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Home My WebLink AboutPermit Building 1997-10-14ATTOF SPRIXGF'ELcl ,h, RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMT'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Nr-rmber: 971398 225 North Fifth street Springfield, OR. 97477 Location of Proposed workz L228 35TH ST Assessors Map #: L7O23O34 Lot: Block: Office: Inspection Line: 726 -37 59 726 -37 69 Tax Lot #: 09700 Subdivision: owner : .,IrMES/JEAIiINETTE CLAR AddrESS:. 572 LEVEL LANE Describe Work: MANUFACTURED HOME Phone #: 747-4792 city/state/zLp: SPRINGFIELD, OREGON 97477 NEW Const. ContracEor #Expires Phone General: Plumbing: Electrical: Contractor OWNER OWNER OWNER 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 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: L440 To request an inspecEiotr, call the 24 }:rout recording at 726-3769. A11 inspecEions requested before 7:00 a.m. will be made Ehe same working day, inspections requested after 7:00 a.m. wilf be made Ehe following work day. --- REQUTRED INSPECTIONS --- FOOTING - After trenches are excavated. SLAB - To be made after all insl-ab building service equipment, conduit piping, and oEher equipment items are in place but prior to concrete !{A.I.IUF HOME/IIOBILE HOIIE SET UP - When all bl0cking is complete. MANUFACTURED HOME SERVICE MA.IIUF. HOME/MOBILE HOME ET,ECTRTCAt - When blocking, setup, and plumbing inspections have been approved and home is connected to panel SA.I'IITARY SEWER LINE - Prior to fi-l1ing trench. STORM SEWER LINE - Prior to fifling trench. WATER LINE - Prior to filling trench. MNTUF. HODIE/MOBILE HO!dE PLI,I{BING - After home has been connectsed to water and sewer. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house nurnlcers, etc. have been instal-led. Lot Faces: E Solar Approved: Y House Tot Lot Setbacks SW 11 50 a1 Height: 15 Tlpe: INTERIOR E 32 Setbk From NPL: 8 N 8 BUII.DING PERMIT .-- Square Feet xILem Main Garage VaIue 19,500.00 0.00 $/Sguare Feet SPRTrlGFIELE, Job Number: 97L398 ATT OF SPilNGFIEI.D, Page 2 FTG/PERIM FOUNDATION Total- Value Building Permit Fee Surcharge/Admin TOTAI. FEE (A) L, 000 . 00 20, 500 . 00 17.50 L.4L 18.91 PLWBING PERMIT Item Sanitary Sewer Water Storm Sewer Plumbj-ng Permit Surcharge/admin TOTAI. CIIARGE Fee 25.00 2s.00 2s.00 75 00 006 (c)81.00 MISCELI,AT{EOUS PERMITS Mobil-e Home State Issuance Surcharge/aamin ELECTRICAL PERMIT WILLAMALANE SDC PLAN REVIEW FEE SYSTEMS DEVEL CHARGE TOTAL MISCELLAIiIEOUS PERMITS 105.00 20.00 8.40 86 .40 1, 000 . 00 r-1.38 2 ,064 .05 (E)3,295.23 (ExcLuding E1ectsrical) unless otherwise noted TOTAL AITOI'NT DUE -. - (A, B, C, D, and E combined)3,395.L4 BUII.DING VAI,UE, PI.AI{ CHECK AIiID BUILDING PERMIT This permiE is granted on the express condition LhaE the said construcEion sha11, in all respects, conform to the Ordinance adopted by the City of Springfield, inctuding the DeveLopment Code, regulating the construction and use of buildings, and may be suspended or revoked aL any time upon violation of any provisions of said ordj-nances. Received By: Pfans Reviewed By: LISA HOPPER Building Site Reviewed By: LISA HOPPER Date: 09/23/97 - - - ADDITIONAI, COMMENTS HOME IS A A977 MANUFACTURED HOME. 2 STREET TREES REQUIRED By signaEure, I Etate 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 thaE any and all work performed shall 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 wifl be made of any structure without permission of the Community Services Division, Building Safety. I further certify thaE only conEractors and employees who are in complj-ance with oRS 701.055 will be used on this project. CITY OF 3P'IIXGFIELE, Job Number: 97L398 Page 3 I further ag'ree to ensure that 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 constructi-on. ignature Date Receipt Number: Date Paid: Amount Received: Received By: .-- VALIDATION --- /o-t4-q-7 # 1e7t' Eq )tzo 4 SPflINGFIELD @fi, "*-l&(-.-225 FTFTE STREET SPRINGFIELD, OREGON cevqt\D- l4-7J INSPECTION REQTIEST : 126-3 OFPICE: 726-3759 OP CRI Permi ts a n-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. CONTRACTOR INSTAII.ATION OIILY Lf$",u," 0r{ '-'citY Job Number 3. COT{PIJTE FEE SCffiDTJLE BELOV ELECTRICAL PERHIT LICATION A. Nev Residential-Single or HuIti-Family per dvelling unit. Service Included:Items Cost s 8s.00 Sum L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Modular 'Dwe1ling' Service or Feeder 200 amps'"or less 201 amps to 400 0ver 401 to 600 Over 600 amps or s 40.00 amps - $ 55.00 amps - $ 8o.oo 1000 vofis see uBu affi- s 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -40L amps to 600 amps 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation A .B EIec Addr Ci ty Supe Exp i Cons Expi ical Contractor ess rvisor Licen ration Dat tr cont rat one ber s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 C J alr 0vners Name Address Ci tv Phone 0 IN TION The installation is being made on proDerty I ovn vhich is not intendedlor sale, lease or rent. 0trners:;Signa ture: ATE: RECEI Branch Ci rcui ts ; .. Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Addi tional Circui t or vi th'Serviceor Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) -Each ins tallati.on Pump or irrigation Sign/Outline Lighting- Limi ted Energy/Res -Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL s 40.00 s 40.00 $ 20.00 s 36.00 5 re of Supervising Electr Da te Number PJCEIUED B 4 q N) 1 w €$Willamalane Park & Recreation District Job.No. qlBq0 NAME: ADDRESS: LOCATION OF PROPOSED BUILDING SITE: SYSTEM DEVELOPMENT CHARGE WORKSHEET NE: STATE:tu,,Qt+t 7 \ t Street Address: Plat Name:\\tu 1 \ DEVELOPMENT TYPE (Check ype definitions are on the back.) .. A. Single-Family Detached Single Family home (if SDC reduced for Deve ment Tax Lot Number: appropriate dwelling(s). SDC calculations and dwelling t Manufactured home not in a NO. OF UNITS X $1,000 per unit = $ 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 CREDIT (if applicable) SDC-payer must lurnish proof of Willamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED \nno 9c -l-park 00 $() $ Date City of Springfield epartment $ 141 +1q? r0t0 CITY OF OFEGO'V SPRINGFIELO D EV ELOP M ENT S ERVI C ES DE PART M E NT MANUFACTURED HOME LAND USE AGREEMENT As required by the City of Springfield Development Code, I agree that permits, one of the following at Springfield, Oregon, City Job Number ?fr,225 FIFTH STREET SPRINGFIELD, OR 97477 (541 ) 726-37s3 FAX (541) 726-368e Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosedfloor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12feet in width, that has no bare metal siding or roofing, and that has been certified by the iranufacturer tohave 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 areaof not less than 500 square feet, that has a nominal roof pitch of 2 feet in height for each 12 feet in widthand that has no bare metal siding or roohng. The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6percent slope within l0 feet of the perimeter enclosure. The perimeter foundation wall surrounding thehome shall be constructed of stone, brick or other masonry materials, and with no more than24inches ofthe enclosing material exposed above grade. I further agree to meet all land use and city Code requirements of the above mentioned parcel within 60days of the date of issuance of the manufactured home set up permit. These require."rt, *uy include, but are not limited to the items listed below. Specific land use riquirements regarding yor. p*""i are noted onyour approved set up plans and/or permit and your partition approval ifapplicable: o Street Trees . Paving Driveway o Minimum 32 square foot storage structurer Completion of partition approvalo Removal of any existing structures as noted on your partition approvalt Signing and recording of any required partition, easement, impioveme.rt agreements, etc.o Final lot grading . City Sidewalk 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. Date Signature Date I t o 4-q2 C ITY . ili .' ATTACHMENT A OF SPRINGFIELD SYSTEMS DEVELOP WORKSHEET JOB NO.q-7t3?8 l'rE NT CHARGE NAME OR COMPANY -1'au€3 C .Trerutefg taeK L(]CATION I LLq DEVELCPMENT TYPT BUILDiNG SIZE SIZ 1. STORM DRAIN]AGI I|,IPERVIOUS SO FT 472 x s0.225 PER SQ. rT. s s32,c7 2. SANITARY SE|^JER -C iTY NC. OF PFU'S 2-O X $.16 . 86 PER PFU $ 737,2r; (See Reverse Side) 3. TRANSPORTATiON NO OF UNITS X iR.IP RATE X COST PER TRIP / X )-,ot X $4i2 49 $ 477, Ll x $472.49 x $472.49 Fr. X X i $ 4. SANiTARY SI.,ER-MtilMC DdN0.0F-+tU'S I Xzt't,x.PER #H. $10 ML,IMC/ADM FEE s ^87,76 s 16. 5 [',1INMC CREDiT IF APPLICABLE (SEI RTVERSE) ADMINISIRATIVE FEES BASE CHARGE (SUBIOIAL ABOVE) X .05 $ - 6q,oF TOTAL-MIdMC SDC S z-t8,68 SUBT0TAL (ADD ITEMS i.2.3 & 4) $ tfe{.26 p,!, SDC Coordi nator Date 1 -zi-qrr T0IAL SDC $ 1oo4,o{ LDING P,trRMIT CI{t}\-' 'KLIS Hospital Suppon )' Grecnrvay V _Ny _Nr I{il lsido Dcvclopnrcnt UF-IO Anncxation Agrcemcnr Discrctionary Use Y_ NJ \'_ N_/ Floodplain l{istoric YN Y NJ Spccial Rcquircnrcn6/Addi(ional Rcvics's fss Qvcrtay Districts orior to Builtlirrg I'crttri( issttnncc: (sce bclow for Floodplain rcq.) Sitc Plan Revierv Historic Commission Y_ N} Y_ N-{ Y Y N/ N/ Futurc Dcvclopnrcnt Plan Y_ Ny l{illsidc Dev. rcports Y_ N-/ Buildiug I'cntrit fl Addrcssi t Lo(flA{oAsscsso(a-[ Applicablc Spccial Provisions: PtanZonc Conflict Y -N Building l{ciglrt l-irnitarion Yo LotQsvcragc, NFIP Elcvation Ccrtificate Y_ Nl ficate 00 Ycar nIai Y NFloodp Flood NYlwav T Thc PNFI Ellliation Certi m stu rccclbc withved erh clcolTect oneva(l topnor occupancy (lncluding but not limited to Site Plan Partitions. Subdivisions, and Discrctionary Use approvals): NI Notification lf yas, Soils YHy&ic Map WetlandsDraft Y NInventoq, Land UscWaland toForm LDS NY I wallandlhc utsue nusl rcsolvcdbc to cilt LSSUAtTe a PerniLpriorolBuilding National Wctlands lnvent. Map Y_N Date rcturncd from DSL lfyes, date scnt within Everlnvhere Teclr LandA and Pcntti(Allcrotiott (t lo theDroiuagc tssuancc ?cnril.Thc tsrt thcrequircdpriorolBuitdingpermapplicable oflimia and thc BcityUG tlrcn lainSpringficld thc rs forrcd thcfloodppermrequlany2)else,pcrm whcnred thcrcrs ts aan Itcra tonrcqul ol'05 or mo rc.thcScc Bu td Plans nlExa and/ortncr nccr Vcu/yds.ng Engi thcif cu.50 tlrrcshold tcs.yd.appl Y NitPcrmuircdrcqr YN rvithin,J lo ,.JSUAtrCethe apcnrilrcquircd l'cnnit-trcclcllhry TIre lcpriortsicab thc imits roof,Ruildirtg pcnrrit appl city thcand onUGI.}loLsSpringficld fr or wlrcn0,000 morc anrh Irccs5 arc bc(o cul irPcrm ircdsq.larger proposcd requ Chcckcd [r1,*:o"rc, 9- )34J*Plcasc ini(ial (hc app rollriatc in f<rrrrra (inrr a rca, iI soruconc o(lrcr (harr (hc l'lanrrcr rrrus(.sigrr off- DSD Planning Division l2196 o ir)altcration; to dcterminc - fl,\ I Uf1tr' Utvl I UALI-tJLA I lUlY I ADLtr: Number or New Frxrures x unrr tsquivalent = Fixrure Units(NOTE: For*remodels, calculate onlv NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EqUIVALENT UNITS Bathtub...... Drinking Fountain.... Floor Drain................. lnterceptors For Greaser'O illSoi ids,,Etc............ lnterceprors For Sand/Auto WashrEtc............ Laundry TuoiClotheswasher. Clotheswasher - 3 Or More..... Mobiie Home Park Trap ( 1 Per Trailer)............ Receptor For Refrigerator/Water Station/Etc.... Receptor For Commercial Sink,'DishwasheriEtc Shower, Singie Stall... Shower, Gan9......... Sink: Bar, Commercial, Residerrtial Kitchen...... Urinai, Stall/Wall.... Wash BasiniLavatory, Single. Toiiet, Pubiic lnstallation. Toilei, Privare....... Misceilaneous Z I I 2 ? 6 a C o 1 1 Z It 2 2 1 o 4 z- 2- z-4 2. ---B-- Heac 2- 2_ TOTAL FiXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in rable, calculate ci'edits s rate s Credit for Parcel or Land Oniy lf Applicable lmprovement (if after annexation date)X$ (Rate X Assessed Value) 3,q7 x (Rate X Asses $ l-7) 4oD sed Value) 6?. o9 s L?, o8CREDIT TOTAL Year Annexed Rate per S1,0OO Assessed Value Year Annexed Hate per s1,COO Assessed Value 1 980 1 981 1 982 1 983 1 984 1 985 1 986 3.83 3.70 3.55 3.39 3.20 2.91 f ore $ 3.97_aI 1 987 1 988 1 989 't990 1 991 1 992 1 993 1 994 1 995 1 996 vz.co 2.17 1.73 1.31 o.92 o.74 0.61 o.45 o.31 0.17 RUNOFF COEFFICIENTS FOR STORM DR.AINAGE (For Estimating Purposes Only) Fesioen iiai ....... Commerical...... lndustrial.......... Governmental... ...... 'U.4 ..... 0.9 o5 .....0.5 IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICTENT ZO