HomeMy WebLinkAboutPermit Miscellaneous 1991-10-4
!,S Form 3800, J'me 1990
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SENDER:
.mPlete items 1 and/or 2 for additional services. .
mplete items 3, and 48 & b.
tint your name and address oll"'the reverse of this, m so
that we can return this card to you.
. Attach this form to the front of the mailpiece. or on the
back if space does not permit.
. Write "Return Receipt Requested" on the mail piece next to
the article number.
3. Article Addressed to:
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5. Signature'(Addresseel << 8. Addressee's Address (Only if requested
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PS Form ;3811. October 1990 .u:s. GPO. 1990--27....' DOMESTIC RETURN RECEIPT
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I also wish to receive the
following services (for an extra
feel:
1. G3"'Addressee's Address
2. 0 Restricted Delivery
Consult postmaster for fee.
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4b. Service Type
o Registered
B"Certified
o Express Mail
o Insured
o COD
o Return Receipt for
Merchandise
7. Date of Delivery
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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
.
~........
- .~ ~'~J:~.l.(:;xr./J'@ <1'nr~1
'L:.!,. 0'
DEVELOPMIEI\lY SERVICES
225 flrr~ $r~[E1
SPRINGFIEW, iO~ ')7477
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
November 26, 1991
CER J ul....n LETTER
Lochaven Partners
1199 N. Terry Street
Eugene, OR 97402
RE: Temporary Occupancy
Dear Marna:
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 1997 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 your plot plan needs to be installed.
3. The Street trees as noted on your plot plan need to be planted.
4. The required skirting and vents need to be installed.
5. Permanent steps with handrails need to be constructed at both doors to the home.
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 expire.
If you have any questionS, please phone our office at 726-3759.
'Sincerely,
. ..
.',
B~~
Deanna Buckem
Building Secretary
,........~~
,
, ;.,.
........;
.
S"fIIN~FIELD
225 FlITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number
OFFICE: 726-3759
LO\t\~ I~I{f).LJ\~~" J A.
l"-1ffi~~~ON (), \CJO
ft"\.,\,01\ JilESCR1PTION .~
I."A ,\ t\. C'\.'JO n ') ~
Permits are non-transferab and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
'180 days.
1.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaoe Elect
Address 855 West 24th Avenue
City
Euoene
Phone 344-1500
Supervisor License Number 945S
Expiration Date
10/1/
Constr Contr. Number 63137
Expiration Date
12/27/
Signature of Supervising Electrician
~v.0 ~ 9tfS--5
/ ..
Ovners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
------------------
oJ~~-~
./. --J
3. COMPLETE FEE SCHEDULE BELOII
Items
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less $ B5.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling y\ (}~
Service or Feeder ~ $ 40.00 C)L-J
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ BO.OO
see "B"
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t
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
<A'\W
- <t .DO
- R<Luo
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
.,..' ..;,'" .
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
SPRINGFIELD
.
LOCATION OF PROPOSED WORK: ffi7 (Y1!:.....71J.///~ h
ASSESSORS MAP' N/A \1~~'1 \:~ . .
:?5" BLOCK' r
LOT'
OWNER'
ADDRES~'
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE WORK' Mobile Home set UP
NEW
x
REMODEL
ADDITION
CONTRACTOR'S NAME
Ernie & Son's
GENERAl'
PLUMBING: Harrison Construction
MECHANICA' .
Ernie & Son's
Herita2e Electric
ELECTRICA' .
OUAD AREA: \ e ~")0
. OF BLDGS'
OCCY GROUP: ~ ~
(
. OF STORIES'
WATER HEATER: _7 ./
STATF'
OR
JOB NUMBER
q 1(I]f13
225 Fifth Street
Springfield, Oregon 97477
(' (Jt.l tZ T
N/A
CYJ It V
TAX LOT:
SUBDIVISION'
Lochaven
PHON~'
688-9123 ~
ZIP' 97402 ~
.- Concrete strin2ers - Accessorv Value $ 17~()
DEMOLISH OTHER M.H. Value $ ~, /cd1-
o Rough Mechanical - Prior to
cover. .
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulallon - Prior to'
cover.
o Drywall - Prior to la~lng.
o Wood Stove - After Installatlo~.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected ,but prior to
placement of concrete.
~ldew8lk &.Orlveway - After
~ excavation Is complete. forms
.and sub.base material In place.
o Fence - When completed.
o Street Trees"": When all required
trees ar.e planted. .
EXPIRES PHONE
2/2/92 484-6505
689-7762
2/2/92 484-6505
144-1500
87922 LaPorte Dr.. Eu~.
41/,97
20-280C/63)17
FLOOD PLAIN'
ZONtNG CODE: _, Dlc-
. OF BDRMS: ~
SECONDARY HEAr.
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
made the same working day, Inspections requested after 7:00 a,m. will be made the folfowlng work day.
REQUIRED INSPECTIONS
ADDRESS
CON ST.
CONTRACTOR'
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
selling forms.
rTvtrPderslab Plumblngl ectrlcall
~echanical - Prior ~"".........
~otlng - After trenches are
~ excavated.
o Masonry - Steel locallon, bond
beams, groullng.
o Foundation - Aner forms are
erected bu t prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o UnderUoor Plumblng/Mechanfcal
- Prior to Insulallon or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor InsulaUon - Prior to
deckl ng,
~anltary Sewer - Prior to filling
{ trench.
~torm Sewer - Prior to filling
, ~ench.
,..;....n'ater LIne - .Prlor to filling
L:l[i;ench. .
o Rough Plumbing - Prior to
cover.
87922 LaPorte Dr.. EU2.
41497
1441 N. Hwv. 99
20-236PB
8SS \~. 24th
- OFFICE~E
LAND USE: 1\00
(
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE: _~E:...-
y
RANGE:
o Final Plumbing - When all
plumbing work Is complete,
D' Final Electrical - When all
electrical work Is complete.'
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
~Cklng and Set.Up - When all
\ ulocklng Is complete.
~IUmblng ConnecUons - When
home has been connected to
water and sewer. .
~Iectrlcal Connection - When
. blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel,
~Flnal - After all required
7L1.lnspecUons are approved and.
porches, skirting, decks, and
venllng have been Installed.
\ ~ot, faces" . Setbacks
Lot Type
I I P.L, HSE GAR ACC
Lot sq. ftg. Interior IN
Lot coverage Corner
Topography Panhandle -L-___
Total helg'lt Cul-de-sac .W
IE I,
,
BUILDING PERMIT
ITEM SO. FT.
X $/SO, FT. ~
Main
Garage
Carport
~
<...,
........
IS THE PROPOSED WORK IN THE
'HISTORICAL DISTRICT, OR ON .
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
,
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition thatlhe said
construction shall, In all respects, conform to the Ordinance
adopted by the. City of Sprlngfteld, Including the
Development Code, regulating the construction and uso of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordlnnncos.
If)4{) Plan Check Fee:
&94\ Date Paid:
Total Value
Receipt Number'
Building Permit Fee Received By:
State Surcharge
Total Fee (A) CD.9B Plans Reviewed By Dale
SYSTEMS DEVELOPMENT CHARGE....(SDC)ry\
(B) ~~5cn
PLUMBING PERMIT
ITEM
FEE
Fixtures
.
Residential Bath(s)
N'
~r:s
6;5.
AS
Sanitary Sewer
FT.
Water
FT,
FT,
Storm Sewer
Mobile Home
Plumbing Permit
'ls.CO
3.?S
T) g' , '1S
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur,t Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryor Vent
r'Aechanlcal Per:nlt
Issuance
State Surcharge
Total Permit
J_/'
f/.J
~:~
.=5 .::l5
,'"11. fJ:5
(D)
MISCE1.LANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sldewal ( \4,~ ft
Curbcut
ft
Demolition
State Surchuge
.
Total Mlscel.anecus Permits (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C. D, and E Combined)
-5rold17
Systems Development Charge I.s due on all undeveloped
properties within the City limits which are. being Improvod.
. ADDITIONAL COMMENTS
..;
~
,
, ..
By slgnature,l state and,agree, that I have carefully examined
the compleled application and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work perlormed shall be done hi accordance
with the Ordinances of the City of Springfield, and Ihe Laws
of the Slate of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on Ihls
project.
I further agree 10 ensure Ihat all required Inspections are
requested at the proper time, that each address Is readabla
from the street, that the permit card Is localed at the front
of the property, and Ihe approved set of plans will remain
on th~at all e.s during construction. .
Slgnat-_~-' ~-'/ p )f~~-,
Date J t?/- ((-'7/.
l
VALIDATION:
RECEIPT NUMBER A ( ~'-~
DATE PAID In'-4 .q I ~
AMOUNT RECEIVEDBLn7\ .s~
RECEIVED BY V'j(-:J"J() ~
r'
ji
'i
.
SPRI.'ELD"
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 Development Code, I understand and agree
that \lith the approval of the attache~perm't ,.qn~o.f,^lJ.ellf~,,:i_ng' , "-
manufactured homes \lill be placed at ~' J f rl~ I~ )
Springfield, Oregon, Ci ty Job Number" .t; -.
o
Class A Manufactured Home, A manufactured home of not less than 24
'feet in \lidth and. 16% (not less than 2:12) roof pitch, \lith exterior
dimensions enclosing a space of at least 960 square feet, \lith roofing
and siding materials that are commonly used or compatible \li,th site
buil t homes.
o
Class B Manufactured Home. A manufactured home of not less than 12
~eet in \lidth and 16% roof pitch, \lith exterior dimensions enclosing a
space of not less than 500 square feet, \lith roofing and siding
materials that are commonly used or compatible \lith site built homes.
I further state, by my signature belo\l, that I have been provided \lith the
follo\ling information:
- Mobile home blocking
- Sanitary se\ler connection
- Yater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
I
\ ~d--R_~~~
1\"'. I - -
/0-(/- 9(
Date
v
Metropolitan
Wastewater
Managernent
Commission
.
.
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C~.'.! "'.~:!:.;-l='t C:'~".~} ~1-: =t:..!!~_.::.~
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i=;;:7!-i A!..;O A SlF.EEiS - ~~P.;:<GF:~LD Cny !-;":.!...l - ~;:;:;::\Gr:ELD, Cr,EGC!J ~7.:.77 TELEr':--:C:\~ (:(.3) 7':7.":::i
l"\.'~C COKNECTION CHARGE
Building Address: ',qql) m ~ (O I//'sh j
'.''''8".b.'' n(J~Q I) /3 - T.. Lo< ""~;." 07JIX)
O;:ner: D(\bCu)r n " i_ /\J()Af~l.P '-S . (1
Address: \\C\~ \\ \~,m \" Phone Number: lo~~- -{\23
City: fA ')(160 JUL, State: (()J~J)~BY\ Zip: Q1\4ry2---
~ Residential Fee ($222.00)
$rOQ~ ~
Commercial Fee (new non-residential development/
- remodel)
Total fixture unit charge (see reverse of this form) $
SUBTOTAL
$
<$~'7:45 >
Credit Due (see reverse of this form)
Receipt Number:
Building
$ /04,00
,ydb;;]
J~b Num~er:!!UO~
TOT~L MVMC CHARGE
Date Received:
lD,+.qj
c!)lm~
Received
..
.
.
~
Fixture Unit CalculatiO:l Tabh: ::"~,~~r cf r,e',' fi:.:tures r..ultiplied by \!nit
equivalents. NOTE: For remodels, calc~!!te only the ~ET additional 'fixt~res.
Fixture Type
(
of Unit
F xtures Equivalents
Fi:Hure
l'ni ts
3a t h tub. . . . . . . . . . . . . , . . . , . . , , . . , . , , , . , , . , ,
Drinking ,fountain, ...,.,. ...... ...',.,.., ..".
.. '. , ., "
Floor draln...,..f....'."..,. '.' ,\. ,. .,. . ,. .
. I . " .
Interceptors 'for grease/oil/solics/etc.."
Interceptors for sandlcuto ...ash/€:c,..",. '
Laundry tub/clothes \'asher..".,..".,..,.
Clothes vasher (3 or more)................
Mobile home park trap' (1 per ~.~,)".....,
Receptor for refrig/~ater static~i!tc.....
Receptor for COE~er si~k/dish~s~~!e:c.....
Shover, single stall...........".,..".,.
Shover, gang (per head)......., ,...,."",
Sink, bar, com:r,erdal.....................
Sink, cOmmercial/industrial/etc.,..,.....,
Urnial, stall/\'all............."..,.....,
Vash basin/lavatory, si~gle...............
Vater closet, public installatio~.,...,',.
Vater closet, private,... .....".."..,."
!>Iiscellaneous: "...",..
..........
..........
Total fixture units
2
1
2
3
6
. .2
6
6
1
o
...
2
1
2
3
2
1
6'
4
Total Units:
x ~13.25 each = Total Charge: $
Credit Calculation Table: 3ased O~ total ;'alue of property at time of permit
application.
Year )..nne:.:s:d
to the Citv
Credit per $1,000
~sses~ed value
1%4-
1979
1980
1981
1982
1983
1924
1985
1986
1987
19S8
1909
1990
.I .
$2.65
$2.64'
$2.53
$2.41
$2.19
. $2.04
$1.69
$1.35
$1.15
$0.92
$0.59
$0.23
,
Credit
x s 10)3'-0
r.SSessed Val ~e
'Rate
= s
Total Credit