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Home My WebLink AboutPermit Building 1991-10-28 .. ;' I . , JOB NUMBER 3JJ Q13 225 Filth Street Sprlnglield, Oregon 97477 RESIDENTIAL PERMIT APPLICATION .-- SPRINGFIELD Inspections: 726.3769 Office: 726-3759 K~ LOCATION OF PROPOSED WORK: N/A ASSESSORS MAP: LOT: I 'is OWNER' ADDRESS: CITY' Lochaven Partners 1199 N. Terry St. Eugene DESCRIBE WORK' Mobile Home set UP NEW x REMODEL ADDITION CONTRACTOR'S NAME Ernie & Son's GENERA' . PLUMBING" Harrison Construction MECHANICAl' Ernie & Son t s ELECTRI~A' . HeritaRe Electric QUAD AREA: t Rn JlJ... ") . OF BLDGS: I OCCY GROUP: ~R ~ ,- . OF STORIES: WATER HEATER: -I'C BLOCK: , TAX LOT: SUBDIVISION: N/A ffilcf'l ) Lochaven , PHONF' 688-9123 STATF' OR 97402 ZIP: '. .- Concrete strin~ers - Accessorv Value $ ~.~, DEMOLISH OTHER M.H. Value $ ..:l. Ij ~95"- ADDRESS 87922 LaPorte Dr.. CONST. CONTRACTOR . Eu<!. 41497 EXPIRES PHONE 2/2/92 484-6505 689-'1762 2/2/92 484-6505 344-1.500 1441 N. HI<v. 99 20-236PB 87922 LaPorte Dr.. Eu<!. 41/.97 855 W. 24th 20-280Cl63137 - OFFI~' y~ LAN D USE: fI '- J-.-.I ~ OF UNITs:_1 CONSTR. TYP'" HEAT SOURCE: _K- ~ RANGE: f". FLOOD PLAIN: T7J~\ ~ I "} ZONING CODE: LAJ ;:::J ~ . OF BDRMS: SECONDARY HEAT: '(c!.LJ..r "' SQUARE FOOTAGE: . . '..::J.\:::7- To requesl 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 w;rkln,g day, Inspections requested aller 7:00 a.m. will be made the lollowlng work day, , . o Tempor~ry Electric o Site Inspection - To be made after excavation, but prior to setting forms. rv9Underslab Plumbl-~rlc;/ "l ~echanlcal - prl~::;'~~~eC/ ~ooting - After trenches are L excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placemen t. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical _ Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking, ~anitary Sewer - Prior to filling , trench. . ~torm Sewer - PrIor to filling ~ trench. r71J,valer Line - Prior to II1l1ng I trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTI0NS o Rough Mechanical - Prior to cover. o Final Plumbing - When all plumbing work Is complele. o 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. o Final Mechanical - When all mechanical work Is complete. o F;replace - Prior 10 facing materials and framing Insp. o Final Building - When all required Inspections have been approved and building Is completed, o Framing - Prior to cover. DOlher o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping, .' . MOBILE HOME INSPECTIONS o Wood Stove - After Install.~tion. ret2locklng and Sel.Up - ~h'en all 9 blocking Is complete. ~IUmblng Connections - When home has been connecled to water and sewer. ~Iectrlcal Connection - When blocking, set.up, and plumbing inspections have been approved and the home Is connected to the service panel. f1Flnal - After all required .Inspectlon.s are approved and porches, skirting, decks, and venting have been Installed. o Insert - After fireplace approval and Installation of unit. A Curbcul & Approach - Alter ~ forms are erected but prior to placement of concrete. ~Idewalk &'Drlveway - After .excavation Is complete, forms and sub.base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. Lot Type _ Selbacks Interior I P.L. HSE GAR ACC I IN I Corner Is I Panhandle Iw I Cui-dc-sac IE I Lot faces~ Lot sq. fig, Lot coverage Topography Total height BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, = VALUE Main Garage ~O[\) t14C) Total Value (74( ) Act .f!/) 1.4~ ?JO.~ Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) G.o.r......'" 1- II Z. "':E (B)IIPo..:iI10'?21 ~ PLUMBING PERMIT ITEM FEE Fixtures ~ Resldentlalt Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. dC) Z~ Mobile Home Plumbing Permit State Surcharge Total Charge ,,~CD ,~f)c; 1'f2:>. i)S (C) MECHANICAL PERMIT Furnace Exhau~~t Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryor Vent Mechanical Permit Issuance State Surcharge (\ In) lrEr:P d)p::J .s, A..~ \q.co Total Permit (D) MISCE1.LANEOUS PERMITS Mobile Hume State Issuance State Surcharge Sldewal', ~ Curbcut Demolition State Surch~rge Total Mlscelianec,us Permits (E) TOTAL AMOUNT OUE (excluding electrical) (A, B, C, D, and E Combined) ~<..{~ I .. \ \ I & THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED: UILDING VALUE, PLAN CHECK D BUILDING PERMIT This p Ills granted on the express condition that the s construct shall, In all respects, conform 10 the Ordl nee adopled by e Clly of Springfield, Includ g the Development Co regulating the construction nd use of buildings, and may suspended or revok at any time upon violation of any pr islons of said din:mcos. Plan Check Fee: ~ Receipt Number' / Re7 ~ans Reviewed By Date Paid: Date Systems Development Charge is due on all undeveloped propertIes within the City limits which are being improvod. ADDITIONAL COMMENTS JitIDO l' L~'d ~LXUL[ W \d\+ \; \ ?j4G(-'> ' \dru\o~Q& / \Y'(()+ By signature, I state and agree, that I have carefully examlnocJ 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 Building Safely Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 will bo 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. Slgnature~ i/:7}zDr~J..c Date ~lD -.:) ..2- 91 .' ~:~~::::MBER_ ~I ((JQP"'i 2JlJe DATEPAID~R, ,: AMOUNT RECfi&e/) CQ ~ · ~~ RECEIVED BY 1::-7\ \. ~ ) ) / . . SPR.FIELD DEVELOPMENT SERVICES PUBUC WORKS METROPOUTAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726.3753 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield that with the approval of the attached manufactured homes will be placed at Springfield, Oregon, City Job Number Development Code, I understand and prO~\' ~f1~ f~r~" ') C\"~\,J.J'D -" agree o Class A Manufactured Home. A manufactured home of not less than 24 feet in width and 16% (not less than 2:12) roof pitch, with exterior dimensions enclosing a space of at least 960 square feet, with roofing and siding materials that are commonly used or compatible wi,th si te built homes. / o Class B Manufactured Home. A manufactured home of not less than 12 feet in width and 16% roof pitch, with exterior dimensions enclosing a space of not less than 500 square feet, with roofing and siding materials that are commonly used or compatible with site built homes. I further state, by my signature below, that I have been provided with the following information: - Mobile home blocking - Sanitary sewer' connection - Yater line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps ~ ~ IIUtd..Gr ell J1 (/0'-/ si-gk:ure (J , /0 -2 f -q I Date , . " . . JOB NO. "\1 1 7.r~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: LOC.HA;\JeN. -PAl2--rNel"-S LOCATION: <'.0'01 ~"T'" Gl-el-4~ DI2... DEVELOPMENT TYPE: LV~ - Q..lE:1N ~,-<,c.- 1>. "'. BUILDING SIZE: Cao-/-1k . \'2..""l-O nO~"Z-"l""'4 - O~<DOO LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. \ '000 X $0.186 PER SQ. FT. ~ ??~ ~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S l~ X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 3. TRANSPORTATION s Ct,9? "'I;; NO OF UNITS X TRIP RATE X COST PER TRIP X 1.000;, X $388.61 S ?9oE>~ X X $388.61 X X $388.61 (See Attachment C To Determine Trip Rates) SUBTOTAL (ADD ITEMS 1,2, & 3) s s S \<.\-IC::;zS 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 s IO~ TOTAL-CITY SDC sl'+"loZ;!.. 5. SANITARY SEWER-MWMC NO. OF PFU'S I~ x $13.25 PER PFU + SIO MWMC ADI~IN. FEE S "2..~'6 "'c> (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) s ?S~ TOTAL-r~WMC SDC s"Z-\'2..~ TOTAL SDC S \IO'?C>.!. L~..L.ck- 10/'2-""/41 , \J Kip Burdick SDC Coordinator , . " FIXTURE UNIT CALCULAlON TABLE: Number of New Fix1ure.nit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES Bathtub.....,.................................... .... ................,. ....., Drinking Fountain.,.,..,....,......,.,.,.,...........,................ Floor Drain...,....."..............,..........,.. .....'.... ......... ...;... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub /Clotheswasher..,.,.,.. ....... ........... ........ Clotheswasher . 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall..,.,..,.,.".,.,...,.,..,.".,............,..... Shower, Gang,.".".".,...".,..,...,...,..,.,..,.,....,.,.,......,.. Sink, Bar, CommerciaL..,.............,.,...............,......... Urinal, StalljWall....,.,..,...".,....,............................,.... Wash Basin/Lavatory, Single.,......,....,............,....... Water Closet, Public Installation............................. Water Closet, Private,....,....,..........,......................... Miscellaneous: 1- "2.. -z.. UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = FIXTURE UNITS 4- "2.- 7_ -z.. B 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 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 $2.66 2.64 2.53 2.41 2.19 2.04 Rate per $1,000 Assessed Value $1,69 1.35 1.15 0.92 0.59 0.23 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) "2. "" X $ I'? .'+1- (Rate X Assessed Value) X S (Rate X Assessed Value) CREDIT TOTAL RUNOFF COEFFICIENTS FOR STORM DRAINAGE ," Residential....,.,.. ....,.............................:.,....,..... 0.4 CommerciaL.,..............................,...,...,......,...., 0.9 I ndustrial............,...,....,....,.....,......,.,."..,..,...,.,.. 0.45 GovernmentaL...............,............,....,........."..... 0.5 = ??'~ ,0 = s ?? - IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT