HomeMy WebLinkAboutPermit Building 2007-10-15
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01254
ISSUED: 10/1512007
APPLIED: 08/23/2007
EXPIRES: 04/15/2008 _
VALUE: $ 5,000.00
TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New
PROJECT DESCRIPTION: Manufactured home on private 10t.See COM2007-01253 for demolition permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4569 CAMELLIA ST
ASSESSOR'S PARCEL NO.: 1702324304500
Springfield
Owner: RUST ELLIS W & PAULINE L
Address: 4569 CAMELIA ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Manuf Home Inst
Plumbing
Contractor
ROY HAROLD HAUGLAND
EUGENE ELECTRIC SERVICE INC
JERRY PAUL OTT
ROBINSON PLUMBING INC
License
138110
90200
69455
107124
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
# of Stories: 1
Height of Structure:
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path:
Sprinkled Building: nla
VB
3
I DEVELOPMENT INFORMATION'
Residential
Phone Number: 541-746-2132
Expiration Date
10/18/2007
03/1712009
09/26/2008
07/13/2009
Phone
541-343-9030
541-344-3561
541-935-2696
541-345-6909
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
9,996
1,232
REQUIRED PARKING
Frontyard Setback: 22.70 Overlay Dist: Total: 2
Side 1 Setback: 5.00 # Street Trees Rqd: 3 Handicapped:
Side 2 Setback: 67.00 Paved Drive Rqd: Compact:
Rearyard Setback: 34.00 % of Lot Covera~i-Tr=NTION' 012.30 ,-
Solar Setbacks: 0.00 f '- ,regon law reqUIres you to
- L ; . _ .'--. _ .oHow nu:es adopted bv thp. nrAnnn I If.!;...
." iJ?' PERMI I PUBLIC IMPROVE~E~;r'S'"'jlon l;enter, Those rules are set forth
,iU II-lo 17 T SHALL' _ ............52-001-0010 through OAR 952-001-
Street IW,p.r;oy".cen&':J UNDER EXPJB.fi//jnr~ 0090" You m<SJde'Wal~ 'f~pms of the rules by
Storm S~~~~~~~iy/iJjJeOR IS A;Z/~ PtRMiT~fiRK n~~~r ~~~ tH8n~~rnfiW~~el~f?ho~e
Special Instrucfimy PERIOD. NDONED FOR lOT Center Is 1_80o_332~134~t.'f'cat'on
Notes: Stormwater to be directed to weep hole in curb.
Paee 1 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01254
ISSUED: 10/1512007
APPLIED: 08/23/2007
EXPIRES: 04/15/2008
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
5,000.00
38,000.00
Value
Date Calculated
Foundation Only Use Bid Amount
Manuf Home Manufactured Home
Total Value of Project
$5,000.00
$38,000.00
$43,000.00
08/2312007
08/2412007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $49.23 8/23/07 1200700000000001079
+ 10% Administrative Fee $56.01 10/15/07 1200700000000001307
+ 5% Technology Fee $33.09 10/15/07 1200700000000001307
+ 8% State Surcharge $43.66 10/15/07 1200700000000001307
Fire SF Fee - Residential $14.40 10/15/07 1200700000000001307
Foundation Permit $75.74 10/15/07 1200700000000001307
Manuf Home State Issuance $30.00 10/15/07 1200700000000001307
Manufactured Home Conn - Plmb $50.00 10/15/07 1200700000000001307
Manufactured Home Feeder $55.00 10/15/07 1200700000000001307
Manufactured Home Placement $160.00 10/15/07 1200700000000001307
Manufactured Home Service $55.00 10/15/07 1200700000000001307
Plan Review Minor - Planning $116.00 10/15/07 1200700000000001307
Sanitary Sewer - 1st 50 Feet $50.00 10/15/07 1200700000000001307
Sanitary Sewer - Improvement $142.83 10/15/07 1200700000000001307
Sanitary Sewer - Reimbursement $187.83 10/15/07 1200700000000001307
SDC Sanitary/Storm Admin $23.09 10/15/07 1200700000000001307
Storm Drainage Impervious Area $131.14 10/15/07 1200700000000001307
Storm Sewer - 1st 50 Feet $50.00 10/15/07 1200700000000001307
Water Line - 1st 50 Feet $50.00 10/15/07 1200700000000001307
Total Amount Paid $1,373.02
I Plan Reviews I
Initial Review
Initial Review
08/24/2007
09/10/2007
08/24/2007
09/10/2007
APP LLH
APP LLH
Owner has submitted new floor plan
and requested plans to be routed.
Plans have been removed from
withdrawn status and routed to pw,
planning, and structural again today
(9/10/07).
Plannine Review
09/10/2007
Paee 2 of 4
Building/Combination Permit
PERMIT NO: COM2007-01254
ISSUED: 10/15/2007
APPLIED: 08/23/2007
EXPIRES: 04/15/2008
VALUE: $ 5,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan nine Review
08/2412007
10/0512007
APP T AJ
Public Works Review 08/24/2007 08/3012007 APP BRC
Public Works Review 09/10/2007
Public Works Review 09/14/2007 09/14/2007 OK LKW
Structural Review 09/10/2007
Structural Review 08124/2007 10/11/2007 APP DJB
CITY OF SPRINGFIELD'
Per sign and notarized agreement by
Ellis Rust, the house needs to be
completely demolished and the
utilities capped within 20 days of
occupancy of the MH. Please
contact Tara (736-1003) in Planning
when this is done.
Street trees are required only if
there are not trees now.
32 sf of enclosed outside storage is
required unless it is already there.
Stormwater to be directed to weep
hole in curb.
This is a new submitted set of plans
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.
lJeolliredJnsnections ,
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Manuf Home Set Up: When installation of all piers or stands is complete.
Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
ManufHome Plumbing: After home has been connected to water and sewer.
Pae:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01254
ISSUED: 10/15/2007
APPLIED: 08/23/2007
EXPIRES: 04/15/2008
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 701.005 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 permit card is located at the front of the property, and the approved set of pla~s will remain on the site at all
times dU~JL::Cti~A~ Ib _/ ') _ Q --;
Owner or Cont~tors Signature Date
Paee 4 of 4
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ~ z...o 0 -; - 0 I Z. S- Y
s.c,.V/C~OO Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amp>>6,cp PttfiPrtGijs Oregon law requll1!a5Y.fOU to
Over I o<ftl>v.rnrpr~~s; adopted by the Or8$W}j.Wility
ReconntNoijU~tion Center. Those rUles "~<p.OO fUld.
in OAR 952-001-0010througn uAR 952-0G i-
C. i'i'em~9~~~i~~~ ......
calling the cent. '--', . . , .
',(n II I ()O . Installatiehl,nA!f&~JRb~~): Rlrdtt~n Ut~lty NotificatIon
: .J I I 0, Center IS 1-WO'~~-2344).
/ '\ 200 Amps or less $ 50.00
2{) - LICe 9():J.co ) 201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 or 1000 Volts see "B" above.
D.
1. LOCATlONOFINSTALLATION
<.( r-b 7 UlIl/tv/jA ~+
LEGAL DESCRIPTION
1702 S'ZL{ ~
o Lft;'OD
JOB DESCRIPTION
;#ff S~";L- i ~'t1L
Permits are non-transferable and expire if work is
not started within 180 days of issuance OJ" if worl. is
Suspended for 180 days.
2.
Electrical Contractor rC{j--eA...K l:/--eC.fh/::"
Address ) d.O A..v/lo -e
City
E~A/-R
U
Phone 3t.;'/ - 3.{""6!
Supervisor License Number
3-73SS
Expiration Date
Constr. Contr. Number
Expiration Date
1 Ill'> ~
Signature of Supervising Electrician
Q/}/~ ~~
C7- - - "
Address
12t.A~\
C~e'1;;4
Phone 7l/b - 21 J Z
Owners Name ez l-{ ~ .
t{ S-b ,
S F> ~1
City
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
. ~ 4.
~~
I",P"';'" R'q..," 726-3769 ~ ~ ~~
/YJ~
\ 0 - \ 5 - 0',
Date
3. COMPLETE FEE
A.
Service Included
1000 sq, ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
..s~
~OO
,,0
2--
B.
New Alteration or Extension Per Panel
OneCir<miOT\CE: fti1~WQR\(
Each AdmtWAahQitRVli\"P~I\LL EXPIRE I OT
Service 01'flel?drlPeqpl,t.. UNDER-1~\S PF~M.'m> IS N
^UI,.IORILtU
:...,:........'...:..'.'. :.'..:..:.......>...'.:..:....1'. :\...... .....:J..'. . '.. \..'. .......... :'. .::.........,........'. ft. 'Q.-' ..1.S'......'.i.'A... '.6.. :...:.........f:'i........N..
.,...'..:.
E.rl\~JsceIID ~~~/t;eetle~tlll~l
.... ..... .... i'.s~Y i 80 0 Ay.PERl\;Ju;.....
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25,00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
II::>
~ fO
//...
SSO
8% State Surcharge
10% Administrative Fee
<) % Teztt ~e"
TOTAL
1J3r~
Shared Drive(T)/Building Fonns/Electrical Permit Application 1-06_doc
CITY OF SPRINGFIELD SYSTEM50EVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: Com2007-0I254-SDC Credits for demolished home
NAME OR COMPANY: Rust Ellis & Pauline
LOCATION: 4569 Camellia Street
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
Single Family Residence
o BUILDING SIZE (SF
1344
LOT SIZE (SF):
1019
if]
p:.1
Q
o
u
~
p:.1
~
if]
.......
o
~
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S,F. CHARGE
379.00 $0.346 = I $131.141
RUNOFF ROUTED TO DRYWELLDESIGNED AND CONSTRUCTED TQ CITY STANDARDS
I IMPERVIOUS S.F. x COST PER S.F. I x I DISCOUNT RATE I
1 0.00 $0.346 I I 50% 1
ITEM 1 TOTAL - STORM DRAINAGE SDC I $131.14 " I
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 7
DISCOUNT
$0.00
$131.14
1070
"COST PER DFU
$26,83
$187.83
1091
B. IMPROVEMENT COST:"
NUMBER OF DFUs x
7
COST PER DFU
$20.40
$142.83
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE x
I 9.57
= I $330.66
I NUMBER OF UNlTS x
I 0
COST PER TRIP
20.43
x INEW TRIP FACTOR
I 1.00
$0.00
i 1093
I
B. IMPROVEMENT COST:
I ADTTRIPRATE x
I 9.57
. NUMBER OF UNITS I
.. 0 I
x I
I
= I
COST PER TRIP
$90.10
$0.00
x I NEW TRIP FACTORI
, 1.00 -
$0.00
f~
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x COST PER FEU
I 0 I $91.61
=
$0.00
1054
B. IMPROVEMENT COST:
INUMBER OF FEU's
I 0
x
ICOST PER FEU
I $961.52
PREPARED BY
DATE
= $0.00 I: 1055
I
$0.00 11054
$0.00 1056
=1 $0.00 I I
I
= I $461.80 I
'c __~ _~_ _ ~
",,_.,,---
1= CHARGE
I $23.09
23.09 1079
$0.00 1078
TOTAL SDCCHARGES ' - $484.89
.. "
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATNE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL x 1 ADM. FEE RATE
$461.80 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
.. TOTAL TRANSPORTATION ADMINISTRATION FEE:
Kaye Wilson" "
9/14/2007
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIIE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUNALENT UNITS
BATHTUB 2 1 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL I SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 1 3 = 0
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
I RECEPTOR FORREFRlG / WATER STATION /ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 1 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 1 1 = 1
IURINAL, STALL I WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
'TOILET, PRIVATE INSTALLATION 2 1 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 7
*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
]996
1997
1998
1999
2000
2001
CREDIT RATE/$1,000
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
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= J
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
I, Ellis W. Rust, agree that the house located at 4569 Camellia Street will be ,entirely
demolished and utilities capped off within 20 days of occupancy of the replacement
manufactured home.
~~. ~ eJ-
~JW. ~'aJ
'STATE OF . OvUf1lC , County of V~ . .
(Ilj);Y % U, 2007. Personally appeared the above named Ellis W. Rust, who
~dged the foregoing instrumen to be their ~olun act. Before me:
. '
,~'<C>.~~.....~_."'~ .-'..---.--V"'-'_'-' -
T OFFICIAL SEAL . ~
, ~. . BRENDA JONES
I.. .' NOTARY PUBLlC- OREGON
J .. COMMISSION NO. 379218 i
( ~ ~~ C~lAMISSION EXPIRES MAY 27, 2008 ~
~..__..........;....-..~s...~~.:~""'!>.."'":..~,~~...::~:..;;":.~~~~.~,,~~~~.-.1
Notary Public for . .. t ~ ~
My Commission expires -1J1-"t n ';;r~ r
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
COM2007-01254
LDP2007-00176
LD P2007 -00176
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Foundation Permit
Manufactured Home Placement
Manuf Home State Issuance
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Manufactured Home Conn - Plmb
Fire SF Fee - Residential
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Manufactured Home Feeder
Manufactured Home Service
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
LDAP Short Form
+ 5% Technology Fee
Paid By
ELLIS W. RUST
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001307
Date: 10/15/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
5719
In Person
Payment Total:
Page I of 1
10:44:34AM
Amount Due
75,74
160,00
30,00
50,00
50,00
50.00
50,00
14.40
131.14
187.83
142.83
23,09
116,00
55,00
55,00
33.09
43.66
56.01
450,00
22,50
$1,796.29
Amount Paid
$1,796,29
$1,796.29
10/1 5/2007