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Home My WebLink AboutPermit Building 2007-9-25 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01338 ISSUED: 09/25/2007 APPLIED: 09/04/2007 EXPIRES: 03/25/2008 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5950 KALMIA LN ASSESSOR'S PARCEL NO.: 1802032301900 Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured Home replacement Owner: PATRICK MICHAEL Address: 5950 KALMIA LANE SPRINGFIELD OR 97478 Phone Number: 541-746-1455 I CONTRACTOR INFORMATION' Contractor Type General Electrical ManufHome Inst Plumbing Contractor OWNER OWNER OWNER OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 # of Stories: 1 Height of Structure: Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,456 3 I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: 10.50 Overlay Dist: Total: 2 Side 1 Setback: 9.00 # Street Trees Rqd: 3 Handicapped: Side 2 Setback;, 54.00 Paved Drive Rqd: Compact: Rearyard Setback: 12.50 % of Lot Coverage: 20.20 Solar Setbacks: 0.00 Street Improvements: I PUBLIC IMPROVEMENTS I All c~lIC?r,9@1'1law requires you. ~o follow rules adopf,!d by the Oregon Utility NotificMlollIOO\WM!JJjIJ~ rules are set forth in OAR 952-Q01-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telepho~e number for the Oregon Utility Notification Center is 1-800-332-2344). Storm Sewer "\l~la1.l~: Special Instru~I)M IcE: THIS PERMIT SHAl !=YD Notes: con_fIIem~tliVi\f6~f'W)ftWE IF THE WORK COMMENCED OR IS' A~~~riERMIT IS NOT ANY 180 DAY PERIOD. ONED FOR Pa2e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction I Valuation Descriotion I ' $ Per Sq Ft or multiplier Square Footage or Bid Amount CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01338 ISSUED: 09/25/2007 APPLIED: 09/04/2007 EXPIRES: 03/25/2008 VALUE: $ 5,000.00 Value Date Calculated Total Value of Project ~ Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fire SF Fee - Residential Foundation Permit Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Plan Review Minor - Planning SDC Transpo Admin Storm Drainage Impervious Area Amount Paid Date Paid Receipt Number $49.23 9/4/07 2200700000000001383 $34.15 9/25/07 1200700000000001237 $22.84 9/25/07 1200700000000001237 $27.26 9/25/07 1200700000000001237 $0.80 9/25/07 1200700000000001237 $75.74 9/25/07 1200700000000001237 $30.00 9/25/07 1200700000000001237 $50.00 9/25/07 1200700000000001237 $55.00 9/25/07 1200700000000001237 $160.00 9/25/07 1200700000000001237 $116.00 9/25/07 1200700000000001237 $0.28 9/25/07 ~ 1200700000000001237 $5.54 9/25/07 1200700000000001237 Total Amount Paid Initial Review Planninl! Review 09/05/2007 09/05/2007 Public Works Review Structural Review 09/05/2007 09/05/2007 $626.84 I Plan Reviews I 09/05/2007 09/14/2007 APP APP NJM TAJ Provide 32 sf of outside enclosed storage if not already there. Plant 3 street trees if not already in. connected to exsisting storm water 09/13/2007 09/25/2007 OK APP LKW DLM 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. UeouiredJnsnections I Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Foundation: After forms are erected but prior to concrete placement. Pal!e 2 of 3 CITY OF SPRINGFIELD · Status Issued Building/Combination Permit PERMIT NO: COM2007-01338 ISSUED: 09/25/2007 APPLIED: 09/04/2007 EXPIRES: 03/25/2008 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Manuf Home Set Up: When installation of all piers or stands is complete. Final ManufHome Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. Final Building: After all required inspections have been requested and approved and the building is complete. Manuf Home Plumbing: After home has been connected to water and sewer. MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. 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. J I further certify thai/only contractors and employees who are in compliance with ORS 701.005 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 ~efmit card is located at the front ofthe property, and the approved set of plans will remain on the site at all times during-dction. ... / :L;( ~~ 1Y ~j:~:7 Owner or Contractors Signature Date Paee 3 of 3 DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAx (541) 726-3689 www.ci.springfield.or.us MANUFACTURED HOME SET~UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree that with the ap,Pjoval of the attached permits, one of the following manufactured homes will be placed at t; f ~ K.. 4. ( ~(A. . , SpIingfield, Oregon, Ci~ Job Number Coh11JS.'t:/?' (") ll~ ~ufactur~ 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 ot 3 feet in height for each 12 feet in wid.!;h~that has rio bare metal si~ing or roofing, and that has been certIfied by the manufacturer to have an eJSferiJr thermal envelope meetmg perfOlmance standards which reduce heat loss to levels equivalent t9~erf~anc~itandards required for single family dwellings at the time of constmction. ).:..,:)--#/' /~ I M ?"7~'~. -. 12 feet in width enclosing a minimum floor area of500 square feet, that has a nominal roof pitch of feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has beencertifi by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce he oss to levels equivalent to the perfOlmance standards required for single family dwellings at the time 0 stmction. initials I further state, by my signature below, that I have been provided with the following information: Manufactured Home Blocking, Water Line Cor,mection, Street Tree Standards, Sanitary Sewer Connection, ElectIical COlmection, and Minimum requirements for pennanent 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 inohes /-hthe enclosing m'teri,J exposed obove gcade. I/~' /. "' ' ~" A ?/tJ--fJ r('" ~ /I :;LS-~ () 7 Date 'b"J ZON LD \? J. INITIALS ~ -i .0 (7- DA TE ,i\ - -::,~ ( / SOURCE U ~ ~VL/ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C ;1 - 01 33 f( Date 1.I:09~T!2~nF!~sr1fL1TI2~l 3. 5~'6D \Z(\\~\C() LEGAL DESCRIPTION: 'tBcmjSIl- ~Q'\a.\)() JOB DESCRIPTION: P~~'~;~~f"a~d~;i~ not started within 180 days of issuance or if work is Suspended for 180 days. ownersNam:V{)n,dc ~\rh1pl Address 5C\~n K() }\~\.Ct ;J City ,~\('Q . Phone \4b\4-:S:; OWNER INSTALLATION The installati9li is being made on property I own which is not intend~d 'for sale, lease or rent. Owners Signatdre:, ,/:1 / i .-;}- !;~ / ~ / tGf' c:./v/~i ~ Inspection Request: 726-3769 COMPLETEFEESCHEDULE BELOW A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. orless Each additionalSOO sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 ~ $55.00 5~~ B. 200 Amp\1)F~~ION: Oregon law requires ~~u to ~ltn ,role~~adopted by the OrBg~ \5mlty 201 Am t;tl.~\JT5X!e'~nter ThosaL1,1P.S ar($lfSt(ilOrth 401 R~g~~j~1-00'1O throuah OARsa~:@~1. 601 ~9g.I~obtain copies Ofthl~f~~~bY Over 100(b~~enter. (NOle/~ I~ re J.Eb1flB Reconnedll@fiijer for the Oregon U,llIt'y' ~!o 155.00 n Center is 1-800 332 2344 . C. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Ov D. it Ne~,~t~R=~JtW~~ T~ fl THE WORK On€Gir.qRi[~JC~ Ofu'S - R~IT 1~~Q(f Ea%'t\cl9%~pal P'ffil1 Rb,AfAANfJuNEu tOR Service or 'F~e~ l'rln ~I 1[( $ 4.00 $ 55.00 $ 76.00 $110.00 E. -EachInstidla tion Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges n~~ b.% 0J.~ \v\,ln~ 4. 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.doc '..... 'Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: ~ 2LTr17.-' I'? /3 .lB Address: (5'750 KA-Lh-?/A , Issued by: Date: . Statement: Information Notice to 'Property Owners . About Construction Responsibilities' Note: Oregon Law, ORS 701.055(4) requires residential construction perin it applicants whoare not , licensed with the Construction Contractors Board to sign the following statement before a building perm it can be issued. This statement is required for residential buildtng, electrical, mechanical and plumbing perm its. Licensed architect alid engineer applicants, exemptfr?m licensing under. ORS 701.010(7), need not submit this statement. This statement will be filed with the perin it. , . Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3~ or 3B: fitl. ,~'2. I own, reside in, or will reside.in the completed structure., I understand that I must become licensed as a construction contractor if the 'structure is sold or offered for sale before or on completion. D 3A.My general contractor is (Name) (CCB #) , I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR ~ 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with -the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB arid will immediately notify the office issuing this'building permit of the name of the coptractor. I hereby certify that t above information is correct and that I have,read and do understand the Information , Notice to Property Oi\r, ers about Construct~on Responsibilities on the rever.se side'~fthis form. , / /' x /// ~-/~ ~/~ ~ ;}-.S- :;' 7' (Signature of permit applicant) / (Date) / (White copy to issuing agency permit file, pink copy- to applicant.) Property _ owner.doc 06-01-04, INFORMATION ABOUT Contractor? PROPERTY OWNERS RESPONSIBILITIES ~ . NOTE: This Information Notice to Property about Construction Responsibilities was developed by the Construction Contractors Board in accordance with .~,~~:~~55=, ~~assed by the 1989 Oregon Legislature. . ( . . '.- " . If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can many problems by being aware responsibilities and concerns. Employer . - You will, in most instances, be ruled to be an _ you use contractors not licensed with the Construction construction or of a residential structure. contractors you contract with, will be "employees" if to do labor in constructing or to assist in the yon mnst comply with the fono~iilg: Tax I../aw: As an emptoyer, employees are You will be liable for the tax employees. For more call the Department taxes from employee wages at the time even if you don't actually withhold the ta~ from your . at 503-378-4988.' on As an employer, you For more call to tax for unemployfueIit insurance purposes. Employment Department at 503-947-1488. Identification Number Tax. To file for a BIN, number for both Oregon, Withholding arid or \vww.dor.state.oLus/formsnuv.htmll for the Oregon Unemployment appropriate forms. Insnnince: As an employer, you are compensation ~nsurance subj eet to penalties and li<ible the Workers' to the Oregon Workers' Compensation Law, , you. to obtai!! workers' coml?ensation costs if one OfYOUf employees is injured on the at the' Dep.artment of 'Consumer and Business and must , U.s. Service: As an employer, ynu must Ynn tax payment even if you IRS at 1-800-829-4933 or',visit their \veb site at S\'\vw federal income ,tax -from employees' wages. ' - withhold the tax. For a Federal EIN number, call the As the permit holder for this be brought to your attention you are resolving any failure tei'meet code to. seei! you have adequate insurance water damage from pipe punctures, fire or sure you.have time to your skills tn act as building officials as to' coordinate' the work rough-in can perform the required inspections. If you Box 14140, Salem, questions call the 97309-5052. or write the agency at 1)0 Property _ owneLdoc 06-01-04 o r:FJ ~ ~ o u ~ ~ r:FJ ...... o ~ $5.54 11070 COST PER DFU $26.83 $0.00 1091 COST PER DFU $20.40 = , $0.00 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $0.00 3. TRANSPORTATION. A. REIMBURSEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP x I NEW TRIP FACTOR I 9.57 I 0 I 20.43 I 1.00 $0.00 11093 B. IMPROVEMENT COST: I ADT TRIP RATE I x NUMBER OF UNITS x I COST PER TRIP x I NEW TRIP FACTOR I 9.57 I 0 I $90.10 'I 1.00 $0.00 1094 ITEM 3 TOTAL - TRANSPORTA nON SDC = , $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x I COST PER FEU I 0 I $91.61 = $0.00 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x ICOST PER FEU I 0 I ' $961.52 $0.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $0.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $0.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) =1 $5.54 "'.._w_ ._ ...."..-- - 5. ADMINlSTRATIVE FEE: SUBTOTAL x ADM. FEE RATE 1= CHARGE $5.54 5% $0.28 TOTAL SANITARY ADMINISTRATION FEE: 0.28 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 i 1078 Kaye Wilson TOTAL SDC CHARGES =, I ' $5.82 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0 I SHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 IURINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET~ PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $5.29 $5.19 , $5.12 $4.98 $4.80 $4.63 $4 .40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 .$0.92 $0.72 $0.48 $0.28 $0.09 $0.05 2 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o = $0.00 TOTAL MWMC CREDIT 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01338 COM2007-0 1338 COM2007-01338 COM2007-01338 COM2007-01338 COM2007-01338 COM2007-01338 COM2007-01338 COM2007-01338 COM2007-01338 COM2007-01338 COM2007-01338 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001237 Date: 09/25/2007 Description Fire SF Fee - Residential Storm Drainage Impervious Area SDC Transpo Admin Plan Review Minor - Planning Foundation Permit Manufactured Home Placement ManufHome State Issuance Manufactured Home Conn - Plmb , Manufactured Home Feeder + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By PATRICK MICHAEL Item Total: Check Number Authorization Received By Batch Number Number How Received llh 1004 In Person Payment Total: Page I of I 2:25:46PM Amount Due 0.80 5.54 0.28 116.00 75.74 160.00 30.00 50.00 55.00 22.84 27.26 34.15 $577.61 Amount Paid $577.61 $577.61 9/25/2007