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HomeMy WebLinkAboutPermit Building 1998-5-5 [I ,i SPRINQFIELD . ~- Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980426 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 3524 MAIN ST Assessors Map #: 17023131 Lot: Block: Tax Lot #: 02000 Subdivision: * Owner: JEFF OLSON Address: 3522 MAIN STREET Phone #: 689-7765 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: MANOF HOME << GARAGE NEW Contractor Canst. Contractor # Expires Phone General: Plumbing: MATHER CONSTRUC 40900 SKYLINE DRIVE, OWNER 0099619 SWEET HOME OR 06/07/95 367-4127 Electrical: OWNER OFFICE USE -- QUAD AREA: 3RNC LAND USE: 1150 # OF UNITS: 1 ZONING CODE: CC CONSTR. TYPE: VN # OF BDRMS: 3 WATER HEATER: E RANGE: E To request an JiQJJ~!~I~AaEI)(\1\~\lh"'nt'iJ~6't1-ding at 726-3769. THIS PERM\ 1"\.l\8 PE~MI'T 18 NO'T All inspections A~~~~ ~':~O ~~'F~~ll be made the same working day, inspections requeste~E~C~O~~B~aAMP.O~fT1 ne made the following work day, COM 100 Hf{ \ao OA'J -P~~QtJr'RED INSPECTIONS - -- FOOTING - After trenches are excavated, SLAB - TO be made after all ins lab building service equipment, conduit piping, and other equipment items are in place but prior to concrete FOUNDATION - After forms are erected but prior to concrete placement. . WATER LINE - Prior to filling trench, SANITARY SEWER LINE - Prior to filling trench, STORM SEWER LINE - Prior to filling trench, MANOF HOME/MOBILE HOME SET UP - When all blocking is complete, MANOF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and plumbing inspections have been approved and home is connected to panel MANOFACTURED HOME SERVICE MANOF. HOME/MOBILE HOME PLUMBING - After home has been connected to water and sewer. ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete, FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. # OF BLDGS: 2 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1782 Lot Faces: S Lot Type: INTERIOR Setbacks N S W E House 10 10 45 Garage 106 24 26 11 SPRINGFIELD . Job Number: 980426 Page 2 Item Main Garage GARAGE/PERIM FND Total Value BUILDING PERMIT --- Square Feet x $/square Feet Value 48,000,00 0,00 22,100,00 70,100,00 Building Permit Fee Surcharge/Admin 158,50 12,69 TOTAL FEE (AI 171.19 --- PLUMBING PERMIT --- Item Sanitary Sewer Water Storm Sewer Fee 25,00 25,00 25,00 Plumbing Permit Surcharge/Admin 75.00 6,00 TOTAL CHARGE (C) 81. 00 --- MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/Admin WILLAMALANE SDC ELECTRICAL PERMIT SYSTEMS DEV CHGS 105,00 20,00 8,40 1,000,00 88,56 3,035,88 TOTAL MISCELLANEOUS PERMITS (E) 4,257.84 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 4,510.03 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 adopted by the City of Springfield, including the 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: 103,03 Date Paid: 04/13/98 Received By: LISA HOPPER Plans Reviewed By: DON MOORE Date: 05/01/98 Building Site Reviewed By: LISA HOPPER Receipt Number: 29398 --- ADDITIONAL COMMENTS DRC #97-12-271, PLANNER IS LAUREN LEZELL SPAINCFIELD . J.=111...H".!.)j:' Job Number: 980426 Page 3 DRIVEWAY REQUIRED TO BE PAVED By signature, I state 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 certify 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 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 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 inspections are requested at the proper time, that each address is readable from the street, that 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. ,~~~ </s/9<l Date Date Paid: ()(-- VALIDATION ~~~t ~~~\D05 ~/ - --..... Receipt Number: Amount Received: Received By: . . MANUFACTURED HOME LAND USE AGREEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX(541) 726-3689 DEVELOPMENT SERVICES DEPARTMENT As required by the City of Springfield Development Code, I agree that 'ithJh.e- approva~l!.J;,.li!.e attached permits, one of the following manufactur<\~CA1will be placed at~~L\ \ J\ '\n ~ f\ Springfield, Oregon, City Job Number ~LO, /' Type I Manufactured Home, A multi-sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet, that has a nominal roof pitch 00 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce heat loss to levels equivalent to the performance standards required of single family dwellings constructed under the State Specialty Codes, _ 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 of2 feet in height for each 12 feet in width and that has no bare metal siding or roofmg, The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6 percent slope within 10 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 than 24 inches 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 your parcel are noted on your approved set up plans andlor permit and your partition approval if applicable: . Street Trees . Paving Driveway . Minimum 32 square foot storage structure . Completion of partition approval . Removal of any existing structures as noted on your partition approval . Signing and recording of any required partition. easement, improvement agreements, etc, . 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, tYk Date ,~~~~~ owne~~ ~ '-/"-' " Contractor Signature Date ., ." . . ,'C,' "''', -';j ._, .,..~J.",..:' _"",,~., '.',.,-' -JOB',NO~..:.q~'4ct-=f''1,'-'' ., ,'.' , ATTAC'H' ME' N" T.,:iA' :,:s" "~\.: 'J'" '1:'..;51!i:i,ti':i~J!;~i"c,,~;,,~~(.;n,(;: , . ,'" 1,-'- . -'-,'-,: =":~~'.:'.'~P\';~~5':\'~: ';':~"''O:.!~:,:''''_.' :.: CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE :'q:(~;;,," ' WORKSHEET NAME OR COMPANY: ,IE~r== OL5<'H LOCATION: ,3'72...4 'MAI/..j ~-rE'E:E:-r . DEVELOPMENT TYPE: ..,,:;. t= IZ.. o,J Co-~CC'''L LOT BUILDING SIZE I nT SIll" so. Ft. 1 ' STORM ORA.! NAG'" 11f'>I~ 17~z.. c;........;; '...= = 28 ~ 2":: 73t 1I1PERV IOUS SO, FT, _r:;. t>'3 S- X $0.226 PER SO, FT, $ / I -171... . q I 2. ~ANfTARY SFWER-CfTY NO, OF PFU' S 2.0 (See Reverse Side) X $46,86 PER PFU $ OJ37. ZO 3, TRANSPORTATION 'NO OF UNITS X TRIP RATE X COST PER TRIP X I. 0 I X $472.49 $ 477. 2../ X X $472.49 , $ x ' X $472.49 $ 4. SANiTARY SFWFR-MWMC NO, OF FEU'S x PER FEU + $10 MWMC/ADM FEE $ - MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SDC $ SUBTOTAL (ADD ITEMS 1. 2.3 & 4) $ 2: II cr /. 'J'L 5, ADMiNiSTRATiVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05 $ J 'l:L.s:.t. f#!. Date: 4--2..zJJ8 SDC Coordinator TOTAl SOC $? () '?_~, 88 ; ,riA I unl: UIIIII \...HL.\...UL.H IIVIII I ~CL.I:., Numoer or New t-Ilcrues ;c.,u~n. It ;Bl!.i~~\e~~.,.;=.. FixtiJ.~r~..~~. ts,. .1 (NOTE: For remodels. calculate,onle NET additional fixtures)" , :~ .->:.-:;~~\,~,., '" ':" , . '., NUMBER OF ,". ._~,UNIT"r-~J'~c. FIXTURE ';~""" :,'.' FIXTURE TYPE NEW FIXTURES EQUIVALENT)' UNITS 7 ,J ." Bathtub..",..,.....,............,..."'..""'."................".,."... . Drinking. Fountain. ,.....,..,.......,,'.......,.., ......... ....,..,.... Floor Drain, ,...,....,........,...,................. .......... ..,..,........ Interceptors For Grease/OiI/Solids/Etc................. Interceptors For Sand/Auto WashiEtc............:...., Laundry Tub/Clotheswasher...""",.." ..',......... ........,' Clotheswasher - 3 Or More.......,..,..,...............,....... Mobile Home Park Trap (1 Per Trailer)..............,... Receptor For RefrigeriUpriWater Station/Etc........ Receptor For Commercial SinkiDishwasher/Etc.. Shower. Single StalL....."......"...,......................"..... Shower, Gang.." '.. ,....".,..,..".",...,...... '..... .....,......... Sink: B,ar. CommerCial, Residential Kitchen..........,........,.... Urinal, StaII/WaIL.........,.,....,.........,.. .......... ..... .......... Wash BasiniLavatory. Single...,.,...,...........,........".. Toilet, Public Installation,..,..,,' ,'.,'...,.."..,..,.........." Toilet, Private..,..".....,.,..,.""" ,...................:......... Miscellaneous: ::> 2.. '2.... TOTAL FIXTURE UNITS 2 1 2 ,3 6 2 6 6 1 3 2 i/Head 2 2 1 6 4 = 4- 7- "2.. -z.... "Z-. It '2..0 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table. calculate credits separates. Year Annexed Rate per $1.000 Assessed Value Year Annexed II 1979 or before 1980 1981 1982 1983' 1984 1985 1986 $3.97 3.89 3.83 3.70 3.55, 3.39 3.20 2.91 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Credit for Parcel or Land Only If Applicable X $ ,i (Rate X Assessed Value) X $ , (Rate X Assessed Value) Improvement (if after annexation date) Rate per $1,000 Assessed Value 1 = = CREDIT TOTAL = $ .. ,.,." RUNOFF COEFFICIEN1'S, FOR STORM DRAINAGE (For Estimatin~ 'Purposes Only) ,~,:- :_ . j\,':..!:'~: ";i~.>~:'.:'....~:'" "/. fi.e;;>loen[Ic;r;I.............................0.4 " F'! .,' .. Commerical.................",.:'....\' 0.9 '-, Industrial...................::.....::: Q 5~' GovernmentaL..................... 0,5 " IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0,31 0.17 . . ... '." . ., ~~ ", e,"~:1L'!i!I!!!!S!!~!!~ Job. No. q~D4w .,.".., SYSTEM DEVELOPMENT CHARGE , WORKSHEET NAME: ~ \] \t l~\8JY\ " ' PHONE: _~tcx. ~lLo~ ADDRESS: 3~~ ~~~t STATE: ~ZIP: ctl41g LOCATION OF PROPOSED BUILDING SITE: Street Address: ,/)li14. U1\(\ ~ (\ ~t Plat Name: t\ \CL/ Tax Lot Number: \ '\ Hl'3 \3 \ C!2CCf) 1. . DEVELOPMENT TYPE (Check appropliale dwelling(s). SOC calculations and dwelling t ype definitions are on the back.) , ., A. flinoIA-F::Jmilv DAt::Jched Single Family home , NO. OF UNITS \ ' \ Manufactured home not in a park X $1,000 per unit = $ \ fXD ~ B. ,SinoIAo-F::Jmilv AII::Jche.d. NO. OF UNITS X $924 per unit = $ C. oMulti-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home Par1i NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ t DoD pO $ 2. SDC CREDIT (if applicable) SOG-payer must furnish proof of H WiUamalane Credit approval. See SDC Credit Worksheet. $ V / 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credil) \~\ ~I{\~ Developme~i~es Department City of Springfield $ InDO po ~V) 1_ '8 ! 00 Date