HomeMy WebLinkAboutPermit Miscellaneous 1991-10-4
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SPRINGFIELD
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD. OR 97477
(503) 726-3753
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield
that vith the approval of the attached
manufactured homes viII be placed at
Springfield, Oregon, City Job Number
Development Code, I understand and
perf~~rp oN\l1f~o~~~\\,
a.. \f'\I'~ I
agree
o
Class A Manufactured Home. A manufactured home of not less than 24
feet in vidth and 16% (not less than 2:12) roof pitch, vith exterior
dimensions enclosing a space of at least 960 square feet, vith roofing
and siding materials that are commonly used or compatible vlth site
built homes. ,
o
Class B Manufactured Home. A manufactured home of not less than 12
feet in vidth and 16% roof pitch, vith exterior dimensions enclosing a
space of not less than 500 square feet, vith roofing and siding
materials that are commonly used or compatible vith site built homes.
I further state, by my signature belov, that I have been provided vith the
folloving information:
- Mobile home blocking
- Sanitary sever'connection
- Yater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
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~aiure V
/0 -4--11
Date
, .
lot faces , Lot Type
Lot sq: fig. Interior
Lol coverage Corner
Topography Panhandlo
Total height Cul-de-sac
, . '
BUILDING PERMIT
ITEM SO. FT.
.
"
",.~ .....::-
I P.L.
Setbacks
HSE GAR ACC
N
.2.-
,W
IE
Main
X $/SO. FT, = \Cf~
Garage
Carport
Total Value
Building Permit Fee
Stale Surcharge
Total Fee
(A)
,\~l)
c9~\CS
SYSTEMS DEVELOPMENT CHAR~~{Sg/~
(B) . g
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s)
N'
Sanitary Sewer
FT.
FT.
Water
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhau",1 Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryor Vent
Mechanical Pe.."'1t
Issuance
State Surcharge
Total Permit
(D)
MISCEI.LANEOUS PERMITS
Mobile Hume
State Issuance
State Surchari'1-\
Sldewal ( ..<:t\) fI
Curbcut
fI
Demollllon
State Surch2rge
FEE
;)~
~~
QS
lJSOO
'3.15
r; 'F-,. '15
--
(L)
~ .f):)
)'S.f)S
f).~
~l() .CO
Total Mlscel,anecus Permits (E)
TOTAL AMOUNT PUE (excluding electrical) 5FA.l ~,
(A, B, C, 0, eod E Combined)
IS THE PROPOSED WORK IN THE
'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this appllcallon must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
~. I .
APPROVED:
UILDING VALUE, PLAN CHECK
A BUILDING PERMIT
This per tis granted on the express condillon at the said
construct! shall, In all respects, conform he Ordinance
adopted by e City of Sprlngfl ,Including the
Development Co regulating the structlon and usa 0'
buildings, and may suspend or revoked at any time
upon violation of any p Isl a of said ordln.1ncos.
Plan Check Fee'
/
""
Date Paid:
?fans Reviewed By
,
Systems Development Charge l.s due on all undeveloped
properlles within the City limits which ere. being Improvod.
ADDITIONAL COMMENTS
By signature, I atate and agree, thai I have carefully examlnod
the completed appllcallon and do hereby cerllly thai all
Information hereon Is true and correct, and I further certlly
that any and all work performed shall be done In accordance
with the Ordinances of the City of Springfield. and the Laws
of the State of Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Salety Division.
I further certify thai only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project,
I further agree to ensure that all required Inspectlons are
requested at the proper lime, that each address Is readable
from the street, that the permit card Is located at the front
of the propert e approved set of plans will remain
on the site t all t as during construction.
Slgn~IU~ ~ - J!J? . vk: (}t$V1 ~
Date~. '0 /~c.j- 9f
VALIDATION: f\ 1\
RECEIPT NUMB,EJ ~ . 6x J::D c-L
DATE PAIf'\ 'IU 4-.q I
AMOUNT RECEIV~R.. '=5-5 . cQ I
RECEIVED BY : [) /AI ~ '
v'.
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
N/A
';lq
ASSESSORS MAP'
LOT'
OWNER'
Lochaven Partners
ADDRESS'
CITY'
1199 N. Terry St.
Eugene
DESCRIBE WORK' Mobile Home set UP
NEW
x
REMODEL
ADDITION
CONTRACTOR'S NAME
Ernie & Son's
GENERA' '
PLUMBING' Harrison Construction
SPRINGt-It::.LU
BLOCK:
STATF'
OR
JOB NUMBER-91 D757
225 Flflh Street
Springfield, Oregon 97477
(Dq,t? T
TAX LOT' N/A
CXffkD
SUBOIVISION' Lochaven,
"0". 688-91~
ZIP' 97402
.- Concrete strineers - Accessorv Value $ 11qo-
OTHER M.H. Value $ ,q ,('05'.'-
;.
DEMOLISH
ADDRESS
87922 LaPorte Dr..
CONST.
CONTRACTOR'
Eue. 41497
1441 N. Hwv. 99
20-236PB
EXPIRES PHONE
2/2/92 484-6505
689-7762
2/2/92 484-6505
.144-1 SOO
MECHANICA' .
ELECTRICA"
Ernie & Son's 87922 LaPorte Dr.. Eue. 41497
Herital!e Electric 855 \~. 24th 20-280C/6J] 17
\~~)w - OFFICE USE -
OUAO AREA: LAND USE: \\ 7f) FLOOD PLAIN'
. OF BLDGS' \ . OF UNITS: \ ZONING CODE: tOlL
OCCY GROUP' \(. ~ CONSTR. TYPE: . OF BDRMS' ~
. OF STORIES: \ HEAT SOURCE: ~t- SECONDARY HEAT:
WATER HEATER:~' RANGE: V SOUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. will be
made the same working day. Inspections requested after 7:00 a.m. will be made the fOllowing work day.
REQUIRED INSPECTIONS
o Temporary Electric
D Site Inspecllon - To be made
after excavation, but prior to
setting forms.
\r7!7underslab Plumbln lectrlca
~ Mechanical - Prlo to cover.
mooting - After trenches are
,excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement
o Underground Plumbing - Prior
to filling trench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor InsulatIon - Prior to
decking,
k-f9 Sanitary Sewer - Prior to filling
L.FJ trench.
. ~Storm Sewer - Prl"or to filling
~ trench.
f\7'17water Line - Prior to filling
~ trench. '
o Rough Plumbing - Prior to
cover.
o Rough Mechanical - ~rlor to
cover.
o Rough Electrical - Prior to
cover.
D Electrical Service - Musl be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to'
cover.
o Drywall - Prior to taping.
o Wood Stove - Afte~ Installation.
o Insett - After fireplace approval
and Installation of unit.
D Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
r\fl)sldewalk & ,Driveway - Afler
Lf=Y excavation Is complete, forms
"and sub.base material In place.
o Fence - When completed.
o Street Trees""; When all required
trees are planted.
o Final Plumbing - When all
plumbing work Is complete.
o Final Electrical - When all
electrical work Is complete."
D Final Mechanical - When all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved end building Is
completed.
o Other
MOBILE HOME INSPECTIONS
~OCklng and 'Set.up - When all
rlOCklng Is complete,
~IUmblng Connections - When
home has been connected to
water and sewer. .
~Iectrlcal Connecllon - When
blocking. set.up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
Mnal - Alter all required
,Inspectlona are approved and,
porches, sklrllng1 decks;"and
venting have been Installed.
.
.
Fi:nllre Unit Calculatio;l Table: ::'.:~,~~l' cf "e',' Il:.:t'.lres !:',ultiplied by \l:lit
equivalents. ;,oT;::: For n",od~ls, eclC'J,~te e,nly the ;:;::T ccditional fi:-:t~:res.
Fixture Type
of Unit
F xtures Eaui~alents
Fixture
l!ni ts
3athtub.................................. .
Drinking fountain............. ............
Floor drain.......................,...,...
Interceptors for grease/oil/solids/etc....
Interceptors for sand/auto .asn/e:c.......
Laundry tub/clothes ,asher... .............
Clothes 0asher (3 or more)................
Mobile home park trap (1 per H.3.)........
?eceptor for refrig/,ater statio~!etc.....
Receptor for COr'.rr.er sir:k/dish....s:::.':tc.....
Shover, single stall......... .............
Sho\'er, gang (per head)...................
Sink, bar, com~ercial...... '" ............
Sink, commercial/industrial/etc...........
Urnial, s tallhall. . .. . . . . . . . .. ...... . . '"
Vash basin/lavatory, si~gle...............
Vater closet, public installativ~.........
Vater closet, private.....................
!'.iscellaneous: ..........
2
1
2
3
6
, _2
6
6
1
?
.>
2
1
2
3
2
1
6.-
4
..........
..........
Total Units:
Total fixture units
4 S13.25 each = Total Charge: $
Credit Calculation Table: 3ased O~ total calue of property at time of permit
application.
Year "]..nJ"le:':'ad
~o tl-!e ci tv:
Credit per $1,000
C!ssessed va1ue
ll51 ,,4--
1979
1980
1981
1982
1983
1924
1985
1986
1987
19E8
1969
1990
$2.66
$2.64'
$2.53
$2.41
$2.19
$2.04
$1. 69
$1. 35
$1.15
$0.92
$0.59
~,O. 23
--
Rate
"S IO,S'2..0
r.ssEssed Val\.:e
= s
Credit
Total Credit
Metropolitan
Wastewater
Managernent
Commission
.
.
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ri:=iH A;'~D A SiP-EElS - ~rr:,:~'~GF:~LD CiTY !-;;',LL - ~~R;:":Gr::ELD, Cr=,EGC!J 97.:.77 TELEr-';.-:G:,;: (:C:;) ;.:r.:::",
!r,'l-\C CO!<NECTION CHARGE
Building Address: jCfSG me ~V(-'?~. C~u.(('+
Refere8umber: /703 de 'I /-3 . ' Tax Lot Number: 7J 0 L( cJ.1J
O"ner: D0bOJ) P{\. i/ynAfDLt.-S .
Address: \\C\C\ ,{\ .\~;-.(\[~\" .PhoneNumber:lo~<6J~\23
City: FA ')060 llL State: (\l(W1)~. Zip: q 1\4(YL
~ Residential Fee ($222.00)
$ r\)QQ ~
Commercial Fee (nev non-residential development/
remodel)
Total fixture unit charge (see reverse of this form) $
Credit Due (see reverse of this form)
SUBTOTAL $
<$ d0 .4,~
>
TOH.L }'.VMC CHARGE
$ lq~ .55
Date Received:
JO .4.QJ
6J( ~ 07
, Recei ved
-
BY:~
----
Receipt Number:
,
Building Job Number: CJ I 0 7-3 7
225 FIITS STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LQ~ION OF INSTALLATION '<::,,^
\lAS\ n \,(\(\-:"\T\t)\,oL'v A.
LEGAJ...-QE~PT!Wl
\I()~~I )\-;')
CirArO
,~::~~}"~~ ~d '.",<<
if vork is not started vithin 180 days
of issuance or if work is suspended for
.180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaoe Elect
Address 855 West 24th Avenue
City
Euoene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/
Constr Contr. Number 63137
Expiration Date
12/27/
Signature of Supervising Electrician
~.w.~
Cf<f5 - s
Ovners Name
Address
City Phone
OlINER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
DATE: IOIl.L\0 \
"""r..1U 11: 'A-I~C)~
RECEIVED BY: LIs,^-,
q\()\Ql
COMPLETE FEE SCHEDULE BELOV ~
Nev Residential-Single or
Multi-Family per dvelling uni t. .
Service Included: '
City Job Number
3.
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling ..a f'D
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
60l amps to lOOO amps
Over lOOO amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
20l amps to 400 amps
Over 401 to 600 amps
Over 600 amps or lOOO volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
S 20.00
S 36.00
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DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
November 26, 1991
CERTIFIED LETTER
Lochaven Partners
1199 N. Terry Street .
Eugene, OR 97402
RE: Temporary Occupancy
Dear Maroa:
225 FIFTH STREET
SPRINGFIELD. OR 97477,
(503) 726-3753
On November 22, 1991 a Temporary Occupancy was granted to you to occupy the
manufactured home located at 1956 Mc Tavish Court, Springfield, Oregon. As a condition
of the Temporary Occupancy, you are required to complete the following items no later
than December 22, 1991. .
1. Storm drains need to be installed.and inspected.
2. The required storage structure as noted on )'our plot plan needs to be installed.
3. The street trees as noted on )'our plot plan need to be planted.
4. The required skirting and vents need to be installed.
An inspection will be conducted on December 23, 1991 to ensure compliance. If the items
are not completed by that date, the Temporary Occupancy will expil"e.
If you have any questions, please phone our office at 726-3759.
Sincerely,
~~&~.
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Deanna Buckem
Building Secretary
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United States Postal Service
Official Business
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PENALTY FOR PRIVATE
USE, $300
Print your name. address and ZIP Code here
.
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DEVELOPMENT SERVICES
225 FIFTH STREET
~PRII\'(~FIr::Lf).OR 0'1177
" 'SENDER:
.mPlete items 1 and/Of. 2 for addttional~services~.
Jmplete items 3. amida & b. ""- '_
. riQt your name ancLa.W1ress on the.teverse, Qf.. this so
that we can return this. card to you. ..... .
. Attach this form to J.he front of the.Jl:lai1piece, or on the
back jf space does not...p!:.~mit. ... ~ .
. Write "Return Receipt Requested" on the mailpiece next to
the article number.
3. Article Addressed to:
'\..J Ill) ~~
iod1~ PaJ'\~
1\0'1 j\J.-r~~
W~, DR lit/,-/O';).
5, 5i~C[!2!.lef ~
6. Signature (Agent)
P5 Form 3811, October 1990
\ OtS- (~
m <;;-,-;;,); <>.t-.,.;
I also wish to receive the
following services (for an extra
fee):
1. Q-7..ddressee's Address
2. 0 Restricted Delivery
Consult postmaster for fee.
14.. A'ese3t;::; W DY Shi
4b. Service Type
o Registered
la"Certified
o Express Mail
o Insured
o COO
o Return Receipt for
Merchandise
17. Date of Delivery
//-J.7_CJ'1
18. Addressee's Address (Only if requested
and fee is paid)
I 5,4,;tf? -k n '3
DOMESTIC RETURN RECEIPT
'I'lU.S. GPO: 1990-273-8&1
STICK POSTAGE STAMPS ro ARTICLE ro COVER FtRST ClASS POSTAGE,
CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES (n. Inlnt),
1. If you want this receipt postmarked, stick the gummed stub to the right of the return address
leaving the receipt attached and present the article at a post office service window or hand it to
your rural carrier (no extra charge).
2. If you do not want this receipt postmarked, stick the gummed stub to the righl of the return
address of the article, date, detach and retain the receipt, and mail the ~rticle.
3. 11 you want a return receipt, write the certified mail number and your name and address on a
return receipt card, Form 3811, and anach II to the front of the article by means of the gummed
ends if space permits. Otherwise, affix to the back of article. Endorse front of article RETURN
RECEIPT REQUESTED adjacent to the number.
4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,
endorse RESTRICTED DEUVERY on the front of the article.
5. Ellter fees for'the services requested in the appropriate spaces on the front of this rea If-return receipt i~sted, check the app~cable blocks in item 1 of Form 3811. .
6. Save this rec~nd present it if you make inquiry. 'ku.S.Q.P.O.1990-27o.153
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,.. Do not use for International Mail
1'OST.ff'~~ (See Reverse)
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