HomeMy WebLinkAboutPermit Building 1999-04-22SPFINGFIELD
RE
COMMI'NTTY
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: L372 34TH ST
Assessors tutap #: L7023034
Lot: 4 Block:
Page 1
Number: 990465
Office:
Inspection Line:
726 -3759
726 -37 59
Tax Lot #: 07100
Subdivision:
OwNer: GREAT WESTERN
Address: 5024 MAIN ST
Describe Work: I(AI{UFACTURED HOME
Phone #: 725-21,71
Citylstate/zip: SPLFD OF., 97 478
NEW
General:
Plumbing:
Electrical
Contractor
GREAT WESTERN OO59O3O
PO BOX 1315 NEWPORT OR 973650000
GREAT WESTERN OO59O3O
PO BOX 1315 NEWPORT OR 973550000
HERITAGE ELECTR O115O5B
1520 PIONEER AVE EMMETT ID 83517000
Const.
ConEractor #Expires
o5/L5/eB
06/Ts/e8
o7/LO/e8
Phone
86'7 - 4624
867 -4624
365 - 944L
QUAD AREA: 3RNC
OCCY GROUP: R3
HEAT SOURCE: FE
-- oFFICE USE --
LAND USE: 1150
CONSTR. TYPE: VN
INSUL PATH: P1
# OF BLDGS:
# OF BDRMS:
SQ FOOTAGE:
1
1,456
To request, an inspecEion, call- the 24 howr recording at 72G-3769.
A11 inspections requested before 7:OO a.m. will be made the same working day,
inspectj-ons requested after 7:00 a.m. will be made the following work day.
--- REQUIRED TNSPECTIONS ---
FOOTING - After trenches are excavated.
WATER LINE - Prior to filling trench.
SAIiIITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filli-ng trench.
ITLANUF HOME/MoBIIE HOME SET Up - When all blocking is complete.
PEDESTAL - Pri-or to cover.
IIT,A.I'IUF. HOITIE/MOBII,E HOME ELECTRICAL - WhCN blOCKiNg, SCI1rP, ANd
plumbing inspections have been approved and home is connected to panel
MANUF. HOME/MOBILE HOME PLITITIBING - Aft.er home has been connected to
water and sewer.
FINAL SET UP - After aII required j-nspections are approved and porches
skirting, decks, venting, house nurnlcers, etc. have been installed.
FINAL BUILDING - When all required inspections have been approved and
the buil-ding is complet.e.
Lot Faces: E
Topography: 2
House
Lot Sg. Ft
Lot Type:
Setbacks
SWE
15
:7837
PANHANDLE
Lot Coverage: L8.572
N
7
--- BUILDING PERMIT
Square Feet xItem
Main
Garage
M.H. FOOTTNG
Value
0.00
0.00
5,300.00
$/Square Feet
SPRINGFIELD
.fob Number: 990465
OF SPruNGFIEI-O,
Page 2
Total Value
Bui-Iding Permj-t Fee
Surcharge/admin
TOTAL FEE (A)
5, 300.00
56.50
4 .53
51.03
PLI'MBING PERMIT
Item
Sanitary Sewer
Water
Storm Sewer
Mobil-e Home
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
95
95
95
Fee
40.00
40.00
40.00
15.00
135.00
10.80
1_45.80(c)
MISCELLANEOUS PERMITS
Surcharge/admi-n
PLAN REVIEW FEE
WTLLAMALANE SDC
CITY SDC
ELECT. PERMIT
TOTAI, MISCELLANEOUS PERMITS
0.00
36.73
1, 000 . 00
2 , 435 .43
85.40
(E)3,558.55
(Excluding Electrical)
unless ot.herwise not,ed
TOTAL A.ITIOIINT DUE - - -
(A, B, C, D, and E combined)3,765.39
BUILDING VALUE, PLAN CHECK AND BUII,DING PERMIT
Thi-s permit j-s granted on the express condition that the said construction
shaff, in all- respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordj-nances.
Received By:
Plans Reviewed By: DON MOORE Date: 04/21/99
Building Si-te Reviewed By: BOB BARNHART
--- ADDITIONAIJ COMMENTS ---
NOTIFY TCI WHEN TRENCH WILL BE AVAILABLE FOR CABLE INSTALLATION; DISPLAY
ADDRESS NO. AT CURB W/ 3'' WHITE REFLECTIVE NO'S ON BLACK BACKGROI]ND.
ROOF AND SITE TO DRAIN TO STREET
DRTVEWAY REQUIRED TO BE PAVED
(tuautr N*usue r'*r)
By eignature, I stsatse and agree, that I have carefully examined
Lhe completed applicat.ion and do hereby certify that all informati-on hereon
is true and correct, and I further certify that any and all work performed
shall be done in accordance with Ehe 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 structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and empJ-oyees who are in compliance with oRS 701.055 wifl be
used on this project.
SPFINGFIELD
Job Number: 990455
SPilNGFIEIT',
Page 3
I furthe r agree to ensure that aLl- required inspections are requested at theproper time, that each address is readable from the streeL, that the permit
card is l-ocated at the front of the property, and the approved set of plans
/Signature
""zmirhe sire ar all rimes durins consrrucrion
Zz 7
Date
Receipt Number
Date Paid
Amount Received:
Received By
--- VALTDATTON ---
r7
f,3 7
a'
33btr7
CITY OF OREGO'U
SPR!. IELO
D EVE LOP M ENT S ER WC ES DE PARTM E NT
t77///
5ffi
54,4//,fr4e
225 FIFTH STREET
SPHINGFIELD, OR 97477
(541 ) 726-3753
FAX(541) 726-3689
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that the attached
permits, one of the following willbe placed at
Springfield, Oregon, City Job Number
-lrOe
I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed
floor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each l2
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 12feet 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 the perimeter enclosure. The perimeter foundation wall surrounding the
home shall be constructed of stone, brick or other masonry materials, and with no mor€ than24 inches 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 requirements may include, but
are not limited to the items listed below. Specific land use requirements regarding your parcel 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 approval
o Removal of any existing structures as noted on your partition approvalo Siguing and recording of any required partition, easement, improvement agreements, etco Final lot grading
. City Sidewak 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
Owner Date
AL
Signature Date
*ilrV,wr( )Ue fiL /1,,/. 182€/ /*zzrf
/oree
3D,^o
10
4s ,t4 xlE
/"/ # q3 co7
JOURNAL NR JOB NO.?a4 a {
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY 6daT \n)FsTEAnJ
iz17 NI 44-#LOCATION:P.ST-
DEVELOPMENT TYPE: SF D
BUILDING SIZE G9O, Lo.7 OT SI 7F
t,4t,\ll.4c CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
SQ. Ft
1. STORM DRAINAGE RooF ' \2t28,= l+so
D/u: - i21';f ='t',2
IMPERVIOUS SQ. FT 3+5 b X $0.227 PER SQ FT. $ 7 E4,
2. SANITARY SEWER-CITY
NO. OF PFU'S /6 X $47.14 PER PFU $ 8+8,5L
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRiP
x t.ot x$475.32 $ 4tu,o7
x $475.32 \$
4. SANITARY SEl,lER-Mt^lMC
A. REIMBURSEMENT COST
NO. OF FEU'S ( X 211,++PER FEU
B. IMPROVEMENT COST:
N0. 0F FEU'S I X
"6.LOPER
FEU
$ 2?1,4
$ 10.00
TOTAL-I',IWMC SDC ?r2 b ,3
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 2,, sN.46
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ )t5,q7
X
M
$ z,9.20
SDC Coordi nator
ATTACH 'A. [,\IPD
Date: 4 --4f
TOTAL SDC $ zf s5.+3
FIXTURE UNIT CALCULA-ON TABLE: Number of New Fixtu
(NOTE: For remodels, calculate only 1,,. NET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
Bathtub.....-2--
Drinking Fountain.... .........
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc..
lnterceptors For Sand/Auto Wash/Etc..
Laundry Tub/Clotheswasher......
Clotheswasher - 3 Or More............
Mobile Home Park Trap (1 Per Trailer)......
Receptor For Refrigerator/Water Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Sta11..........
Shower, Gan9......:..
Sink: Bar, Commercial, Residential Kitchen.."......
Urinal. Stall/Wall...
Wash Basin/LavatorY, Single....
Toilet, Public lnstallation.........
,/
-)
( Unit Equivalent = Fixture Units
UNIT FIXTURE
EOUIVALENT UNITS
(-
z---z-
-H--
1
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4Toilet , Private.
Miscellaneous:
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits S.
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
+27 x$'Z+ 81 i O(r, )
(Rate X Assessed Value)
-G-
X$
(Rate X Assessed Value)
CREDIT TOTAL = $ 103 7B
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1992
1 993
1 994
.. . 1995
1 996
1 997
$1.98
1.55
't.15
0.96
0.83
0.67
o.52
0.38
o.21
1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.1 8
4.12
3.99
3.83
3.68
3.48
3.1 8
2.82
2.42
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
\
UUillamalane
Park & Recreation District Job. No.qL
NAME:
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:t
STATE: Cq ''''ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:\3?& 3'ts A
Plat Name:'l Tax Lot Number: Ct? t ttcY
1. DEVELOPMENT TYPE (Check appropriate dwetling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detachecl
Single Family homd Manufactured home not in a park
slg
NO. OF UNITS X $1,000 Per unit = $\Cr(n
B. Single-Family Attached
X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 Per unit = $
D. Manufac{ured Home Park
NO. OF UNITS X $699 per unit
Services Department
$
City of ringfietd
fq
t?,rr e.
NO. OF UNITS
WILLA,MALANE SDC $
2. SDC CREDTT ([ applicable) SDC-payer must funfusn proof of
Wtlamatane Credit approval. See SDC Credit Workshoet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lt SDC reduced for Credit) $
-1-, -'- ,
Date
'The tollowing prolect as submitted nas the follor\'Iing
lii'i,rd.?i",[ei not require speciric land use
225 FrFTE sTREET
aPProval' @-- L>f-
SPEJNGFTELD, oREGo N 97 AlTni"n@
INSPECTIoN REQIESTpateT26-32169- q<^)
OFFICE: 726-3759 Authorized Signature
^i6o30
JOB DESCRIPTION In
*
Permits are non-transfer
if vork is not started vith
of issuance or if vork is sus
180 days.
2. CONTRACTOR INSTALI.,ATTON ONLY
Electrical Contractor
Address /L fue ffi^-lr-
Phone 73 f - /soc:
>FTIA'GFtELI'
ELBCTRICAL ,TION
Ci ty Job Nunber
3. COHPLETE FEE SCEEDTILE BELOV
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
ft. or less s 8s.00
{onaI 500
rtion
$ 1s.00
Home. or
o
B.v1 ces or Feeders
Su,
tg
,sI @
a5'ovd
$ 40.00
$ ss.00
$ 80.00
see ttBttSignatur.g of SuPervising Blectrician
Ovners Name
Add
cit Phone
INST ALLATION
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
-E Miscellaneous (Service/feeder not included
Installation, Alterations
or Relocation:
200 amps or less $
ior .*p" to 400 amps
-
$
40L amps to 600 amPs
-
$
601 amps to 1000 amPs- q
Over L000 amPs/volts S
-Each installation
PumP or irrigation
slsn/Outline Light ing-
liilited EnergY/Res .-
Limited EnergY/Comm
{2"il;L
Ci ty
50.00
50.00
100.00
130.00
300.00
40.00Supervt.stlr License Number vf5-s
Expiration Date e
constr Contr . ttun,et 67/97 *- E'
C. TemporarY Services or Feeders
lnstallaiion, Alteration or Relocation
Expiration Date 200 amps''or less
201 amps to 400 amPs
-
Over 401 to 600 amPs
-
0ver 600 amPs or 1000 volts
$ 3s.00
$ 2.00
The installation is being made on
DroDerty I own vhich is not intended
ior'sa1e, Iease or rent'
Ovners Signature:
s40
$40
$20
$36
.00
.00
.00
.00
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.strative Fee
TOTAL
DATE:
RECEIVED
2
5
oe
CITY
lling l')Feeder b $ 40.00
1.
!
I
I