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Home My WebLink AboutPermit Building 1999-8-2 ./ .' Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 990846 COMMUNI.T.Y. SERVICES DIVISION "'1 '&Wd)I~'\f*f'Y'lIlaw requires you to fAHiSw rules a&oPlea by the Oregon Utility Notification Center. Those rules are set forth Of f ' . 726 _ 3 759 in OAR 952-001-001 0 through OARaO:;?Jln1_ L~ce. 726-3769 0090 " b . !.trt;p!=~t:'1on ~ne: . .' ou may 0 tam copies ofthe rules by Location of Proposed Work: 5751 ~~'b1:ttJNenter. (Note: the telephone Assessors Map #: 18020411 num erforIh~OregonUtf!jtJ(l'tQ!~iC#l!iO&4700 Lot: 11 Block: Center IS 1-800.~ga1't4fJion: THURSTON RIDGE 225 North Fifth Street Springfield, OR 97477 Owner: VERN BENSON Address: 940 HWY 99 NORTH Phone #: 688-8897 City/State/Zip: EUGENE, OREGON 97402 Contractor G~l'iClE: NEW 7.IIGr:::;RI\~ITC:\.I1\11 ~PIR~IFTHEWORK \ZEn II1\In~ISPERMITISNOT AUTHOR "COiiif,i'c \:'or jL -:1<::\' ~es COMMENCED OR IS ABANDuNEij rvn ANY 180DAYR!RI€JI), 07/21/00 Phone Describe Work: MANOF HOME & General: WOLDEN CONSTRU 688-8897 Electrical: FREEMAN ELECTRI 0061648 PO BOX 90216 PORTLAND OR 972900000 09/28/99 997-3651 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 2 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1742 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. FOUNDATION - After forms are erected but prior to concrete placement. MANUF HOME/MOBILE HOME SET UP - When all blocking is complete. ROUGH ELECTRICAL - Prior to cover, SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. 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. WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. 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: N Topography: 4 Lot Lot Setbacks S W 10 5 Sq. Ft,: 5201 Type: INTERIOR Lot Coverage: 42 % N E 5 House Garage 20 Item Main BUILDING PERMIT --- Square Feet x $/square Feet Value 0.00 , *, SPRINGFIELD Job Number: 990846 Page 2 Garage MANU/HOME FTG/FDN Total Value 484 18.34 8,877.00 43,758.00 3,500.00 56,135.00 Building Permit Fee Surcharge/Admin 98.50 7.89 TOTAL FEE (A) 106.39 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 105,00 30,00 8,40 60,00 60.00 2,438.43 1,000,00 64,03 TOTAL MISCELLANEOUS PERMITS (E) 3,765.86 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,969.45 --- 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: 07/28/99 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- A SEPERATE ELECTRICAL IS REQUIRED DRIVEWAY REQUIRED TO BE PAVED 1 STREET TREES REQUIRED -/ Job Number: 990846 Page 3 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. '- ~ <: "> -.., --.~ ;:;..- g-J-? i Signature Date --- VALIDATION Date Paid: ()3S'u73. ~ J 2./11 51cC} ~r:-'1 JtJ~ Receipt Number: Amount Received: Received By: . 225 FIFTH STREff SPRINGFIELD, OR 97477 (541) 726-3753 FAX(541) 726-3689 MANUFACTURED HOME LAND USE AGREEMENT As required by the City of Springfield Development Code, I agree that with the apprl/val of the a~hed permits, one of the following manufactured homes will be placed at n!) I ,:,.1 e;/ c;- Springfietd, Oregon, City Job Number CJ1ot'lC,. . L Type I Manufactured Home, A mutti-sectional (doubte wide or wider) unit with an enctosed floor area of not less than 1,000 square feet, that has a nominat roof pitch of3 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 performance standards which reduce heat loss to levels equivalent to the performance standards required of single family dwellings constructed under the Slate 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 of2 feet in height for each 12 feet in width and that has no bare metal siding or roofmg, The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6 percent slope within 10 feei of the perimeterimclosure. Theperimeter fOllndation wall surrounding the home shall be constructed of stone, brick or other-masonry materials, and wi~h 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 ~e date of is~uance of the manu.factured home set up pe~it. 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 permit 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. '-. ~ -: Owner Signature - \l-?--"l1 Date Contractor Signature Date JOURNAL OR JOB NO. C\l{D%~lP . ATTACHMENT A . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: \/F.r2 N &f\J:Y\~ LOCATION: 5'151 1Zrr%~ CT DEVELOPMENT TYPE: SF 0 BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE 11q-2 IMPERVIOUS SQ. FT. + l'i> (20) + "Z~ CZ.l} '2-"5'1>15 X $0,227 PER SQ, FT. $ 68 (.,,'60 -. 2, SANITARY SEWER-CITY NO. OF PFU'S 20 (See Reverse Side) X $47,14 PER PFU $ "I42.Slo 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X t.OI X $475.32 $ 480,07_ X X $475.32 , \ $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 277.4+ PER FEU $ 2.ii.44 B. IMPROVEMENT COST: / . NO, OF FEU'S X 2.5.20 PER FEU $ 25.20. MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ > $ 10.00 TOTAL-MWMC SDC $ 3\"Z 'GA- SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 23'2.2..3 ( / $ II {~.I '2... M~L- SDC Coordinator ATTACH'A.WPD Date: t? /Z<t !q'1 . TOTAL SDC $Z.4z,'B.4~ h .~~:.;~.-.:". ijf: FDvTURE-UrilIT CALCUL~ION T ~BLE: Number of New Fixt. KUnit Equivalent = Fixture Un~ts (NOTE: For remodels, calculate onl. NET additIOnal fixtures) . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub"......................,...............,..........................,. . Drinking Fountain..,......,........................................... Floor Drain..... ... ..... ............ ...............", ....... .... ........... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher ............. ............. ......... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL...."...... ........ ............... ....... ...... Shower, Gang......, .... ............. .....,.. ............... ..... ... ... Sink: Bar, Commercial, Residential Kitchen.....:.................. Urinal, Stall/Wall....................................................... Wash Basin/Lavatory, Single.................................. .Toilet, Public Installation...... ........... ................. ...... Toilet, Private.,. ......,..... .......... ........ ............... ....... Miscellaneous: II 4- 2 1 2 : :::l"~~..l l' , / '-.' '6'. , 2 6 6 1 3 2 1/Head 2 2 1 6 4 'Z.. q I 2.. , , / 2.. / 7' /1 II TOTAL FIXTURE UNITS zo = . CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. X. .$' = (Rate X Assessed Valuel X $ = (Rate X Assessed Value) CREDIT TOTAL I I Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985." " 1986 1987 1988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) Year Annexed ~ Rate per $1 '. 000 Assessed Value 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 - = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 Commerical......................... 0,9 IndustriaL........................... 0 5 Governmental....................... 0.5 FIXUNIT,WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT - A SinolA-F8milv DAt8chAd Single Family home NO. OF UNITS \ B. ,SinoIA'-F8milv Att8chAd NO. OF UNITS C. Multi-Familv A08rtment NO. OF UNITS D. MPnuf8cturAd HOlUA P8rk NO. OF UNITS WILLAMALANE SDC . PHONE: \g~~ .<t<bC\'l STATE:~ZIP: 0\14~ { Manufactured home not in a park X $1.000 per unit = $ JDOO .00 . X $924 per unit = $ X $692 per unit = $ X $699 per unit = $ \t\DD ~ Jf \lJDD ,00 $ 2. SDC CREDIT (if applicable) SDC-payer must fulfllsh proof 01 WiUamalane Credit approval. See SOC Credit Worksheet. $ 3. TOTAL WlLLAMALANE NET SDC ASSESSED . (If SDC reduced for Credit) ~'n\~~~rtm'm City of Springfield $ I I Date