HomeMy WebLinkAboutPermit Building 1999-6-25
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NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
~~~NTIAL PERMIT APPLICATION
COMMENCED OR IS ABANDON I "'ciTy OF SPRINGFIELD
ANY 180 DAY PERIOD. COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 990786
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5910 MT VERNON RD
Assessors Map #: 18050330
Lot: 1 Block:
Tax Lot #: 07800
Subdivision:
Owner: GREAT WESTERN
Address: 5024 MAIN ST.
Phone #: 726-2171
City/State/zip: SPLFD OR,97478
Describe Work: MANOFACTURED HOME
NEW
Contractor
Const.
Contractor #
Expires
Phone
General: GREAT WESTERN 0046472
5024 MAIN STREET SPRINGFIELD OR 974
Electrical: HERITAGE ELECTR 0063137
1042 HARN LANE EUGENE OR 974040000
04/30/00
726-2171
12/27/00
729-1500
QUAD AREA: 3RSC
OCCY GROUP: R3
OFFICE USE --
LAND USE: 1150
CONSTR. TYPE: VN
# OF BLDGS: 1
SQ FOOTAGE: 1318
To request an inspection, call the 24 hour recording at 726-3769.
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 following work day.
REQUIRED INSPECTIONS ---
FOUNDATION - After forms are erected but prior to concrete placement.
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
MANOF. HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer.
PEDESTAL - Prior to cover.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Faces: W
Topography: 2
Lot
Lot
Setbacks
S W
10
Sq. Ft.: 5676
Type: CORNER
Lot Coverage: 19 %
House
Garage
N
21
E
5
18
Item
Main
Garage
MANU HOME
FTG FDN
Total Value
BUILDING PERMIT ---
Square Feet x a/Square Feet
Value
0.00
0,00
35,000.00
5,000.00
40,000.00
Building Permit Fee
Surcharge/Admin
ATTEN', iUI"'U,'
'f. bl'UflrdVw 11~4' "'_'
f " ::1.... .... '-:'..:')'1..1,)'
O. ?W ~ules adopted by the Oregon Utilit
~ollflcatlon Center. Those rules are tiet fo~'
In OAR 952-001-0010 through OAR 952-001'.
0090. ~ou may obtain copies of the rules b
calling the center. (Note: the telephone )
numberforthe Oregon Utility Notification
Center is 1-800-332-2344\.
50.50
4.05
TOTAL FEE
(A)
54.55
.
Job Number: 990786
Page 2
PLUMBING PERMIT
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
50.
50
50
Fee
25.00
25.00
25.00
15.00
Plumbing Permit
Surcharge/Admin
90.00
7.20
TOTAL CHARGE
(C)
97.20
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
PLAN CHECK FEE
105.00
30.00
8.40
60.84
60.00
1,976.63
1,000.00
32.83
TOTAL MISCELLANEOUS PERMITS
(E)
3,273.70
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
3,425.45
--- 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.
Received By:
Plans Reviewed By, AL WARD Date, 06/25/99
Building Site Reviewed By, BOB BARNHART
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED.
DRIVEWAY REQUIRED TO BE PAVED
5 STREET TREES REQUIRED
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.
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, ~,
Job Number: 990786
Page 3
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.
-----/
signa::h
~
Date
--- VALIDATION
Date Paid:
/J3Lf 62-0
6/),)/7 f
':j if 2- (. 'f 'I 11
dfl ww
Receipt Number:
Amount Received:
Received By:
.
.
. P?... Willamalane
t,,,,,!, Park & Recreation District, Job. No. 9.<1.0 1 e 6
"W SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: <;~~ C \..) ~ IU.k '
ADDRESS: SOOLJ \Q~'\M h
PHONE: '1& 6-~ t 11
STATE:On. ZIP:~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: S <; l() -ill ,9\ l) ~
Plat Name: \ ~D9-C)~~n Tax Lot Number: () 7 P"oo
1. DEVELPPMENT TYPE; (Check appropriate dwelling(s). SOC calculations and dwelling t
ype dellnltions are on the back.)
-
A. Sin(JIA-FRmilv DAIRr.hArl
Single Family home )C Manufactured home not in a park
NO. OF UNITS \ X $1,000 per unit = $ l CLD ~
B. ~inoIA'-FRmilv AttRr.hArf
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. MaolJfar.llJrArl Home PRrk
NO. OF UNITS
X $699 per unit = $
WILLAMALANE SDC $
2. SDC CREDIT (If appticable) SDC-payer must fU~Sh proof of
WiUamalane Credit approval. See SOC Credit Worksheet. $ _
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SOC reduced for Credit)
$
(OOD ~
I
~~
D&Yelopment Services Department
City of Springfield
G ,Z~ ,f7
Date
JOURN~R JOB NO. ~~I? /'tr~
. ATIACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
LOCATION:
f.t ReA."'- WF:'5 ~
~q /0 /'1..,-. VEiR W()A) P.o.
NAME OR COMPANY:
DEVELOPMENT TYPE:
1-1 ~ ~ ;../0 -.,:::;
BUILDING SIZE:
LOT SIZE
SO. Ft.
IMPERVIOUS SO. FT,
J:'>4t)'
28....40" "z...cJ
1"2- y18 :- z..,Go
J....cIo - 9
--- I,"'!> 4<;
X $0.227 PER SO. FT. $ 3c:<~.~z..
I. STORM DRAINAGE
""Fc,~E
D/,,",
2. SANITARY SEWER-CITY
NO. OF PFU'S I~
(See Reverse Side)
X $47.14 PER PFU
$ ~"ffi , ("L.
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X /.Of
X $475.32
$ 4.I?O. 0 7
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 777. 44- PER FEU
$ 777,44-
B. IMPROVEMENT COST:
NO, OF FEU'S
X 2~WPER FEU
$ Z~. 2-D
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ -<:.4,0<"" >
MWMC ADMINISTRATIVE FEE $ 10.00
TOTAL-MWMC SDC $248,5"&'1
SUBTOTAL (ADD ITEMS 1,2,3'& 4)
5. ADMINISTRATIVE FEES:
BASE CHA~~BTOTAL ABOVE) X .05
I'JL Date: r- - /?, -9'0/
SDC Coordinator
ATTACH' A. WPD
$ I Ji' 8 z., Ie)
$
#./L
TOTAL SDC
$ ~ Q76. (,,]
FIXTURE UNIT CALCUL40N TABLE: Number of New FixtU.X Unit Equivalent = Fixture.Units
(NOTE: For remodels. calculate only the NET additionallixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.....,...........,.,.........,....................................... .
Drinking Fountain.,............................,.,..,.................
Floor Drain.........,.................".......,...........,.".,..........
Interceptors For Grease/Oil/Solids/Etc..............,..
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher....,..,..,.,...................,..
Clotheswasher', 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower. Single Stall.....,...........................................
Shower. Gang...........,.."...:...................,.......,.....,..,.
Sink: Bar, Commercial. Residential Kitchen........................
Urinal. Stall/Wall...........".............................,.,..,..,.,..
Wash BasinfLavatory. Single........................,..,......
Toilet. Public Installation......................,......,..........
Toilet. Private...................,...................................
Miscellaneous:
'"'--
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
4-
"Z-.
"Z-
'2-
"'2-
...
fi'
TOTAL FIXTURE UNITS
IR
=
Based on assessed value. If improvements occurred after annexation date in table.
CREDIT CALCULATION TABLE:
calculate credits separates.
I
Rate per $1.000
Assessed Value
Year
Annexed
~9 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$43.i==>
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.B2
2.42
Year
Annexed
Rate per $1,000
Assessed Value
I
I
I
1989
1990
1991
1992
1993
1994
1995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
Credit for Parcel or Land Only If Applicable
4-,27 X $ I,. avO = c.4: 0<;-
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $ ~4. 0:;;
Improvement (if after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purpo'ses Only)
Residential...........,............... 0.4
Commerical...........,............, 0.9
Industrial............................ 05
Governmental...................... 0.5
F'XUNILWPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT