HomeMy WebLinkAboutPermit Building 1997-09-04CITY OF
3P;IIXGFIELE,
RESIDEMTIAI. PERMIT APPI.ICATION
CITY OF SPRTNGFIELD
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Nurnber: 97L2LG
225 North FifLh St.reet
Springfield, OR 97477
Location of Proposed Workz 230 19TH ST
Assessors Map #: 1-7033642
Lot: Block:
Office:
fnspection Line:
726 -3759
726 -37 69
Tax Lot #: 00200
Subdivision:
Owner: GREAT WESTERN
Address:. 5024 MAIN STREET
Describe WorK : !{,AIVUFACTI,RED HOME
Phone #: 726-2a7a
City/State/Zrp: SPRINGFIELD, OREGON 97478
NEW
General:
Plumbing:
Electrical
Contractor
GREAT WESTERN 0045472
5024 Main Street Springfield OR 974
GREAT WESTERN 0046472
5024 Main Street Springfield OR 974
HERITAGE ]NV 0053137
L042 Harn Lane Eugene OR 974040000
Consts.
Contractor #Expires
t\-/t2/97
lt/L2/e7
t2 /27 / 97
Phone
726 -21,7 L
7 26 - 21,7 1,
588-l_600
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
.. OFFICE USE --
LAND USE: 1150
ZONING CODE: LDR
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: tO67
# OF BDRMS: 3 \r
E
To request an inspection aE 725-3769.
A11 inspections requested 11 be made the same working day,
inspections reguested afte made t,he following work day
INSPECTIONS
FOOTfNG - After trenches are excavated.
SLAB - To be made after aLL inslab building service equipment, conduit
piping, and other eguipment items are in place but prior to concrete
!!AI'IUF HOME/MOBILE HOME SET UP - When all blocking is complete.
!!,A}TUF. HOME/MOBIIJE HOITIE ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MAIIUF. HOME/MOBILE HO[!E PLt]IBING - After home has been connected t,o
water and sewer.
FINAL SET UP - AfEer all required inspectj-ons are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
LoL Faces: E
Solar Approved: Y
House
Tota1 Height: 15
Lot Type: fNTERIOR
Setbacks
SWE
5 32 L30
Setbk From NPL: L8
N
18
Building Permit Fee
$/Square Feet
50.50
Item
Main
Garage
FTG/PERIM FOUNDATION
Total- VaLue
--- BUILDING PERMIT ---
Sguare Feet x Value
39, 000 . 00
0.00
4, 500 . 00
43,500.00
3PR!XGFIELE,
ilob Number: 97]-2]-6
qTT OF SPruNGFIEID,
Page 2
Surcharge/edmin
TOTAI. FEE (A)
4.05
54 .55
- -. PLU}TBING PER}IIT . -.
Item
Mobile Home
Plumbing Permit
Surcharge/aamin
TOTAL CIIARGE (c)
Fee
15.00
15.00
L.20
L6.20
--- MISCELLA.I'IEOUS PERMITS
Mobile Home
State Issuance
Surcharge/admin
ELECTRICAL PERMIT
SYSTEM DEVEL CHARGE
TOTAL IIISCELLA}iIEOUS PERMITS
l_05.00
20.00
8.40
43.20
77 0 .61,
(E)947.2L
(Excluding Electrical )
unlesE other-wise noted
. -. TOTAL AITOI'lirT DUE - - -
(A, B, C, D, and E combined)L,0L7.96
--- BUITDING VAI,UE, PLAIiI CHECK A}ID BUILDING PERMIT ---
This permit is granted on the express condition Lhat the said const,ruction
shal-l, in aLl respecLs, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construct.ion and
use of buildings, and may be suspended or revoked aE any time upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: LISA HOPPER
Building Site Reviewed By: LISA HOPPER
Date: 08/1-s/97
--- ADDITIONAL COMMEMTS ---
PREVIOUS RESIDENCE, 228 19TH STREET, WAS DEMO'D
3/1,2/97, rNspECTroN coNDUcrED 7 /28/97 , 96L245
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I etate and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I furLher certify that, any and alL work performed
shall be done in accordance wit,h the Ordinances of t,he City of Springfield,
and t.he 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 t,hat only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
3PF!ilGFIELD
ilob Number: 97]-2L6
afr,
OTT OF SPruNGFIEI.O,
Page 3
I further agree to ensure Lhat all required inspections are reques ted at the
proper time, that each address is readable from Ehe sLreet, 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.
t^A a-qq-7
b ture
Receipt Number:
Date Paid:
AmounL Received:
Received By:
Date
oN ---
A1
\
JOB NO. q7/ZIG
ATTACHMENT A
CITY OF SPRiNGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY
LOCAIION 2 30 /?rt 5T
DEVELOPMENT TYPE:tr,R
BUILDING SIZE OT SI 0. Ft.
1. STORM DRAINAGI
IMPERVIOUS SO. FI * I, 7qG X $0,225 PER SQ rTrl $+o5.61
2 . SAN ITARY SEI^/ER.C ITY
(See Re'rerse Side)
3. TRANSPORTATiON
NO. OF PFU'S x
x x $472,49
x $472.49
x _ x $472.49
X $.16. 86 PER PFU $3"_R,o L
$:€-
$
5
,,(
$ SL.zo
TOTAL SDC
NO OF UNITS X TRIP RATE X COST PER TRIP
X
4 . SAN iTARY SEWER -MI,JMC
NO. OF ftH'Dtls
-x -PER
-EEU + $10 Mt^lMC/ADt,,t FEE
l',lt^Jt4c CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRAIIVE FEES
BASE CHARGI (SUBIOTAL ABOVE) X .05
$
TOTAL-MI^IMC SDC $
SUBTOTAL (ADD ITEMS 1.2,3 & 4) S 733.q1
w,Date: 8-t4-?6
SDC Coordi nator
* o,-o Noois Boet)e Sepr'?{. cp.6orr G,vaJ Fo< &,*peo sT?4;E/u...
s7 .G/
rln I UnE UlYl I t-AL\-tJL - I ltJtU IADLtr: NumberotNew Frxt.^i X Unrt Equivalent : Fixrure Units
(NOTE: For remodels, calculate.onl : NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub
Drinking Fountain....
Floor Drain..................
lnterceptors For Grease/Oil/SolidsiEtc
lnterceptors For Sand/Auto Wash1Etc..................
Laundry Tub/Clotheswasher......
Clotheswasher - 3 Or More....
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink,'Dishwasher/Etc..
Shower, Single Sta11..........
Shower, Gang
Sink: Bar, Commercial, Residerrtial Kitchen..
Urinal, Stalliwall...
Wash Basinilavatory, Single...
Toiiet, Pubiic lnstallation.
Toilet, Private.......
Miscellaneous:
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in rable,
calculate credits se arates
3. q7 ?z ,3o
2
1
2
3
6
2
6
6
1
3
2
i lHead
2
2
1
b
4
2-
i
1L
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
XS 23, ZEz)
(Rate X Assessed Value)
XS
(Rate X Assessed Value)
CREDIT TOTAL s ?2 30
Year
Annexed
Rate per S1,000
Assessed Value
Year
Annexed
Rate per $1,0OO
Assessed Value
1 980
1 981
1 982
1 983
1 984
1 985
1 986
3.83
3.70
3.55
3.39
3.20
2.91
79 or before $3.9tq@
o
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
$2.56
2.17
1.73
1.31
0.92
o.74
o.61
o.45
o.31
o.'17
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
o.4
0.9
05
o.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
7
I
SPRINGFIELE,
D EVE LO P M E NT S E R VI C ES DE PARTM E NT
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that the ofpermits, one of the following will be placed at
Springfield, Oregon, City Job Number
o Street Trees
. Paving Drivewayo Minimum 32 square foot storage structureo Completion of partition approvalo Removal of any existing structures as noted on your partition approvalo Signing and recording of any required partition, eas"L"nt, i*p.ou"rn"nt agreements, etc.r 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
Owner Signature Date
<r--\ r-,.
Zfr,225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-368e
mi
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 roof pitch of 3 feet in height for each 12feet in width, that has no bare metal siding or roofing, and that has been certified by the iranufacnser tohave an exterior thermal envelope meeting performance standards which reduce heat Ioss to levelsequivalent to the performance standards required of single family dwellings constructed under tlrc 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 of 2 feetin height for each 12 feetin 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 permit. Th"s" .equire.".rt r11uy include, butare not limited to the items listed below. Specific land use requirements regarding yoo. p*""1 are noted onyour approved set up plans and/or permit and your partition aiproval ifapplicable:-
CITY OF SPB OREGO'U
Contractor Signature Date
c/-t-|9-l
CITY OF SPruNGFIEI.D,
SPFINGIFIELO
RESIDENTIAL PERMIT APPLTCATTON
CITY OF SPRINGFIEI,D
COMMI'NITY SERVICES DIVISION
BUII.DING SAFETY
225 North Fi-fth Street
Springfield, OR 97477
LocaEion of Proposed Work: 230 N 19TH ST
Assessors fUap #: 17033542
Lot: Block:
Office
Inspection Line
726 -37 59
726 -37 59
Tax Lot #: 00200
Subdivision:
Owner: MIKE MILLER
Address: 23o 19TH ST
Describe Work:Carport
Phone #: 341-8920
CitylState/zj-p: SpLFD OR
NEW
-- oFFICE USE --
FLOOD PLAIN: N
To request an inspection, call the 24 hour recording aL 726-3769.
A11 inspecti-ons requested before 7:00 a.m. will- be made the same working day,i-nspections requested after 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTfNG - After trenches are excavated.
SLAB - To be made after all inslab building service equipment, cond.uitpiping, and other equipment items are in place but prior to concrete
FRAMfNG - Prior to cover.
FrNAL BUTLDTNG - when all required inspections have been approved andthe building is complete.
Lot Faces: E Setbacks
Es
Garage
N
5 3Z
W
Item
Main
Garage
STORAGE STRUCTURE
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Item
Storm Sewer
Plumbing permit
Surcharge/Admin
TOTAL CHARGE
--- BUITDING PERMIT
Square Feet x $/Square Feet
1-6 .27
Value
0.00
0.00
521.00
4 , 495 .00
50.50
4 .05
(A)54 .55
Fee
25.00
25.00
2 .00
(c)27.00
2
oocl
'i)rnpop
rl
:o
Fg$sbJ-
l*
Cz
Cfm
J'
\-i
U)
t.*i
-l-rn
E()rx
s:.q
dzo{
--- MISCELLAIVEOUS PERMTTSSurcharge,/admin
SYSTEM DEVEL CHARGES 0.00
93 .02
TOTAL MTSCELLA.IVEOUS PERMTTS (E)93.02
Page 1
ilob Nr:rnber: 97L2L6A
SPFtXGFtELD
ilob Number: 97L2L6A
qTTOF
Page 2
(Excluding EJ.ectrical)
unlees otsherwiEe not,ed
--- TOTAI. AMOI'NT DUE ---
(A, B, C, D, and E combined)L7 4 .57
--- BUII,DING VALUE, PI.A}iI CHECK AT.ID 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 tshe Dewelopment 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: 32.83
Received By: LORNE PLEGER
Plans Reviewed By: DON MOORE
Building Site Reviewed By:
Date Paid:
Date:
02/04/e8
03/os/e8
Receipt Number:. 28697
--- ADDITIONAL COMMENTS ---
PLANS REVIEWED AND APPROVED BY MORTIER ENGINEERING
By aignature, I state and agree, that I have carefully examined
the completed application and do hereby certj-fy that all- information hereon
is true and correct, and I further certify that any and all work performed
shal-I be done in accordance with the Ordinances of t.he 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 permissj-on 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 al-I times during construcLion.
-_,-.---3 - f- 7q
Signature Date
--- VALIDATION ---
;1 n{Receipt Number:
Date Paid:
Amount Received:
Received By:
3-{- "(6 r7+..r 1
9 ATTACHMENT A 4
CITY OF SPRINGFIELD SYSTEMS DEVELOPYENT CHARGE
WORKSHEET
NAME OR COMPANY MtK€Mtt L6/L
LOCATiON q /
DEVEL0PMENT TYPE: CARpor-T I sH€p Cotus-r'&uca/o,t)
CaP'PaPr4 Saco Pq+
BUILDING SIZE z|vt+- s1u LCT SIZ FT
1 SIORM DRAiII,AGI
IMPERVI0US S0 F r 31L x $0.225 PtP. SQ. rr. $ 68,91
2. SAN IIARY SEi!ER -C iTV
NC OF PFU'S o Y CJ6 Q6 DFQ DEi r. vv r !:\ r . u $e-
(See Reverse Sice;
3. IRANSP0RIAi iCN
NO OF UNITS X TR.IP RATI X COST PER IRIP
x-x$47249
x _ x $472.49
x _ x s472.49
Mt^it,1c CREDIT IF APPLICABLT (SEt REVERSE)
TOTAL-MI^IMC SDC
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5.
BASE CHARGE (SUBIOIAL ABOVE) X .05
$
4 . SAN itaRy s rwrql - pr',rMe
N0. 0F FEU'S _X pER FEU + $10 t',l[^Jl'1C/ADM FEt so-
$
$
$
$86,tq
$4 ,13
Date:z- t?-78
SDC Coordi nator TOIAL SDC sq 3. oz
t
SEE DR,AWINGS ON SPECIAL REQUIREIIEIiI:TS FOR FI'RTHER IMPORTAIiE INFOR}TATION
7 1r
$€*
.Ld(
SPFlINGFTELD
225 FIFTB STREET
SPRINGFIELD, oREGoN 97477
INSPECTION REQUESTT 726-3769
0FFICE: 726-3759
1.
ON
Permi ts are
if vork is - t ransferab
not started vit
ELECTRTCAL PERHIT
City Job Ngnbe r
3. COHPLETE FEE SCMDULE BELOV
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-
s 8s.00
s 1s.00
Modular Dvelling
Service or Feeder s 40.00
B. Services or ers
Ins talIa t i terationsor Relo
\(
S
%
--+of issuance or if.vork is suspen-ded for
180 days.
2... CONTRACTOR INST ONLY
Electrical Contract
Address
Ci ty Phone
Supervisor cense
Expiration Date
Constr Contr. Number
Expiration Date
siSnature 6r su pervising Electrician
Ovners Name
Address
600
amps _
ampsto 1000 amps
L000 amps/vo1ts
200 amps or less
201 amps to 400 amps
-over 401 to 600 amps
-0ver 600 amps or 1000T<iTts
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation S
Sign/Out1ine Lighting- S
Limi ted Energy/Res
-
S
Limi ted Energy/Comm $
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
ect OnIy
emporary Services or Feeders
and expire
180 days
Phonelab atl l
Sum
s60
$100
s130
s300.00
$ 40.00
s s0.00
00
00
00
a)
s 40.
s ss.
$ 80.
see t'
000O ;-
00
B" aE6iE-
cit
,TION
The installation is being made on
property I otrn vhich is not intendedfor sa1e, Iease or rent.
0vners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit $ 2.00
not included)
40.00
40. 00
20. 00
36.00
5
OF OREGON
RECEIVED
,oo
lr '1
A- Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service Included:
I tems Cos t
Insta]Iation, Alteration or Relocation
t+,q/