HomeMy WebLinkAboutPermit Building 1997-4-8
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970457
225 North Fifth Street
springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5738 RIDGE CREST DR
Assessors Map #: 18020414
Lot: 8 Block:
Tax Lot #: 01303
Subdivision: RIDGE CREST
Owner: ANNA BOLIN
Address: 77500 SOUTH 6TH
Phone #: 942-6802
City/State/Zip: COTTAGE GROVE, OREGON 974
Describe Work: MANOF HOME & GARAGE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General: M & A CONSTRUCT 0088928
916 Prescott Lane Springfield OR 97
Plumbing: BL DUMAS 0067152
2090 Adams St Eugene OR 974050000
Electrical: HERITAGE INV 006313 7
1042 Harn Lane Eugene OR 974040000
02/11/98
747-6504
06/05/97
726-2187
12/27/97
688-1600
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: 1782
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 ---
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.
MANOFACTURED HOME SERVICE
FINAL ELECTRICAL - When all electrical work is complete.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete. forms and sub-base material
in place.
PRE BACKFILL: To verify site is clean of debris prior to final grading
and backfill.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Solar Approved: Y
Total Height: 15
Lot Type: INTERIOR
Setbacks
S W E
10 5 36
20 15
Setbk From NPL: 14
N
House 14
Garage 48
SPRINGFIELD
Job Number: 970457
Page 2
Item
Main
Garage
FTG/PERIM FOUNDATION
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
336 16.27
Value
57,990.00
5,467.00
2,915.00
66,372.00
Building Permit Fee
Surcharge/Admin
74.50
5.97
TOTAL FEE
(A)
80.47
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,323.43
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
105.00
20.00
8.40
20.20
13.90
1,000.00
88.56
TOTAL MISCELLANEOUS PERMITS
(E)
1,256.06
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, s, C, 0, and E combined)
3,740.96
--- 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.
Plan Check Fee: 52.33 Date Paid: 03/31/97
Received By: LORNE PLEGER
Plans Reviewed By: LISA HOPPER Date: 04/09/97
Building Site Reviewed By: LISA HOPPER
Receipt Number: 25108
SPRINGFIELD
Job Number: 970457
Page 3
--- ADDITIONAL COMMENTS
GARAGE REVIEWED AND APPROVED BY BOB BARNHART
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 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.
Signat~r
Pn I UNJ";l -A'~ ,
4( )\[9'1
Date
Date Paid:
-- - VALIDATION
ffi3~
- .l\ Cfl
Receipt Number:
Amount Received:
Received By:
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD. OR 97477
(541) 726.3753
FAX (541) 726-3689
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, I understand and agree that with the ~~~..' al of
tM '!.ttaj~ed )ef{llitsA o.!!.~e f the following manufactured homes will be placed~.~")1 ~ S(
\....,~ H \~?' !\ V A'y\ . Springfield, Oregon, City Job Number ~. Ie )"\;~...., .
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 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
for single family dwellings at the time of construction. initials
Type II Manufactured Home:
A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a
nominal roof pitch of2 feet in height for each 12 feet in width, that has no bare metal siding or roofmg,
and that has been certified by the manufacturer to have an exterior thermal envelope meeting ~_. :.....ance
standards which reduce heat loss to levels equivalent to the performance standards required for single
family dwellings at the time of construction. initials
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, and Minimum requirements for permanent steps.
I also understand that the manufactured home shall be placed on an excavated and backfilled foundation
not to exceed 6 percent slope within 10 feet of the perimeter enclosure, enclosed at the perimeter with
stone, brick or other concrete or masonry materials approved by the Building Official and with no more
than 24 inches of the enclosing material exposed above grade.
Sig~
~uJ~u J
<+(~dCjl
Date
~ ...
.
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: ANNA
Location: 5738
Developement Type: R
BOLIN
RIDGE CREST
Building
Job No.: 970457
DR
Size:
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2450 X 0.216 Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 20 X 44.75 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1.010' X
X
Cost Per Trip
451. 26
$455.77
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
20
Per PFU +
20.690 +
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: DENNIS ERNST
Date: 04/03/97
Page 1
Sq Ft
$529.20
$895.00
$455.77
$423.80
$90.98
$332.82
$2,212.79
$110.64
$2,323.43
~
"
.
Job Number: 970457
.
Page 2
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
Unit
Equivalent
2
o
o
o
o
1
o
o
o
1
o
1
o
2
o
2
o
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: 1979
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
26,220
X
3.47
Fixture
Units
4
o
o
o
o
2
o
o
o
2
o
2
o
2
o
8
o
20
90.98
0.00
$90.98
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
o
X
3.47 =
CREDIT TOTAL =
.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET '.
NAME~ ) 8a.li.Jt, . PHONE: (\41.. W~~
ADDRESS:o....r15C{LpD \o<:\nt~TATE:.e:tZIP: C\142..4
LOCATION OF PROPOSED BUILDING ~ITE:
Street Address: 5l?1~ l1<.irll\L 0J1Q.rl:, C\ri \)9---'
Plat Na e:' rrl- -~ot Number: -WlO4\ 4 QEQ3
-
Job. No.
q1()4~
1. DEVELOPMENT PE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinale-Familv Detached
Single Family home
,. Manufactured home not in a park
X $1,000 per unit = $ Ji)f'I)((),
. NO. OF UNITS
l
B. SinnlA-Fllmilv Attllcheq
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartmen\
NO. OF UNITS
X $692 per unit = $
D. Ml'lnll~lJrAd Home Parts
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ -1Qno.fXJ
f:J
$lOO(') pO
c{1_
I
L\/C\/
Date
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
\Ml~~~artm,"l
City of Springfield