HomeMy WebLinkAboutPermit Building 1998-03-05cn'roF
SPAIIOFTELE,
t
RESTDEMTIAL PERMTT APPLTCATION
CTTY OF SPRINGFIELD
COMMI'NTTY SERVICES DIVISION
BUILDING SAFETY
page 1
dlob Nurnber: 980181
225 North Fifth StreeE
Springfield, OR 97477
Location of Propoeed Work z L2G9 3ZTH ST
Assessors Map #: 1,7023043
Lot: Block:
Of f i_ce:
Inspection Line:
726 -3759
726 -37 59
Tax Lot #: 03001
Subdivision:
Owner: DAVE MEACHA.IT{
Address; 1-269 37TH ST
Phone #: 746-1,21-0
citylst.ate/zip: sPFD OR, 97477
NEWDescribe Work: IIANUFACTURED HOME
General:
Plumbing:
Electrical:
QUAD AREA: 3RNC
# OF I'NITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
CgntracEor
M & A CONSTRUCT
916 PRESCOTT LANE S
M & A CONSTRUCT
915 PRESCOTT LANE
HERITAGE INV
1042 HARN LANE
Const,.
Contractor #
0088928
LD OR 97
889
OR
531
Phone
7 47 - 6504
747-6504
588-1500
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: l-080
28
vt
37
00
Expiree
02 / 1,1/ oo
02 /tt/ 0o
L2 /27 / e9
I
LAND
ZONING
#OF BDRMS J 3
RANGE: E
4r"0
To request an inapect,ion, call_the 24 hour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. will- be mad.e the same working d.ay,inspections requested after 7:00 a.m. wiLl be made the following work day.
--- REQUTRED TNSPECTTONS ---
FOOTfNG - After trenches are excavated.
SLAB - To be made after al-I inslab building service equipment, conduitpiping, and other equipment items are in place but prior to concret.e
!!Ar{uF HOME/MOBTLE HO}!E SET Up - When all bLocking is complete.
IIANUF. HOME/ITIOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MAr{UF. HOME/MOBTLE HOME pr.IrMBrNc - After home has been connected to
water and sewer.
FINAL SET UP - After all reguired inspections are approved and porches
skirting, decks, vent.ing, house numbers, etc. have been instal_l_ed.
Lot Faces: W Lot Tytrle: INTERIOR
Setbacks
swE
18 76
N
House
fEem
Main
Garage
FTG/PERIM FOUNDATION
Tota1 Value
Bullding Permit Fee
Surcharge/admin
--- BUILDING PERMIT ---
Square Feet x Value
53, 575.00
0.00
2 , L75 .00
55, 750 . 00
38.50
3 .09
$/Sguare Feet
SPFIi|GFIELD
Job Number: 980181
OTTOF t
Page 2
TOTAL FEE (A)41.59
PLI'MBING PERMIT ---
Item
Mobile Home
Plumbing Permit
surcharge/admin
TOTAI, CIIARGE (c)
Fee
15.00
15.00
1,.20
L6.20
--- MISCELLAIiIEOUS PERMfTS
Mobile Home
State Issuance
Surcharge/admin
ELECTRICAL PERMIT
SYSTEM DEVEL CHARGES
TOTAI, MISCEI,I.AIiIEOUS PERMITS
105.00
20.00
8.40
43 .20
344 .42
(E)52L.02
(Excluding Electrical)
unless otsherwise noted
--- TOTAI, AITTOI,NT DUE ---
(A, B, C, D, and E combined)578.81
--- BUILDING VALUE,PI.AN CHECK AI{D BUII,DING PERMIT - - -
This permiE is granted on the express condition that the said construction
shafl, in all respects, conform to the ordinance adopted by the city of
Springfield, including Lhe 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 Paid:
Received BY: DON MOORE
Plans Reviewed BY: LTSA HOPPER Date:
Building Site Reviewed By: LISA I{OPPER
02/1-2/e8
03/04/e8
Receipt Number: 28792
--- ADDITIONAI. COMMEtirTS
2 STREET TREES REQUIRED
By signature, I etsate 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 cert,ify 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 without permission of the
Community Services Division, Building Safety'I further certifY that onlY
contracEo rsand.emp}oyeeswhoareincompliancewithoRsTol.055wi].Ibe
used on this Project.
f further agree to ensure that all required inspections are reguested at the
proper time, that each address is readable from the street, thaE the permit
card is located at the front of the property, and the approved set of plans
will remain on the site at all- times during construction'
:[s1.,k
Signature Date
SPFIi'GFIELD
,fob Number: 980181
CITT OF SPf,ruGEIEID,
Page 3
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
V
)
Sl atcFtELO
tollowrrrg
uudl4r
Dale
frt?t d
726-3769
1 OF
Permi ts a non-transferable and expireif vork is not started vithin LgO daysof issuance or if vork is suspend edL80 days.
2. CONTRACTOR TNSTAIIATTON ONL
Electrical Contractor
Address Z
Ci ty Phone /-
Supervi-ser License Number 7f S- S
Expiration Date
constr contr. Number
Expiration Date /Z{fg
Signature fSu ising Electrician
Ovners Nam
Addres
Ci Phone
3. COHPLETE FEE SCEEDULE BELOY
A. Nev Residential_single orMulti-FamiIy per a"Eifine unit.Service fncluded. o -''
f tems
1000 sq.ft. or lessEach additional 500sq. ft or portion
thereof
Each Manufrd Home. or
-
Modular Dve1ling IService or FeedEr _l
Services or Feedersfnstallation, Alterationsor Relocation:
ELEGTRTCAL PERHTT
ty Job Nunber
amps or lessto 400 ampsto 600 amps
000 amps-s/volts
-
225 FTFTE STREET
SPRTNGFIELD, oRGGON
INSPECTTON REQUEST:
OFPTCE: 726-3tSg
Cos t
s Bs.oo
s 1s.00
s 40.00 4)
Sum
/6
o1
D. Branch Circui ts
$ s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
3t>z BO c'Tempor ry Services or peedersfnstallation, Alteration or Relocation
200 amps"or less S 4O.OO201 amps to 400 amps
-
S 55.00over 401 to 600 amps
-
S Bo.Oo0ver 600 amps or 1000 voTts see ,'Bu affi
ALLATION
The installation is being made on
property I ovn vhich is not intended
f or sale , lease or t-en t .
0rners Signature:
DATE:
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tionalCircuit or vith Serviceor Feeder Permit $ 2.0O
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/outline Lightine-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3% Administrative Fee
TOTAL
.lh
s 40.00
s 40.00
$ 20.00
s 36.00
yz rl
RECEIVED
5
LP
JoB No. q8o/61
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY
LOCATION I? A q.3 7rg 5T
DEVEI-OPMENT TYPt HH Rep (6n g,sT'
BUILDING SIZE CT SIZ Ft
1. STORM DRAINAGI €ttc<,o De-y,.rc.c-
IMPERVIOUS SO FT X $0 225 PER SQ. FT $e
2. SANIIARY Si{ER-CITY
NO OF PFU'S 7 X 5.16. 86 PER PFU $ "^F.oz(See Reverse Side)
3. IRANSPORIAIiON
NO OF UNITS X TRIP RATE X COSI PER TRIP
x-x$47249 $ C-)
x $472.49 $
x _ x $472.49 $
4. SANiTARY SE./'JER-MIdMC
NO. OF FEU'S X PER FEU + $10 MI^JMC/ADM FEE $e-
Mt^ll4c CREDiT IF APPLICABLE (SEE REVERSE)$
TOTAL-Ml^lMC SDC $
SUBTOTAL (ADD ITEMS 1,2,3 & 4)$ 329' o'-z-
5. ADMINISTRATIVI FEES
BASE CHARGE (SUBIOIAL ABOVE) X .05 $ lG,4 0
X
SDC Coordr nator
Date q* zo-1 t
TOIAL SDC $ 34+,4>
ut r')l"-l c r-l
bl
. rr\ r \rrrL \r.r. r vraLvr-rLH I tre,t\l I f{I)L[,. Number ot New Frx"-''es X Unit Equivalent : Fixture Units
(NOTE: For remodels, calculate or^'he NET additional fixtures)
NUMBEH OF UNIT FIXTURE
UNITSFIXTURE TYPE NEW IXTURES EOUIVALENT
Ne nt
14N
oLo
,.r H
Bathtub......
Drinking Fountain....
Floor Drain..
lnterceptors For Grease/Oil/So1idsiEtc..............
lnterceptors For Sand/Auto Wash1Etc..............
Laundry Tub/Clotheswasher.....
Clotheswasher - 3 Or More....
Mobiie Home Park Trap (1 Per Trailer).........
Receptor For Refrigerator/Water Station/Etc.....
Receptor For Commercial Sink,'Dishwasher/Etc..
Shower, Single Statl.....
Shower, Gan9.........
Sink: Bar, Commercial, Residerrtial Kitchen.......
Urinal, Stall/Wall..
Wash Basini Lavatory, Single...
Toiiet, Pubiic lnstallation.
Toiler, Private.......
Miscellaneous
I -cz
=l
2
1
2
3
6
2
6
b
1
3
z
tt
2
2
1
b
4
Z
Heado
2_
TOTA
=l ZL+
t slgu)f rIxruRE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits rates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
XS
(Rate X Assessed Value)
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 979 or before
1 980
'l 981
1 982
1 983
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
vz.co
2.17
1.73
1.31
0.92
o.74
0.61
0.45
o.31
o.17
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Onlyl
Fesioenriai....
Commerical...
lndustrial......,
Governmental
..... 0.4
.... 0.9
05
....0.5
lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtctENT
=[
I
7
x s_
CREDIT TOTAL = $
CITY OF OFEGO'V
SPRlf,iGFTELD
DEVELOP M ENT S ERVICES DE PARTM E NT
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that
permits, one of the following
Springfield, Oregon, City Job
be placed at ,\r\
h,225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX (541) 726-368s
of attrched
Number
!;
' y- Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enchsed
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 iranuffirer to
have an exterior thermal envelope meeting performance standards which reduce heat loss to leveb
equivalent to the performance standards required of single family dwellings constructed under tlre State
Specialty Codes.
s'l=l
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 feetin height for each 12 fwtin width
and that has no bare metal siding or roofing.
The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6
percent slope within l0 feet of the perimeter enclosure. The perimeter foundation wall surrounding the
home shall be constructed of stone, brick or other masonry materials, and with no more than24inches 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 you, p*""1 are noted onyour approved set up plans and/or permit and your partition approval if applicabli:
e Street Trees
. Paving Driveway
. Minimum 32 square foot storage structureo Completion of partition approvalo Removal of any existing structures as noted on your partition approval
' Si8ning and recording of any required partition, easement, impiovement 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.
Signature Date
(t
Owner
Signature Date
eB