HomeMy WebLinkAboutPermit Building 1997-04-28SPFIilGFIELD
RESIDENI IAI, PERMIT APPI.TCATION
CITY OF SPRINGFIELD
COMITIINITY SERVICES DIVISION
BUILDTNG SAFETY
,'
Page 1
ilob Nunber: 970505
225 NorEh Fifth Street
Springfield, OR 97477
Location of Proposed Work: 783 S 47TH ST
Assessors t"tap #: 18020511
LoE: Block:
Office:
Inspection Line:
726 -37 59
726 -37 59
Tax Lot #:
Subdivision:
ooSoo
SPruNGFIEI-D,
owner: LYNN/RYAIiI DAIiICER
Address: 783 S 47TH ST
Describe Work: II,AI.IUF HOME
Phone #: 9L2-8733
city/state/zj-p: SPRTNGFTELD, oR 97478
NEW
Conet.
Contsractor #
General:
Plumbing:
Electrical:
Contractor
OWNER
OWNER
OWNER
QUAD AREA: 5RSC
# OF IINITS: 1
HEAT SOURCE: FE
SQ FOOTAGE: L28O
-- OFFICE USE -.
LAND USE: 1111
ZONING CODE: LDR
WATER HEATER: E
#
#
OF BLDGS:
OF BDRMS:
RANGE: E
1
3
To request an inapect,ion, call the 24 hour recording aL 726-3769
A11 inspections requested before 7:00 a.m. wil-I be made the same working day,
inspections requested after 7:00 a.m. wil-I be made the foLlowing work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOIIIIDATION - Af ter forms are erect,ed but prior to concrete p]acement.
LINE TO SEPTIC TAtiIK - Prior to filling trench.
WATER LINE - Prior to filling trench.
STORU SEWER LINE - Prior to filling trench.
I'AI{UF HOME/}IOBILE HO}IE SET UP - When all blocking is complete.
MAI{UF. HO!{E/}IOBILE HOME ELECTRTCAL - When blocking, setup, and
plumbing inspections have been approved and home is connected Eo panel
![A]IUF. HOME/MOBIIJE HO![E PLITDIBING - After home has been connecbed to
waEer and sewer.
MA}IUFACTI'RED HO}TE SERVICE
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Faces: W Lot Type: INTERIOR
ftem
Main
Garage
FTG/PERM FOUNDATION
Total VaLue
Building Permit Fee
Surcharge/admin
--- BUILDING PERMIT
Square Feet x $/Sguare Feet VaLue
40, 900 . 00
0.00
3, 500.00
44 ,4OO . O0
44 .50
3 .57
TOTAL FEE (A)48 .07
Expires Phone
SPFIi.GFIELD
'ts C
Job Nunber: 970505 Page 2
.-- SYSTEIIS DEVEIJOPUEIIT CEARGE (SDC)
(B) 758.86
Systems Development Charge is due on all undeveloped properties wiuhin the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLI'MBING PERMIT ---
Item
Water
Storm Sewer
LINE TO SEPTIC
Plumbing Permit.
Surcharge/Admin
TOTAL EIIARGE (c)
Fee
25.00
25.00
25.00
75.00
6.00
81.00
SPilNGFIELD,
- - - MISCELLAI'IEOUS PERMITS
Mobile Home
State Issuance
Surcharge/Admin
WILLAMALANE SDC
TOTAI. MISCETLAI{EOUS PERMITS
r_05 . 00
20.00
8.40
L, 000. 00
(E)1,133.40
(Excluding Electrical )
unlees otherwiee noted
- -. TOTAL A}IOI'NT DUE - - -
(A, B, C, D, and E courbined)2 ,03L.33
..- BUILDING VAI,UE, PIJAI{ CHECK AND BUILDING PERITTIT .--
This permit is granted on the express condition that the said construction
shal-f, 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.
Received By:
Plans Reviewed By: LISA HOPPER
Building Site Reviewed By: LISA HOPPER
DaLe: 04/le/97
--- ADDITIONAL COMMENTS ---
SEPTTC PERMIT APPLIED FOR BY OI{NER
PERMIT CANNOT BE ISSUED I'NTIL APPLICANT HAS RECEIVED SEPTTC PERMIT FROM THE
COUI\l:fY
09 STREET TREES REQUIRED
By signature, I EEaEe 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 all work performed
shall be done in accordance with the Ordinances of the City of Springfield,
and the Laws of tshe Statse of Oregon pertaining to the work described herein,
and that NO OCCUPAI{CY wil-I be made of any strucLure without permission of the
Community Services Division, Building Safety. I further certify that only
conEractors and employees who are in compliance with ORS 701.055 wil-L be
used on this project.
SPRINGFIELD
rTob Number : 97 0506
SPruNGNEID.
Page 3
I further agree to ensure Ehat all reguired inspections are reguested at theproper time, that each address is readable from the street, that the permit,
card is locat,ed at the front of Lhe property, and t,he approved set of pfans
will remain on the site at all times during construction.
ture Date
--- VAI.IDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
? 75>/
,/Q?-o',
i
a
CITY OF ELD
D EVELOP M ENT S E R VI C ES DE PARTM E NT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-368s
MANUFACTURED HOME SET-UP AGREEIVTENT
As required by the City of Springfield Development Code, I understand and agree the ofthe attached of the following manufactured homes will be placed
Springfield, Oregon, City Job Number
Type I Manufactured Home:
A multi sectional (double wide or wider) unit with an enclosed floor area ofnot less than 1,000 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 orroofing,and that has been certified by the manufacturer to exterior thermal envelope meetingperformance standards which reduce heat loss to
have
for single family Ievels equivalent
yrformance standards requireddwellings at the time of construction.initials
Type II Manufactured Home:
A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has anominal roof pitch of 2 feet in height for each 12 feet in width, that has no bare metal siding or roofrrg,and that has been certified by the manufacturer to have an exterior thermal envelope meeting performancestandards which reduce heat loss to levels equivalent to tIe performance standards required for singlefamily dwellings at the time of conskuction.initials
to tlep
I further state' by my signature below, that I have been provided with the following information:
Manufactured Home Blocking, water Line connection, street Tree Standards, Sanitary sewer connection,Electrical Connection, and Minimum requirements for permanent steps.
I also understand that the manufactured home shall be placed on an excavated and backfilled foundatiornot to exceed 6 percent slope within 10 feet of the perimet..
"n"ror*"] enctosed at the perimeter withstone' brick or other concrete or masonry materials app.or"a uv trr"-nuilding official and with no morethan24 inches of the enclosing material exposed above grade.
SPR
SPRIIt.GFIELD
a
Page 1
CITY OF SPRINGFTEI.D SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
SPruNGFTEID,
Name or Company: LYNN/RYAIv DANCER
Location: 783 S 47TH ST
Developement Tlpe: R Building Size
Job No. : 970505
Lot Size Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SA}IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR.AIiISPORTATION
Number Of Units
1X
1280
X Trip Rate
1.010 x
X 0.21,6 Per Sq Ft =
X 44.75 Per PFU =
x Costs Per Trip
45L.26
0
$Ass.77
;276.48
$o. oo
s455.77
$0.00
$0.00
$0.00
$732.2s
$36.5r-
Transportation Total
4. SAI{ITARY SEWER - MWMC
Number Of PFUs
0
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MI^MC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
Per PFU + MI,MC Admin Fee
20.690
x
x
5. ADMINISTRATIVE FEES
Base Charge (Subtotal- Above)x 0.50
TOTAIJ SDC
Reviewed By: DENNTS ERNST Date: 04/08/97
$758.87
SPFIi.GFIELD
o
h,
ilob Number : 97 O5OG Page 2
FIXTURE I'NIT CALCUI.ATION TABLE
SPruNGFIELD.
FixLure Type
Number of
New FixLure
Unit
Equivalent
Fixture
Unit,s
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/Solids/Btc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/stc
Receptor for Commerci-a1 Sink/Dishwasher/Etc
Shower, Single Stal1
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urina1 , Sta11,/Wa11
Wash Basin/Lavalory, Single
water Closet, Public Instal-lation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately
(ca1cuLations are by $L000)
Year Annexed:
Credit For Parcel Or Land OnIy If Applicable: 0 x 0.00 = 0.00
Improvement (if after annexation date): 0 X 0.00 = 0.00
CREDIT TOTAL = 50.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
2
3
5
a
6
1
3
2
2
2
1_
5
4
WillamalaneFair-& Recreation District Job. No.
q
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:bK3 &',14
Street Address:
Plat Name:Tax Lot Number
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
NAME
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
.{rf.,
-LManufactured
home not in a Park d(X $1,000 per unit = $
X $924 per unit $
A. Single-Family Detached
Single Family home
NO. OF UNITS
B. Single-Family Attached
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit $
D. Manufactured Home Park
NO. OF UNITS X $699 per unit $
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Wllamalane Credit approval. See SDC Credit Worksheet.
NO. OF UNITS
3. TOTAL WILLAMALANE NET SDC ASSESSED
. (if SDC reduced tor Credit)
D lo
$
$
$
IDCC p
rQp cid
City of Springfield
rtment
BI
U
tl
Date
s t..GFI€LO
The lollow
zoning, an
approval.
rng pi-oject as rd doe$ not r€,c
spRrNGFrELD, ORXGON 97471 .,. ,.:,.: , .r ...,. ",INSPECIION REQLIEST: 726-3769
0FFICE: 726-3759
,,,7'-j#DL225 FIFTE STREET
1. LOCATTON OF ON
LEGAL DESCRTPTION
JOB DESCRIPTION
P S 1-e non- t s tera b plre
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
L80 days.
2. CONTRACTOR INSTALT.ATION OI{LY
Electrical Contractor
Address
Ci ty Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
OVNER INSTALT,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
ELECTRICAL PERHTT APPLICATION
Nnl Job Nunber
3. COHPLETE FEE SCEEDIJLE BELOV
t{Nev Res iden t ial-Si.ngle or
MuIti-Family per dvelling unit
Service Included:
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home, or
Modular Dvelling
Sertice or Feeder
Cos t
s 8s.00
s 15.00
z s 40.00 9e
B
C
Services or Feeders
Installation, Alterations
or Relocation:
2oo amps or less tftS 5o.oo
201 amps to 400 amps
-
S 60.00
401 amps to 600 amps _ 5100.00
601 amps to 1000 amps- 5130.00
Over 1000 amps/volts $300.00
200 amps''or less S 40.00
201 amps to 400 amps
-
S 55.00
over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000-voITs see "8"
Temporary Services or Feeders
Installation, Alteration or Relocation
Sum
D. Branch Circuits
Address A 78'l S q7'il s/Nev, Alteration or Extension Per Panef
Ci ty pnone ? t2)73\One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permi t 2- $ 2.00
E. Miscellaneous (Service/feeder not included)
Signature:
-Each installation
Pump or irrigation
Sign/Outline Lightit g-
Limited Energy/Res .
Limited Energy/Comm
DATE:
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
4
$ 40.00
s 40.00
s 20.00
s 36.00
BRECEIVED
5 atdL
ovners Name f .1,7,171 4 t?o^ ^, l),suroe
above
It'sA doff*
q5'aL'z-3
/
ADDRESS REQUEST
Property Owner:/
Mailing Address:ilrS
City:state ZgR zip:Tzvzf '
Peraon or Agency reguesting address if other than owner:
Phone number where you can be contacted:
b93 -2/7 {
Assessor Map #:P O 96-/^/ Tax Lot #z ?nBc.L I nF 7t w f(oct
PropertieE are generally assigned addresseg when application ie made for a
permit to improve the property. Please explain specifically why you need an
address assigned prior to the property being improved:
e
o
T{)r" *url,tltoFc frzrtt L/e fu lF,()f A,,nl ,^rlilltto
tl "k | .c) reoss ,e
Proposed Address:
Property Owners Signature:
OFFICE USE
Received By:
Tax Lot #:00q
Denied:-#
Date:
Date Received:Z
Reference Number:,0u 0q.llLT
Approved:tfYnru{0-If approved, new
Reviewed by:
(s)
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DIRECTORY
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Map and lot:
,uaty Addross Ref€renc€ Syslem
02/27/97 11:08:17
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type
*ADLIX
*ADIJIX
UGB:
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401 S- )-"t023243 ToOO
_ 42O _St7023243 5402
_ 427 _SL',t023243 5900
_ 44O _SL?023243 5400445 S- r.z023ZZ:-G8oo
_ 450_St7023243 6501
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L29930
13 013 6
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13 012I
130085
13 0110
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ST
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Incorp
Incorp
Incorp
Incorp
Incorp
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city:
city:
c j"ty:
city:
ciEy:
city:
city:
city:
SPRINGFIEIJ)
Land use:
SPRINGFTELD
Land use:
SPRINGFIELD
Land use:
SPRINGFIELD
Land use:
SPRINGFIEI,D
Land use:
SPRINGPIEIJD
Land use:
SPRINGFIELD
Land use:
SPRINGFTBLD
Land use:
9747a
SPR
97478
SPR
97478
SPR
97474
SPR
97478
SPR
97478
SPR
9747A
SPR
97478
SPR
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Press PA2 for next record, or PA1
55L959 1 Incorp
for pravious r.cord,
DIRECTORY
Number/suffix
City
Map and Lot:
street
Account
Laae Couty Address R€fereDce Systs
02/27 /97 rL:08 :25dir
47TA
551975
47A,t
L368L72
47r5,
]-368172
47TE
5 619 91
47TE
562L22
47TE
562rL4
47Tg
562L30
47T5,- r.8o20Efz-t 7oo s62L48
Pres8 PA2 for Dext record, or PAl for previous
city:
city:
city:
citsy:
city:
city:
ciEy:
city:
ST
ST
ST
ST
ST
ST
ST
ST
SPR
SPR
SPR
SPR
SPR
SPR
SDR
SPR
518_St7023243 8200527 S
t7oz3rdl-9ooa529 S
L7 oz3rdt-9ooLs38 SL7o23dg2oLs55 S
!702324r-sLOo570 Sytordqloo
575_S
1,7023243 9200
595 S
1 Incorp
1 Incorp
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1 Incorp
1 Incorp
1 lncorp
1 Incorp
1 Incorp
r€cord,
SPRINGTIELD
Land use:
SPRINGFIEI.D
Land use:
SPRINGFIEIJ)
Land use:
SPRINGFIELD
Land use:
SPRINGFIBLD
Land use:
SPRINGFIELD
Land use:
SPRINGFIELD
Land use:
SPRINGFIEID
Land use:
#
97478
SPR
97478
SPR
9747A
SPR
97478
SPR
97478
SPR
97478
SPR
97474
SPR
97478
SPR
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DIRECTORY
Number/suffixCity
Map and loE.:
La[e CoEty Address Refarence Systeo
02/27 /97 r1:07:13dir type
*ADLIX
UGB:
UGB:
UGB:
UGB:
UGB:
UGB:
UGB:
UGB:
#
_ 787 _S180205r.1 600791 S- 1802osfz-9100
_ 855_S
1802051-2 9200
_ 873 _S18020513 2800
_ 897 _S18020513 2900_ 915_S18020500 200_ 927 _S18020500 300_ 94L _ s
18020513 3000
47I9,
47TE
47T5,
47TE
47TE
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47TB
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561439
5613 97
551389
5 613 53
551355
56L29A
56L3!4
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Incorp
fncorp
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97478
SPR
97478
SPR
97478
SPR
9747A
SPR
97478
SPR
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SPR
97478
SPR
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city:
citsy r
city:
city:
city:
ciEy:
city:
ST
ST
ST
ST
ST
ST
ST
ct
SPRINGFTBLD
Land use:
SPRINGFIELD
Land use:
SPRINGFTEI,I)
Land use:
SPRII{GFIELI)
Land use:
SPRINGFTELD
Land use:
SPRINGPTEI,D
Land use:
SPRINGFTELD
Land use:
SPRII{GFTEI.I)
Land use:
s
s
s
x
x
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s561330 1 Incorp city:
for previoue racord.Preas PA2 for Dext r6cord, or pA1
street
Account:
sEreet.
Account.: