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HomeMy WebLinkAboutPermit Building 1999-11-02 (2)clTY oF SPruNGEIELD, Locat,ion Assessor Lot: RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUIIJDING SAFETY Page 1 .Iob Number: 99L422 225 North Fifth Street Springfield, OR 97477 NOTICE: Office Inspection Line 726 -3'7 59 7 26 -37 59 f f, sffi ff,€\'BE[ F kfr fl Elr ?3H,rfth* u ATJTHORIZED UNDERfffUEPERMIT IS NOT COIUTVIENC ED OB]S ABANDONED FOR Tax Lot #: OO2O4 Subdivision: :H::;"iWruqP^ffEBhq Describe Work: ILANUFACTURED HOME Phone #: 746-4060 city/state/zip: SPRTNGFTELD, oREGON 97477 NEW Generaf Contractor ,fL BEAN 0080044 78155 MOSBY CREEK COTTAGE GROVE OR Const. Contractor #Expiree 03/os/03 Phone 942 -Lt1 7 QUAD AREA: 2RMI # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E -- OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1335 To request an inspection, call the 24 hour recording at- 726-3769. A11 inspections request.ed before 7:00 a.m. will be made the same workj-ng day, inspections requested after 7:00 a.m. will be made the following work day. --- REQUIRED INSPECTIONS --- MAI{UF HOME/MOBILE HOME SET UP - when alL blocking is complete. MANUF. HOME/DIOBILE HOME ETECTRICAL - when blocking, setup, and plumbing inspecti-ons have been approved and home is connected to panel I,IA.MF. HOME/MOBIIJE HOME PLIIMBING - Af ter home has been connected to water 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 installed. Lot Sq. Ft.: 6565 Lot Type: INTERfOR Item Main Garage MANU/ HOME FTD/FDN Total- Vafue Building Permit Fee surcharge/admin --- BUILDTNG PERMIT --- Square FeeL x $/Square Feet Value 0.00 0.00 59,000.00 3, 000.00 52, 000.00 38. s0 3.85 TOTAL FEE (A)42.36 SPEIINGFIELD v rth : iu;es by yi3ilCI iitication ). SP]lINGFIELD ilob Nurnber: 99L422 CTT'T OF SPilNGETED,OI?EGON Page 2 PLIruBING PERMIT Item Sanj-tary Sewer Water Storm Sewer MobiIe Home Plumbing Permj-t Surcharge/admin TOTAI, CHARGE 50 50 50 Fee 25.00 25.00 25.00 t_5.00 90.00 9.00 (c)99.00 MISCELLAI{EOUS PERMITS Mobile Home State Issuance Surcharge/admin CITY SDC WILLAMALANE TOTAL MISCELLAIIEOUS PERMITS 105.00 30.00 10.50 2 , 056 .85 699.00 (E)2, 90r..35 (Excluding Electrical) unless oEherwise noted TOTAL AI,IOI'NT DUE - - - (A, B, C, D, and E combined)3 ,042 .7 L BUTLDING VALUE, PLA}I CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shaIl, in all respects, conform to t.he 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. Plan Check Fee: 25.03 Date Received By: Pl-ans Reviewed By: AL WARD Building Site Reviewed By: LISA HOPPER Paid: LO/1,4/99 Date: to/28/99 Receipt Number: 35893 --- ADDITIONAI, COMMENTS A & T VALUE FOR ENTIRE PARK A SEPERATE ELECTRICAL PERMIT ]S REQUIRED DR]VEWAY REQUIRED TO BE PAVED By signature, I statse 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 that any and aff 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 t.he work described herein, and that NO OCCUPANCY will be made of any structure without permj-ssion of the Community Services Division, BuiJ-ding Safety. f 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 al-l- reguired inspections are requested at the prope card w.l- ime, lha locatdd t eachrt 1 address is readable from the street, that the permit front of the property, and the approved set of plans at all times during construcLion.iry/on ture at Date SPIIITGFIELD Job Number: 991-422 ATT OF SPruNGFIEI^D, ONEGON Page 3 --- VALIDATION --- Receipt Number Date Paid Amount Received Received By 76a.^ "t2_^* The fotlowing project as submitted haszoning. and does not require specificapprovai Zoning SPF,,NGF,ELD CAL PERMTT APPLICATION225 FIFTB STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Date 97 471 lZd_{irugecj Signature qqq>> 1. LOCATION OF INSTALI.,ATION5t LEGAL DE Jl JOB Ci ty Job Number 3. COMPLETE FEE SCMDULE BELOV A. Nev Residential-Sing1e or Multi-Family per dvelling unit. Service Included: I tems Cos t Sum if vork is not started v of issuance or if vork is susP 180 days. 2. CONTRACTOR INSTALI.'ATTON ONLY Permi ts are "#2Y Electrical Contractor Address EXPIHE ,FTHE uvo*d::fl l[;f l;"il,,i;i ,SNOT sq. f t or portion FOB thereo f Each Manuf'd Home- or Modular Dvelling SerVice or Feeder ,S s 8s.00 $ 1s.00 180 days ended for s 40. oo'&'O O J, cit Phoneqqs- zqqc suP ervisor License Number 3,!ILI.S Expiration Date 'tloc Constr Contr. Number Expiration Date -th Si of rvising Electrician Ovne^,,,. Addre ""/4t4 Sf cir Phone 1nb - loQo DATE: Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less 20i amps to 400 amps - 40L amps to 600 amPS _- 60L amps to 1000 amPs- Over 1000 amPs/vo1ts - Reconnecf 0n1Y B C. D L L $ s0.00 s 50.00 s100. 00 s130. 00 s300.00 $ 40.00 e Temporary Services or Feeders i""i"riiilo", Alteration or Relocation 200 amps"or less $ ig'qq;oi ;;; io aoo amPs - i ::'990;;'151 io 6o0 amirs --l_ $ Bo'oo --0ver 600 amps or fbOO-vo-ITs see rrB'r above Nev, Alteration or Extension Per Panel $ 3s.oo s 2.oo 2-C er not included) Each Additional-Circuit or vith Service or Feeder Permi t / One Circuit E. Misce Ilaneous (Service/feed -Each ins taIlat ion $ 40.00 Pump or irrigation 1nq 40.00Sign/0utline Light $20.00Limi t ed EnergY/Res 6.00 Limi t ed EnergY/Comm SUBTOT AL OF ABOVE 7 tt srate Surcharge 3% Adm >>Fe{- OVNER INSTALLATION The installation is being made on Droperty I ovn "t'iit' is not intended ?or'sa1e, Iease or rent' 0sners Signature: s RECEIVED 7 5 TOTAL inis trative Fee $3 60 the land use I I I SPF!NGFIELD Page 1 ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW RESIDENTIAL IMPROVED STREET CITY OF SPruNGFIELT', ONEGON Developer: ARTIE MAE HARLOW Job No Mail Address: 1919 22ND STREET SPRINGFIELD, OREGON 97477 Phone #: Tax Lot #: L703250000204 Project Address: 1919 22ND ST 15 Subdivj-sion: LoL : Bl-k : Eng. Rev. No . : . : 991,422 7 45 - 4050 Book Street Gravel Ac 1919 22ND ST t_5 Existing Curbcut: CommenLs: PRIVATE DEVELOPMENT EXISTING IMPROVEMENTS Mat Curb Fu11 Imp SW Wrdth Curbside Setback SEE ENGINEERING DRAWINGS ENGTNEERING REQUIREMEMTS Additional Right of Way: N Improvement Agreement: N Easements: N SANTTARY SEI'IER CAIL THE UTILITIES NOTIFICATTON CENTER BEFORE YOU DIG ].-8OO-332-2344 Awailable: Y Stubbed Out To Property Line: Y Depth: 4-5 Location From N, S, E, W Property Li-ne: SEE PRIVATE DEVELOPMENT DRWGS MaKe ConnecTion: PER PLUMBING CODE CommenLs: SEE PRIVATE ENGINEERING DRAWTNGS FT STORM SEWER Avai-lab1e: Y Pipe Downspouts And Drains To: SEE ENGINEERING DRAWINGS Pipe Parking Lot Draj-nage To: N/A CommenLs: SEE PRTVATE DEVELOPMENT ENGTNEERING DRAWINGS SIDEWALK AI{D DRTVEWAY INFORI{ATTON STANDARDNew Curbcut Appr.: X Sidewalk Permit: N Curbcut Permi-t: N Commenls: SEE PRIVATE DEVEOPMENT ENGINEERING DRAW]NGS ENCROACHITTENT AND ASSESSMENT Encroachment Permit Required: N Sanitary Sewer In Lieu Of Assessment: N Comments: NO OCCUPANCY UNTrL CITY ACCEPTS INFRASTRUCTURE SPECIAL NOTES AND REQUIREMENTS Al,1 work within the public right of way shall be in conformance with the City of Springfiel-d standard specifications for construction. A11 existj-ng unused curbcuts or portions thereof sha11 be restored to full- curb height as directed by the City. The owner,/developer is responsible to relocate any utilities and establish pri-vate or public easements when the utilities conflict with the development, at their expense. Reviewed By: DENNIS ERNST Date: to/20/99 SEE DRAWINGS ON SPECIAL REQUIREMEMTS FOR FURTHER IMPORTAI{T INFORMATION ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: BUILDING SIZE ; LOT SIZE I. STORM DRAINAGE IMPERVIOUS SQ. FT.2086.0 x $0.232 PER SQ. FT $483.9s 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) x $48.27 PER PFU20 $965.40 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP x x x x $486.73 PER TRIP $486.73 PER TRIP $272.s] $0.00 TOTAL TRANSPORTATION SDC s272.57 4. SANITARY SEV/ER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I x $208.08 PER FEU $ 18.90 PER FEU TOTAL MWMC SDC B.IMPROVEMENT COST: NUMBEROF FEU's I $208.08 $ 18.90 $0.00 $ r 0.00 $236.98 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE $l 958.90SUBToTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $97.95 $2,056.85TOTAL SDC CHARGES ARDIE MAE HARLOW 997422 1919 22ND ST #15 17032500-00204 SINGLE FAMILY RESIDENCE x W g&zL PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUTVALENT = PLUMBING FIXTURE UNITS FIXTURES LTNIT FIXTURE FIXTURE TYPE UNITS BATHTUB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LALNDRY TUB/CLOSTHSWASHER/MOP SINK CLOTHESWASHER - 3 ORMORE MOBILE HOME PARK TRAP (I 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: TOTAL PLUMBING FIXTURE CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL 2 I 2 J 6 2 6 6 I J 2 I 2 2 I 6 4 0 0 0 YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE $ 4.47 $ 4.38 $ 4.32 s 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1989 1990 t99t 1992 1993 t994 1995 1996 1997 1998 $ 2.18 $ 1.75 $ 1.3s $ 1.17 $ 1.03 $ 0.86 $ o.7l $ 0.s7 $ 0.39 $ 0.18 1979 orbefore 1980 l98r 1982 1983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE X -IMPROVEMENT (IF AFTER ANNEXATION DATE) X - CREDIT TOTAL $0.00 $0.00 $0.00 NEW OLD 42 0 0 0 0 I 2 0 0 0 2 0 1 2 2 0 0 . CITY OF OFEGON SPRI}6FIELD D EVELOP M ENT S ERWCES DE PARTM E NT MANUFACTURED HOME LAND USE AGREEMENT As required by the City of Springfield Development Code, I agree that will be placed at with the aDDroYal of the attached'2zd t* t gpermits, one of the following 'f r? IL/ 2L 225 FIFTH STREET SPRINGFIELD, OR 97477 (s41 ) 726-3753 FAX(541) 726-3689 SVrnSf)d, 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 I ,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 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 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 dxcavated and back-filled foundation not to exceed 6 percent slope within l0 feet of the perimeter enblosure. The perimeter foundation wall surrounding the home shall be constructed of stone, brick or other masonry materials, and with no more than24 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 panition approval if applicable: o Street Trees o Paving Driveway . Minimum 32 square foot storage structure r Completion of partition approval r Removal of any existing structures as noted on your partition approvalo 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 // -) -qqbite Willamalane Park & Recreation District qqr SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ADDRESS: LOCATION OF PROPOSED BUILDING SITE: srArE: 9 -'r,r, Q1411 + Job. No. PHONE: Street Address: Plat N ame 1. DEVELOPMENT TYPE (Check ype definitions are on the back.) A. Single-Family Detached Single Family home NO. OF UNITS B. Single-Family Attached NO. OF UNITS C. Multi-Family Apartment NO. OF UNITS D. Manufac{urqd Home Park NO. OF UNITS Tax Lot Number 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 = $ @ 00 2. SDC CREDff (if applicable) SDC+ayer must fumish proof of Wiltamalane Credit approval. See SOC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ $ $ & c - 2 tq? Dateme City of pringfield a WILLAMALANE SDC CITY OF SPruNGFIELD,ONEGON SPRIItlGFIELO RESIDENTIAI, PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Number: 99L422A 225 North Fifth street Sprlngfield, OR 97477 Location of Proposed Work: 1919 22ND ST l'5 Assessors Map #: 17032500 Lot: Block: Off ice Inspection Line 726 -37 59 725 -31 59 Tax Lot # Subdivision o0204 OwneT: ARTIE MAE HARLOW Address: a919 22ND STREET Describe Work Phone #: 745-4050 city/state/zip: SPRTNGFTELD, OREGON 97477 NEW QUAD AREA: 2RNW OTFICE USE -- LAND USE: 1150 ZONING CODE: LDR To request an inspection, calf the 24 lnour recording aL 726-3769. AII inspections requested before 7:00 a.m. wil-l- be made the same working day, inspections reguested after 7:00 a.m. will be made the following work day. --- REQUTRED TNSPECTTONS --- FOITNDATION - After forms are erected but prior to concrete placement. ELECTRICAL SERVICE - Must be approved to obtain permanent power. ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAILING - Before coverj-ng sheathing with finish materials. FRAIIING - Pri-or to cover. FIREWALL - Located and constructed according to plans ' FINAL ELECTRICAL - When all- electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. FINAL BUITDING - When all required inspections have been approved and the buj-lding is compfete. Item Main Garage Total Value Building Permit Fee Surcharge/admin TOTAL FEE BUILDING PERMIT --- Square Feet x $/Square Feet 440 18.34 Value 0.00 8, 070.00 8, 070.00 74.50 7 .46 (A)81.95 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE --- (A, B, C, D, and E combined)81.95 BUILDING VAIJUE, PLAN CHECK AND BUILDING 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 Springfi-e1d, including Ehe 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. SPFTNGFIELD .Tob Number: 991,422A oF sPruNGFtELIr, OnEGONCITY Page 2 --- ADDITTONAL COMMENTS --- ADDING GARAGE AD.f .TO M.H.; SEPARAATE ELECT.PERMIT IS REQUTRED FOR ELECTRICAL TNSTALLATTONS. By signaEure, I st,aEe and agree, that I have carefully examinedthe completed application and do hereby certify that all informati-on hereonis true and correct, 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 t.hat NO OCCUPANCY wil-I 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 Lo ensure that all required inspections are reguested at the proper time, that each address is readable from the street, that the permit card is ted at wil-on ture te t.he front of the property, and the approved set of plans site at all times during construction. --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Received By: bta*to t>- t{- q a 4 g\-7 ?x)