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)