HomeMy WebLinkAboutPermit Building 1999-06-17SPt"DII.GFIELD
Location of Proposed Work: 389 S 43RD ST
Assessors Map #: 1-7023234
Lot: Block:
NOTICE: RESIDENTIAL PERMIT APPI.ICATION
TH IS PERMIT SHALL EXP I RE IF Tfi ETVOSfl( S P R I NGF I ELD
ArrmoRrzED uN DER rH B PEfl ffi [q$$ht i:" : :x i,l " -' - o"
COrlsliEhEED OB lS ABAI'IDONED FOB
22s rhWlg0nffirPEnrePP
Springfield, OR 97477
Page 1
ilob Number: 990588
Office:
Inspection Llne:
726 -37 59
7 26 -37 69
Tax Lot #:
Subdivision:
04000
EDWARDS 15
SPruNGFIELD,
\
OwneT: CARLOS LEGORRETA
Address: 5335 DAISY ST. SP 67
Describe Work: MANUFACTURED HOME
Phone #: 746-4055
city/state/zj-p: sPLFD oR, 97477
NEW
General:
Plumbing:
Electrical-:
Cont,ract,or
EMERALD LIFESTY 0066750
575 SOUTH A STREET SPRINGFIELD OR 9
M&A CONSTRUCTIO 0088928
916 PRESCOTT LANE SPRfNGFIELD OR 97
GLEN NEAL ELECT 0093953
4715 FOX HOLLOW ROAD EUGENE OR 9740
Const.
Contractor #Expires
0s/L8/0L
02/1.1./oo
os /21/ ee
747 -4008
7 47 - 6504
485 -2412
QUAD AREA: 3RSC
OCCY GROUP: R3
-- OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
# OF BLDGS
SQ FOOTAGE
1
118 8
To request an inspection, call the 24 lnovr recording aL 726-3759.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
MAI{UF HOME/MOBfLE HOME SET UP - When all blocking is complete.
!{ANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbi-ng inspections have been approved and home is connected to panel
IIANUF. HoME/MOBTLE HOME PLIIMBING - After home has been connected to
waLer and sewer.
PEDESTAL - Prior to cover.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been instal-Ied.
Lot Faces: E
Topography: 2
House
Garage
Lot Sq. Ft
W
43
34
7035
Setbacks
Lot Cowerage: 18 ?
N
5 1B
E
ftem
Main
Garage
MANU/HOME
FTG/FDN
Total Va]ue
Building Permit Fee
Surcharge/admin
--- BUILDING PERMIT --*
Square Feet x $/Square Feet
j{i i ao{}00it;..-';iiguil ,aw requires you to
follow rules actopted by the Oregon Utility
iilotification Center. Those rules are setforth
in OAFI 952-001 -001 0 through OAR 952'001 -
U090. You may obtain copies of the rules by
calling the center. (Note: thetelephone
number tor the Oreg0n Utility Notification
fi enter is 1 -80&'332-2344)"
Value
0.00
0.00
42, 000.00
2,070.00
44,070.00
38. s0
3.09
Phone
A11 inspections requested before 7:00 a.m. wil-l be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
SPF:NGFIELD
Job Number: 990588
SPilNGFIELI',
Page 2
TOTAL FEE (A)41.59
Item
Sanitary Sewer
Water
Storm Sewer
Mobil-e Home
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
PtI'MBTNG PERMIT ---
50
50
50
Fee
25.00
25 .00
25.00
15.00
90.00
7 .20
97 .20(c)
- - - MISCEI,I,AI{EOUS PERMITS
Mobil-e Home
State Issuance
Surcharge/Admin
Curb Cut
CITY SDC
WILLAMALANE
TOTAT MISCELLAI'IEOUS PERMITS
105.00
30.00
8.40
60.00
2 ,031_ .92
1, 000 . 00
(E)3,235.32
(Excluding Electrical )
unless ot,herwise noted
--- TOTAL AIIToI,NT DUE ---
(A, B, C, D, and E combined)3,374.LL
Receipt. Number: 034103
This permit is granLed on the express condition that. the said construcLionshall, in all respects, conform to the ordinance adopted by the City ofspringfield, including the Development Code, regulating the construction and.use of buildings' and may be suspended o. revoked at any time upon viorationof any provisi-ons of said ordinances.
BUILDING VALUE, PIAI{
PIan Check Fee:
Received By:
Plans Reviewed By: AL WARDBuilding Site Reviewed By:BOB BARNHART
CHECK AI{D BUII.DING PERMTT
Date Paid I 05/1,9/99
Date: O6/1_s/99
25.03
A sEpERATE ELECTRTcAL pE;;;rH#i:il31 coMMENrs
By signature, I sta te and agree, that I have carefullythe completed appli examinedcation and do hereby certify t.hat al_I informat ion hereonis true and correct and f further certi_fy that any and al_I work performedsha]I be done in ac cordance wi-th the Ord inances of the Cit y of Springfleld,and the Laws of the State of Oregon pert aining to t.he work described hereinand that NO OCCUPANCY wilf be made of any structure without permission of theCommuni_ty S ervices Division, BuiI ding Safety. I further certify that. onlycontract.ors and employees who are l_n compliance with oRS 701.055 wil1 beused on this proj ectI furt.her ag.ree to eProper time, that eacard i-s located at t.wj-1l remain on the s.
Insure that al-l- reguired inspections are requested at the;: ::ff:"lrtinl""oabre from.-.,.J*"..."., rhar rhe permirire ar "ri-.i*J""liir"j';";::.:fr:::."".o "".- J. plans
(,
si
Date
t7
4
SPIITNGFIELD
Job Number: 990688
SPruNGFIELD,
Page 3
.-- VAI.IDATION ---
Receipt Number:
Date Paid:
Amount Received:
Receiwed By:
9?{o
317,t"- // 177D,T
$
Willamalane
Job. No. 11o c B bPark & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE: -ltt -tt
ADDRESS: 5 t STATE ztP 9.1t'tu
LOCATION OF PROPOSED BUI NG SITE:
Street Address:3 4-t "LA
Plat Name: tl OC-3L3{ Tax Lot Number: Ott(Lln
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
:
A. Single-Family Detached
yte namiiy homri p Manufactured home not in a park
X $1,000 per unit = $\ CrUo
(E-
NO. OF UNITS
B. Single-Family Attaehed
NO. OF UNITS X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS X $692 per unit = $
D. Manufac'tured Home Park
NO. OF UNITS
WLLAMALANE SDC
2. SDC CREDIT (tt appticaOte) SDCaayermust turr{sn proof of
Wiltamalane Credit approvat. See SOC Credit Wotksheot. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
0f SDC reducedforCredit! $
De
$
looo
_L,7
City of Springfietd
Department Date
1
JOURNAI OR JOB NO
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
[^I0RKSHEET
NAME OR COMPANY
LOCATION: '3tl =aZQ
DEVELOPMENT TYPE: SF D
Ft
1. STORM DRAINAGE
6
v +(ts)+8t*44)flqL x $0.227 PER SQ. Fr.$ h5.
$ s+N.Sz-.
'$
$ 211 ,14
$ 2.5'20
<$tot ,60
$ 10.00
$zr(.t+
$ E 3=.rb
s 1(,.1U
IMPERVIOUS SQ. FT
2. SANITARY SEWER-CITY
NO. OF PFU'S \8 X $47.14 PER PFU
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TR]P
X (.o x $475.32
x $475.32
4, SANITARY SEI^JER-MI^JMC
A. RIIMBURSEMENT COST:
NO. OF FEU'S X Z7144PER FEU
X
tr
B. IMPROVEMINT COST:
NO. OF FEU'S I X Z|.kOPER FEU
MI^JMC CREDIT iF APPLICABLE (SEE REVERSE)'
MI^JMC ADMINISTRATIVE FEE
TOTAL-MI^JMC SDC
aDMINISTRATT,E FEES.SUBTOTAL
(ADD ITEMs 1'2'3 & 4)
BASE CHARGE (SUBTOiAL ABOVE) X .05
cns u-Date:
SDC
ATTACH'A. l^/PD
Coordi nator
TOTAL SDC $b 3l ,?L
BUILDING SIZE: LOT SIZE SQ
-t
$ 4tu,a1
'URE UNIT CALCULA .-ON TABLE: Number of New Fixtur i Unit Equivatent : Fixture units
-uTE: For remodels, calculate only thc NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub.......lt d
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 ('l Per Trailer).
Receptor For Refrigerator/Water Station/Etc'......'
Receptor For Commercial Sink/Dishwasher/Etc..
Shower. Single Sta11..........
Shower, Gang.
Sink: Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall...F-
_TT
Wash Basin lLavalory, Single..
Toilet, Private......
Miscellaneous:
TOTAL FIXTURE UNITS
I
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
2?
-Toilet, Public lnstallation
,*z-
---'-'-----:-
/V
CREDIT CALCULATION TABLE: Based on assessed value'
calculate credits
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
lf improvements occu rred after annexation date in table,
4.2?x$-vb
(Bate X Assessed Value)x$
ol,
(Rate X Asse ssed Value)
CREDIT TOTAL $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential' """"" O'4
Commerical"".'""""""" ""' O'9
lndustrial..' 0 5
Cor"rnr"ntal"""""""""" " o'5
Year
Annexed
Rate per $1,OOO
Assessed ValueYear.
Annexed
Rate per S1,OOO
Assessed Value
1 989
1 990
1 991
1992
1 993
1 994
.. ., .1995
1 996
1 997
$1.98
1.55
'1.15
0.96
o.83
o.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
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
/
11
ta-ueS\
SPI iFIELD
Service lncluded:LEGAL
t1 "
DESCRIPTION ^o)-3f-.n(,
1-000 sq.ft. or less
Each additional 500.t
Home. orIing ./teeder 7
eeders
Alterations-
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/vo1ts
-
Reconnect 0n1y
Items Cost Sum
$ 8s.00
Permits are noif vork is not
of issuance or
180 days.
2. CONTRACTOR
ELectri
Address
ca1 Con
City f,,
"g4t
d 0$,'t4i1,"e 4,5-7zd
Supervisor License Number
Expiration Date tD"bt
Constr Contr. Number A 31 53
ExpirationDare q- I?
Signat f Supervising trician
Ovners Name
Address
Ci ty Phone
Temporary Services or FeedersInstallation, Alteration or Relocation
s 1s.00
$ 40.00 lh.-
$ s0.00
s 60.00
s100. 00
$130. 00
d
s300.00
s 40.00
OVNER-TNSTALI,ATTON
The installation is being made onproperty f ovn vhich is not intendedfor saIe, lease or rent.
Ovners Signature:
200 amps''or l_ess $ 40.0020L amps to 400 amps
-
$ 55.00over 401 to 600 amps
-
$ 90.000ver 600 amps or 1000 vo1Ts see "Bu aEiG-
Branch Circuits
Nev, Alteration or Extension per panel
One Circuit $ 35.00Eaeh AdditionalCircuit or vith Serviceor Feeder permit _ $ 2.00
Miscellaneous r/gsrvice/feeder not included)-Each installaiion
Pump or i rr jea ri,on. $ 40. 00Sign/ourtine Lighiing- i ir.rOLimi ted Energy/ifes
-
i n,
+
C
D.
rr
-\. DATE:5 L
J
CITY OF SPR OREGO'U
P.EEEIVED B
- SUB?O?AL OF ABOYEu{r,#; ;i,' i;i I i;f .o
" "o
por t ion
tarted vi
f vork i Those