HomeMy WebLinkAboutPermit Building 1998-4-10
.SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980370
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5743 RIDGECREST DR
Assessors Map #: 18020414
Lot: 16 Block:
Tax Lot #: 01315
Subdivision: RIDGECREST
Owner: JACK MILLUS
Address: 700 MILL STREET #40
Phone #: 895-2388
City/State/Zip: CRESWELL, OREGON 97426
Describe Work: MANUF HOME & GARAGE
NEW
Contractor
const.
Contractor #
Expires
Phone
General:
02/11/98
747-6504
M & A CONSTRUCT 0088928
916 PRESCOTT LANE ~~FIELD OR 97
M & A CONSTRUC~T '~ ~A 0088928
916 PRESCOTT P~~ELD OR 97
Electrical: HERITAGE INY.tA,,'~ V-9,.'9~' 0063137
1042 HARN LAIffl-I'~m;->~l?&l~4040000
1St t.'$ /! '?{.
-- ~~il~'.$~A
LMJR ~~.%~
ZO~~ ~~~~A'
# OF ~~ 4-<>~ ~
RANGE: E V~ ~-?- ~ ~
~. /.(1 V,.()
To request an inspection, call the 24 hour re~~1at
Plumbing:
02/11/98
747-6504
12/27/98
688-1600
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR, TYPE:
WATER HEATER:
VN
E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1863
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.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
MANUFACTURED HOME SERVICE
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench,
WATER LINE - Prior to filling trench,
MANUF HOME/MOBILE HOME SET UP - When all blocking is complete,
MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer:
ROUGH ELECTRICAL - Prior to cover,
FRAMING - Prior to cover.
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: N
Solar Approved: Y
Total Height: 15
Lot Type: INTERIOR
Setbacks
S W E
26 18 29'
10 20 40
Setbk From NPL: 13
N
House 13
Garage
~
;0
SPAINOFIELD
Job Number: 980370
Page 2
Item
Main
Garage
FTG/PERIM FOUNDATION
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
352 16,27
Value
74,380.00
5,727,00
3,600.00
83,707.00
Building Permit Fee
Surcharge/Admin
80.50
6,45
TOTAL FEE
(A)
86.95
--- 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
WILLAMALANE SDC
ELECTRICAL PERMIT
CITY SYS DEVEL CHGS
105.00
20,00
8,40
1,000,00
88.56
2,397,92
TOTAL MISCELLANEOUS PERMITS
(El
3,619.88
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,787.83
--- 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: 60,13 Date Paid: 03/30/98
Received By: LORNE PLEGER
Plans Reviewed By: LISA HOPPER Date, 04/10/98
Building Site Reviewed By: LISA HOPPER
Receipt Number: 29251
--- ADDITIONAL COMMENTS ---
GARAGE REVIEWED AND APPROVED BY DON MOORE 4/9/98
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
.
SPRINGFIELD
Job Number: 980370
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.
Signatcf!/r ~
4llc>lq~
Date
--- VALIDATION
Date Paid:
AC\~~\
4. \0 '~h
2Jl?:n .~?;
~\~
Receipt Number:
Amount Received:
Received By:
.
MANUFACTURED HOME LAND USE AGREEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
1541) 726-3753
FAX(541) 726.3689
As required by the City of Springfield Development Code, I agree that wi
permits, one of the following manufactureq,y\llP,~ ,will be placed at
Springfield, Oregon, City Job Number l./ 0 U <, /)() ,
vI/ 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 roofmg, 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 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 feet of the perimeter enclosure. The perimeter foundation wall surrounding the
home shall be constructed of stone, brick or other masonry materials, and with 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 the date of issuance of the manufactured home set up permit. 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
r&:-Si~
D~1 kO L0??
Date
Jut) NO. . qRo~7D
... ATTACHMENT A I
CITY OF SPR~GFIELD SYSTEMS DEVELOP NT CHARGE
WORKSHEET
NAME OR COMPANY:
, T,u.. t/ M II I 11"-,
LOCATION:
.
OEVELOPMENT TYPE:
MF/~ Ht>JCHS
BUILDING SIZE
lOT SIZF
<;0, Ft.
1, <;TORM DRAINAGF
IMPERVIOUS SO, FT,
""< /41
;
x $0.226 PER SQ, FT, $ 70'1. R7
2. SANITARY SF~ER-CITY
NO, OF PFU'S 20
(See Reverse Side)
x $46,86 PER PFU
$ 937. 20
3, TRANSPORTATION
,NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.0 ( X $472.49
$. 477,21
X
X $472.49
$
X
X $472.49
$
4. ~ANiTARY SEwFR-MWMC
DtJl~
NO. OF :-E~"3 X 777.I!::PER FEU + $10 MWMClADM FEE $ ?R7,7&;;
TOTAl -MWMC SDC
$ - /28. 3/
$ /SCf. 41)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
$ 2,2?l~.73
----. "..
5. ADMiNiSTRATIVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
L9t
$
/ /4. ;1
Date:
4 - 7-c-18
SDC Coordinator
TOTAl SDC $' 2; '::?~Z-
. riA I un!: UIIlII.. '-'J-\L~.ULJ-\.I'!.UIIl",,1 J-\OL&:;.:Numoer"oLNew,.t;,xtures.^-unot,l:qulvalent ,= Fixture,Units....
_._..._.._.~_..~~tl.,:v.,...,.....::t'_:'i""-"'.....~:.t.;,...~,..1':',I":.,,"";":.........,.~,;.~t.., ~....,.-.. . _-:..;>,~; . . . '" "_ '
(NOTE: For remodels;'calculate'~:I1I_e'MfI;a..,~ditiP.'n,!lfux!l!te.~!A\~~\"')'~.,~'~$...."-.." 'L !,C,."",;t::~;{'", . "", '.:,'
. .';, " 'f,,",,' ;" ',;, ",,,,~01i;,;'M:.;" ".;.1',..,;'" NUMBER '0"<' - UNIT ',,, :'. FIXTURE
"'" 'T~, ',.,,' '~'I.~'Io'.f~.-,_ '{:l. ,'';' _ r.. '\ . ., '..' ~..... "'-
FIXTURE TYPE ',-;.',: "', -":c:,t,4'-i,; JSV3Q2W:rC3y.:~'NEV;':FIXTuMs'r, - EOUIVALENT: 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 11 Per Trailer)..................
Receptor For Refrigerillpr/Water Station/Etc........
Receptor For Commercial SinkjDishwasher/Etc..
Shower. Single Stall....,..... ......,....,.. ...... ..... ..............
Shower, Gang.. ... .... .....,........'........ ... ..... ........... .... ...
Sink: Bar, CommerCial, Residential Kitchen........................
Urinal, Stall/Wall..........,......."...................................
Wash Basin/Lavatory, Single....",...........................
Toilet, Pubiic Installation,..",....,.",......... ................
Toilet, Private. ... .... ....................... .................. ......
Miscellaneous:
2..
2.
z..
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE:
calculate credits separates,
II
I
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
=
4-
'2
z.
'2..
z
8
?~Q..
Based on assessed value. If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
$~
3.89
3.83
3,70
, 3.55
3.39
3.20
2.91
Year
Annexed
~a Q" h(;)fn.rp.
1980
1981
1982
1983'
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
"
Rate per $'1,000
Assessed Value
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
Credit for Parcel or Land Only If Applicable
17_8, ,'2,l
Improv~ment lif after annexation datel
~.q7 X $ 32. "(za
(Rate X Assessed Value)
X $
, (Rate X Assessed Value)
=
=
CREDIT TOTAL = $ _I zJL3/
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
nasidenrj31... :..... ......... ......... 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
.
.
Job. No. C\~?5I()
SYSTEM DEVELOPMENT CHARGE
~ . WORKSHEET .
NAME: \ /(\l'L \\\1\~WJ . PHONE: _~C\ ~~~1Z
ADDRESS: Jl\.CO \ ~\\Q ~-iJ-~t) STATE: DC. ZIP:.9J12lo
.'
LOCATION OF PROPOSED BUILDING~I~E: .
Street Addre~: t)'14-~ \.~~orf) f)'( .
Plat Name~)~ ~d.lJg~l\ocl- Tax Lot Number: \~DruA\<\ O\3\':S
, .
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
\,
A. Sinnle-F:lmilv Det:lcheQ
Single Family home
NO. OF UNITS
I Manufactured home not in a park
X $1,000 per unit = $ / fYf) . 00
I
B. Sinnle'-F:lmilv Att:lchAn
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ,Manufactured Home P:l~
$
$
IDC{),OO
pi
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALA
\lciL~~~dl~C_'
beveiopment ~ Department
City of SPringf~~jices
4
Date
$
$ }DO(J ,Oc)
I lO / q<t
SDC ASSESSED