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Home My WebLink AboutPermit Building 1999-4-5 . SPRINOFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990268 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 5934 MT VERNON RD Assessors Map #: 18020323 Lot: 3 Block: Tax Lot #: 04600 Subdivision: TANYA TERRACE Owner: BRAD/SHEILA PHILLIPS Address: 1253 30TH STREET Phone #: 741-7672 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: MANUFACTURED HOME NEW Contractor Canst. Contractor # Expires Phone General: GREAT WESTERN H 0046472 5024 MAIN STREET SPRINGFIELD OR 974 Plumbing: GREAT WESTERN H 0046472 5024 MAIN STREET SPRINGFIELD OR 974 Electrical: HERITAGE INV 0063137 1042 HARN LANE EUGENE OR 974040000 11/12/99 726-2171 11/12/99 726-2171 12/27/99 688-1600 QUAD AREA: 4RSE # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1200 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 --- SITE - To be made after excavation but prior to setting forms. FOOTING - After trenches are excavated. PEDESTAL - Prior to cover. WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. MANUF HOME/MOBILE HOME SET UP - When all blocking is complete. MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and plumbing inspections have been approved and home is connected to panel MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to water and sewer. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. STORM SEWER LINE - Prior to filling trench. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: S Topography: 4.5 Lot Sq. Ft.: 4950 Solar Approved: Y Lot Coverage: 21.33% Lot Type: INTERIOR House N 26 Setbacks S W 20 11 E 16 Item Main BUILDING PERMIT Square Feet x $/Square Feet Value 0.00 Job Number: 990268 Page 2 Garage M.H FTG. Total Value 0.00 5,000.00 5,000.00 Building Permit Fee Surcharge/Admin 50.50 4.05 TOTAL FEE (A) 54.55 --- PLUMBING PERMIT --- Item Sanitary Sewer Water Storm Sewer Mobile Home 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 PLAN REVIEW FEE WILLAMALANE SDC CITY SDC ELECT. PERMIT 105.00 30.00 8.40 18.25 32.83 1,000.00 2,045.02 86.40 TOTAL MISCELLANEOUS PERMITS (E) 3,325.90 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, Bf C, 0, and E combined) 3,477.65 --- 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: DON MOORE Date: 04/05/99 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- A & T NOT LISTED IN COUNTY SYSTEM AS OF 3/29/99 DEFAULT AMOUNT USED FOR CITY SDC CREDIT PURPOSES Job Number: 990268 Page 3 ALL SEWER HOOK-UPS SHALL BE MADE AFTER STREET PROJECT HAS BEEN ACCEPTED JOINT USE DRIVEWAY TO BE PAVED PRIOR TO OCCUPANCY DRIVEWAY REQUIRED TO BE PAVED 2 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 70l.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. ~p~ Signature ~ ~/ , Date -- - VALIDATION Date Paid: ~ 3)}, J f()(J i J{? 7-', .r ~ ~ ' Receipt Number: Amount Received: Received By: '"I, <'O"eIOI/, "'.0 '11.9. O"'i :0"0 'ii i'}g "ii '1)(/ .01"0' 225 FIFTH STREET ~ O'oe geCt SPRINGFIELD, OREG6lit,,974~. "IIo,"'''''/J6 INSPECTION REQ~I,: 6- '''9/J'i: ""it" OFFICE: 726-3759 0";.,, "".0,,"1,"''' ".s'i>, C/~c :~o COMPLETE FEE SCHEDULE BELOY 1. ,&O""-A'I]:Ol' OF :I;NST4I.LA "'II" ~o.... ~~ ~T. \\Pr A."'"9N)., Residential-Single or Multi-Family per dwelling unit. Service Included: i JOB D~~C~7f{~." " ~(\.~.. '--' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor ~~ ~ Address /t?rZ- ~ ,'j':: n - : i , , City ~ tl Supervisor License Number Phone 7;;L 9 -/500 ?f5-S /z/ o{ Constr Contr. Number b 3./~7 iSf;~ I!$r /2-1'1'1 / Signatur~ of Supervisin~ Electrician ~~ ~.. Owners Nam~m~~~,^ \)\\i\ti~D. AddresslfA.~~ ~~~ ~"""pt City~\\(\Sn lCLphonel4 \.1JQI9.. 01lNER INST~LATION Expiration Date 'Expiration Date The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~---------~J1~~9-j'-------------- RECEIPT t1: . . '<?: -:J ~:/~~ RECEIVED BY: ~# ; ~ ELECTRICAL PERMIT APPLICATION Ci ty Job Number cx::\D 91S Items Cost Su: 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular 'Dwelling ~ 8f2 Service or Feeder .$ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Ov~r 1000 amps/volts $300.00 Reconnect. Only $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "Bft above Branch Circuits " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with 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 includec 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~~ _~D AQ SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL . . ~.,... 'Willamalane '-(;,-"1' Park & Recreation District. fV SYSTEM DEVELOPMENT CHARGE ~R~SHEET NAM~{\,*~()\\(\ ~\\\~~ PHONE:~\ l\nl~ ADDRESS: \~~'2J ~~ STATE:~ZIP:9Jre . Job. No. Q q 1)12(06 LOCATION OF PROPOSED BUILDING SITE: Street Address: ~(~4- ~t.\\e\'T{)(\ "?cad Plat Name~\f\ \enn ~ Tax Lot Number: I ?J)~O?A. -::\ 01:tce:G 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t ype definitions are on the back.) A f'inlJlp,-FRmilv Dp,tR~hp,ci t Single Family home Manufactured home not in a park NO. OF UNITS L X $1,000 per unit = $ /C(JO .00 B. .si.nr1p,'-FRmilv AttR~hp,ci NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. ,M::ml/fR,QllJred Home Park NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ ~DOO ~ 2. SDC CREDIT (If applicable) SOc-payer must furrIsh proof of r--/ WiUamalane Credit approval. See SOC Credit Worksheet. $ lO 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SOC reduced for Credit) 6~~~ Development selV~s 'Department City of Springfield 4, Date $ lOOO ~ 5 I cr)' " . JOURNAL OR JOB NO. 9 9oz~8 .. ATTACHMENT A I CITY OF SPRnrGFIELD SYSTEMS DEVELOP NT CHARGE WORKSHEET , NAME OR COMPANY: S12 AD Co, 51-\1:;, I LA ~ I LL \?S. . LOCATION: 5'134 MT" vEI2./'JO,,-1 DEVELOPMENT TYPE: SF D BUILDING SIZE: LOT SIZE , SQ. Ft. 1. STORM DRAINAGE I It:1PERVIOUS SQ. FT. I {,?] Z- X $0.227 PER SQ. FT. $ 3~O. 't{p 2. SANITARY SEWER-CITY NO. OF PFU'S Ie (See Reverse Side) t , X $47.14 PER PFU d3<fe,S2. 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 1.01. X $475.32 L4a().OL X X $475,32 $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 211.44 PER FEU , $ 2,.,.,.44 B. IMPROVEMENT COST: . .i NO: OF ,FEU'S . X 2.5.20 PER FEU $ 2S.20 < '$.<0+',0.5""" > $ 10.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE " TOTAL-MWMC SDC ~~1~'1 ~48'. 59 $ ~A y~ 1'1+ 1 ."'l- $ t'i6.D1lro 0(7 - 3g" . SUBTOTAL (ADD ITEMS 1.2,3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 (M6l.-- Date: 3130,19"1 TOTAL SDC $~o46 ,02- SDC Coordinator ATTACH" A. WPD . . . . . . , .".. , ' , ,., '.'-~ FIXTURE 'ONIT 'CA'U:~ULA 1L.ON TABLE: Number of N~W Fixtur~Unit Equivalent = Fixture Units:' (NOTE: For remodels, calculate only t~ additional fixtures)T.' .'. . '. .' NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS ~..........:.......................................................... FI~~r 'b;a~:.~.~~~'.n:::::::::::::::::::::::::::::::::::: ::::: ::':: :.: :'::::!.. Interceptors For Grease/OiI/Solids/Etc................. Interceptors For SandjAuto Wash/Etc.................. -.-- -:--. ([au nary Tub/Clothes~r.. ....... ....... ,.... .... .......... Clotheswasher - ;j Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. S.tw..w>r, Single StalL...... ....... ....... .... ..... ........... ..... ... r Showei ,Gang......,................................................... Sink: Bar, Commercial, R<:>sidential Kitchen........................ Urinal\ Stall/Wal1='......... ..... ....... .... ... ............ ...... ...,.,..-:- / .,,~ Cwasb 6..asin/Lavatory, Si~g~.., ... ......... ................... ~tal1atiOn::7:".................................... Toilet, Private..:-....... ..... .... .............. ... ............. ....... Isee aneous: 2 1 'i 3 6 2 6 6 1 ',3 2 l/Head 2 z... ,~ \~6 . 4 F3 z.. .', '. ~ " . I 2. ? TOTAL FIXTURE UNITS ~:. " '2.. = _lB' Based on assessed value. If improvements occurred after annexation date in table, . CREDIT CALCULATION TABLE: calculate credits separates. II I Rate per $1,000 Assessed Value Year', Annexed , 1979 or before 1980 1981 1982 1983 1984 . 1985"': " 1986 1987 1988 $4.27 '4.18 4,12 3.99 3.83 '3.68 3.4B 3.18 2.82 2.42 Year Annexed '1989 1990 1991 1992 1993 1994 ....;..1,995 1996 1997 Rate per $1,000 Assessed Value $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 .... ,., Credit for Parcel or Land Only If Applicable = ~ +. os- 4-,21 x' 's-'. 16 (Rate X Assessed Value) X$ (Rate X Assessed Value) CREDIT TOTAL Improvement (if after annexation date) ,. -. .. " . . '.. RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL.......................... 0.4 CommericaL........................ 0.9 IndustriaL........................... 05 Governmental...................... 0.5 = =$ u4-..(!)S" FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . - . 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 with the approval of the attached penn its, one of the following manufactured homes will be placed at 5"7 -;1' /J/7 Yh..(~' ~, Springfield, Oregon, City Job Number 97'OU- ~ .' 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 thennal envelope meeting perfonnance standards which reduce heat loss to levels equivalent to the perfonnance standards required of single family dwellings constructed under the State Specialty Codes. ~ 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 roof mg. 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 pennit. 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 and/or pennit 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. ~- ~ /' v/~. 7-4--,/~ Owner Sig~re ~h~ Contractor Signature Date