HomeMy WebLinkAboutPermit Building 1997-04-10SPEIiIGFIELD
Assessors t"tap #
Lot:
,
RESIDENIIAL PERMIT APPTICATION
CITY OF SPRINGFIEI,D
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Nnrnber: 97 0254
225 North Fifth StreeL
Springfield, OR 97477
Location of Proposed Work: 1237 38TH ST
office:
Inspection Line:
725 -37 59
726 -37 69
1,7 023043 Tax Lot #: O43OO
Subdivision:Block
Owner: GREAT WESTERN HOMES
Address 5Q24 MAIN STREET
Describe Work: MAIIUFACTURED HOME
General:
Plumbing:
Electrical:
Phone #: 725-2L7l
city/state/zip: sPRrNGFrEr,D, OREGON 97478
Const.
Contractsor #
NEW
Expires
LL/!2/97
LL /1-2 / e7
L2/27/e7
PhoneConUractor
GREAT WESTERN 0046472
5024 Main Street Springfield OR 974
GREAT WESTERN 0046472
5024 Main Street Springfield OR 974
HERITAGE INV 00631-37
L042 Harn Lane Eugene OR 974040000
726 -2L7L
726-2L71,
588-1600
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
To requeBt an insPect ion,cal-] the 24 lnour recording at 726-3759.
A1}inspectionsreguestedbeforeT:00a.m.willbemadethesameworkingday,
inspectionsrequesLedafterT:00a.m.wiltbemadethefollowingworkday.
--- REQUTRED INSPECTIONS ---
FOOTING - After trenches are excavated'
FOTTNDATToN - After forms are erected but prior to concrete placement '
MA}TUFHoME/MoBII,EHoMEsETUP-Whenat].blockingiscomplete.
MANUF. IIOIIE/MOBTLE HOME EtEcTRTcAL - when blocking', setup', and
plumbinginspectionshavebeenapprovedandhomeisconnectedtopanel
MAITIUF. HOME/MOBILi HOME PLUMBING - After home has been connected to
water and sewer'
FINAtsETuP-Aftera}lrequiredinspectionsareapprovedandporches
skirting, decks, venting' house numbers' etc' have been installed'
QUAD AREA: 3RNC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
LoL Faces: W
N
House L7
Item
Main
Garage
FTG/PERIM FOUNDATION
Total Value
Building Permit Fee
Surcharge/admin
-- OFFICE USE --
LAND USE: 1150
zoNfNG CODE: LDR
# OF BDRMS: 3
RANGE: E
Lot TlPe:
Setbacks
SWE
1-g 35 25
INTERIOR
--. BUILDING PERMIT ---
square Feet x $/square Feet Value
25, 000 . 0o
0.00
2,500.00
27 ,50O.oo
38.50
3.09
TOTAI, FEE
(A)41.59
!sPFIiIGFTELO
rlob Nr.unber: 97 O2S4
fEem
Mobile Home
PJ-umbing permit
Surcharge/Admin
TOTAL CIIARGE
(Excluding Electrical )unlese otherwise noted
- - - sYSTE[ls DEVELOP}TE}il]T
PLUMBING
- - - DITSCELTJANEOUS
CIIARGE (SDC)
a
Page 2
Systems Development Chargre is due on al_l undevelopelimits and the Citys u.fJn or"*Jn Boundry which are
(B) L74.L8
d properties within the Citybeing improved.
PERMTT ---
PARMTTS
(c)
Fee
15.00
15.00
7.20
L6.20
Mobile Home
State fssuance
Surcharge/Admin
ELECTRICAL PERMTT
TOTAL }ITSCELLATiIEOUS PERMI"S
105.00
20.00
I .40
43.20
(E)L7 6 .60
408.57
--- BUTLDING VAI.UE,PI.AN CHECK AT{D
Received By:
Pl-ans Reviewed By: LfSA HOppERBuilding Site Reviewed By: LrSA HOppER
DUE ---(A, B, C, D, and E courbined)
BUTTD rNG PERMTT ---
Date:04/09/97
--- TOTAL AI,IOI'NT
This permit is granted on the express condition t.hat the said const.ructionIliii;'ilr;:'J:i:ffff' j:T$l;to the ordinance adopred by rhe ciry or
#.ji i:H:tff ; :f.ri flil:::::$ 5i.i.":;il.::.::,.[_:"ff :;";i:i:. i::
--- ADDTTIONAL COMMEriIIS -MTNTMUM 32 SQUARE FOOT STORAGE STRUCTURE REQUIREDTHTS IS A REPLACEMENT HOME
DRTVEWAY REQUTRED TO BE PAVED2 STREET TREES REQUTRED
By eigna ture, f state and agree,that f have carefully examinedthe completed application and do hereby certify that alL information hereonis t,rue and correct, and f furthe r certify that any and all work performedshall be done in accordance with the ordinances of the City of Springfield,and the Laws of the State of
and that NO OCCUPAI\TCy wiLl be
Community Services Division,
contractors and employees who
used on this project.
Oregon perEaining to the work des cribed herein,
made of any structure wit,hout pe rmission of theBuilding Safety. f furEher cert.ify that onlyare j.n compliance with oRs 701.055 will_ be
SPFINGFIELD
ilob Number : 97 0254 Page 3
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 at the front of the property, and the approved set of plans
will remain on the site at all times during construction.
s
a
L{-lffin
Signature Date
roN ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
SPFtl-jFlELD
D EVE LO P M E NT S ERVIC ES DE PARTM E NT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX (541 ) 726-368s
MANUFACTURED HOME SET-UP AGREEMENT
As required by the city of Springfield Development code, I understand and agree approval 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 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
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 foundatiorr
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 OfFrcial and with no more
than24 inches of the enclosing material exposed above grade.
4-ucQY
Date
CITY OF OREGO'V
::,
CITY OF SPRINGTIEI.D SYSTEUS DEVEI.OPI(EIIT CHARGE
(RESIDENTIAI)
Page 1
Name or Company: GREAT WESTERN HOMES
Location . 1237 38TH ST
Developement T)pe: R Building Size:
ilob No. : 970254
Lot Size:Sq Ft
1. STORIT DRAINAGE
Impervious Sq Ft
2. SATiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR.ENSPORTATION
Number Of Units
768 X O.2LG Per Sq Ft =
X 44.75 Per PFU =
X Trip Rate x Cost Per TriP
0
$r_5s.89
$o .00
$0.00
$0.00
$o. oo
$0.00
$15s.89
$8 .29
Transportation Total
4. SA}IITARY SEWER - UWUC
Number Of PFUs
0
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAT. - (Add rteng 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) x 0'50
TOTAL SDC
Per PFU + MhIMC Admin Fee
20.690
x
x
Reviewed BY: DENNIS ERNST Date: 03/1'7/97
s174 .18