HomeMy WebLinkAboutPermit Building 1996-10-29SPilNGFIEID,OF
!5PFINGFIELEl
RESIDENTIAI, PERMIT APPTICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 950842
225 North Fifth Sureet
Springfield, OR 97477
Location of Proposed Work: 1204 34TH ST
Assessors t"tap #: L7O23O34
Lot: Block:
Office:
Inspection Line:
726-3759
726 -37 69
Tax Lots #: 08000
Subdivision:
Owner: CIIAD EVN.ISON
Address: 33838 E RIVER DRIVE
Describe WOrK : MAI{UFACTURED HOITIE
Phone #: 895-2677
City/State/ztp: CRESWELL, OREGON 97426
NEW
General:
Plumbing:
Electrical
Contractor
GREAT WESTERN 00464'12
5024 Main Street Springfield OR 974
GREAT WESTERN 0046472
5024 Main streeE Springfield OR 974
HERTTAGE I}W 0063137
1042 Harn Lane Eugene OR 974040000
Const.
Contractor #Expires
1,L/ L2 / e6
1-1/t2 / e6
L2 /27 / e6
Phone
726 -21,71,
725 -217 L
588-1500
QUAD AREA: 3RNC
# OF UNrTS: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- oFFrcE usE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1400
To request an inspection, call the 24 howr recording al 725-3769.
AIt inspections reguested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. wi]1 be made the following work day.
--- REQUIRED INSPECTIONS -.-
PEDESTAL - Prior to cover.
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
WATER LINE - Prior to filling trench.
SAI{ITARY SEWER LINE - Prior to filling trench.
STORII SEWER LINE - Prior to filling trench.
IIAIIUF HODIE/!ilOBILE HOME SET UP - When all blocking is complete.
![A]IUF. HOME/MOBILE HO]IE ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MAT.IUF. HoME/MoBrr,E HoME PT.ITMBTNG - Af ter home has been connected to
water and sewer.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in pIace.
FINAT SET UP - After all required inspecEions are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
LoE Faces: E
SeEbk From NPL: 10
House
LoU Sq. Ft.: 72OO
Solar Approved: Y
Total Height: 15
Lot Type: INTERIOR
E
25
SeLbackssw
20 37
N
10
$/Sguare Feet
--- BUITDING PERITIT ---
Square Feet xItem
Main
VaIue
48, 000.00
SPFIr.GFIELE'
?9 842
CITY OF ONEGON
Page 2
Garage
FTG/PERIM FOUNDATION
Total Value
Building Permit Fee
Surcharge/edmin
0.00
4 ,570 . OO
52,570.00
50.50
4.05
TOTAL FEE (A)54 .55
--- SYSTEIIS DEVEI,OPMEITT CIIARGE (SDC)
(B) 2,2L0.67
Systems Development Charge is due on aIl undeveloped properties within the City
limits and the citys urban Growth Boundry which are being improved.
--- PLI'I{BING PERMIT ---
Fee
25.00
25.00
25.00
Plumbing Permit
Surcharge/admin
75.00
5.00
TOTAL CIIARGE (c)81. 00
Item
Sanitary Sewer
Water
Storm Sewer
25
25
25
--- UISCELLANEOUS PER}IITS -.-
Mobile Home
SLate Issuance
Surcharge/edmin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
TOTAL MISCELLAI'IEOUS PERMITS
105.00
20.00
8.40
22 .0O
13 .60
1, 0oo . 00
85 .40
(E)L,255 .40
(Excluding Electrical)
unlege otsherwiEe noted
--- TOTAIJ AIIOITNI DUE ---
(A, B, C, D, and E conbined)3,60L.6y'
I
--- BUILDING VALUE, PLAII CHECK AIiID BUIIJDING PER]IIT ---
This permit is granted on the express condition Lhat the said construction
shalI, in all respect,s, conform to the Ordinance adopted by Ehe City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violaLion
of any provisions of said ordinances.
Received BY:
Pl-ans Reviewed BY: LISA HOPPER
Building Site Reviewed By: LISA HOPPER
DaEe: 07/tO/95
-.. ADDITIONAL COMMENTS -.-
SPRINGFIELD
.fob Number: 960842
qTT OF SPilNGFIEID,
Page 3
OKAY FOR ISSUANCE ONCE PARTITION HAS BEEN FINALED
MINIMUM 32 SQUARE FOOT STORAGE STRUCTURE REQUIRED PRIOR TO OCCUPANCY
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signatsure, I Btate 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 Ehat any and all work performed
shall- be done in accordance with Ehe Ordinances of the City of Springfield,
and the Laws of Ehe State of Oregon pertaining to the work described herein,
and thaL NO OCCUPANCY will- be made of any structure without permission of the
Communigy 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 Lo ensure that all reguired inspections are reguested at the
proper time, that each address is readable from Ehe street, that Ehe 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.
Eb
Signa ture Date
oN ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
CITY OF ONEGON
SPRINGFIELD
Page 1
CITY OF SPRINGFIELD SYSTEIIIS DEVELOPME}{T CIIARGE
(RESIDENTIAL)
Name or Company: CHAD EVANSON
Locationl. 1,204 34TH ST
Developement Tlper R Building Size:
Job No.: 960842
Lot Size:Sq Ft
1. STORM DRATNAGE
Impervious Sq Ft
2. SA}iIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRAI{SPORTATION
Number Of Units
1X
Transportation Total
4. SAI{TTARY SEWER - M!'IMC
Number Of PFUs
20
X 0.21,6 Per Sq Ft =
X 44.75 Per PFU =
x Cost Per Trip
45L.25
L832
20
Trip Rate
1.010 x #4ss.77
$39s.71
$89s.00
$Ass.77
$423.80
$54.89
$3s8.91
$2, 105 .40
$10s.27
,!
x
Per PFU +
20.590 +
MWMC Admin Fee
10.00
MWMC CREDIT If Applicable
TOTAL - MI^II4C SDC
(see Page 2)
SITBTOTAL - (Add Itemg 1, 2, 3 & 4)
5. ADMINTSTRATIVE FEES
Base Charge (Subtotal_ Above) X O.SO
TOTAL SDC
Reviewed By: DENNfS ERNS?Date: 07/LO/96
$2 ,270 .67
CITY OF ONEGON
!iPFINGFIELEl
Job Number: 960842 Page 2
FIXTI'RE IJNIT CALCUI.ATION TABLE
Fi-xture Tlpe
Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/Solids/etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/water station/etc
Receptor for Commercial Sink/Dishwasher/Et,c
Shower, Single Stal-l-
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/waII
Wash Basin/LavaLory, Sing1e
water Closet, Public InstallaEion
Water Closet, Private
Misceflaneous
TOTAL FIXTT'RE UNITS =20
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: L969
Credit For Parcel- or Land only If Applicable: 18,700 x 3.47 = 64.89
Improvement (if after annexation date): 0 X 3.47 = 0.00
cREDrr rorAr, - $64.89
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
2
0
0
U
1
0
0
0
1
0
1
0
0
0
z
1
z
3
6
2
6
1
3
2
2
l_
6
4
4
0
0
0
0
2
0
0
0
z
0
2
0
0
I
0
qTTOFSPR!NGFIELE,
Page 1
ENGINEERING DIVISION DEVETOPUENT PI,A}I REVIEW
RESIDENTIAT IMPROVED STREET
Developer: CHAD EVANSON
Mail AddrCSS: 33838 E RIVER DRIVE CRESWELL,oREGoN e7 426 nn"Xlool" ;;r722X:'
Tax Lot #: 1702303408000
Subdivision:
Project Address:. l2O4 34TH ST
Lot: Blk: Eng. Rev. No.:
Street Gravel
1204 34TH ST
Existing Curbcut: N
EXISTING IMPROVE}TEMTS
Ac Mat Curb FuII Imp sw width Curbside
Y 5 FEET 12:1 FLAIRS
Setback
ENGINEERING REQUIREMENTS
Additional Right of way: N
fmprovement Agreement: N
Easements: N
SAI{ITARY SEWER
CALt THE TITII,ITIES NOTIFICATION CElir[ER BEFORE YOU DIG 1-8OO-332-2344
Available: Y
Size of Line: I
Location From N,
Make Connection:
Stubbed Out To Property Line: Y Depth: 4-6
In. Tee:5 In.
S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
PER PLI]MBING CODE
FI
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: CURB & GUTTER
Pipe Parking Lot Drainage To: N/A
SIDEWALK AI.ID DRIVEWAY INFORIIATION
New Curbcut Appr.: Y STANDARD Width: 22 FL Flairs: 6
Sidewalk Permit: Y WidEh: 5 Ft Length: 34 Ft
CurbcuE Permit: Y widEh: 34 Ft
FI
ENCROACHMENT ATiID ASSESS}IENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
SPECIAL NOTES A}ID REQUIREMENTS
A11 work within the public righL of way shal-I be in conformance with the City
of Springfield standard specifications for construction. A11 existing unused
curbcuts or portions thereof shall be resEored tso full curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By: DENNIS ERNST Date: o7 /Lo/96
sEE DRAWINGS ON SpECrAr, REQUIREMETIrS FOR FITRTHER IMPORTANT INFORI{ATTON
Book:
C'TY OF OREGO'V
sPRIiiTGFIELO
D EV ELOP M ENT S ERVI C ES DE PART M E NT
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of SPringfield DeveloPment Code, I understand and agree the of
permits,one of the following manufactured homes will be at
Springfield,Oregon, CitY Job Number
Type I Manufactured Home:
family dwellings at the time of construction.initials
I further state, by my signature below, that I have been provided with the following information:
Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, and Minimum requirements for pennanent steps.
I also understand that the manufactured home shall be placed on an excavated and backfilled foundation
not to exceed 6 percent slope within l0 feet of the perimeter enclosure, enclosed at the perimeter with
stone, brick or other concrete or masonry materials approved by the Building Official and with no more
than24 inches of the enclosing material exposed above grade.
tA-nql^
Date
A multi sectional (double wide or wider) unit wittr an enclosed floor area of not less than l'000 square feet'
that has a nominal ,oof pit"t of 3 feet in height for each 12 feet in width' that has no bare metal siding or
roofing, and that has Ueen certified by the manufacturer to have an exterior thermal envelope meeting
performance standards which reduce heat loss to levels equivalent to the]edormance standards required
ior single family dwellings at the time of construction' :I/- initials
Type II Manufactured Home:
A unit of not less than 12 feetin width enclosing a minimum floor area of 500 square feet, that has a
nominal roof pitch of 2 feetin height for each 12 feetin width, that has no bare metal siding or roofing,
and that has blen certified by the manufacturer to have an exterior thermal envelope meeting performance
standards which reduce heailoss to levels equivalent to the performance standards required for single
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-37ss
FAX (541) 726-368s
00
ll.Jwi6(] Drolocl a$ submittod Ms th? followtrg
o,lnsi5st.,ot require specific land ur
YOF U,Y
fL-
rate-1.SPFlTNGFIELD
%
225 FITTB STR.EET
SPRINGFIELD, OREGON 97 477
TNSPECf,ION REQUEST: 726-3769
OFFICE: 726-3759
1 ON ON
DES
Permi ts are -transferable and expire
if vork is not started vithin 180 days
of issuance or if.vork is suspented for
180 days.
2... CO}ITRACf,OR INST TfoN O['{LY
Electrical Contract
Address
Ci ty Phone
ELECTRICAL PERHIT
Ci ty Job Nunber
COHPLETE FEE SCMDULE BELOV
Nev Residential-Single or
Multi-FamiIy per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-
$ 8s.00
s'1s.00
ModuLar Dwelling
Service or Feeder s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
-n
C,re
3
A
Sum
B
q+rsqq-
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps
-601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect On1y
s 50.00
s 60.00
s100.00
s130.00
s300.00s 40.00
Ab/- /rh;-;;;;" (nn,t"r,n
Address AARjr,o Pi rXrLf
Supervisor L cense Number
Expiration Date \D.\
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
C Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less S 40.00
20L amps to 400 amps
-
S 55.00 ;
over 40L to 600 amps
-
$ 80.00
0ver 600 amps or 1000-tofTs see 'B" a56iE-
D. Branch Circuits
Nev, Al-teration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. l'liscelLaneous (Service/feeder not included)
-Each installation
Pump or irrigation SSign/0utline Lighting- S
Limi ted Energy/Res
-
S
Limi ted Energy/Comm S
SUBTOTAL OF ABOVE
52 State Surcharge
32 Adnrinistrative Fee
'toTAL
Phone szm4Ci ty
O\{NER INSTALLATION
The installation is being made on
property I oL,n vhich is not intended
for sa1e, lease or rent.
t
0vners Signature:
DATE:
.00
.00
.00
.00
40
40
20
RI]CEIVED I}
5
$WitlamalSRqF"?f & -n-J&eati o n D i st ri ct Job.No.@
SYSTEM DEVELOPMENT CHARGE
WORKSHEET 5,PHONE:
1. DEVELOPMENT TYPE (Check"
-e-dtiinia-rons
are on the back')
A. Single-FamilY Detached
Single FamilY home
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING
Street Address:
Plat Name:
srnie: furr,
,ill"
Tax Lot Number:
appropriate dwetling(s)' SDC calculations and dwelting t
Manufactured home not in a
N
NO. OF UNITS [ * g1,ooo Per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-FamiV APartment
NO. OF UNITS X $692 per unit -- $
D. Manutac'tured Home Park
NO- OF UNTTS X $699 Per unit
WILLAMALANE SDC
2. SDC CREDTT (if applicabte) SDC-payer must furnish prool of
\Mltamalane Credit approval. See SDC Credit Wotksheet'
3. TOTAL WILLAMALANE NET SDC ASSESSED
$
$
$
(if SDC reduced for
nt
City of Springfield
ment
$IDTDP
#I,!tugb