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Home My WebLink AboutPermit Building 1999-11-02CITY OF ONEGON SPI|IilGFIELD RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVTCES DIVISION BUILDING SAFETY Page 1 ilob Number: 99L42L 225 North Fifth Street Springfield, OR 97417 Location of Proposed Work: 1919 22ND ST 25 Assessors Map #: 17032500 Lot: 26 Block: Office Inspection Line 725 -31 59 726 -37 59 Tax Lot #: Subdivision: 00204 MAIA PARK Owner: ARTI MAE HARLOW Address: 1-919 22ND STREET Describe Work: IIANUFACTURED HOME Phone #: 746-4060 Cj-ty/State/zip: SPRTNGFIELD, OREGON 9747i ;01- sby NEW c nUmDr Const. Contractor ContracEor #Expires 03/05/03 Phone 942-L1,77General,fL BEAN 0080044 781,56 MOSBY CREEK COTTAGE GROVE OR QUAD AREA: 2RNhI # OF UNfTS: 1 CONSTR. TYPE: VN WATER HEATER: E -- OFFICE USE -- LAND USE: 1150 ZONTNG CODE: LDR # OF BDRMS: 3 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 133sfttU?icE il;";",::.:""ec'Lion'"**ffi ffi ffiHHffirH,#;,*,,*.r,,1",,inspect io,r" r"n.rll:5"=:":" ;Qffi ANY MANuF HoME/MoBILE HoME ,;;-rl":owhen art blocking is complere. !{AI{UF. HOME/MOBILE HOME ELECTRICAL - When blocking, seLup, and plumbing inspections have been approved and home is connected to panel MA.I{UF. HOME/MOBII,E HOME PLI'MBING - Af IEr hOME hAS bEEN CONNECIEd, TO water and sewer. PEDESTAL - Prior to cover. FINAL sET UP - After all required inspections are approved and porches skirLj-ng, decks, venting, house numbers, etc. have been insLal_Ied. Lot Sq. Ft.: 5356 Lot Type: INTERIOR Item Main Garage MANU/HOME FTG/FDN Total Value Building Permit Fee Surcharge/admin BUILDING PERMIT --- Square Feet x $/Square Feet Value 0.00 0.00 57, 000 . 00 3, 000.00 50, 000. 00 38.50 3.86 TOTAL FEE (A)42.36 SPRINGFIELD ilob Number: 99L42L CITY OF ONEGON Page 2 Item Sanitary Sewer Water SLorm Sewer Mobile Home Plumbing Permit Surcharge/admin TOTAL CHARGE 50 50 50 Fee 2s.00 25.O0 25.00 15.00 90.00 9.00 (c)99.00 --- MISCELTANEOUS PERMITS Mobile Home State Issuance Surcharge/admin CITY SDC WILLAIVIALANE TOTAIJ MISCELLAI{EOUS PERMITS 105 -1, o 10 L,9'7O 599 00 00 50 B3 00 (E)2, 815 .33 (Excluding Electrical ) unless otherwise noted TOTAL A},IOI'NT DUE - - - (A, B, C, D, and E combined)2 ,956 .69 BUILDING VALUE, PLAN CHECK AND BUILDING PERMTT This permit is granted on the express condition that the said construction shall, in all respect.s, 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 viol-ation of any provisi-ons of said ordinances. Plan Check Fee: 25.03 Date Received By: Pl-ans Revj-ewed By: AL WARD BuiJ-dlng Site Reviewed By: LISA HOPPER Paid:1,0/a4/99 Date: L0/2e/99 Receipt Number: 35894 --- ADDITIONAL COMMENTS A & T VALUE FOR ENTIRE MOBILE HOME PARK. A SEPERATE ELECTRTCAL PERMIT IS REQUIRED DRTVEWAY REQUIRED TO BE PAVED By signature, f state and agree, that f have carefully examined the completed application and do hereby certify that al-l- information hereon is true and correcL, and I further certify that any and al-1 work performed shall be done in accordance wi-th the Ordinances of the City of Springfj-e1d, and the Laws of t.he State of oregon pertaining to the work deseribed herein, and t.hat NO OCCUPANCY will be made of any struct.ure without permission of the Community Servj-ces Division, Building Safety. I further certify that only contracLors and employees who are in compliance with ORS 701.055 wil-I be used on this project. I further agree to ensure that all- reguired inspections are requested at theproper time, that each address is readable from the street, that. the permlt card wiff t the front of the property, and the approved set of plans I times durlng construction. Si 1S e site te --- PLI'MBING PERMIT --- SPFII{GFIELD. Job Number: 991421- arr oF SPilNGFIEI-D, OnEGON Page 3 Receipt Number: Date Paid: --- VALIDATION --- /l^? ^?a Amount Received. 2?% , 1? Received By:-'1./,/rZ,*-'ff SPF!NGFIELO Page 1 ENGINEERING DIVTSION DEVEI..OPMENT PI.AN REVIEW RESIDENTIAT IMPROVED STREET CITY OF SPilNGFIELD, ONEGON Developer: ARTfE MAE HARLOW Job No MAil AddrESS: L91.9 22ND STREET SPRINGFIELD, OREGON 97477 PhONE #: Tax Lot #: a7A3250000204 Project Address:. l9A9 22ND ST 26 Subdivision: MAIA PARK Lot: 26 Blk: Eng. Rev. No.: .: 99142L 1 46 - 4060 Book: EXISTING IMPROVEMENTS Ac Mat Curb Fu1I Imp SW Width Curbside SetbackStreet Gravel 1919 22ND ST 26 Existing Curbcut: Comments: SEE PRIVATE DEVELOPMENT DRAWINGS ENGINEERING REQUIREMENTS Additional Rj-ght of way: N Improvement AgreemenL: N EasemenLs: N SANTTARY SEWER CALL THE UTILITIES NOTIFTCATION CENTER BEFORE YOU DIG ].-8OO-332-2344 Avaifable: Y LocaLion From N, Make Connection: Stubbed Out To Property Line: Y S, E, W Property Line: SEE PRfVATE DEVELOPMENT DRAWINGS PER PLUMB]NG CODE STORM SEWER Available: Y Pipe Downspouts And Drains To: SEE PRIVATE DEVELOPMENT DRAWINGS Pipe Parking Lot Drainage To: N/A SIDEWALK AND DRIVEWAY INFORMATION New Curbcut Appr.: X STANDARD Sidewalk Permit: Y Width: Ft Length: Ft Curbcut Permit: Y Width: Ft ENCROACHMENT AND ASSESSMENT Encroachment Permit Required: N Sanitary Sewer In Lieu Of Assessment: N Commenls: NO OCCUPANCY L]NTIL CITY ACCEPTS INFRASTRUCTURE SPECIAL NOTES AND REQUIREMENTS A11 work within the public right of way shafl be in conformance with the CiLy of Springfield standard specificat.ions for consLructi-on. A11 existing unused curbcuLs or portions thereof sha11 be restored to full- curb height as directed by the Clty. The owner/developer is responsible to relocate any utilities and establish private or public easements when the utj-fities conflict with the development, at their expense. Reviewed By: DENNIS ERNST Date: L0/20/99 SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTAI{T INFOR!,IATION CITY OF OREGO'V SPRINGFIELD DEV ELOPM ENT S ERWC ES DE PARTM ENT MANUFACTURED HOME LAND USE AGREEMENT As required by the City of Springfield Development Code, I agree that with manufactured homes will be at tfrT tne;ufrSYl permits, one of the following placed City Job Number ?4Pz r I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed floor of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each l2 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 Specialry Codes. Type II Manufactured Home. A unit of not less than 12 feet 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 more than 24 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 if applicable: o Street Trees . Paving Driveway o Minimum 32 square foot storage structure o Completion of partition approval o Removal of any existing structures as noted on your partition approval o Signing and recording of any required partition, easement, improvement 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 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX(s41) 726-368e ofthe attached1| 2e Owner Date ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: 991421 ARDIE MAE HARLOW l9l9 22ND ST #26 17032500-00204 SINGLE FAN,IILY RESIDENCE BUILDING SIZE: 1335 LOT SIZE 1. STORM DRAINAGE TMPERVTOUS SQ. FT. 2149.0 x $0.232 PER SQ. FT $498.s7 2. SANITARY SEWER-CITY NUMBEROF PFU's (SEE REVERSE SIDE) x $48.27 PER PFU18 $868.86 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP I 0.56x x x M86.73 PER TRIP x $486.73 PER TRIP $2t2.sl $0.00 TOTAL TRANSPORTATION SDC s272.57 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I B.IMPROVEMENT COST: NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x $208.08 PER FEU x $18.90 PER FEU TOTAL MWMC SDC $208.08 $18.90 $0.00 $ 10.00 $236.98 $l 876.98SUBTOTAL (ADD ITEMS 1,2,3, &4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $93.85 $1,970.83TOTAL SDC CHARGES5--% ? z sDC COORDTNATpR DA?E / -/ PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x TJNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR RFMODFT S CAI CI II-ATE ONLY THE NET ADDITIONAI. FIXTI IRFS) FIXTURES NEW OLD UNIT PLUMBING FIXTURE T]NITS 0 0 0 $0.00 $0.00 $0.00 FIXTURE TYPE BATHTUB DRINKING FOLINTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOSTHSWASHER/MOP SINK 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 STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALL/WALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 1979 or before 1980 l98t 1982 1983 1984 1985 1986 1987 1988 ALENT 2 I 2 3 6 2 6 6 I 3 2 I 2 2 I 6 4 4 0 1 2 0 0 0 0 0 0 2 0 22 0 8 0 0 0 TOTAL PLUMBING FIXTURE UNITS:18 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I.OOO ASSESSED VALUE $4.47 $ 4.38 $4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1989 1990 t99t 1992 1993 1994 1995 1996 1997 1998 $ 2.18 $ 1.75 $ 1.35 $ 1.17 $ 1.03 $ 0.86 $ 0.7r $ 0.s7 $ 0.39 $ 0.18 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x CREDIT TOTAL \- The tollowing proiect as submitted has zontng, and does nol require specific approval Zoning -D TL SF-hTNGFTELO the lollowing land use 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Manuf'd Home' or Modular Dvelling SerVice or Feeder ELECTRICAL PERHIT APPLICATION Job Nurnber SCBEDT'LE BELOV 225 FITTE STREET SPRTNGFTELD, OREGoN 974 INSPECTION REQTEST: 72 0FFICE: 726-3759 JOB 1. LOCATION OF INSTALLATION DESCRIPTION o lL" Authorized Srgnature THISPERMIT ISNOT anm{ggBble and exPire l'Feil-vithin 180 daYs vork is susPended for 'r'rfr% 3 A Sum Permi ts if vork of issu ance or if Electrical Contractor Address J g4o.oo @:1.80 daYs. 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Ins tallation, Alterations or Refocation: 200 amPs or less 20L amPs to 400 amPs - 40i. amPs to 600-amPs 60L amPs to 1000 amps- 0ver 1000 amPs/voIts - Reconnect OnlY C Ci ty )Jell $ 8s.00 $ 1s.00 $ s0.00 s 60.00 s100. 00 $130.00 s300.00 $ 40.00 $ L I Phone nse Number 3.lptSupervi.sor Lice Expiration Date .S ,l loc TemporarY Services or Feeders i"iiirr"iion, Alteration or RelocationConstr Contr. Number Expiration Date -l 5l of pprvising Electrician 0t.tne. eadress / 4 /4 ))v-e Y Phone /nQ - ?Qo OVNER INSTALLATION The installation is being made on frop"rty I ovn vhich is not intended for sa1e, lease or rent' Ovners Signature: 200 amps''or less 201 amps to 400 amPS - Over 401 to 600 amPs - Over 600 amPS or 1000 volt D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additionaf Circuit or vith Service oi-P""a"t Permi t I -Each installation Pump or irrigation _- Sign/Outline Lighting- Lim j. ted EnergY/Res - Limi ted EnergY/Comm SUBTOTAL OF ABOVE 7*l state surcharge 32 Administrative Fee TOTAL E Miscellaneous (Service/feeder not included) 40.00 55.00 80.00 s see rtBlr a5'ove $ 3s. oo $ s $ Ci ty 2.oo 2 P $ $ $ $ 40.00 40.00 20.00 36.00 )5 DATE:/L-/O- RECEIVED 2 6v Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included:Items Cos t I : SYSTEM DEVELOPMENT CHARGE WORKSHEET ADDRESS: LOCATION OF PROPOSED BUILDING S +F Street Address: Willamalane Park & Recreation District Plat Name: 1. DEVELOPMENT TYPE (Check ype definitions 1e on the back.) A. Single-Family Detached Single Family home NO. OF UNITS B. Single-Family Attached NO. OF UNITS C. Multi-Family Aoartment NO. OF UNITS D. Manufac-tured Home Park NO. OF UNITS \ pment Se Job. No. PHONE: Tax Lot Number: STATE:0L,,,, a t appropriate dwelling(s). SDC calculations and dwelling t Manufactured home not in a Park X $1,000 Per unit = $ X $924 per unit X $692 per unit x $699 per unit $ oo $ $ & WILLAMALANE SDC 2. SDC CREDTT (if applicable) SDCgayer must fumish proof of Willamalane Credit approval. See SOC Credit Wotksheet. 3. TOTAL WILLAMALANE NET SDC A,SSESSED (if SDC reduced for Credit) I // tz taq Date $ $ $ @ City of Springfietd Department L SPRIIiIGFIELD RESIDENTIAL PERMIT APPI,ICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 Job Nrrmber: 99L42LA 225 North Flfth Street Sprlngfield, OR 97477 Location of Proposed Work: 1919 22ND ST 25 Assessors Map #: 17032500 Lot : 26 Bl-ock: office: Inspection Line: 726 - 31 59 726-3169 Tax Lot # Subdivision 00204 MAIA PARK CITY OF SPHNGFIEIT', ONEGON Owner: ARTIE MAE HARLOW AddrCSS: L91.9 22ND STREET Describe Work: ADD CARPORT W/SHED Phone #: 746-4060 city/state/zip: SPRTNGFTELD, OREGON 974'77 NEW QUAD AREA: 2RNW OCCY GROUP: U OFFICE USE - - LAND USE: 1150 CONSTR, TYPE: VN ZONING CODE: LDR To request an inspecuion, cal-l Lhe 24 hour recording aL 726-3769. AIl inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the foflowing work day. --- REQUTRED TNSPECTTONS --- FOITNDATION - After forms are erected but prior to concrete placement. FRA.MING - Prior to cover. FINAL BUILDING - When all required inspections have been approved and the bullding is compleLe. Item Main Garage SHED Total Value Building Permit Fee Surcharge/admin TOTAI, FEE BUILDING PERMTT Square Feet x 108 $,/square Feet 18.34 (A) Vafue 0.00 0.00 1, 981 . 00 B ,22L .00 74.50 7 .46 81. 96 (Excluding Elect,rical ) unless otherwise noted 81.96 This permiL is granted on the express condition that the said consLruction shalI, 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 violatj-on of any provi-sions of said ordinances. --- ADDITIONAL COMMENTS --- TOTAL A}TOI'NT DUE --- (A, B, C, D, and E combined) --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- SPFINGFIELE, Job Number: 991,42L4 CITY OF ONEGON Page 2 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon i-s true and correcL, and I further certify that 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 herein, and that No occupANCy wilt be made of any structure without permission of the Communj-ty Services Di-visi-on, Building Safety. I further certj-fy 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 required inspecti-ons are requested at the proper card is wilI time, ture that each address is readable from the street, that the permit Led at the front of the property, and the approved set of plans nont site at all times during construction- te --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Received BY: 3Uq9 I l>'15 -q s Sr.qf