HomeMy WebLinkAboutPermit Building 1998-6-22
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NOTICE:
THIS PERMIT SHALL EXPIRE IF, THE ~ENTIAL PERMIT APPLICATION
AUTHORIZED UNDER THIS PERMIT IS NO"FITY OF SPRINGFIELD
COMMENCED OR IS ABANDONED FoFfOMMUNITY SERVICES DIVISION
ANY 180 0 BUILDING SAFETY
AY PERIOD.
Page 1
Job Number: 980666
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4628 BLUEBELLE WAY
Assessors Map #: 17023243
Lot: Block:
Tax Lot #: 04800
Subdivision:
Owner: BETTY COUCH
Address: 77977 SOUTH 6TH
Phone #: 942-3477
City/State/Zip: COTTAGE GROVE, OR 97424
Describe Work: MANUF HOME & CARPORT NEW
Const.
contractor~ Contractor # Expires Phone
~"H~ .
General: 3 57~'-> ~ a.t:Pc.: G. 02/22/00
- :, ~g S 0041497 689-9225
29276 AIRPORT RD EUGENE OR 97402000
Plumbing: LONDON PLUMBING 0111950 03/01/99 942-4537
PO BOX 1102 COTTAGE GROVE OR 974240
Electrical: DIXON ELECTRIC' 0066894 07/18/98 344-5395
33736 MARTIN RD CRESWELL OR 9742600
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: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1004
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.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
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.
MANUFACTURED HOME SERVICE
MANUF. HOME/MOBILE HOME E~ECTRICAL - 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.
ELECTRICAL SERVICE -- Must be approved'to obtain permanent power.
ROUGH ELECTRICAL - Prior to cover,
FRAMING - Prior to cover.
TEMPORARY POWER
FINAL SET UP -.After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
FINAL BUILDING - When all required inspections have been approved and.
the building is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
. .,l
Lot Faces: S
,Lot Sq. Ft,: 6890
Lot Type: PANHANDLE
SPRINGFIELD...... .' .. '.1
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Job Number: 980666
Page 2
House
Garage
N
14
14
Setbacks
S W
26 23
32 5
E
14
Item
Main
.G<.."-"'geC~ ~/174 .
FTG/PERIM FOUNDATION
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
_€.:;:.; 1
3,800.00
7,774.00
Building Permit Fee
Surcharge/Admin
68.50
5.49
TOTAL FEE
(A)
73.99
PLUMBING PERMIT ---
Item
Sanitary Sewer
Wp..ter
Storm Sewer
Mobile Home
Fee
40.00
40,00
40.00
15.00
:-.......
Plumbing Permit
Surcharg~/Admin
,
135.00
10.80
TOTAL CHARGE
(C)
145.80
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
WILLAMALANE SDC
CITY SYS DEV CHARGES
105,00
20.00
8.40
1,000.00
2,374.00
~'3 WO
.
TOTAL MISCELLANEOUS PERMITS
(E)
3,507.40
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, Jnd E combined)
!
3,727.19
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
!
I
This permit is granted on the express condition that the said construction
~~ll, in all respects, conform to the OrdiAance adopted by the City of
sp}ingfield, including the Development Code) regulating the construction and
'use of buildings, and may be suspended or r~voked at any time upon violation
of any provisions of said ordinances. i
Plan Check Fee: 44.53 Date
Received By: AL WARD
Plans Reviewed By: LISA HOPPER
Building Site Reviewed By: LISA HOPPER
Paid:
I
Date:
06/04/98
Receipt Number: 30177
06/09/98
ADDITIONAL
COMMENTS
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Job Number: 980666
Page 3
A & T ESTIMATE ONLY FOR CITY SDC CREDIT PUR80SES
CARPORT REVIEWED AND APPROVED BY AL WARD '
DRIVEWAY REQUIRED TO BE PAVED
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 ihat any and all work performed
shall be done in accordance with the Ordinartces of the City of Springfield,
and the Laws of the State of Oregon pertain~ng to the work described herein,
I
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services bivision, Building'safet~. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project. j
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 propertx, and the approved set of plans
will remain on the site at all times during !construction.
Signature
~.x~
/
to' :;) :1..-9 s.-
Date
--- VALIDATION
Date Paid:
()3oCJlq
t/ Zl-}1r
I ,
37"J- 7,~1 ()
.;Jl WI
Receipt Number:
Amount Received:
Received By:
, "
ATIACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
JOB No.qRIJ~~
NAME OR COMPANY:
Be 1TY (' 1'1 ur.1J.
4' 2/i<, BLU5.Se:LLE WAY
M Pc.. I-t 0 IA-1 r-;
,
LOCATION:
DEVELOPMENT TYPE:
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1 . STOR.M ORA I ~ljlGE
IMPERV IOUS SQ. FT. g I 8 ()
X $0.226 PER SQ. FT. $ '7/~,6.~
2. SANITARY SEWER-CITY
NO. OF PFU' S / ~ .
(See Reverse Side)
X $46.86 PER PFU
$ 841.4~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x LOl X $472.49
$ 47'7/2..1
x
X $472.49
$
x
X $472.49
$
4. SANITARY SEWER-MWMC
. OlJl~ .
NO, OF f#Jo!oS I X 2.17.,~PER FEU + $10 MWMC/ADM FEE $2.~7,7G,
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $.~~.18
TOTAL -MWMC SDC $ 2.2..1 ..,~
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 2..'Z-~Otqs-
,
5. ADMINISTRATIVE FEES .
BASE CHARGE (SUBTOTAL ABOVE) X ..05
J.9L _
$
113 I ,,~=-
Date:
'-II ~tj t
sac Coordinator
TOTAL sac $ . "'3 7f,oD
. I I^ I VIU... vnu I \...tML\...tUL.M IIUI'I II-\DLC; Numberot New ~ixturoq X Unit Equivalent
(NOTE: Fo( remodels, calculate onl' 1 NET additional fixtures)
NUMBER OF
NEW FIXTURES
FIXTURE TYPE
Bathtub.............,.........,......",.................................... .
Drinking. Fountain...........,.,. ','....'....'.........'................
Floor Drain...... ..,......;.....,.,...,....,................................
Interceptors For Grease/Oil/SolidsiEtc................,
Intercepto(s Fo( Sand/Auto W ash/Etc..................
Laundry Tub/Clotheswashe(.............,......................
Clotheswasher - 3 O( More..........,..........................
Mobile Home Park T(ap {1 Per Trailer)..................
Receptor For Refrige(ator/Water Station/Etc.....:..
Recepto( For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall..............,.,.,.,...,........................
Shower, Gang..................,......,..,........, ................. ...
Sink: Bar, CommerCial, Residential Kitchen........................
Urinal, Stall/Wall:. .......,.. ,. '....,........ .,.........,........., .....
Wash BasiniLavatory, Single....,............................,
Toilet. Pu biic Installatio n, . . . . . . , ' , , . . . . . ... ................. . ,..
Toiler , Pri v are.. .. ..... .. . . .. . .. . , , . . . . . . . . . . . .. .. ..... .. . ... .. .. , .. .
Miscellaneous:
'3-
~
7-
TOTAL FIXTURE UNITS
UNIT
EQUIV ALENT
2
1
2
3
6
2
6
6
1
3
2
i /Head
2
2
1
6
4
= Fixture Unit!>.
FIXTURE
UNITS
4-
~
"Z-
-:z-
~
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CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in rabie,
calculate credits separates,
'I
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
1986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
Year
Annexed
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Rate 'per $1,000
Assessed Value
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
; ~
Credit for Parcel or Land Only If Applicable
r-c.. I ,'t"
]$~
~.q7 X $ 2-
(Rate X Assessed Value)
X $
. (Rate X Assessed Value)
Improvement (if after annexation date)
=
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residemiai...:....... ,......... ...... 0.4
Commerical........ ................. 0.9
Industria!............................ 0 5
Governmental...................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
~6,1 K
MANUFACTURED HOME LAND USE AGREEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
As required by the City of Springfield Development Code, I agree that i"!th t~e }Ppro~ ll'f the a~chl( .
pennits, one of the following manufacture~omes will be placed at ~ U~ ~
Springfield, Oregon, City Job Number U{ ~ toto .
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 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 perfonnance standards which reduce heat loss to levels
. equivalent to the perfonnance 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 sidmg 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 pennit. 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 pennit ~dyouy 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 Le., Division of State Land approval.
By my signature below, I agree to complete the above mentioned land use requirements.
~I /~ X
Owner S[gOdture '
f1.~L_
~-;;J ~ -9Y
Date
Contractor Signature
Date
Q80~
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:\..~1t.u1 ~\1 (\ h PHONE: _ ( i1. c#}'7
ADDRESS:\1q~ .& .lo'if\. r" Groo,Q STATE: ~ZIP: ~
.\
LOCATION OF PROPOSED BUILDING SITE:
Street Address:410.re t.~k U)~ .
Plat Name: . \\ 1\.J . Tax Lot Number: ~~-=) pnmW
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
t.
-.
A. Sinale.Familv Detached
Single Family home.
NO~ OF UNITS
Manufactured home not in a park
X $1,000 per unit = $ _ (000.00
B. Sin~le.-Familv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS.
. X $692 per unit = $
D. Manufactured Home Part
NO. OF UNITS
WllLAMAlANE SOC.
X $699 per unit = $
$ lOOn. ~o
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
ff
$ JDOO.oO
, 2'-, 9'r
$
3. TOTAL WllLAMAlANE NET SDC ASSESSED
(if SDC reduced for Credit)
~~~~Qartment
City of Springfield
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