HomeMy WebLinkAboutPermit Building 1996-3-6 (2)
SPRINGFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960224
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 2722 GARSON LN
Assessors Map #: 17033611
Lot: 3 Block:
Tax Lot #: 09900
Subdivision: LYNETTES
Owner: RONALD LEHMBUHL Phone #: 726-7096
Address: 1239 NORTH 34TH STREET City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: MANOF HOME & CARPORT NEW
Const.
Contractor Contractor # Expires Phone
General: GOODEN HARRISON 0066447 05/07/96 689-7762
1441 Hwy 99N Eugene OR 974020000
Plumbing: GOODEN HARRISON 0066447 05/07/96 689-7762
1441 Hwy 99N Eugene OR 974020000
Electrical: BUILDERS ELECTR 0004296 12/10/96 485-0922
PO Box 10021 Eugene OR 974010000
QUAD AREA: 2RNW
# 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: 1120
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
PEDESTAL - Prior to cover.
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
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.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
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.
Lot Faces: 2 Total Height: 15 Solar Approved: Y
Lot Type: INTERIOR
Setbacks
N S W E
House 11 12 11
Garage 38 6
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Job Number: 960224
Page 2
Item
Main
Garage
FTG/PERIM FND
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
30,000.00
0.00
3,800.00
37,112.00
Building Permit Fee
Surcharge/Admin
68.50
5.49
TOTAL FEE
(A)
73.99
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,005.42
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- 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
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
PLAN REVIEW FEE
105.00
20.00
8.40
19.30
12.70
1,000.00
88.56
44.53
TOTAL MISCELLANEOUS PERMITS
(E)
1,298.49
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,458.90
--- 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: LISA HOPPER Date: 02/28/96
Building Site Reviewed By: LISA HOPPER
Job Number: 960224
Page 3
--- ADDITIONAL COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
1 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.
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.
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Date
Date Paid:
- - - VALI'rjON
.:)~O8:(~
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Receipt Number:
Amount Received:
Received By:
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Job. No.
Q.loO.0 '1.4
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:~~~~\\\b ~~~NE: -=:11!o.t.L0Jo
ADDRESS: ~~ \~ ~~ STATE:~IP: 414-\~
LOCATION OF PROPOSED BUILDING SITE: ~ n "
Street Address: ~ (~J\~0'f'\. U,\l..1\Q - .
Plat Name: J t~fuA . Tax Lot Number: li03Alol\ ()~
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1. DEVELOPMElh TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinnlp.-F::lmjlv Detach~
,
Single Family home
-L Manufactured home not in a park
X $1,000 per unit = $ ICCt:::Y:l')
NO. OF UNITS
B. Sinnlp.-Familv Attached
NO. OF UNITS
X $924 per unit = $
C, Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. b"!anufaclured Home Park.
NO. OF UNITS
X $699 per unit =
$
l OCD.CO
WILLAMALANE SDC
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~~~~~~~~f.2e",
City of Springfield . \
:!J/
f2f
$ \cm00
lQ/qlQ
$
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit WorKsheet.
Date
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: RONALD LEHMBUHL
Location: 2722 GARSON LN
Developement Type: R Building Size:
Job No.: 960224
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 1876 X 0.210 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 43.43 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
437.93
$442.31
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
Per PFU +
18.750 +
MWMC Admin Fee
10.00
X
X
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER
Date: 02/22/96
Page 1
Sq Ft
$393.96
$781.74
$442.31
=
$347.50
$55.59
$291.91
$1,909.92
$95.50
$2,005.42
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Job Number: 960224
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
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 Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS
Number of
New Fixture
2
o
o
o
o
1
o
o
o
o
o
1
o
2
o
2
o
.
Page 2
Unit
Equivalent
2
1
2
3
6
2
6
1
3
2
2
2
1
6
4
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1960
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
16,020
X
3.47
o
X
3.47 =
Fixture
Units
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
18
55.59
0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
$55.59
CREDIT TOTAL =
.
SpAFIELD
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477 .
(541) 726-3753
FAX (541) 726-3689
MANUFACTURED HOME SET-UP AGREEHENT
~
As required by the City. of Springfield Development Code, I understand and agree
that vith the approval of the attached PA~httO~e of the ~qlloving
manufactured homes viII be placed at ~'Jr\ (~~~ ~r\ J
spri~ Oregon, City Job Number VI, I~ ~ . -
Type I Manufactured Home. A multi-sectional (double vide or vider)
unit vith an enclosed tloor area of not less than l,OOO square feet,
that has a nominal roof pitch of 3 feet in height for each 12 feet in
vidth, 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 Q(\{~k,~ tlITb~con~~~.
Type II Manufactured Home. .A unit of not less than 12 feet in width
with an enclosed tloor area of not less than 500 square feet, that has
a nominal roof pitch of 2 feet in height for each l2 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:
- Hanufactured Home blocking
- Vater 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 Hanufactured Home, the home
shall be enclosed at the perimeter with stone, brick or other masonry materials,
and vith no more than 12 inches of the enclosing material exposed above grade.
.~fi' ~ 2F~~,-<, 5
Signature
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