Loading...
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