HomeMy WebLinkAboutPermit Building 1997-09-27ATTOF ONEGON
SPFI,tlGFIELE,
h,
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 97L406
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 825 S 28TH ST
Assessors l,tap #: 18030100
Lot : Bl-ock:
Of f ice
Inspection Line
725 -37 59
726 -37 69
Tax Lot #: OO2O2
Subdivi-sion:
owner :,IAIIES/ROBERTA LYNCH
Address: 86109 GARDEN VALLEY
Describe Work: NIGHTWATCH MA.I{UF
ContracEor
Electrical: ABLE ELECTRfC
-- OFFI
QUAD AREA: 3ISC
# OF UNITS: 1
HEAT SOURCE: FE
SQ FOOTAGE: 1311
Phone #: 725-0238
city/staEe/zip: EUGENE, ORGON 97405
NEW
ConsE.
ConEracEor #%Expires
04/25/e2
Phone
926 - 67 01"
# OF BLDGS: 1
# OF BDRMS: 3
RANGE: E
4L804
oo
LAND
ZONING C
WATER HEA
To requests an inspection, call the 24 howr recording at 725-3769.
All inspections reguested 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.
SLAB - To be made after all insLab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
LINE TO SEPTIC TAI'IK - Prior to filling trench.
WATER LINE - Prior to filling trench.
STORII SEWER LINE - Prior to filling trench.
MAI'IUF IIOIIE/MOBILE HOME SET UP - When all blocking is complete.
I4AI{UFACTURED HOME SERVICE
MAI{UF. HOITTE/MOBILE HOME ELECTRICAL . WhEN blOCKiNg, SEIUP, ANd
plumbing inspections have been approved and home is connected to panel
MAI{UF. HOME/ITIOBILE HOME PLITMBING - After home has been connected to
water and sewer.
FINAL SITE PLAI{ - After all requirements have been met for Minimum
Development Standards or from the Development Agreement.
FINAL BUILDING - When all required inspections have been approved and
the building is compleLe.
Lot Faces: E Lot Type: fNTERIOR
Item
Main
Garage
FTG/PERIM FOUNDATION
Tota1 Value
Building Permit Fee
Surcharge/admin
--- BUILDING PERMIT ---
Square Feet x $/Square Feet Value
41, 500 . 00
0.00
1, 500 . 00
43, 000.00
25 .00
2.O0
(A)27.00TOTAI, FEE
SPFIirGFIELEl
ilob Nnmber: 97L406
ATTOF ofrEaoM
Page 2
PLT'MBING PERMIT ---
Item
Water
Storm Sewer
LINE TO SEPTIC
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
Fee
2s.00
25.00
25.00
75.00
6.00
(c)81.00
.-- MISCELLAT.IEOUS PERMITS
Mobile Home
State fssuance
Surcharge/admin
WILLA},IT\LANE SDC
SYS DEVEL CHARGES
TOTAL MISCEI,I,ATiIEOUS PERMTTS
l_0s.00
20.00
8.40
1, 000 . 00
8t2.t7
(E)L,945.57
(Excluding Electrical )
unless otherwise noted
--- TOTAL A.IITOI,NT DUE ---
(A, B, C, D, and E combined)2,053.57
--- BUILDING VALUE, PtA}iI CHECK AI{D BUILDING PERMIT ---
This permit is granted on the express condition that the said construcEi-on
shafI, in all respects, conform to Ehe Ordinance adopted by the City of
Springfi-e1d, including the Development Code, regulaEing the construction and
use of buildings, and may be suspended or revoked at any time upon vi-olation
of any provisions of said ordj-nances.
Plan Check Fee: L5.25 Date Paid
Received By: LORNE PLEGER
Pfans Reviewed By: LISA HOPPER Date
Building Site Reviewed By: LISA HOPPER
oe/1,e/97
oe /25 / 97
Receipt Number: 27457
--- ADDITTONAL COMMENTS
DRC 97-07-L59, PLANNER IS K]TTI GALE
By eignature, I Etsate 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
shal1 be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to Ehe work described herein,
and that NO OCCUPANCY will be made of any structure wit,hout 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 Lhis project.
I further agree Eo ensure thaE aII reguired inspections are requested at the
proper ti-me, 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 in on the slte at aLl times during construction.
Date
9 +e.-1-'A
SPFI,l.GFIELE,
.Tob Number: 97t4OG
OTT OF SPruNGFIELD, ONEGON
Page 3
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received
Recei-ved By
ATTACHMENT A
CITY OF SPRiNGFTELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAMI OR COMPAN To-ut -D C Ro E,G.7* Lf^/CrJ
LOCATICN B2S Z8 TrJ Sra-e,eT
DEVELOPMINT TYPE Plro,
BUILDING SIZE CI SI FT
1 SIORM DRAii\JiGi H{2 H.He ^ fi,-- Ptoa)
FT t3 uIMPERVIOUS SO X $0.225 PEP. SQ, FI
2. SAN ITARY S[,liER -C iTY
Nln Of Dfi r 'Qr\u. ur tru J X SJ6 86 PER PFU s+
(See Reverse Sioe)
3. TRANSPORTATiCN
NO OF UNIIS X TRIP RATE X COST PER TRIP
X l, Ol x $472 49 477, z
x _ x $472.49 $
X x $472.49 $
4. SAruitanv SEwErl-rqu;uc
NO. OF FEU'S X PER FEU + $10 MI.JMC/ADM tEE so
I'II/'IMC CREDIT IF APPLICABLE (SEI REVERSE)$
TOTAL-M|,'JI'1C SDC s
SUBTOTAL (ADD iTEMS 1,2.3 & 4) S -773 ,5O
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOIAL ABOVE) X .05 s 38,e7
5 Zq6.
SDC Coordi nator
Date: a- zz-97
TOIAL SDC $ 8lz, t7
ftr\ I tJt1tr, (JlYl I \,ALr-ULA- '\.rlY I ADLtr. NumOer oI New Flxture
(NOTE: For remodels, calculate only t.- ,tlET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
Bathrub......
Drinking Fountain....
Floor Drain..
lnrerceptors Fcr Greaser'Oil/Solids, Etc.............
lnterceptors For Sand/Auto WashrEtc.............
Laundry TuoiClotheswasher..
Clotheswasher - 3 Or lVlore.
Mobiie Home Park Trap (1 Per Trailer).............
Receptor For RefrigerarorrWater StationiEtc....,
Receptor For Commercial Sink, Dishwasheri Etc.
Shower, Single Stall...
Shower, Gang".
Sink: Bar, Commercial, Residentiai Kitchen......
Urinal, Stalllwall...
Wash Basinilavatory, Single.
Toiiet, Pubiic installation.
Toilei , Private
Miscellaneous:
TOTAL FiXTURE UNITS
" Unrt Equivalent = Fixture Units ,
UNIT
EOUIVALENT
FIXTURE
UNITS
2
1
2
a
o
2
6
1
3
/-
i lHead
2
2
1
b
4
CREDIT CALCULATION TABLE: Based on assessed value
calculate credits separates.
lf improvements occurred after annexation date in rable,
Year
Annexed
Rate per S1,0OO
Assessed Value
Year
Annexed
Rate per $1,COO
Assessed Value
1 979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
1 987
1 988
1 989
1 990
199'l
1992
1 993
'1994
1 995
1 996
vz.co
2.17
t./3
1.31
c.92
o.74
0.61
o.45
o.31
o.1 7
Credit for Parcei or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
XS
(Rate X Assessed Value)
CREDIT TOTAL $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Hesioeniiai....
Commerical...
lndustrial.......
Governmental
0.4
o.9
o5
0.5
lMPERVlous AREA : TorAL Lor slzE x RUNOFF coEFFtctENT
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
/
200 amps or
201 amps to
40I amps to
5r CiFTELO
to
amPs
Only
Iess
400 amos ./. +600 amps
1000 anps
s 1s.00
S 40.00 t o.oL
s 3s.00
s 2.00
/oo oo
AIVV 169 DAY
SPRINGFIEI,,D,
INSPECf,ION : 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALI..ATION r4,r 2t 5o n,IV A ?
JOB DESCRTPTION
/Ao6/1€',42-z '{t/o,/ 5frz-rztir
Permi tE aL'e non-transferabl'e and expire
if vork is not started vithin 180 days
of issuance or if r.rork is suspended for
180 days.
2. CONTRACTOR INSTALIATTON ONLI
Eleetricol Contractor Able Electfic
Address 5511 MAIN
city,SPR|NGFIELL Phone
Supervisor License Number
Expiration Date 1 1tqP'
Cons tr Contr. Number 92506
Expirat ion Date 7116198
Si8nature of Supervising Electrician
City Job
3. COHPIJTE FEE SCMDULE BETOU
CAL PERHIT APPLICATTON
Nr.r.uberq 7l'/U
Nev Residential-Single or
l,!u1ti-Family per duelling uni t -
Service Included:
I tems Cos t
s 85.00
A
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Sertice or Feeder
E. Services or Feeders
Installation, Alterations
or Relocation:
601 anps
Over 1000
Reconneet
S
$
s
s
s
s
.€!gg
00
00
00
00
00
o0
50
60
100
130
300
t'O
0wners Name Z a-/,
Address /o 7 6z,4 aflr' cz/?//'e
2-
Ci ty .r', YoS Phone
c.Temoorarv Services or Feeciers
-Insiallaiion, Alteration or Relocation
s 40.00
s ss.00
s 8o-oo
0r-6-Its see "8" a56"E-
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit
Each Additional
Circuit or with Service
or Feeder Permit
-E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limi ted EnergY/Res
-
timited EnergY/Comm
200 arnps"or less
201 amps to 400 amPs
over 401 to 600 anPs
over 600 amps or 100
SUBTOTAL OF ABOVE
52 State Surcharge
32 Adnrini-qtrative Fee
TOTAL
OVNER INSTALT,ATION
The tnstallation is being made on
;;;pe;i-i-o"n vhich is not intended
ior- sale, lease or renr '
0sners Signature:
s 40.00
s 40.00
$ 20.00
s 36.00
5
-<2_0DATE:
aCITY OF
RBCEIVED
ffi
€$SYSTEM DEVELOPMENT CHARGE
!!,rr HEET
NAME:
AD D RESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Job.No. qt\\4ou
PHONE:
STATE:zlP
Willamalane
Park & Recreation District
Ptat Name' N \N
I
----l-Tax Lot Number:
\NO
oark
d)
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
..
A. Sinole-Family Detached
Single Family home
NO. OF UNITS
Manufactured home not in a
x$1 ,000 per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for
$
$
D. Manufactured Home Park
NO. OF UNITS X $699 per unit $
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
$
$
$nrnp
&p, qL
Develop Se
City of Springfield
ment Date
'/
CITY OF SPP"VGFIELD, OREGON
D EV E LOP M ENT S E RVI C ES D E PARTM E NT
SPR!NGFIELD
Date
aft,
2r9t
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX (s41) 726-368e
iii
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that the
permits, one of the following manufactured will be placed at
Springfield, Oregon, City Job Number
-X-- 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 eari 12
feet in width, that has no bare metal siding or roofing, and that has been certified by the manufactler 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 widttl
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 than 24 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 require-"nt rrtuy include, but
are not limited to the items listed below. Specific land use requirements regarding you. p*""i are noted on
your approved set up plans and/or permit and your partition approval if applicabli:
o Street Treeso Paving Driveway. Minimum 32 square foot storage structure. Completion of partition approvalo Removal of any existing structures as noted on your partition approval
' Signing and recording of any required partition, easement, improvement 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,the above mentioned land use requirements.
Contractor Signature Date
OTTOF OfrE@N
SPFIllGFIELC'
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAIiI REVIEW
RESIDENTIAL I'NIMPROVED STREET
Developer: ,IAMES/RoBERTA LYNCH Job
Mail Address: 86109 GARDEN VALLEY EUGENE, ORGON 9-7405 Phone
Tax Lot #: 18o3O1OOOO202 Project Address: 825 S 28TH ST
Subdivision: Lot: Blk: Eng. Rev. No.:
No.: 97L406
: '726-0238
Book
Street Gravel
825 S 28TH ST
Existing Curbcut: N
EXISTTNG IMPROVEMENTS
Curb Fu11 Imp sw Width Curbside
NONE N N/A N/A
Ac Mat Setback
N/A
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvement Agreement: N
Easements: N
Avai-l-able: Y Stubbed Out To PropertY Line: Y Depth: 4-6
SYSTEMLocation From N, S, E, W Property Line: PRIVATE SEPTIC
Make Connection: PER PLLIMBING CODE
CommenLs: SEPTIC PERMIT FROM CO. SANITARIAN REQU]RED
FT
STORM SEWER
Available: N
Pipe Downspouts And Drains To: BAR DITCH
Pipe Parking Lot Draj-nage To: N/A
CONTACT MAINTENAIiICE DMSION AT 726-376L FOR CULVERT SIZE AI{D DEPTH.
SIDEWALK AI'ID DRMWAY INFORMATTON
New Curbcut Appr.: N
Sidewalk Permit: N
Curbcut Permit: N
CommenLs: UNIMPROVED STREET
ENCROACHMEMT A}iID ASSESSMENT
Encroachment Permit Required:
Sanitary Sewer In Lieu Of Assessment:
SPECIAT NOTES AI'ID REQUIREMENTS
A1l work within the public right of way shall be in conformance with the Cit,y
of Springfield standard specifications for consLruction. AII existing unused
curbcuts or portions thereof shafl be restored to fu11 curb helght as direcEed
by the City. The owner/developer is responsible to relocate any uti-lities and
establish private or public easements when the utiLities conflict with the
development, at their expense.
Reviewed By: DENNIS ERNST Date: 09/22/91
FOR FURTHER IMPORTA}iE INFORMATIONSEE DRAWINGS ON SPECIAL REQUIREI{ENTS
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-8OO-332-2344