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Home My WebLink AboutPermit Building 1994-4-8 (2) ", . .. ... "-'RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . .. 'S~ ISS- C:4~' . JOB NUMBER . SPRINGFIELD . 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED ~~ ,5157 Daisy Street ASSESSORS MAP:. \r')l )~'?>~ 3~ LOT: 4617 4. : BLOCK' ,. . ... ~ OWNER: Patricia Vallee. ADD~ESS: '5157 Daisy Street CITY: SpringfIeld Springfield, Oregon 97477 TAX LOT' 17 02 33 34-04617 SUBDIVISION' Leonora Estates PHONE: 726-0276 STATE: Oregon ZIP' 97477 DESCRIBE WORK: Foundation, Skirting, Electric hook-ups, Excavation, Water & Sewer hook-ups NEW .. REMODEL ADDITION DEMOLISH OTHER' Replacement Mobil Home' CONTRACTOR'S NAME GENERAL' Lakeside Construction PLUMBING:\.f:).~ MECHANICAL' . . . ELECTRICA',..r'O_\1\f)t)o \ \~. ....., '.' r. QUAD AREA: ~~~ # OFBLDGS: _J')L OCCY GROUP: '"K.;::) \ U # OF STORIES: WATER HEATER: CON ST. ADDRESS CONTRACTOR # 1792 N, 42nd Street Spfld. 76788 EXPIRES 9/27/94 PHONE 747-6765 .../ ~ t; '5 5 ., "). .~ OFFIC~U~- LAND USE: \\~ t :~:S~::T;PE: \) rJ HEAT SOURCE: ~C ~ FLOOD PLAIN:' - ZONING CODE: t U e.- # OF BDRMS: l ~ --- SECONDARY HEAT: SQUARE FOOTAGE:--1.'6~ RANGF' 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 following work day. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/ Electrlcal/ Mechanical - Prior to cover. r-/, Footing - After trenches are ~ excavated. o Masonry - Steel location, bond .' bear:ns, grouting. . J. Foundation _ After forms are l#erected. but, prior to concrete placement. o Underground Plumbing - Prior to filling trench. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. . o Final Plumbing - When all plumbing work Is complete. D Rough Electrical - Prior to cover. D Final Electrical - When all electrical work is complete. o Electrical Service - Must be approved to obtain permanent electrical power. . D Final Mechanical - When all mechanical work Is complete. o Fireplace - Prior to facing materials and framing Insp. o Final Building - When all required Inspections have been approved and building Is completed. o Framing. - Prior to cover. o Other o Wail/Ceiling Insulation - Prior to . cover. . o Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Underfloor Plumbing/Mechanical . . _. Prior to Insulation or decking. D Wood Stove - After Installation. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation --:- Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. . D Water Line - Prior to filling trench. , . o Rough Plumbing - Prior to cover. D Insert - After fireplace approval' and Installation of unit. f":':I Blocking and Set.Up - When all L.X..J blocking Is complete. o Curbcut & Approach - After . forms are erected but prior to placement of concrete. [X] Plumbing Connections - When hom.e has been connected to wateroand sewer. . . o Sidewalk & Driveway - After . excavation Is complete, forms and sub-base material In place. [!] Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Fence"':" When completed. [!J Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. o Street Trees - When all required trees are planted. 'fZT~~~! ~S THE PROPOSED WORK IN THE';. ,...... Lot faces Setbacks I P.L. I I '-"HISTORICAL DISTRICT, OR ON HSE GAR ACC Lot sq. ftg. THE HISTORICAL REGISTER? Lot coverage Corner N If yes, this application must be signed Is 1 and approved by the Historical Topography Panhandle Iv~: , .,' ..' I Coordinator prior to permit Issuance. : . _u.' j .,1 Total height Cul-de-sac IE I - APPROVED: BUILDING PERMIT : ITEM SQ. FT. X $1 SQ. FT. = VALUE 4f) (){)O. Main Garage ~~ fd ,':, :,' ':,:'; I :'j',; ~:.;.,.;i.:. ," \ ' V . " '. '. l~ C~r ort ~, ~ .' - - ,_ _. I V Total Value . oD.~ ~'.53 53.03 Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) ~: (B) $ 2B?~ PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer Water, _ Storm Sewer FT. FT. FT. IE) .CC> Mobile Home Plumbing Permit - \~.cu ,is \S."\5 State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge 16 'CO Total Permit (D) MISCELLANEOUS PERMITS Mobile Home " j, State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge, Total Miscellaneous Permits (E) ~'\ r~.>=J TOTAL AMOUNT DUE (excluding electrical) "~ \ :~ (A, B, C, ,.0, and E Combined) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT , This permit Is granted on the express condition t the said construction shall, in all resp!'l.c~s, conform to e Ordinance adopted by the City of' Springfield ncluding the Development Code, regulating the co ruction and use of buildings, and may be suspended r revoked at any' time upon violation of any provision of said ordinances. ...iplkn :theck Fee: Date Paid: /' ~ . . . .' . . . ~ . : . ~Ians Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ,... ..... \, O_~CL)\ ^-~f\ \~~__ C~ \2\"l>ut,r1Q-~WB ~3 - - . - cA", I: VII ffi) Cwru1 (~h,\ ~f\\\Q~D) '; \ C\.( Q(l, 'Y . .' \. )ilirf\, t\[\ \v). }J) \_W 0 (1) 1: o ~_~~ lvt\ 0 lL' T-'~ 0 I"~"'A . n WY\ '_+ ~9~ (~ ~ t' C1R I 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 ~aws 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 Building Safety Division. 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 (.Ibtlmes during construction. Slgnatur~,114r; ~ p~~ Date 4- ~ ... Cjtf VALIDATION: ~ ~ RECEIPT NUMBER ,..we ) DATE PAID ~ . ~4_ . "TI ..I.,/l......' AMOUNT RE~1 t ,- ,".J 1'( ~~ RECEIVED B I.LJQ. - \ ....... ~ . . SPRleELD DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 FAX (503) 726-3689 MANUFACTURED HOME SET-UP AGREEMENT Development Code, I understand and agree permi tS\,J?Jle of W"f!>llowing ~\ ' ~ n CC?.!::) _ \ ~_l.Lt. ~ ,.. ,~il9o 1., Spri~field, Oregon, City Job Number ~L\!J~ -. \) ~ Ty~e I Manufactured Home. A multi-sectional (double wide or wider) unlt with an enclosed floor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 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 of 2 feet in height for each 12 feet in width and that has no bare metal siding or roofing. I further state, by my signature below, that I have been provided with the following information: - Manufactured Home blocking - Water line connection - Street tree standards - Sanitary sewer connection - Electrical connection - Minimum requirements for permanent steps I also understand that if I am installing a Type I Manufactured Home, the home shall be enclosed at the perimeter with stone, brick or other masonry materials, and with no more than 12 inches of the enclosing material exposed above grade. srJ.re flc~~ , L~ ~"y; -1. "-I Date . . .B NO. 9y.o2B9 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ?A-\~\c...\A. \I~L.LE...e. LOCATION: St'?/ DA\'E:>Y S-r. IIO-z..?~~y- - 04""" DEVELOPMENT TYPE: Lp ~ - ~f> L.-A:c..B N\oelLE-' ~ Mt::. BUILDING SIZE: \ c..\: .,l Co '=' LOT StZE .SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. q'Z,y. X $0.203 PER SQ. FT. (;~1?2.) "-- ------ . 2. SANITARY SEWER-CITY NO. OF PFU'S '1- X $42.08 PER PFU C~10 (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X - X $424.31 <i- ) '- .-/' X X $424.31 $ X X $424.31 $ 4. SANITARY SEWER-MWMC NO. OF PFU'S /V,A. x $15.125 PER PFU + $10 MWMC ADM FEE $ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ -- TOTAL-MWMC SOC C ...e-- ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ -z.. -'1 , .,~ - 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 V ..,~LeL ~ /q /q'-f '---cr Kip Burdick I ( SDC Coordinator r\'??~) '-- .-/' TOTAL SDC $ -z.e>c:;,~-=- FIXTU R E U N I~ ,CALC U LAI 0 N T AS LE: Numb~r of New Fixtur.nit Equivalent = Fixture Units (NOTE: For remodels. calculate only the N~dditional fixtures) NUMBER OF' UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub.......,.,..,................,...........,.",.........,.",......... . Drinking Fountain......, ,... ...., .,. ,. ,.... .....,.. .., ................ Roor Drain....... ....... ........................",..........,............ Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Clotheswasher..... ......... ..... ........... ..... C1otheswa~her - 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F9r Refrigerator {Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. ' Shower, Single .Stall....... ............ ....... ...... ......... ........ Shower, Gang... .................................................:..... Sink, Bar, CommerciaL.............. ...... ... ......... ....... .... Urinal, Stall {WaiL..................................................... Wash Basin/Lavatory, Single.... ..... .................. ....... Water Ooset, Public Installation............................. Water Ooset, Private..... ..... ................. ..... ............... Miscellaneous: 2 1 2 3 6 \ 2 '2... 6 6 1 3 :~ f~ 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = '2. 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 Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 .. Credit for Parcel or land Only If Applicable Improvement (rt after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL - $ RUNOFF COEFFICIENTS FOR, STORM DRAINAGE R esid entia!... ..... ....... ....... ...... .:... :............... ....... 0.4 <::ommercial...................................................... 0.9 I nd ustriaL. ......... ..... ........................... ....... ........ 0.45 GovernmentaL................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT