HomeMy WebLinkAboutPermit Building 1996-10-21CITY OF
SPrl!r.GFIELD
RESIDENTIAI, PERMIT APPI.TCATION
CTTY OF SPRINGFIELD
COMMT'NITY SERVICES DIVTSION
BUII.DING SAFETY
Page 1
ilob Nurmber: 961381
225 North Fifth Street
Springfield, OR 97477
tocation of Propoeed Work: 1273 34TH ST
Assessors l"tap #: L7O23O34
Lot: Block:
Office:
Inspection Line:
726 -37 59
726-3769
Tax Lot #: 09401
Subdivision:
owner: R.aLPE/LOIS MCGTNNTS
Address: L273 34TH STREET
Describe Work: MAIIUFACTITRED HOME
phone #:
city/state/zip: SPRTNGFTELD, oREGON 97478
NEW
General-
Contractor
EMERALD LIFESTY OO97OO1
575 S A St Springfield OR 974770000
Con6t.
Contractor #Expires
02/25/e7
Phone
7 46 -2999
QUAD AREA: 3RNC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- oFFrcE usE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: l-
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: L344
To request an inspection, cal-l- the 24 hour recording aL 725-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made the fotlowing work day.
--- REQUIRED TNSPECTIONS ---
FOOTING - After trenches are excavated.
FOITIIDATION - After forms are erecLed but prior to concrete placement.
MAI{UF HOME/}IOBItE HOME SET Up - When al-I blocking is complete.
MA IUF. HOME/IIOBILE HOME ELECTRICAL - When b]ocking, setup, and
plumbing inspections have been approved and home is connected to panel
ldAlIUF. HOME/IIOBILE HOITIE PLIIMBING - After home has been connected to
water and sewer.
CURBCIII - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAIJ SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Faces: E
Solar Approved: Y
House
LoU Sg. Ft
Lot Type:
Setbacks
SWE
5 51 3r_
:8800
INTERIOR
Total Height: 15
N
27
ftem
Main
Garage
FTG/PERIM FOUNDATION
Total- Value
Building Permit Fee
Surcharge/aamin
--- BUILDING PERMIT ---
Square Feet x $/Square Feet Value
43, 000.00
0.00
l_0, 000.00
53,000.00
80. s0
5 .45
TOTAL FEE (A)85.9s
SPFTi'GFIELD
Job Number: 951381
qTT OF SPilNGFIELD,
Page 2
--- SYSTEMS DEVEI.OPMENT CHARGE (SDC)
(B)928 .98
SysLems Development Charge is due on all undeveloped properties within the City
limits and t,he Citys Urban crowth Boundry which are being improved.
PLI'MBING PERMIT ---
Item
Mobile Home
Plumbing Permit
Surcharge/admin
TOTAIJ CIIARGE (c)
Fee
15.00
15.00
L.20
L6.20
--- MISCEI.I.ATiIEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/eamin
Sidewalk
Curb Cut
TOTAL MISCEI,I,A}iIEOUS PERMITS
105.00
20.00
8.40
14.80
l-4.80
(E)153.00
(Excluding Electrical)
unless otherwise noted
--- TOTAT. AlrOUt[r DUE ---
(A, B, C, D, and E combined)1, 195 . 13
.-. BUII.DING VAI,UE, PI.A}I CHECK AT{D BUILDING PER}TIT ---
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 Development Code, regulating the consEruction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
PIan Check Fee: 52.33 Date Paid:
Received By: LORNE PLEGER
P1ans Reviewed By: LISA HOPPER Date:
Building Site Reviewed By: LISA HOPPER
L0/07/e6
1,0/21,/e6
Receipt Number: 23384
--- ADDTTIONAL COMMEIiI:TS ---
REPLACES 14 X 70 HOME
DRIVEWAY REQUIRED TO BE PAVED
By aignature, I Etate and agree, that I have carefully examined
the completed application and do hereby certify that al-l- information hereon
is true and correct, and I further certify that any and all work performed
shaIl 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 herein,
and that NO OCCUPANCY will be made of any strucEure without permission of the
Community Services Division, Building SafeEy. I furLher certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
OTT OF SPilNGFIELD,
SPFINGFIELD
Job Number: 951381 Page 3
I further agree to ensure thaE 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 all- times during construction.
4rr,r- (\oot^lo-N-1 e
Signature Date
Receipt Number:
Date Paid:
Amount Received:
Received By:
CITY OF OREGO'V
SPRiItISFIELD
D EV ELOP M E NT S E RVI C ES D E PART M E NT
MANUFACTURED HOME SET.UP AGREEMENT
As required by the City of Springfield Development Code, I understand and agree
one of the following manufactured homes will be
Springfield, Oregon, City Job Number
I Manufactured Home:
A multi sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square fee!
that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or
roofrrg, and that has been certified by the manufacturer to have an exterior thermal envelope meeting
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX (541 ) 726-368e
performance standards which reduce heat Ioss to levels
for single family dwellings at the time of construction.
standards required
initials
Type II Manufactured Home:
A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a
nominal roof pitch of 2 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 for single
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 permanent steps.
I also understand that the manufactured home shall be placed on an excavated and backfilled foundatiotr
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 Oflicial and with no more
than24 inches of the enclosing material exposed above grade.
1;G,,f..,^lo - At-cl e
Signature Date
CITY OF SPRINGFIELD SYSTEI{S DEVELOPMENT CHARGE
(RESIDENIIAL)
Job No.: 961381
Lot Size:
Page 1
Sq FE
$4r.6.66
$3r.3 .2s
$o.oo
$1s4 .83
$o.oo
$1s4 .83
s884 .74
$44.24
Name or ComPanY:
Location:
DeveloPement TYPe: R
1. STORM DRAINAGE
Impervious Sq Ft
2. SN{ITARY SEI{ER ' CITY
Number Of PFUg
(see Page 2)
3. TRNTSPORTATION
Number Of units
TransPortatsion Tota}
4. SA}IITARY SEWER - I{I{UC
Number Of PFUg
7
RAI,PH/I,OIS MCGINN IS
12?3 34TH ST
Building Size
t929 X O.2L6 Per Sq Ft' =
X 44.75 Per PFU =
X TriP RaEe X Cost Per TriP
7
x
x
Per PFU
20.690
+ MWMC Admin Fee
+ 10.00
MuIMc CREDIT If Applicable (see nage 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add lEema 1, 2, 3 & 4)
5. ADIIINISTRATIVE TEES
Base Charge (SubEotal Above) x 0'50
TOTAIJ SDC
Reviewed By: DENNIS ERNST Date: L0/LL/96
s928.98
rTob Number: 96138L Page 2
rIXTI'RE I'NIT CALCI'I.ATION TABLE
Number of
New Fixt,ure
UniE
Equivalent
Fixture
UnitsFixture Tlpe
Bathtub
Drinking Fountain
Floor Drain
IntercepEors For Grease/OiI/Solids/Etc
Int,eceptors For Sand/AuEo Wash/Etc
Laundry Tub/Clot.heswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/etc
Receptor for Commercial Sink/Dishwasher/Euc
Shower, Single SEaII
Shower, Gang
Sink, Bar, Commercial, Residential Kit,chen
Urinal, StaIl/WaIl
Wash Basin/LavaEorY, Single
Water Closet, Public Inst.allation
WaEer Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
CREDIT cAlctLATIoN TABLE: Based on assessed value. If improvements occured
after annexation date, creditss are calculated separately
(calculations are bY $ro0o)
Year Annexed:
credit. For Parcel Or Land only If Applicable: o x 0'00 =
Improvement (if afEer annexation datse) ' o x 0'00 =
CREDIT TOTAL =
(If land valueismultip}iedby].Ehentheparcel/}andcreditsisnotaccurate.)
2
1
2
3
6
2
5
1
3
2
2
2
t_
6
4
1
o
o
0
0
o
0
0
0
0
0
0
0
1
0
1
0
2
0
o
0
0
o
0
0
0
0
0
0
0
L
0
4
0
7
0. 00
0 .00
$0.00
tl
SPRI*'GFIELO
Th a&,
approval.
1 ON
I
DE ON
Permi ts
if vork
on-transferable and lre
is not started vithin 1 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.ATION ONLY
Electrical Contractor ,/r ,% zr it f'a
Address
Ci ty 4f,f Phone z2^24>E?g
Supervisor License Number 7"2 ?5
Expiration Date /22/Z -?7-
ELECTRICAL PERHIT APPLICATION
Ci ty Job Number
3. COHPLETE FEE SCMDULE BELOI{
Nev Residential-Single or
Mul-ti-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
Services or Feeders
Installation, Alterations
or Relocation:
Date 16
Zonina L-'WV
L.1225 FIFTE STREET
SPRINGFIELD, OREGON 97
INSPECTION REQI.JEST: 7
OFFICE: 726-3759
77
2{4rtrEKIIfl
Signatu
A
Electrician
Sum
above
s s0.00
s 60.00
$100.00
$130.00
$300.00
s 40.00
.00
.00
.00
ilBlr
00
00
00
00
Signa ture of
Ovners Name
Addr
Ci ty
&$ 40.00
B
200 amps or
201 amps to
401 amps to
601 amps to
0ver L000 am
Reconnect 0n
s
amps
amps
000 amps
ps /vo1 ts
lrr
es
00
00
1
4
6
L
Expiration Date ,/D^./-2
Constr Contr. Number 7- fjf
Temporary Services or Feeders
Installation, Alteration or Relocation
C
rv].s
200 amps''or less $
201 amps to 400 amps
-
$
over 401 to 600 amps
-
$
0ver 600 amps or 1000-vofTs se
40
55
BO
e
OVNER ALT,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Lease or rent.
0vners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additionaf
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscelfaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting_
Limited Energy/Res
Lj.mi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
Phone
$ 40.
$ 40.
$ 20.
$ 36'
RECEIVED
-2 €
5 00
v
s