HomeMy WebLinkAboutPermit Building 1998-08-26SPAINGFIELEt
RESTDENTIAL PERMIT APPLICATION
CTTY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
page 1
.fob Nnmber: 990692
225 North Fifth Street
Springfield, OR 97477
Location of propoeed Work z 420 34TH STAssessors Map #: 1_7O23j.24
Lot: 2 glock:
Of f i_ce
fnspectlon Line
726 - 37 59
726-3769
Tax Lot #: 09500
Subdivi-sion:
SPilNGFIELD,
Owner: KRISTIN HENSHEN
Address: C/O 78156 MOSBY CREEK
Phone #: 46I-B6OL
cirylsrate/zip: COTTAGE GRovE, oR 97424
Describe Work: MANUF HOME & GARAGE NEW
General:
Plumbing:
Electrical:
Contractor
,.fL BEAN oo8oo44
78L55 MOSBY CREEK COTTAGE GROVE OR
RS PLUMBTNG OO3B435
DIXON ELECTRIC 0066894
33735 MARTIN RD CRESWELL OR 9742600
Const,.
Contractor # Expires phone
03 / os / e9 e42-
01, / l-1,
bJ
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
o
the
R3
SOIIRCE: FE
SQ FOOTAGE: ]-296
To request an inspection, call the 24 hour recording aL 726-37G9
A11 inspections requested before 7:00 a.m. will be made the same working d.ay,inspections requested after 7:00 a.m. will be made the foll-owi-ng work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOTNDATION - After forms are erected but prior to concrete placemenL.
SIAB - To be made after all inslab building servi-ce equipment, cond.uitpiping, and other eguipment items are in place but prior to concrete
I{AI{UF HOME/MOBILE HOME SET Up - When all- blocking is compl-et.e.
!'ANUFACTURED HOME SERVICE
ldANUF. HOME/MOBILE HOITIE ELECTRICAL - When blockj-ng, setup, and
plumbing inspections have been approved and home j-s connected to panel
MANUF. HOME/MOBIIJE HOME PIJI'MBING - Af IEr hOMC hAS bCEN CONNECTEd IO
water and sewer.
ROUGH ELECTRICAL - Prior Io cover.
FRAUING - Prior Lo cover.
SANfTARY SEWER LINE - Prior to fj-lling trench.
STORII SEWER LINE - Prior to fill-ing trench.
WATER LINE - Prior to filling trench.
FINAL ELECTRICAL - When a1l- eLectri-cal work is compl-ete.
FINAL BUILDING - When all required inspections have been approved and
the building i-s complete.
FINAL SET UP - Aft.er all required i-nspections are approved and porches
skirting, decks, venting, house numbers, etc. have been insta1l-ed.
LoT FaCeS
Lot Tlpe:
House
Garage
E Total Height: 15 Solar Approved: Y
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHOHIZED UNDER THIS PEHMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 NAY PEHIOD.
PANHANDLE
N
34
5
Setbacks
s
23
w
10
10
E
10
97
\$ie
SPEINGFIELD
Job Number: 980692
SPruNGFIELI',
Page 2
Item
Main
Garage
FTG/PERTM FOTNDATTON
Total Val_ue
Building Permit, Fee
Surcharge/Admin
TOTAIJ FEE
BUTLDING PERMTT ---
Square Feet x $/Sguare Feet
L6.27
(A)
400
Value
50,000.00
5, 508 . 00
5, 000 . 00
51, 508 . 00
92 .50
7 .4L
99 .91-
PLIIMBING PERMTT
Item
Sanitary Sewer
Water
Storm Sewer
Plumbing Permit
Surcharge/Admin
TOTAL CIIARGE (c)
Fee
40.00
40.00
40.00
120.00
9 .60
L29 .60
Mobil-e Home
State Issuance
Surcharge/admin
SidewaLk
Curb Cut.
WILLA}4J\LANE SDC
CITY SYSTEM DEVEL
TOTAI, MISCELLANEOUS PERMITS (E)
10s.00
20.00
8.40
13.90
13.90
1, 000 . 00
2,502 .34
3 , 553 .54
(Excluding Elect,rical )
unless otherwise noted
--- TOTAL AT,IOI'NT DUE ---
(A, B, C, D, and E combined)3,893.05
--- BUILDING VALUE, PLAN CHECK AND BUTLDING PERMTT ---
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 the Devel-opment Code, regulating the construction and
use of buildi-ngs, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Plan Check Fee: 50.13 Date Paid:
Received By: AL WARD
Plans Reviewed By: LISA HOPPER Date:
Building Site Reviewed By: LfSA HOPPER
06/1o/ee
05/30/e8
Receipt Number: 30255
--- ADDITIONAL COMMENTS
--- MISCELLANEOUS PERMITS ---
SPRII{GFIELD
rTob Number: 980692
SPilNGFIEID,
Page 3
A & T ESTIMATE ONLY FOR CITY SDC PURPOSES
GARAGE REVIEWED AND APPROVED BY DON MOORE
DRIVEWAY REQUIRED TO BE PAVED
By signature,f staEe and agree, that I have carefully examinedthe completed application and d.o hereby certify that all information hereonis t.rue and correct, and I further certify that any and all work performedshaI1 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 herei-n,and that NO OCCUPANCY will be made of any structure wi-thout permission of theCommunity Services Division, Building Safety. I further certify that onlycontractors and employees who are in compliance with oRs 701.055 wi1l be
used on this project..
r further agree to ensure thaE all reguired inspections are requested at theproper time, t.hat each address is readabl-e from the street, that the permitcard is l-ocated at the front of the property, and the approved set of planswill remain on the site at all times during const.ruction.
9-)6-n
Signat Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received
Received By
2b 6
of
,7 ^rs
Willamalane
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:
ADDRESS STATE:
LOCATION OF PROPOSED BUILDI SITE
Street Address:
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calctlalions and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
_ Single Family home
NO. OF UNITS
ment
-L
Manufactured home not in a Park
x $1,ooo per unit = $ ITDC)C @
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 Per unit
D. Manufactured Home Park
NO. OF UNITS X $699 Per unit
WILLAMALANE SDC
2. SDC CREDTT (if applicable) SDCaayer must fumish proof of
Willamatane Credit approval. See SDC Credit Worksheet-
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced forCredit)
$
$
$
CO$
$
$.c
_Lr
Date
City of Springfield
epartment
24 2v
JoB N0. a80AqZ
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY ^1 r t 7a*){4€tJ
LOCATION 4ru 1r
DEVEI-OPMENT TYPE <.F k .
BUILDING SIZE SIZ Ft
1 SIORM DRAIIJAGI
IMPERVIOUS SO FT Z* r7 x $0.226 PER SQ. FT $ 72+ 73
2. SANITARY SEi^lER-CifY
NO. OF PFU'S It X 5.16.86 PER PFU s tr4 3,48
(See Reverse Side)
3. TRANSPORTAi iON
NO OF UNITS X TRIP RATE X COST PER TRIP
X x $472 49 $ 4-^ Ll
x $472 49
x _ x $472'.49
4. SANiTARY SEWER-MI'MC
N0. 0F FEU'S I X 277,"*ER FEU + $10 MWMC/ADM FEE $^ 87,1G
qX
$
Mt^lMC CREDII IF APPLICABLE (SEE REVERSE)$-
TOTAL.MI^JMC SDC $ L81 ,7C
SUBToTAL (ADD ITEMS 1,2,3 & 4) $ Zt3 3 3 , tt
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBIOIAL ABOVE) X .05 s ttq, lb
SDC Coordi nator
Date:7 - zz-1 E
TOTAL SDC $ 2,5a2-
(
' "\ ' v'rE v'r' r v'1.vivtl-A I lr!,'l\l I HDL[,. Number of New Fixtures X Unit Equivalent = Fixrure Units(NOTE: For remodels, calculate only_r5s NET additional fixturesl ^
- -iY'|rq's,t -
FIXTURE TYPE
Bathtub......
Drinking Founrain....
Floor Drain.................
lnterceptors For GreaseiOil/Solids;Etc......,.......
lnterceprors For Sand/Auto WashrEtc..............,
Laundry Tuo/Clotheswasher.
Clotheswasher - 3 Or More..
Mobile Home Park Trap (1 per Trailer)..........
Receptor For Hefrigerator/Water Station/Etc......
Recepror For Commercial Sink,,Dishwasher/Etc..
Shower, Single Stall.....
Shower, Gang..
Sink: Bar, Commercial, Residerrtral Kitchen........
Urinal, Stall/Wall...
Wash Basinilavatory, Single....
Toiiet, Pubiic lnstallation.
Toiler , Private....
Miscellaneous:
NUMBEB OF
NEW FIXTURES
T
UNIT
EOUIVALENT
FIXTURE
UNITS
4
2^
--
IY
2
1
2
3
o
2
6
b
1
3
2
iiHead
2
2
1
6
4
/_
2 2--
7-
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value lf im provements occurred after annexation date in rable,calculate credits se a rate s
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
x $_
(Rate X Assessed Value)x s_
(Rate X Assessed Value)
CREDIT TOTAL s
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
'Rate per $1,COO
Assessed Value
1 979 or before
1 9BO
i9B1
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
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
) 2,50
2.17
1.73
1.31
0.92
o.74
0.61
o.45
o.31
o.17
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
Fesicieniiai.........
Commerical........
tndustrial...
Governmental.....
0.4
...... 0.9
05
0.5
lMPERVlous AREA : TorAL Lor stzE x RUNOFF coEFFtctENT
I
C'TY OF SPR INGFIELD, OREGOAI
SPFllvcFIELD
DEVELOP M ENT S E RWCES DE PARTM E NT 225 FIFTH STREET
SPRINGFIELD, OR 974N
(541) 726-3753
FAX(541) 726-368eMANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that
permits, one of the following be placed at
Springfield, Oregon, City Job Number
Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed
flo* *.u oflnot less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12
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 thi perimeter enclosure. The perimeter foundation wall surrounding the
home shall be constructed of stone, brick or other masonry materials, and with no more than?4 inches of
the enclosing material exposed above grade'
I further agre€ 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 iequirements regarding your parcel are noted on
yourapprovedsetupplansand/orpermitandyourpartitionapprovalifapplicable:
o Street Trees
o Paving DrivewaY
. Minimum 32 square foot storage structure
o Completion of partition approval
oval. Removal of any existing structures as noted on your partltlon appr
o Signing and recording ;'f *y required partition, easement' improvement agreements, etc'
. Final lot grading
. Ctty Sidewalk and curbcut installation
.Anyoutsideagencyapprovalasrequiredi.e.,DivisionofStateLandapproval.
Bymysignaturebelow,Iagreetocompletetheabovementionedlanduserequirements.
Signature Date
Date