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Home My WebLink AboutPermit Building 1997-09-02qTTOF ONEGON RESIDEIITIAL PERMIT APPI,ICATTON CITY OF SPRINGFIEI.D COMMI'NITY SERVICES DIVTSION BUII.DING SAFETY Page 1 Job Number: 97L222 225 North Fifth Street Springfield, OR 97477 LocaEion of Propoeed lllork: 1255 33RD ST Assessors ttap #: L7023034 Lot: Block: Office InspecEion Line 726 -37 59 726 -37 69 Tax Lot #: 07801 Subdivision: owner: MR/!,IRS MEAI{S Addressl. L255 33RD STREET Describe Work: MAIIUFACTITRED HOIIE Phone #: 745-6053 ciEy/staEe/zip: SPRINGFIELD, OREGON 97478 NEW ConEractor Const. Contractor #Expires os /Ie / e8 Phone 747 -4008General:EMERALD LIFESTY 0066750 575 South A Street Springfield OR 9 QUAD AREA: 3RNC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E -- OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: L728 To request an inspection, calL the 24 hour recording aL 726-3769. A11 inspecUions requested before 7:00 a.m. will be made the same working day, inspections requested afLer 7:00 a.m. will be made the following work day. --- REQUTRED INSPECTTONS --- FOOTING - After trenches are excavated. SLAB - To be made afLer all inslab building service equipment, conduit piping, and oEher equipment items are in place but pri-or to concrete ldAliluF HoIIE/MoBILE HOME SET UP - When all bl0cking is complete. I[,A]IUF. HO!4E/MOBILE HO[!E ELECTRICAL - When blocking, setup, and plumbing inspections have been approved and home is connected to panel ldAI{uF. HO!{E/DIOBIIJE HOI{E P['I,}IBING - After home has been connected to water and sewer. FINAL SET UP - After all required i-nspections are approved and porches skirting, decks, vent,ing, house numbers, etc. have been installed. Lot Faces: W Solar Approved: Y House Tot,al Height: L5 LoE Tlpe: fMIERIOR SetbacksswE 28 18 36 Setbk From NPL: 38 N zb Item Main Garage FTG/PERIM FOI'NDATION Total Value Building Permit Fee Surcharge/admin --- BUILDING PERMIT --- Square Feet x $/Square Feet,VaIue 35, 000 . 00 0.00 5, 000 . 00 40, 000 . 00 50.50 4 .05 TOTAL FEE WN (A)54.55 SPRINGFIELE' SPFINGFIELD h, ilob Number: 97L222 OF Page 2 --- PLUIIBING PERMIT --- Item Mobile Home Plumbing Permit Surcharge/edmin TOTAL CIIARGE (c) Fee 15.00 r_5 . 00 L.20 L6.20 --- UISCELI.AIiIEOUS PERMITS --- Mobile Home State Issuance Surcharge/edmin SYSTEMS DEVEL CHARGE TOTAL MISCELLATiIEOUS PERITTITS (E) r_05 . 00 20.00 8.40 548.03 681.43 (Excluding Eleetrical ) unless otsherwiEe noted --- TOTAI. AMOI'}iIT DUE --- (A, B, C, D, and E combined)752.L8 --- BUILDING VAIJITE, PLAII CHECK AIiID BUILDING PERMIT --- This permit is granted on the express condition t.hat the said construction shall, in all respects, conform Eo Ehe Ordinance adopted by the Cit,y of Springfield, including the Development Code, regulaEing the const.ruction 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 Date Paid Received By: DON MOORE Plans Reviewed By: LISA HOPPER Date Building Site Reviewed By: LfSA HOPPER o8 /L3 / e7 oe /Ls / e7 Receipt Number l 27072 --- ADDITIONAL COMMENTS REPLACEMENT HOME 2 STREET TREES REQUIRED By signatsure, I stsate 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 Ehe Laws of t.he State of Oregon pertaining to t.he work described herein, and that NO OCCUPAIICY will be made of any sEructure withouE permission of the Community Services Division, Building Safety. I further certify that only conLracUors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure thaE all required inspections are reguested at t.he proper time, that each address is readable from Ehe sEreet, that the permit card is located at the fronE of the property, and the approved set of plans wj-ff remain on the site at a]l- times during construction. Signat Date APRIilGFIELEl .fob Number: 97L222 SPruNGFTEI.O, Page 3 --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Received By: ?/zbzr7/A uooD sTOVE/rNs CITY OF SPRING ERT TNSPECTTOI,I .APPLTCATTON FEILD SPRTNGFI€L() Ta>: Lot f;: IJ /;<- Phone: #: Zip Code: S.45 adminisrrarive e&BUILDING SAFETT DIVISIOhI 225 Fiftlr Srr-eerSpringfield, Oregon 97477 Job Loca(ion:5S Assessor-< tlap il :YOL 3o3 tloT Y o/ 0vner:/4./ Add ress: Ci ty: € SreIiriinary_Inspection -j.s S15.OO (pripr to insrallation of insert). Uood'Stove/Pellet/Jnsert permit is'StS.OO * S.75 stare surcharge +fee + S10.00 issuance = 526.20 total Type of fnspection Requested: Con trac [or:frl-il".)r-a,,'r Address:77 Phone #:7 {/-1%o Ci ty S tate:Zip Qode:9 z rz,/ Construction tractors'Rbg'&stration fr : /01 5 ?)Expires: By signing'this permit/application, f agree to call for inspection(s) as required(726-3769). f state that all tha information on this permit/application is correct and .that I uas provided vith the Uood Stove Safety'information for vood burning appliances and preliminary inspection standards. I (urther..state..that-the applianceI am installing'meets smoke .emission standards as set by the Oregon Departmenf. of Environmental Quality or the Federal EnvironurcntaL protection Agency and I agree to provide the. testing approval number to the irrspector at the time of inspection. I also understand that if I am requesting a pre).iminary inspection, the vall cevering may be req ired tci be removed. t re te REQUIRED INSPECTION(S) : vooDSTOVE/PELLET/INSDRT PRELil,rrN\R,Y - Date of Application:t0-Jl- ql q1t .J'))--Job fl: Total Amount Collected:*sh. )D Rec-bipt fi: J1 X 17 tliecked for Deliquencies: Issued By:4(D Clrccked for Ilistoricil Status: Office:. 726'_3759 INSPECTION LINE; - 726-3?69 S ta te: Va1ue of Uood Stove/pellet Stove/fnsert: ====== FOR OFTICU USE s-Pll.NGFrELD, oREGON 9747;rNspEcrroN REeuEsT -tit_lla _oFFICE: 726-37ss --. i'{,,X> UE {/ seRrarcrreio ELECTRTCAL PERHTT P LICATION Ci ty Job Nrfm ber Cos t $ 8s.00 s 1s.00 $ 40.00 vices or Feeders 11a t ion , Alterationscation: or less 2 am s COHPLETE FEE SCMDULE BELOV Nev Residential_Single orHulti-FamiIy per a"Efiing unitService fnciuded, I tems 1000 sq.fr. or lessEach additional 500sq. ft or portion thereof Each Manuf,d Home or _- Modular Dvellins nService or FeedEr O( 1 (t Permi ts aif vork iof issuan 180 days. ION re no - t ransferabs not started vitce or if.vork i It Sum 2... CONTRICTOR ON @ ElectricaL Contract Add ress ci Phone Supervisor L cense Expiration Date tD.\.q< Constr Contr. Number Expiration Date % Signature 6f Su pervising Electrician 0vners Nam Address Ci ty Phone I,ATION The installation is being made on property I oun vhich is not intended for sale, Iease or rent. 0vners Signature: DATE: R Temporary Services or Feedersfnstal_Iation, Alteration or-Relocation 200 amps or less $ 40.00 0ver 401 to 600 amps - S BO.OO0ver 600 amps or fOOO-Iffi" i"" ,,8,, aE-oG- Branch Circui ts Nev, Alteration or Extension per panel One Circuit $ 35.00Each AdditionalCircuit or vith Serviceor Feeder Permit S 2.00 401 amps 601 amps Over 1000 Reconnec t I" 199 amps -- to 600 amps -to 1000 amps- amps/volts - Only s s0.00 s 60.00 $100. 00 $130.00 s300.00s 40.00 C D E Miscellaneous (Service/feeder -Each installation Pump or irrigation SSign/OutIine Lighting- S Limi ted Energy/Res - S Limi ted Energy/Comm $ not included) 40. 00 40.00 20.00 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Adnrinistrative Fee 'to'tAL RECETVED BY: 5 CD -OREGO'VCITY OF SPRI]tGFIELE, D EVE LOP M ENT S E R VI C ES DE PARTM E NT As required by the Ciry of permits, one of the following Springfield, Oregon, City Job Number 225 FIFTH STREET SPRINGFIELD, OR 97477 (541 ) 726-3753 FAX (s41) 726-368e MANUFACTURED HOME LAND USE AGREEMENT Springfield Development Code,I agree that with th9 approval of theamached praced "t \ 455'33\C-jF**,be 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 manufact.rer tohave an exterior thermal envelope meeting performance standards which reduce heat loss to levelsequivalent to tlle performance standards required of single family dwellings consfucted under the StateSpecialty Codes. Type II Manufactured Home. A unit of not less than 12 feetin width with an enclosed floor area of not less than 500 square feet, that has a nominal roof pitch of 2 feetin height for each 12 feetin 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 than}4inches 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*"nrc *uy include, but are not limited to the items listed below. Specific land use requirements regarding you, pu.""i are noted on your approved set up plans and/or permit and your partition approval ifapplicable: o Street Trees o Paving Driveway o 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, 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. DateOwner Signature Date 9-a - B JOB N0 . Q1t zzz- ATTACHMENT A CITY OF SPMNGFIELD SYSTEMS DEVELOPI'IENT CHARGE WORKSHEET NAME 0R COI\,IPANY: Mr. rlFa:. I'1Ea,._r. LOCATION 7-5s' r.l 33iza 1r DEVEI-0PMENTTYPI: Pefua"te l'1-t1 , BUILDING SIZE CT SI Fr. 1. STORM DRAINAGI Ne u, *a.6a opLy IMPERVIOUS SO FT E.'8 X $0.225 PER SQ. FT. $ I43.N1 2. SANITARY SE'IER-CITY N€- Ftyrorcs oatt_y NO. OF PFU'S 7 X $.16. 86 PER PFU $ 3zz.oz (See Rever:se Si de) 3. TRANSP0RIAi i0N NO OF UNITS X TRIP RATE X COSI PTR TRIP x-x$47249 $e* x _ x $472.49 $ x _ x $472.49 $ 4 . SAN iTARY S El/ER - Ml,iMC N0. 0F FEU'S _X _pER FEU + $10 MI^JMC/ADM FEE $+ Mt^lMC CREDIT IF APPLiCABLE (SET REVERSE)$ TOTAL-MI^IMC SDC $ SUBTOTAL (ADD ITEMS 1 ,2,3 & 4) $ 5Z I ,9 J 5. ADMiNISTRATiVE FIES BASE CHARGE (SUBTOTAL ABOVE) X .05 S za.ta SDC Coordinator Date:I -tB -?7 IITALSDC $ 546'o= rlza I lJnc, tJlYl I I/ALUULI1! I l(Jlu I ADLtr: Number ot New Frxtu(es X Untt Equivalent = Fixture Units (NOTE: For remodels, calculate.or re NET additional fixturesl NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub......> Drinking Fountain..... Floor Drain............... lnterceptors For Grease/Oil/Solids,'Etc................. lnterceprors For SandiAuto Wash/8tc................. Laundry Tuo/Clotheswasher..... Clotheswasher - 3 Or More...... Mobile Home Park Trap (1 Per Trailer). Receptor For Refrigerator/Water Station/Etc....... Receptor For Commerciai Sink,'Dishwasher/Etc.. Shower, Single Sta11.......... Shower, Gan9......... Sink: Bar, Commercial, Residerrtial Kitchen....... Urinal, Stall/Wa11......... Wash Basini Lavatory, Single.. Toiiet, Pubiic lnstallation. Toilet, Privare.... TOTAL FIXTURE UNITS -7 CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits rates XS T L --J-- 2 1 2 a 6 2 6 6 1 3 2 'ilHead 2 2 1 6 4 Credit for Parcel or Land Only lf Applicable Improvement (if after annexation date) (Rate X Assessed Value) X$ (Rate X Assessed Value) Year Annexed Rate per S1,000 Assessed Value Year Annexed Rate per $1,00O Assessed Value 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 0.61 0.45 0.31 0.1 7 1 979 or before 1 980 1 981 1 982 1 983 1 984 1 985 1 986 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Fesicieniiai... :............. Commerical lndustrial.... Governmental............. 0.4 0.9 o5 o.5 tMPERvtous AREA : TorAL Lor slzE x RUNOFF coEFFlc,EruT Miscellaneous: CREDIT TOTAL _ S