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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) ss l-s 3 r 7 "l$1 ' \ ig--.. I--.. I il li li il T \r! ,/ t/- +a' 600 LrJ Eo o oE \<()o E, F I I l.. It li li I ol i 1 I \ I ffi,r'41* ,ta., b /r ,]?* 500 th hlu)l17 t-- D fi t. t o0 1. tto @ ,fr@0/rEry'r t, 9' ttI ,to700 J I c' aI 90() t-- ) (.' I {t' bu\.t t .t I rt? '9 ol9-37 OaAHWqoa Cr{ wil- '€0 ]aAec<V ' .,t t- (E o\\} ,f' -) t" P ,wLe+aYL Mffif Pil^ "1 tal/ - ,4/' SEE UAP lt-Oz-O3 L - lo c orntY ),q* I I s I 0 DIRECTORY Nur,.Jer,/suf f ix ciEy Map and lot: ,uaty Addross Ref€renc€ Syslem 02/27/97 11:08:17 _ lir tlpe type *ADLIX *ADIJIX UGB: UGB: UGB: UGB: UGB: UGB: UGB: UGB: # 401 S- )-"t023243 ToOO _ 42O _St7023243 5402 _ 427 _SL',t023243 5900 _ 44O _SL?023243 5400445 S- r.z023ZZ:-G8oo _ 450_St7023243 6501 _ 455_S t7023243 6700515 S- r7o23rEi-8900 47T9, 47TE 47T,I 47TE 47T5. 47IlE 47rE 47T:E SPR SPR SPR SPR SPR SPR SPR SPR UGB: UGB: UGB: UGB: UGB: UGB: UGB: UGB: L30L44 L29930 13 013 6 L299t4 13 012I 130085 13 0110 I 1 1 I 1 1 1 ST ST ST ST ST ST ST ST Incorp Incorp Incorp Incorp Incorp Incorp lncorp 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 s s s s s s s s 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 L lncorp 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 D D D s s c s s 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 47TE 47TB {7TE 561439 5613 97 551389 5 613 53 551355 56L29A 56L3!4 Incorp fncorp Incorp Incorp Incorp fncorp Incorp 97478 SPR 97478 SPR 97478 SPR 9747A SPR 97478 SPR 97478 SPR 97478 SPR 97478 SPR 1 1 1 l- 1 L L 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 s s s561330 1 Incorp city: for previoue racord.Preas PA2 for Dext r6cord, or pA1 street Account: sEreet. Account.: