ 20.00
s 36.00
RECETVED
5
,o
zontng, and
approval.
Zoning
not