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Home My WebLink AboutPermit Building 1995-11-16 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951559 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4656 BLUEBELLE WAY Assessors Map #: 17023243 Lot: Block: Tax Lot #: 05002 Subdivision: Owner: ILENE HARBERT Address: 1337 MODOC STREET Phone #: 746-2391 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: MANUF HOME & CARPORT NEW Contractor Const. Contractor # Expires Phone General: DAN YOUNG CONST 0088986 07/07/96 998-8947 Plumbing: BROOKS EXCAVATI 0065164 27661 Crow Rd Eugene OR 974020000 Electrical: HERITAGE INV 0063137 1042 Harn Lane Eugene OR 9740&0000 03/29/96 345-7564 12/27/95 688-1600 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF ~DRMS:3 RANGE: E # OF BLDGS: 1 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 requ.ested after 7: 00 a. m. will be made the following work day. REQUIRED INSPECTIONS PEDESTAL - Prior to cover. FOOTING - After trenches are excavated. 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. 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. 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: S Solar Approved: Y Lot Lot Setbacks S W 30 30 9 . Sq. Ft.: 11228 Type: PANHANDLE Total Height: 15 N House 25 Garage 25 E 10 BUILDING PERMIT --- Item Main Square Feet x $/Square Feet Value 55,000.00 Job Number: 951559 Page 2 Garage FTG/PERIM FND Total Value 0.00 3,950.00 63,768.00 Building Permit Fee Surcharge/Admin 74.50 5.97 TOTAL FEE (A) 80.47 SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 2,311.44 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 158 158 158 Fee 55.00 55.00 55.00 Plumbing Permit Surcharge/Admin 165.00 13.20 TOTAL CHARGE (C) 178.20 --- MISCELLANEOUS PERMITS Mobile Home State Issuance. Surcharge/Admin WILLAMALANE SDC 105.00 20.00 8.40 1,000.00 TOTAL MISCELLANEOUS PERMITS (E) 1,133.40 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,703.51 --- 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: 48.43 Date Paid: 10/02/95 Received By: DON MOORE Plans Reviewed By: LISA HOPPER Date: 10/06/95 Building Site Reviewed By: LISA HOPPER Receipt Number: 19166 --- ADDITIONAL COMMENTS --- 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 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. SPRINGFIELD ~. Job Number: 951559 Page 3 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 re:t!:: Si;Cduring construction. //_ /b- 9/--- Signature _. 7(r""""-) Date --- VALIDATION Receipt Number:. /'?'6/-::J Date Paid: 1/---/th.~5 Amount Received: -::r 7V'3 . 5/ , . Received By, .~?~.- . ~ ."! Job. No. <90~ . . SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: -?I.Ee/E .~;aF71Y- ADDRESS:: /"':37 -:7" ~~~ ~~ ~ .. " , PHO'NE: 7~b-2~/ STATE: ~.ZIP: ~/y;::>? 'LOCATION OF PROPOSED BUILDING SITE: Street Address: y'b~~ 3~I!/Er?3E~~ I~.~ Plat Name: - Tax Lot Number: / ?--e::><-~":?- y~ /~c:> =<.. . , I 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) - A. Sinale-Family Detaqhed .k' Single Family home , Manufactured home not in a park . NO. OF UNITS / X $1,000 per unit = $ /~~ c--(...-' B. Sinale-FBmilv Mached NO. OF UNITS X $924 per unit = $ . C. Multi-Familv Aoartment . NO. OF UNITS X $692 per unit = $ D. Mal1ufactured Home Park :'. NO. OF UNITS . >< $699 per 'unit = '$ .. WILLAMALANE SDC $ 2.SDC CREDIT (if applicable) SDC-payer must furnish proof of WillarnalaneCredit'approval. See SDC Credit Worksheet. $ . . 3. TOT At WILLAMALANE NET SDC ASSESSED. (if SDC reduced .for Credit) $ / &~~-.;" /<J-Y~~.- ~ / D~eJdpment Servic sD6p~rtnftimt ~ Cit;"of Springfield . --L/ I /6 / 9,) D?te SPRINGFIELD ~- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: ILENE HARBERT Location: 4656 BLUEBELLE WAY Developement rype: R Building Size: Job No.: 951559 Lot Size: 1. STORM DRAINAGE. Impervious Sq Ft 2 5 9.2 X 0.210 Per Sq Ft 2. SANITARY SEWER - CITY Number Of PFUs 20 X 43.43 Per PFU (see Page 2) 3. TRANSPORTATION Number Of Units 1 X X Trip Rate 1. 010 X X Cost Per Trip 437.93 $442.31 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 20 Per PFU .+ 18.750 + 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: TROY MCALLISTER Date: 10/09/95 Page 1 Sq Ft $544.32 $868.60 $442.31 $385.00 $38.86 $346.14 $2,201.37 $110.07 $2, 311.4~ SPRINGFIELD ~. Job Number: 951559 Page 2 FIXTURE UNIT CALCULATION TABLE Fixture Type Number of New Fixture Unit Equivalent. Fixture Units Bathtub Drinking Fountain Floor Drain Interceptors For Grease/Oil/Solids/Etc Inteceptors For Sand/Auto Wash/Etc L~undry 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 2 o o o o ~ o o o 1 o 1 o 2 o 2 o 2 1 2 3 6 2 6 1 3 2 4 o o o o 2 o o o 2 o 2 o 2 o 8 o 2 2 1 6 4 TOTAL FIXTURE UNITS 20 CREDIT CALCULATION TABLE: Based on assessed yalue. If improvements occured after annexatio~ date, credits are calculated separately. (calculations are by $1000) . Year Annexed: 1960 Credit For Parcel Or Land Only If Applicable: 11,200 X 3.47 38.86 Improvement (if after annexation date) : o X 3.47 0.00 CREDIT TOTAL $38.86 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) 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 approval of the attached permits, one of the following manufactured homes will be placed at ij"'9~ 7?L~e::-73eLL~ ~ ~ Springfield, Oregon, Ci ty Job Number ~~/.e;-.'".::) ~-. " * , " 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 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 of 2 feet in height for each 12 feet in width and that has no bare metal siding or roofing. 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 - Minimum requirements for permanent steps I also understand that if I am installing a Type I Manufactured Home, the home shall be enclosed at the perimeter with stone, brick or other masonry materials, and with no more than 12 inches of the enclosing material exposed above grade. /1 P? L_ //0 ,-- // ~ / h- - ~ J Date S i grhrtu re y SPRINGFIELD . ./>>~ -w;: ~tJl.rflNif2/:tf'JJI!Jn=fli"-.lir:. 0--- Page 1 RESIDENTIAL PERMIT APPLICATION 'cITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951559 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4656 BLUEBELLE WAY Assessors Map #: 17023243 Lot: Block: Tax Lot #: 05002 Subdivision: Owner: ILENE HARBERT Address: 1337 MODOC STREET Phone #: 746-2391 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: MANUFACTURED HOME NEW Contractor Const. Contractor # Expires Phone General: CUSTOM QUALITY 0088986 07/07/96 451-2461 Plumbing: SERVCO PO Box 99 Lebanon OR Electrical: SERVCO PO Box 99 Lebanon OR 0040395 973550000 0040395 973550000 10/22/95 451-5090 10/22/95 451-5090 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: 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 PEDESTAL - Pripr to cover. FOOTING - After trenches are excavated. 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. 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 h~s been connected to water and sewer. 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: S Solar Approved: Y Lot Lot Setbacks S W 30 30 9 Sq. Ft.: 11228 Type: PANHANDLE. Total Height: 15 N House 25 Garage 25 E 10 Item Main BUILDING PERMIT --- Square Feet x $/Square Feet Value 55,000.00 Job .Number: 951559 Garage FTG/PERIM FND Total Value Building Permit Fee Surcharge/Admin TOTAL FEE (A) --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- Page 2 0.00 3,950.00 63,768.00 74.50 5.97 80.47 (B) 2,311.44 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 158 158 158 Plumbing Permit Surcharge/Admin TOTAL CHARGE (C) MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/Admin WILLAMALANE SDC TOTAL MISCELLANEOUS PERMITS (E) (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- Fee 55.00 55.00 55.00 165.00 13.20 178.20 105.00 20.00 8.40 1,000.00 1,133.40 3,703.51 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; 48.43 Date Paid: 10/02/95 Received By: DON MOORE Plans Reviewed By: LISA HOPPER Date: 10/06/95 Building Site Reviewed By: LISA HOPPER Receipt Number: 19166 --- ADDITIONAL COMMENTS --- 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 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 c'ertify that only contraqtors and employees who are in compliance with ORS 701.055 will be used on this proj ect . . Job Number: 951559 Page 3 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 f:r:ont of the property, and the approved set of plans wx ihe s;?;;n times during construction /O-:t.1~r) Signature Date --- VALIDATION Date Paid: jq1 "3~ , . ~.a r.9~ -=37~3.. S/ .d~.. // Rece'ipt Number: Amount Received: Received By: \ 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 FAX (503) 726-3689 MANUFACTURED HOME SET-UP AGREEMENT ,As required by the City.of Springfield Development Code, I understand and agree . that wi th the approval of the attached }le.rmi ts, o~ ~f the~folJ.~wing manufactured homes will be placed at ~()~~ ~ Springfield, Oregon, City Job Number ~~\~~,~ ~/ 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 of single family dwellings constructed under the State Specialty Codes. Type II Manufaotured Home. A unit of not less than 12 feet in width with an enclosed floor aiea of not less than 500 square feet, that has a nominal roof pitch of 2 feet in height for each 12 feet in width and that has no bare metal siding or roofing. 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 _ Minimum requirements for permanent steps I also understand that if I am installing a Type I Manufactured Home, the home shall be enclosed at the perimeter with stone, brick or other masonry materials, and with no more than 12 inches of the enclosing material exposed above grade. ~Jt- LdZY?( IOrZ{ -15- Date J. u. ... .---r.n.-=~-::...=-___~ I ~~t----_. - I . I +- I. ---1- ~__ ~ f I , I f /0, . I I 1 I ------. I ) - l -.=.~ I I ---.J "'. __ 0__-; I I I I -v . , .,:,'( '." . ,,"-,', : '.' , .,'. -. q ~\ Dcc~f~ SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~~.O ,~l\~k) ADDRESS: \~~\.~or\oC' 21 PHONE:~~O.?~\ STATE:~'P:Cf14..11 LOCATION OF PROPOSED BUILDING SITE: Street Address: '\-\QS\..o \ ~1.jJL ~ -~T~-:- Lot Number: \1lj)~tf Plat Name: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Sinale-Familv Detached, Single Family home . NO. OF UNITS \ B. ,Sinale-Familv Attached NO. OF UNITS C. Multi-Familv Aoartment NO. OF UNITS D. Manufactured Home Park NO. OF UNITS .WILLAMALANE SDC \ . Manufactured home not in a park cJJ X $1,000 per unit = $ \rill .. X $924 per unit = $ X $692 per unit . = $ ':>'~ X $699 per'lmit .., ~'..' . $ <: '$\\)(D.OO .Qj $ \\fO ~ 2. SDC CREDIT (if applicable) SDC~payer must furnish proof of Winamalane Credit approval. See sac Credit Worksheet.. . $ .' . .' 3. TO,! AL WILLAMALANE NET SDC ASSESSED' . .\<:.' ~if s. DC l\U~d for C . . \lli~~ Development Servi City of Springfield I I Date SPR'NGF'ELD ~. . L4'..~ , . _00" .Jj#.Yilr7!Nt7i1r..{!~~l(r:frJ.ti~ ....- .... - CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (COMMERCIAL / RESIPENTIAL) Name or Company: ILENE HARBERT Location: 4656 BLUEBELLE WAY DevelopementType: R Building Size: Job No.: 951559 Lot Size: 1. STORM DRAINAGE Impervious Sq Ft 2592 X 0.210 Per Sq Ft 2. SANITARY SEWER .- CITY Number Of PFUs 20 X 43.43 Per PFU (see Page 2) 3. TRANSPORTATION Number Of Units 1 X X Trip Rate L 010 X X Cost Per Trip 437.93 $442.31 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 20 Per PFU + 18.750 + 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: TROY MCALLISTER Date: 10/09/95 Page 1 Sq Ft $544.32 $868.60 $442.31 $385.00 $38.86 $346.14 $2,201.37. $110.07 $2,311.43 Job Number: 951559 Page 2 FIXTURE UNIT CALCULATION .TABLE Fixture Type Number of New Fixture Unit Equivalent . Fixture Units Bathtub Drinking Fountain Floor Drain Interceptors For Grease/Oil/Solids/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Cl~theswasher Clotheswasher - 3 Or More Receptor For Refrigerator/Water Station/Etc Receptor for Commercial Sink/Dishwasher/Etc Shower, Single Stall Shower, Gang Sink, Bar, Comme'rcial. Urini:l.1,. Stall/Wall Wash Basin/Lavatory, Single Water Closet, Public Installation Water Closet, Private Miscellaneous 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 4 o o o o 2 o o o 2 o 2 o 2 o 8 o .2 2 1 6 4 TOTAL FIXTURE UNITS, = 20 CREDIT CALCULAT~ON TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $10?0) Year Annexed: 1960 Credit For Parcel Or Land Only If Applicable: 11,200 X 3.47 38,86 Improvement (if after annexation date) : o X 3.47 0.00 CREDIT TOTAL = $38.86 (If land value is multi'plied by 1 then the parcel/land credit is not accurate.)