HomeMy WebLinkAboutPermit Building 1996-07-12SPFTNGFIELE,
RESIDENIIAL PERMIT APPLICATION
CITY OF SPRINGFIEI.D
COMMT'NITY SERVICES DIVISION
BUITDING SAFETY
Page 1
ilob Number: 950887
225 North Fifth street
Springfield, OR 97477
Location of ProPosed work: 1382 33RD ST
Assessors ttap #z 1-7023034
Lot: Block:
Office
Inspection Line
726-3759
726 -37 69
Tax Lot #: 05301
Subdivision:
Owner: ROGER MUELLER
Address l L382 33RD STREET
Describe Work : IIA]IUFACTIIRED HOME
Phone #:
ciry/staue/zip: SPRINGFIELD, oREGON 97478
NEW
General:
Plumbing:
Electrical:
ConEractor
M&ACONSTRUCT 0088928
916 Prescott Lane Springfield OR 97
M&ACONSTRUCT 0088928
915 Prescott Lane Springfield OR 97
HERITAGE INV 0063137
1042 Harn Lane Eugene OR 974040000
Const.
Contractor #Expires
02/LL/e7
02/LL/e7
L2/27/e6
Phone
747 -6504
747 -6504
588-1500
QUAD AREA: 3RNC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- oFFrcE usE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 2
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
To request an inspection, call the 24 hour recordi-ng aE 726-3769.
A11 inspections requested before 7:00 a.m. witl be made the same working day,
inspections reqluested after 7:00 a.m. wi]I be made the fo]Iowing work day.
--- REQUIRED INSPECTIONS --.
PEDESTAL - Prior to cover.
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
WATER LINE - Prior to filling trench.
SAIiIITARY SEWER LINE - Prior to filling Erench.
STORII SEWER LINE - Prior to filling trench.
MAIIUF HOME/}IOBrr,E HOUE SET UP - When all blocking is complete.
tdAlIIrF. HOME/UOBTLE HOITIE ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MNTUF. HOME/}IOBrLE HOME PT,ITMBING - Af ter home has been connected to
water and sewer.
FINAL SET UP - After a1I required inspecEions are approved and porches
skirting, decks, vent.ing, house numbers, etc. have been instal]ed.
Lot Faces: E
Setbk From NPL: l-9
House
Lot Sq. Ft.: 9850
Solar Approved: Y
TotaL Height: 15
Lot Type: INTERIOR
N
6
SeEbackssw
32 51
E
18
ftem
Main
Garage
FTG,/PERIM FOUNDATION
--- BUII.DING PERIIIT
Sguare Feet x VaIue
44, 000.00
0.00
1, 800 . 00
$/Sguare Feet
SPR!TGFIELD
Job Number: 950887
ct|r SPfiIIVGFIEID,
Page 2
ToLal Value
Building Permit Fee
Surcharge/admin
TOTAI, FEE (A)
45, 800 . 00
29 .50
2.37
31.87
--- SYSTEMS DEVEI,OPDTENT CIIARGE (SDC)
(B)64L.28
Systems Development Charge is due on all undeveloped properties wiLhin the City
limits and the Citys Urban Growth Boundry which are being improved.
Fee
25.00
25.00
25.00
Plumbing Permit
Surcharge/admin
75.00
6.00
TOTAL CIIARGE (c)81.00
Item
Sanitary Sewer
water
Storm Sewer
50
50
50
--- UISCELI.A}IEOUS PER}TITS ---
Mobile Home
State Issuance
surcharge/aamin
ELECTRICAL PERMIT
TOTAL MISCETIAI{EOUS PERMITS
105.00
20.00
8.40
43.20
(E)L7 5 .50
(Excluding Electsrical )
unlees otherwise noted
--- TOTAL AI{OI'MT DUE .--
(A, B, c, D, and E conbined)930.75
--- BUILDING VALUE, PLAMHECK AND BUILDING PERIIIT ---
This permit is granted on the express condition that the said construction
shalI, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Devetopment 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.
PIan Check Fee: 19.18 Date Paid:
Received By: DON MOORE
Plans Reviewed By: LISA HOPPER Date:
Building Site Reviewed By: LISA HOPPER
Receipt Number: 22328
--- ADDITIONAI. COMMENTS --.
STORAGE STRUCTURE TO BE CONVERTED TO SHOP ONCE
OCCUPANCY FOR MANUF HOME HAS BEEN GRANTED
EXISTING HOUSE TO BE CONVERTED TO STORAGE STRUCTI'RE ONCE OCCUPANCY HAS BEEN
o7 /02/e6
o7 /LL/96
--- PLI'I{BING PERDIIT ---
SPRIrlGFIELD
,Job Number: 950887
o7'r SPNruGFIEID,
Page 3
GRANTED PER AGREEMENT WITH MR. MUELLER DATED MARCH 23, 1990.
2 STREET TREES REQUIRED
By signature, I state and agree, thaL I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify Ehat any and a1l- 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 that NO OCCUPANCY will be made of any structure withouE permission of the
Community Services Division, Building Safety. I further cert.ify 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 af1 required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is located at the fronE of the property, and the approved seE of plans
will- remain on the site at all t,imes during construction.
"(txtz b
s t Date
--- VALIDATION ---t/Sceipt Number:
Date Paid:
Amount Received
Received By:
SPFlIntcFIELO
apprcval.
Zorti
%
225 FTTTB STREET
SPRINGFIELD, OREGON 974
fNSPECf,ION REQUEST: 72
0FFICE: 726-3159
7Q*"-!)2-4V city Job *rro". 4b088?6sJ/"Q?.a
3. COHPLETE FEE SCMDULE BELOV
ELECTRICAL PERHIT APPLICATION
Nev Residential-Sing1e or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
s 8s.00
1 0
II
I I Sum
Permits are n transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspen-ded for
180 days.
2... CONTRACTOR INST TION OI{LY Services or Feeders
Installation, A1 terations
or Relocation:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$'1s.00
J s 40.00 {o
B
Electrical Contract
Address
Ci ty Phone
Supervisor L cense Number
Expiration Date \D.\'
Constr Contr. Number
Exp iration Date
Signature o Supervising Electrician
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect 0nly
S so.
s 60.
$ 100.
s130
s300
$40
6r.d"^L
C
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. -Iliscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $
Sign/outline Lighting- S
Limi ted Energy/Res
-
$
Limi tcd Energy/Comm S
SUBTOTAL OF ABOVE
52 State Surcharge
32 Admini.strative Fee
.TOTAL
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
S 55.00 ;
over 401- to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voT[s see ttgtt uffi![-
0vners N
Add ress 1-
Ci ty Phone
ALt,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
RIiC
40.00
40. 00
20.00
36.00
RECITVED I]Y
((D
00
00
00
00
00
00
CTTT SPfrruGETEI.O,
SPFINGFTELO
Name or ComPanY:
1. STORM DRAINAGE
Impervious Sq Ft
2. gN{ITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRJN{SPORTATION
Number Of UniLs
Transportation Total
4. SNiIITARY SEWER - MW}!C
Number Of PFUs
7
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CIIARGE
(RESIDENTIAI.)
ROGER MIJELLER Job No.: 960887
Page 1
Sq Ft
$16s.48
$304.01
$0.00
$141.25
$o. oo
$r-4r-.2s
$510.74
$30. s4
Location L382 33RD ST
DeveloPement T)Pe: R Building Size Lot Size:
+ MWMC Admin Fee
+ 10.00
788 X 0.210 Per Sq Ft =
X 43.43 Per PFU =
X TriP Rate x Cost Per TriP
7
x
x
PCT PFU
18.750
MWMC CREDIT If epplicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTF-ATIVE FEES
Base Charge (Subtotal Above) x 0.50
TOTAIJ SDC
Reviewed By: DENNIS ERNST Date: 07/0e/96
$64L.28
CTTT SPI?IIVGFIEID,
SPRTNGFIELD
'fob Number: 950887 Page 2
FIXTURE I'NIT CAI,CUI.ATION TABI,E
Number of
New Fixture
Unit
Equivalent
Fixture
UnitsFixture TYPe
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/oit/solids/Btc
Inteceptors For Sand/Auto Wash/Etc
Laundry tub/Clotheswasher
Ctotheswasher - 3 Or More
Receptor For Refrigerator/water Station/eUc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinat, Statl/wal]
Wash BasinfLavatary, Single
Water Closet, Publie Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
CREDITcALcuLATIoNTABLE:Basedonassessedvalue'Ifimprovementsoccuredafterannexationdate,creditsareca}culatedseparately.
(calculations are bY $1ooo)
Year Annexed: L959
credit For parcer or Land only rf Appricable: o x 0'o0 = 0'00
Improvement (if after annexation date) ' O X O'OO = 0'00
SREDIT TOTAT = $0.00
(If}andva}ueismultip}iedbylthentheparcel/landcreditisnotaccurate.)
z
0
0
0
U
0
0
0
0
0
0
0
0
1
0
+
0
7
a
1
2
3
6
a
6
1
3
a
a
z
1
A
4
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
CITY OF OREGON
SPIrlAjv'lELl)
D EVELOP M ENT S ERW C ES DE PARTM E NT
MANUFACTURED HOME SBT-UP AGREEMENT
As
the
required by the City of Springfield Development Code, I understand and the
one 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 of not 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 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 equivalenlto.thggerformance standards required
for single family dwellings at the time of construction. ,_f i lt , t f mrtrals
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 a
nominal roof pitch of 2 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 for single
family dwellings at the time of construction.initials
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 foundatidrt
not to exceed 6 percent slope within l0 feet of the perimeter enclosure, enclosed at the perimeter with
stone, brick or other concrete or masonry materials approved by the Building Official and with no more
than24 inches of the enclosing material exposed above grade.
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX (541) 726-368e
.- /,rt 4tol\
Date
C\
--
sicnatt) t)