Loading...
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