HomeMy WebLinkAboutPermit Building 1996-08-23SPRT,t.GFTELE,
225 North Fifth StreetSpringfield, OR 97477
Owner:PAIT ALLEN
Address: J_246 3BTH STREET
Describe Work: UAMIFACTITRED HOME
RESIDENTTAL PER}ITT APPI.ICATTON
ETTY OF SPRINGFTELD
COMMINTTY SERVTCES DTVISION
BUILDING SAFETY
page 1
ilob Nrurber: 9G1O8g
Office:
fnspection Line:
725 -3'759
726 -37 59Location of proposed Work: 124G 3gTH STAssessors ttap #: ),7023043Lot: Block:
General:
Plumbing:
Electrical:
QUAD AREA: 3RNC
# oF UNrTS: 1
CONSTR. TypE: VN
WATER HEA?ER: E
To
House
Item
Main
Garage
FTG/PERIM FOUNDATION
Total Value
Building Permit Fee
Surcharge/Ramin
Contractor
OWNER
OWNER
OWNER
-- oFFICE usE __
LAND USE: 1150
ConEt.
Contractor #
rding
phone
City/srare/z:-:p: s
Tax Lot #: O31OO
Subdivision:
#: 554-45G3
PRTNGFTELD,oREGON 97478
NEW
Expiree phone
554- 4563
# OF BLDGS: 1
OCCY GROUp: R3
HEAT SOURCE: FE
at 726-3769.
$/Sguare Feet
ZONfNG CODE: LDR# OF BDRMS: 3
RANGE: E
call the 24 hour recorequeEt an inspection,
Lot Type: fNTERfOR
A11 inspections requested before 7:00 a.m. will be made the same working day,inspecti-ons reqfuested after 7:00 a.m. will be made the fol10wing work day.
FoorrNc - Arrer rrenches-;;.-:::1}"":.i:t'"crroNs ---
FOLIIDATT.N - After forms are erected but prior to concrete placemen..UANUF HOIrE/uoBrLE HOME SET Up - when at, Ll0cking is complete.Ii'A}IUF. IIOME/}TOBTIIE HOME ELECTRTCAIT - WhEN blOCKiNg, SCEUP, ANdplumbing inspec.ions have been approved and home is connected to panel
''ANUF. HOIilE/MoBrr.E HOITTE pLIrlrBxNG - After home has been connected towater and sewer.
FrNAL SET Up - After all required inspections are approved and porchesskirting, decks, vent,-ngr, house numbers, etc. have been installed..
N
5
Setbackssw
25 69
E
25
--- BUTLDTNG PER}IrT ---
Square Feet x VaLue
26, 000 . 00
0.00
L,500.00
27 ,50o.oo
25.00
2.00
TOTAI, FEE (A)27 .OO
CITY SPfrINGFIEI.D,
SPF!NGFIELO
h,
Job Nr.rnber: 951088
a
Page 2
--- SYSTE}IS DEVELOP}IENI CIIARGE (SDC)
(B)594.47
Systems Development Charge is due on all undeveloped properties within the City
l-imits and the Citys Urban GrowEh Boundry which are being improved.
--- PLI'MBING PERMIT ---
Item
Mobile Home
Plumbing Permit
Surcharge/admin
TOTAI, CIIARGE (c)
Fee
15.00
15.00
L.20
L6.20
--- MISCELLA.}IEOUS PERMITS
Mobile Home
State Issuance
Surcharge/aAmin
ELECTRICAL PERMIT
TOTAL MISCEI,I.NiIEOUS PERMITS (E)
105.00
20.00
8 .40
43.20
175.50
(Excluding Electrical)
unleee otherwise notsed
--- TOTAL AITOI'}iI:T DUE ---
(A, B, C, D, and E conbined)8L4.27
--- BUILDING VALUE, PLA.MHECK AI.ID BUILDTNG PERMIT ---
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 construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
PIan Check Fee 1,6.25 Date Paid
Received By: LORNE PLEGER
Pl-ans Reviewed By: LISA HOPPER Date
Building Site Reviewed By: LISA HOPPER
o8/08/e6
08 /23 / e5
--- ADDTTIONAI. EOUMENTS
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By eignature, I atate and agree, that I have carefully examined
the completed application and do hereby certify that aff information hereon
is true and correct, and I further certify that any and alL work performed
sha11 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 OCCUPAIICY wj-I1 be made of any structure without permission of the
Community 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 to ensure that all reguired inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is located aE the front of the properEy, and the approved set of plans
wil-l- r
ture
IN the site at mes during construction.
Receipt Number: 2281,5
SPFIrlGFIELE,
.fob Number: 961088
oTr SPfrINGFIELD,
Page 3
--- VALID.A,TION ---
2217 ?Receipt Number:
Date Paid:
AmounL Received:
Received By:
gtL.(.2)
l/U-
SPFINGFIELD
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CIIARGE
(RESTDENTIAL)
Name or Company: PAM ALLEN
Locat,ion: 1245 38TH ST
Developement Tlpe: R Building Sj_ze:
.fob No. : 951088
Lot Size:Sq Ft
1. STORM DR.AINAGE
Impervious Sq Ft
2. SAI{ITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRAI.ISPORTATION
Number Of Units
Transportation Total
4. SAI{ITARY SEITER - ld$IIlIC
Number Of PFUs
7
5. AD}IINISTRATIVE FEES
Base Charge (Subtotal above)
830 X O.2LG Per Sq Ft =
X 44.75 Per PFU =
x Trip Rate X Cost Per Trip
7
$]-79.28
$313.2s
$o. oo
$1s4 . 83
$8r-.20
$73 .53
$s66. 15
$28.3r-
x
x
Per PFU +
20.690 +
MWMC Admin Fee
10.00
MI,TMC CREDIT If Applicable (see Page 2)
TOTAL - MI^MC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
x 0.50
Reviewed By: TROY MCALLISTER Date: o8/13/96
#s94.47TOTAIJ SDC
SPFI,{GFIELD
Job Number: 961088 Page 2
FIXTI'RE I'NIT CALCUIJATION TABLE
Fixture Type
Number of
New Fixture
UniL
Eguivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil-/Solids/Utc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Cl-otheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall-
Shower, Gang
Sink, Bar, Commercial, Residentia1 Kitchen
Urinal , Stal-]/Wa]1
Wash Basin/LavaEory, Sing1e
Water CLoset, Public Installation
Water C]oset, Private
MisceLlaneous
TOTAL FIXTI'RE UNITS =
CREDIT CALCITLATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately
(cafculat,ions are by $1000)
Year Annexed: t959
Credit For Parcel Or Land Only If Applicable: 23,400 X 3.47 - 81.20
Improvement (if after annexation date): 0 X 3.47 = O.OO
CREDIT TOTAL = $81.20
(If land value is multiplied by l- then the parcel/l-and credit is not accurate.)
0
0
0
0
0
0
0
0
0
0
0
0
1
0
4
0
7
a
1
Z
3
6
2
6
1
3
z
1
6
4
1
n
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
S;PFIIF'(;FiELE)
T}|e {^tl^urlno
Zonrl
aPPrOrai
225 FIFTB STREET oa,BAX-fu
SPRINGFIELD, OREGON 97477 Authorized
INSPECf,TON REQTESTz 726-3769
0FFICE: 726-3759
1 ON OF
ON
Permi ts are transferable and expire
if vork is not starte d vithin 180 days
of issuance or if vork is suspended for
1"80 days.
2.INSTALLATION ONLY
Elec t r I Contractor
Address
ELECTRI PERHIT APPLICATION
Ci ty Job Nuluber
3. COHPLETE FEE SCffiDtILE BELO\J
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
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
s 1s.00
$ 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amps
-401 amps to 600 amps _
601 amps to L000 amps_
Over 1000 amps/volts
Reconnect Only
C
Ci ty
Supe
Exp i
Cons
Expi
Signat
Ovners
Addr
Ci ty
P e
ber
Sum
40.00
5s.00
80.00
ee rrBrr a6ove
s s0.00
$ 60.00
s100.00
$130. 00
s300.00s 40.00rvisor Licen
ration Date
tr Contr.
ratio
Temporary Services or Feeders
Installation, Al-teration or Relocation
tan
200 amps''or less
201 amps to 400 amps
-Over 401 to 600 amPs
0ver 600 amps or 1000-voITs
s
$
s
s
E
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
Phone
ALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
-
$
signzoutline Lighting- $
Liilited Energy/Res
-
$
E not
40.
40.
20.
36.
included )
00
00
00
00
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
DATE:
BRECEIVED
e of Supervising E1ectr
mber
te
23
5
AO
QtototS
SPRINTFIELO
D EVE LO P M E NT S ER VI C ES D E PART M E NT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX (s41) 726-368e
MANUFACTURED HOME SET.UP AGREEMENT
As required by the City of Springfield Development Code, I understand and agree the of
the one of the following manufactured homes will be
Springfield, Oregon, City Job Number
Type 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 12 feet in width, that has no bare metal siding or
roofing, and that has been certified by the manufacturer to have an envelope meeting
performance standards which reduce heat loss to levels equivalent to standards required
initialsfor single family dwellings at the time of construction.
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 roofng,
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 Official and with no more
than 24 inches of the enclosing material exposed above grade.
2,)
Date
CITY OF OREGOA')