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Home My WebLink AboutPermit Building 1999-09-27SiPHTTaGFIELD RESIDENTIAI, PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Nurnber: 990951 225 North Fifth street Springfield, OR 91 4'77 Location of Proposed work: L919 22ND ST 41 Assessors Map #: 17032500 Lot: 41- Block: office: Inspection Line: 726-31s9 726 -3'7 59 Tax Lot #: OO2O4 Subdivision: CITY OF SPilNGFIELT', ONEGON Owner: SUPER SALES Address:. 9074'7 ROBERTS RD Describe Work: MAI'IUFACTURED HOME Phone #: 34L-L2L5 cirylstate/zip: CoBURG OR 97408 NEW ContracEor Const. Contractor #Expires 03/05/ee Phone 942 -417 7General:,J.L.BES 0080044 78A56 MOSBY CREEK COTTAGE GROVE OR QUAD AREA: 2RNW OCCY GROUP: R3 OFFICE USE - - LAND USE: 1150 CONSTR. TYPE: VN # OF UN]TS: SQ FOOTAGE: 1 1931 To request an inspection, call the 24 howr recording aL 726-3769. A1I inspections requested before 7:00 a.m. will be made the same working day, inspections requested afLer 7:00 a.m. wil-I be made the folfowing work day. --- REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placemenL. MANUF HOME/MOBIIJE HOME SET UP - When all blocking is compfete. MAI{UF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and plumbi-ng inspections have been approved and home is connected to panel MANUF. HOME/MOBILE HOME PIITMBING - After home has been connected to water and sewer. FRAMING - Prior to cover. FINAT BUILDING - When all required inspections have been approved and the building is complete. PEDESTAL - Prior to cover. FINAL SET UP - After all required j-nspections are approved and porches skirting, decks, venting, house numbers, etc. have been install-ed. BUILDING PERMIT --- Square Feet x $/Square FeetItem Main Garage FTG/FDN MANU/ HOME Total- Val-ue Building Permit Fee Surcharge/admin Value 0.00 0.00 3, 000.00 40, 000.00 48,400.00 74.50 I -46 TOTAT FEE (A)81_.96 sP*E{GFIELI, ilob Nurnber: 990951 CITY OF OREGON Page 2 PLIIMBING PERMIT Item Sanitary Sewer Water Storm Sewer Mobile Home Plumbing PermiL Surcharge/admin TOTAL CHARGE 50 50 50 Fee 25.00 25.O0 25.00 15.00 90.00 9.00 (c)99.00 MISCELLANEOUS PERMITS Mobile Home SLate fssuance surcharge/admin CITY SDC WILLAMALANE TOTAL MISCELLANEOUS PERMITS 105.00 30.00 8.40 2 ,3L0 .41 699.00 (E)3,L52.87 (Excluding EIectsrical) unless oEherwise noted TOTAI, AMOI'NT DUE - - - (A, B, C, D, and E combined)3,333.83 BUILDING VALUE, PI.A}iI CHECK AND BUII.DING PERMIT This permit is granted on the express condition that the said construction shal-l, 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 violation of any provisions of said ordinances. P]an Check Fee : 48 .43 Date Received By: Plans Reviewed By: AL WARD Building Site Reviewed By: BoB BARNHART Paid: o7 /13199 Date: o9/24/99 Receipt Number: 034819 --- ADDITIONAI, COMMENTS A SEPERATE ELECTRCAL PERMIT IS REQUIRED By signature, I staEe and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is Lrue 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 Lhat NO OCCUPANCY will be made of any strucLure 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 wil-l- be used on this project. I further agree to ensure that af1 required inspections are requested at the proper time, that each address is readable from the street, that the permit card wi 11 1S ated at the front of the property, and the approved set of plans '-A ture on te at al-I times during construction Date ?- SPRi'GFIELD .fob Number: 990951 qTT OF SPilNGFIELT', ONEGON Page 3 --- VALIDATION --. Receipt Number: Date Paid: Amount Received: Received By: 3 agptovat Zoning 225 FIFTE STREET SPRINGFIELD, oREGON 97t*W' INSPECf,ION RXQT EST z 72SxtMr6& Srgnature OFFICE: 726-3759 1. LOCATION OF INSTALLATION IJGAL DESSRIPTION oo Lo JOB DESCRIPTION CAL PERHIT APPLICATION Ci ty Job Nunber f foTr/ 3 COHPIJTE FEE SCMDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion s 1s.00 $ 40.00 The loltowtng project as submitted has the lollowingzonrtg and does not requtre specific land use L$ S*{INGFIELO A 5 rations 200 amps or less 201 amps to 400 amPs - 40L amps to 600 amPs _ 601 amps to 1000 amPs- Over L000 amps/volts -C. Temporary Services or Feed Installation, Alteration o 5. SUBTOTAL OF ABOVE )*/. State Surcharge 3Z Admini.strative Fee TOTAL Sum Permits are non-transferable and elgilqlntr. thereof if vork is not started vithin 180 qsxllr/tr: Each Manuf 'd Home- or -oi i""u.nce or if vork is suspendedTHlGPERMlTSH qgPqnPI-tAAl{OnX *180 dAYS. ATJIHO*ZEDUNHHTFfrSPERIfiffS.iIOT-- /^-:6u 2. CONTRACTOR Electrical Cont INSTALLATION ONLY COMM rac tor Address Ci ty Supervisor Lice Expiration Date Consrr Contr. N Expiration Date Ovne^=,..-me Address I pnon",qqs-zqqo nse Numbe, dlPt'S OC umber uuSqq :lt&loi L s s0.00 s 60.00 s100.00 s130.00 s300.00 $ 40.00,l 200 amps"or less $ 40.00 over 40L to 6oo amps - $ Bo.oo Over 600 amps or fbOO-voITs see rrB, a6otE- ers r Relocation $ 3s.00 $ 2.00 5 ..7ff L. bv I /.b /r Ci ty Phone 3'{ t ' (U f OVNER ON The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: RECE D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or vith Service or Feeder Permit / E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/0ut1ine Lighting_ Limited Energy/Res Limited Energy/Comm Q otvt Lt..rt s 40.00 $ 40.00 s 20.00 $ 36.00(> RECEIVED T{-- IQIQ A .fA nd So 4 / />5 a> fY1..h'. l-Vtn,m? Signqgure of Supervising Electrician Willamalane Park & Recreation District Job. No. 77oq 5t NAME: SYSTEM DEVELOPMENT CHARGE WORKSHEET €12-€(PHONE:3qt - tzrf /,letrs /2/sTATE: O/L 7le:777o? LOCATION OF PROPOSED BUILDING SITE: Street Address:11 rq -l'rE//2 +ql Plat Name:Tax Lot Number:/ 7 67 z{oo oo 2ol 1. DEVELOPMENT TYPE (Check ype definitions 1e on the back.) A. Single-Family Detached Single Family home appropriate dwelling(s). SDC calculations and dwelling t ADDRESS:?otql Manufactured home not in a Park NO. OF UNITS X $1,000 Per unit = $ B. Single-Famity Attached NO. OF UNITS X $924 per unit $ C. Multi-Family Apartment NO. OF UNITS X $692 per unit $ D. Manufac-tured Home Park NO. OF UNITS WILLAMALANE SDC 2. SDC CREDff (af applicable) SDCaayer must fumish proof of Wiltamalane Credit approval. See SOC Credit Wotksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) D 67f ? $ $ $ t City of Springfield Department Date ZL 9' X $699 Per unit = $ JOURN. fR JOB NO. ATTACHMENT A 77oq ;/ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY:t rz9z- 4o.r,a LOCATION tq /q 7,rn 17 *4t DEVELOPMENT TYPE lnc C /J O14 BUILDING SIZE 1. STORM DRAINAGE 2. SAMTARY SEWER-CITY NO. OF PFU'S 2O u*!r- -t :17v 5rz ? atc,ib, t?: ft ,' f)/d tgll y t.2 SZE Q.Ft. S 4a8. 6+ -+s q65,40 q ,@ g 2.42,74 S zz,{ t 3s*960qb a30 TMPERVTOUS SQ. FT. 4ozo x s0.232 pER sQ. FT (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER PM PEAK HOI'R TRIP X548.27 PER PFU ol X S486.73 PER TRIPXt, X 5486.73 PER TRIP 4. SANITARY SEWER-MWMC A. REIMBI.'RSEMENT COST: NO. OF FEU'S I X z4-z.zc. PER FEU B. MPROVEMENT COST NO. OF FEU'S I X 22,c5PER FEU MWMC CREDIT iF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE sx TOTAL-MWMC SDC S z7+,g l SUBToTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES: oo, BASE CHARGE (s{tBToTAL ABOVE) X .05 lo,o?-- SDC Coordinator ATTACH'A.WPD Date: ?- z+-qq TOTAL SDC o 47 s4 S/ FIxruRE UNIT CALCULAToN TABLET NumberorNew Fixture"-lr Unit Equivalent : Fixrue Units(NOTE: For remodels, calculate only the NET .tional fixtures) FIXTURE ryPE Bathtub........+Drinking Fountain. Floor Drain.. Interceptors For Grease/OiVSolids/Etc. Interceptors For Sand/Auto Wash/Etc. Laundry Tub/ClotheswasherAvlop Sink.. Clotheswasher - 3 Or More............ Mobile Home Park Trap (1 Per Trailer).. Receptor For Refrigerator/Water S tation/Etc........... Receptor For Commerciai S inVDishwashetEtc...... Shorver, Single Stall. Shower, Gang...................... S ink: Bar, Commercial, Residential Kitchen........... Unnal, Stall/Wall..... Wash Basin/Lavatory, Single........... Toilet, Public Installation............. NUMBER OF NEW FIXTURES -4 .z_ TOTAL FIXTURE UNITS LTNIT EQUIVALENT FIXTURE LINITS 2 I 2 J 6 2 6 6 I 3 2 I 2 2 II 6 4 '2_. z-. ---.-=--t< iHead I 2_ 'z- Toilet, Private. Miscellaneous: Zd CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexarion date in table, calculate credits Credit for Parcel or Land Only If Applicable X $ _ : (Rate X Assessed Value) Improvement (if after annexation date) (Rate X Assessed Value) CREDIT TOTAL : S Year Annexed Rate per $ 1,000 Assessed Value Year Annexed Rate per $ 1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 1986 t987 I 988 $4.47 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 1 989 1990 1991 1992 I 993 1994 r 995 1996 1997 I 998 2.18 1.15 1.35 r.17 1.03 0.86 0.71 0.57 0.39 0.18 RUNOFF COEFFICIENTS FOR STORM DR{INAGE (For Estimating Purposes Only) Residential... Commerical., Industrial...... Governmental.. 0.4 0.9 0.5 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT x s_ 4 ctTy oF ONEGON SPllINGFIELD RESIDENTTAL PERMIT APPLICATION CTTY OF SPRINGFIELD COMMI'NTTY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Nurnber: 990951A 225 North Fifth StreeL Springfield, OR 9747i Location of Proposed Work: 1919 22ND ST 4l_ Assessors Map #: 17032500 Lot : 41- Bl_ock: Office Inspection Line 126-3759 126-3769 Tax Lot #: OO2O4 Subdivision: Owner: SUPER SALES Address: 90747 RoBERTS RD Describe Work: Phone #: 341,-1,215 City/State/Zip: COBURG oR 97408 NEW OFFICE USE -- LAND USE: 1150 OCCY GROUP: UQUAD AREA: 2RNW CONSTR. TYPE: VN To request an inspection, call- the 24 }:rovr recording aL 726-3769. A11 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 following work day. --- REQUTRED TNSPECTTONS --- FOITNDATION - After forms are erected but prior Lo concrete placement. FR.AIIING - Prior to cover. FINAL BUILDING - When all required inspections have been approved and the building is complete. (Excl-uding Electrical ) unless otherwise noted TOTAL AMOI'NT DUE - - - (A, B, C, D, and E combined)0.00 BUII,DING VAI,UE, PI,A.I{ CHECK A.bID BUILDING PERMIT This permit. is granted on the express condition that the said construction sha1I, in all respects, conform to the ordinance adopted by the City of Springfield, lncluding the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon viol-ation of any provisions of said ordinances. SUBSTITUTING SITE-BUILT PERMIT FEE PAID 9/27/99 --- ADDITIONAL COMMENTS -.- WOOD CARPT. FOR MFGD.ALUM. PLAN REVTEW FEE PAID L2/L0/99 By signature, I Etate and agree, that. I have careful-Iy examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shal1 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 will be made of any structure wj-thout permission of the Community Services Division, Buildi-ng Safety. I further certify that only contractors and employees who are in compli-ance with oRS 701.055 will be used on this project. siPRINGFIELD Job Number: 990951A SPilNGFIELq OnEcONCITY OF Page 2 I furt her agree to ensure that all required inspections are requested at theproper time, that each address is readable from the street, that t.he permitcard is located at the front of the property, and the approved set of planswil,l remain on the site at all times during construction. Signature Date --- VALIDATION --- Receipt Number Date Paid AmounL Received: Received By