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Home My WebLink AboutPermit Miscellaneous 1991-9-16 .. S.NGFIELD . DEVELOPMENT SERVICES PUBUC WORKS METROPOUTAN 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 agree permi ts{ C{; ~ tm~1frinlgJ~\\- ) , C-\ \n,'Lct . - 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 vi,th site buil t 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 - Vater line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps )1L~ Signature , ;t~ Date Lot Type . Setbacks Interior I P.L. HSE GAR ACC I IN I Corner Panhandle -L- -- Cul.de-sac ,W IE It' Lot faces ~ , Lot sq. Itg. Lot coverage Topography Total height 4 , {, BUILDING PERMIT ITEM SO. FT. x $/50. FT. ;'1ntdfl Main Garage Carport ,\ ~ '. ,ItE PROPOSED WORK IN THE -., H ORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVEf" BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted 'on the express condition that the said construction shall, In all respects, conform to the Ordinance sdopted by the Clly of Springfield, Including the Development Code. regulallng the construction and uso of buildings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordln:mcos. ,-Q~ Plan Check Fe~' Date Paid: Total Value ~q..qj Receipt Number' Building Permit Fee ~ Received By: State Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE ISDC) (B) ~q ~5;)'1 PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' c-{)f) QS cGf') Sanitary Sewer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcha~ge Total Charge ')S.CJO 3./) /) ~, '75 (C) MECHANICAL PERMIT Furnace ExhaUl'.t Hood Vent Fan N' Wood Stove/lnsertl Fireplace Unit DryrJr Vent Mechanical Per:nlt Issuance Slate Surcharge Total Permit (D) (b MISCE1.LANEOUS PERMITS Mobile Hume ~q.!5 \ <::;.15 f).:1c) &J.loCS Slale Issuance State Surcharge Sldewal ( .!J.L It Curbcul It Demolition State Surcherge Total Mlscel,anecus Permits (E) TOTAL AMOUNT IDUE (excluding electrical) (A, B, C, 0, sod E Combined) 5'7r:5.87 Systems Development Charge I.s due on all undeveloped properties within the City limits which are. being Improvod. , ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examlnod the completed application and do hereby certify that sll Information hereon Is true and correct, and I further certlty that any and all work performed shall be done In accordance with the Ordinances 01 the City 01 Springfield, and the Lsws 01 the State 01 Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of sny structure without permission of the Building Safety Division. I further certify that only contraclors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required Ins pee lions are requested at the proper time. that each address Is resdable from the sireet, that the permit card Is located althe Iront 01 the property, and the approved set 01 plans will remsln on the site at all limes during constructlon. . Signature fhamd;; /JJ/LntMrAYI / 4ItA , Datp .1' -/3.-Ij'j VALlDATION:~"t I <- RECEIPT NU~BER, " . \)I} , 8.04 DATE PAID " {{, Ii?, en AMOUNTRECEIV,ED,\_ ~ ~ ~ 4'2- RECEIVED BY ~\/X, II1II.... ~ LOCATION OF PROPOSED WORK: , Cf7?-, fl1!::....[/J.//;'t:; h N/A ',D..~~.'.y" \.~ '2(, - BLOCK: ~ .' ,..-- . ,'t' ,,,,, RESIDENTIAL . PERMIT APPLICATION '; Inspections: 726.3769 Office: 726-3759 ASSESSORS MAP' LOl' OWNER' Lochaven Partners ADDRF'"'' 1199 N. Terry St. Eugene CITY' DESCRIBE WORK' Mobile Home set UP NEW x REMODEL ADDITION SPRINGFIELD STATF' OR JOB NUMBER CT!Ol2.q 225 Flllh Street Springfield, Oregon 97477 (' IJC{(( T . TAX LOT' N/A (!)(o'2C1.J SUBDIVISION' Lochaven .. PHON'" 688-9123 j~ ~-~ ZIP' 97402 W/ - .- Concrete strin2ers - Accessorv Value $ 17~ DEMOLISH OTHER M.H. Value $.:J/'J. (-{')9- / CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERA' . Ernie & Son's 87922 LaPorte Dr.. EU2. 41497 PLUMBING' Harrison Construction 1441 N. Hwv. 99 20-236PB MECHANICAl' Ernie & Son's ELECTRICAl' Heritage Electric OUAD AREA: \ R \\ ')~ \ \(r~ , 7.-- . OF BLDGS' OCCY GROUP' . OF STORIES' WATER HEATER: 87922 LaPorte Dr.. EU2. 41/.97 20-280C/63j17 855 Ii. 24th - OFFICE USE - LAND USE: \ \ ~ . OF UNITS' \ CONSTR. TYP'" HEAT SOURCE: RANGE: _7 J --- ~L EXPIRES PHONE 2/2/92 484-6505 689-7762 2/2/92 484-6505 144-1~OO FLOOD PLAIN' ZONING CODE: \f) ,~ '?J . OF BDRMS: SECONDARY HEAT: SOUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be msde the same working day, Inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. r\iA--1:!nderslab Plumbln Electrical ~ech8nlcal - Prlo 0 cover ~ot1ng - Afte," trenches are \ excavated. o Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. , o Und.rfloor Plumblng/Mechsnlcsl - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to deckl ng. rr7l'Sanltary Sewer - Prior to filling ~t-rench. f("J1');torm Sewer - Prl'or to filling I" trench. .. . ~ater LI~e - p;lor to filling ~ i~ench. -. D Rough Plumbing - Prior to cover. , o Rough M.chsnlcal - Prior to cover. o Rough Electrical - Prior to cover. o EI.ctrlcal S.rvlce - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wall/C.lllng tnsul.tlon - Prior to cover. o Orywall - Prior to ta~lng. o Wood Stove - After Installatlo~. o Insert - After f1;eplaCe approval and Installation of unit. o Curbcut & Approach - Aller forms are erected but prior to placement of concrete. ~ Sidewalk &.Orlveway - After ~ 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 - Wh.n all , plumbing work Is complele. o Final Electrical - When all electrical work Is complete.. o Final M.chanlcal - When sll mechanical work Is complete. o Fin.' BUilding - Wh.n all required Inspections have been approved snd building Is completed. DOth.r MOBILE HOME INSPECTIONS K:::Z? Blocking and S.t.Up - Wh.n .11 T blocking Is complete. ~IUmblng Connections - When home hss been connected to water and sewer. . OElectrlcal Connecllon - When T ,blOCking, set.up, and plumbing . Inspections have been approved and the home Is connected to the servlc. panel. ~Insl - Alter all requlr.d L....fl,lnsp.ctlons are approved snd ' porches, skirting, d.cks,"snd venting have been Installed. . . Fixture Unit Calculatioll Table: ::c~,t~r ct r,e'.' u:.:t\lres r,ultiplied by \1:1it equivalents. NOTE: For remodels, calculate only the ~ET additional flxt~res. Fixture Type 30 t h tub. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Drinking fountain........ ..... ............ Floor drain............................... Interceptors for grease/oil/solids/ecc.... Interceptors for sand/auto vash/E:c....... Laundry tub/clothes vasher................ Clothes vasher (3 or more)................ Mobile home park tiap (1 per ~.~.)........ Receptor for refri6/~ater static~/~tc..... Receptor for COi?i::er slr.k/dis:-,....$:::-/€tc..... Sho,,'er, single stalL.........,........... Shover, gang (per head)................... Sink, bar, commercial.....,.. .......,..... Sink, commercial/industrial/etc........... Urnial, stall/vall........................ Vash basin/lavatory, si~gle............... Vater closet, public installation....,.... Vater closet, private,...., ............... ~iscellaneous: .......... .......... .......... Total fixture units :; of Fi:.:t'Jres Unit EQuinlents Fi;( ture l'nl ts 2 1 2 3 6 '.2 6 6 1 3 2 1 2 3 2 1 6- 4 Total Units: x 513.25 each = Total Charge: S Credit Calculation Table: 3ased on total .alue of property at time of permit application. Year ';..:'me:'::.d to the City Credit per $1,000 s.sse.ssed value l "? b4 1979 1950 1981 1982 1983 1904 1985 19Z6 1987 198a 1989 1990 Credit x S 10/"37...0 r.ssessed Val t:e Rate $2.66 $2.64' $2.53 $2.41 $2.19 $2.04 $1.69 $1. 35 $1.15 $0.92 $0.59 $0.23 = S Total Credit Metropolitan Wastewater . Managernent Commission . c':..','::' ~ ~ .: '. ''': :;.:. ~ ~ t:.:~ ~~','~::-f~';;:~ C:'~~:":;.!:-. ~,:r.t L:'~:','-fl;f~,t ~,~ :,.::f!i,':t",~ ~:::: ::;~:.; 7,-~:' ..;';f.:: ~c. :t:'~~~",:.~ C',':~ ~t '!: -.-~;':~ ;':t:: ~: ~ .: ":: .:: -, c::.! ','..:!:.-:-L:"i c,.;:;.~: L~: :.r:"~~~"::.f .:t:.)' :;:.:~1-~i:"'( Cc.~.,:) c: ~ -. ;! : -: r 1.'.,;,. \"'ts:!:~,;-::.:;t-.f Li i =.~~ :f!i ;.:;::",f ri~iH A:'~D A SlP.EEi'S - S;:r:.::<GF:=LD CiTY ~;',LL - ~Fr;::,GF:ELD. Cr:,EGC!J ~7':'77 TELEr':-:.C:,E i:C~) 7":j.":::i IWMC CO!'I<ECTION CHARGE Building Address: /97J-./11CJCiu/sf, ec:J-c/VV+- Refered.'umber: /7 () 3 :J.. 7 / '3 , Tax Lot Numberiv7J (;, 1::19b O"ner: ' D0bCU) r n . i_ /Y()Af~{2 f_.~') , Address: \ \C\ C\f\ '\'--~:~\<- Phone Number: l o~SSJ1\23 City: fA ')060 J'UL State: (\)J~~~BY\ Zip: q f\4()'L-- ~ Residential Fee ($222.00) $ r0f;) ~ r;o Commercial Fee (nev non-residential developmentl - remodel) Total fixture unit charge (see reverse of this form) $ -- SUBTOTAL $ Credit Due (see reverse of this form) <$ ~~. 40 > TOTAL MVHC CHARGE $ \C\4 ~5 Date Received: q\\Q~ ;\\3r)q, Received By: ~~~) Building Job Number: q I () 7:2 9 Receipt Number: 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LrW~N~F ~~TAL16rION . ~ '-1~ I Y\~ \0 "-.Jl , LEGAL DESCRIPTION \ I"~,Q() \~ OLo2.DO n;!.01! QESCRIPTION (' .A I \ t'-\ ~ho /(1.) ~ .\-{\ fu Permits are non-transfera~ and expire if vork is not started vithin 180 days of issuance or if vork is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Heritaae Elect Address 855 West 24th Avenue City Euaene Phone 344-1500 Supervisor License Number 9455 Expiration Date 10/1/ Constr Contr. Number 63137 Expiration Date 12127/ Signature of Supervising Electrician fu,iu lA,), ~ ?~-S j' Ovners Name Address City Phone OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended \ for sale, lease or rent. I Owners Signature: ~~~;~==-~-- ~ ' \ \O'~L\~--'~------- RECEIl't ,: ~' .' ~9;AA. RECEIVED BY: ~~) "'-~ I I SP'IINGt:"IELO 3. City Job Number COMPLETE FEE SCHEDULE BELOVJi1' Nev Residential-Single or '''),' Multi-Family per dvelling uni t '" ,i . Service Included: ' A. Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ l5.00 Each Manuf'd Home or Modular Dvelling Jt ~ Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20l amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $lOO.OO $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited. Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 m.C!:! ""t.<.A....--. r)~ .0V SUBTOTAL OF ABOVE 5% State Surcharge TOTAL