HomeMy WebLinkAboutPermit Building 2008-2-22
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00178
ISSUED: 02/22/2008
APPLIED: 02/06/2008
EXPIRES: 08/22/2008
VALUE: $ 3,148,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4352 SMITH WAY
ASSESSOR'S PARCEL NO.: 1702322401000
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE:
PROJECT DESCRIPTION: New Manufactured Home - to replace demolished structure
Owner: PUGH ROBERT J
Address: 4352 SMITH WAY
SPRINGFIELD OR 97478
Owner: PHINNEY SHIRLEY J
Address: 4352 SMITH WAY
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Manuf Home Inst
Plumbing
Contractor
MAG ELECTRIC INC
HARRISON JACOBSON INC
HARRISON JACOBSON INC
License
149834
66447
66447
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMATION I
1 # of Stloie :requ1res you to 1
Nn'EN110N: ~~~. ~on UtI\itY
fo"oW rules ad\' e~\e~4etAogllctric
NMftication Ce \ jB6gh OAR 952-001-
tn OAR 952-001 fn dO SieS 01 the rules by
0090. You may !if~,~a lu the tetephO~8Path 1
calling the ~ffhlVtn~otificaUOl\/a
~r fo~ th ~L-aaCi Q_
,~&k1ENfiNFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
46.00
10,00
26.20
56.60
5,00
Overlay Dist:
# Street Trees Rqd:." - ...
t: '--' ,,-'" ~
Paved Drive Rqd:
% of Lot Coverage:
Residential
Expiration Date
12/13/2009
05/07/2008
05/07/2008
Phone
541-461-0387
541-689-7762
541-689-7762
Lot Size:
Sq Ft 1st Floor: 1,188
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
10.90
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
=~MIT SHALf~~1f.PnfE WORK
~ I-HOF\14~Dr,UNDeRorm&9'I!RM4fI~ NOT
Old house was 1,136 sq feet/New C )1 ~lAtNtW afflg~YfANt1bWtD FOR
ANY 180 DAY PERIOD.
Notes:
Storm drains to weep holes in curb
Paee 1 of3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00178
ISSUED: 02122/2008
APPLIED: 02/06/2008
EXPIRES: 08/22/2008
VALUE: $ 3,148.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $43,65 2/6/08 1200800000000000104
+ 10% Administrative Fee $51.26 2/22/08 1200800000000000165
+ 12% State Surcharge $54.38 2/22/08 1200800000000000165
+ 5% Technology Fee $28.46 2/22/08 1200800000000000165
Fire SF Fee - Residential $59,40 2/22/08 1200800000000000165
Foundation Permit $67.16 2/22/08 1200800000000000165
Manuf Home State Issuance $30.00 2/22/08 1200800000000000165
Manufactured Home Conn - Plmb $50.00 2/22/08 1200800000000000165
Manufactured Home Feeder $55,00 2/22/08 1200800000000000165
Manufactured Home Placement $160.00 2/22/08 1200800000000000165
Manufactured Home Service $55.00 2/22/08 1200800000000000165
Plan Review Minor - Planning $116.00 2/22/08 1200800000000000165
Sanitary Sewer - Improvement $204.04 2/22/08 1200800000000000165
SDC Sanitary/Storm Admin $26.59 2/22/08 1200800000000000165
SDC Transpo Reimbursement $268.33 2/22/08 1200800000000000165
Storm Drainage Impervious Area $59,52 2/22/08 1200800000000000165
Storm Sewer - 1st 50 Feet $50,00 2/22/08 1200800000000000165
Storm Sewer Each Addtll00' $16,00 2/22/08 1200800000000000165
Total Amount Paid $1,394,79
Initial Review
02/08/2008
Plan Reviews I
APP NJM
Public Works Review
02/08/2008
02/13/2008
APP LKW
Storm drains to weep holes in curb
Planninl:! Review
02/08/2008
02/20/2008
APP TAJ
This property is zoned Medium
Denisity Residential which requires
a minimum density of 2 units to be
conforming to the zoning. However,
this is considered replacement of an
existing non-conforming use - the
house was demolished because of
health hazard (mold). It is being
replaced in the same footprint,
Pal:!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00178
ISSUED: 02/22/2008
APPLIED: 02/06/2008
EXPIRES: 08/22/2008
VALUE: $ 3,148.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
02/08/2008
02/20/2008
APP DLM
Standard Mfgd. Home comments
used.
f
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.
I Reouired InsDections I
Ufer 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.
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.
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.
MH Service: Approval required prior to utility company energizing service.
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 plans will remain on the site at all
times during construction. ,.,
--~4~. r9- -~-g&
.- - j"
Owner or Contractors..signature Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00178
COM2008-00 178
COM2008-00 178
COM2008-00178
COM2008-00 178
COM2008-00178
COM2008-00178
COM2008-00178
COM2008-00178
COM2008-00 178
COM2008-00 178
COM2008-00 178
COM2008-00 178
COM2008-00178
COM2008-00178
COM2008-00 178
COM2008-00 178
Payments:
Type of Payment
CredltCard
cRecerntl
RECEIPT #:
1200800000000000165
Date: 02/22/2008
DescnptlOn
Manufactured Home Placement
Fire SF Fee - ReSIdentIal
Manufactured Home Feeder
Manufactured Home SerVIce
Storm Dramage ImpervIous Area
SanItary Sewer - Improvement
SDC Transpo Reimbursement
SDC SanItary/Storm Admin
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Plan RevIew Minor - Plannmg
FoundatIon PermIt
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
WILLIAM HARRISON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DJB 312270 In Person
Payment Total:
Page I of 1
11:07:57AM
Amount Due
160 00
5940
5500
5500
5952
20404
268 33
2659
3000
5000
5000
1600
11600
6716
2846
5438
5126
$1,351.14
Amount Paid
$1,351 14
$1,351.14
2/22/2008
CITY OF SPRINGFIELD, OREGON
......~ ZON .UiZ-
: t" .. INITiALS Nr^
:1IPJiD. - DATE ::::f!UJ () ':{ .
~ .. SOURCE'N-f 'YV
Date d- \'1.,; L \ 0 ~
22S FIFTH STREET. SI'RJNCFIELD. OR 97477 . PH.(S41)72W753 . tAX, (541)716-3689
ELEL1.KlCAL !,ERMIT APPJ;JJ:.ATION
City lob Number (g- - f)()1, 6
... ~.J. -
1. ..~0s;4TlPiiPF .cNST)il-r~TjoiV:', :,. ~_':~'"
Lf~;:~~"6m-'~~'~'~u -~-'~~
LEGAL DESCRIPTION: ~
II n:;) ,-=?:t ~ '-f.i <0 I 000
lOB DESCRIPTION:
YkJ/) ~r_ UJ~
_. -, 0"....' .. ....,. to. .- . ..... ,.... -.. .. . "" I ~ I -...... ..,.- ...
3. : CQMPLEI:E ~~SCHEDUL~:!J~ioWj,f ~'; :',:-'. ,: ::~"~-;.:~' .~\~:~
_.I...n._...____....._. ,... ...... "II' '_ 1..___._1"W..n" ..n..h.l...... ~.J),- ...~U:S...It.:"..__~....m..."'''''''.
-,..,,, -J - '. ~ _~,,:'.I .:i'.... ",]--_ '.-?.... .....J:..~r'f.: "-":':-o(\o::""~~..j" I'~,-it't
A. " ~~~~~~!.~q~!~ _~~1I~~~~.'l\1,ll1~:!.~_~~Iy'.~~~~~!~~p",~n.Y:.:~
SeI"Vice Included
1000 sq. ft. or less
Each ad4itional 500 sq. ft. or
portion thereof
Permits are non-trllnloferable and expire if work is Each Manufact'd Home or
not Btarted within 180 days of iSloullnce or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
..I........._.....~.M..~...,'e.\.r:::;-~.._,).t. ..I.'......, ,1..,.'/" - ~ ..l!..,.... . :- ....:...".r..:...(...:~"'='......:';-.:::,-!"l.'~..-i';...' "-I...,,"')..., 1:r.~:'~ -"":~i""'"
M-,;.....~l"'......1
2 ' .~QN1;RACTOR lNSTALL;tTION,QNJ:,Y B. ._.serv.ic~ iu: ~eeders.-......lnStan'8tio~ Altttlitions,.oi JleJocationt:-;-
. 1:'1 w~ "...;.,.....1..:. '\. "; ~... .:;..... r: .-___-: ........:; ...' .1_.......,""'" .. I~~.:.'.~..:_..;:... :ii- \...-_ ..-::':"oL-"'~~~"" .....1...... ...,or \_ ._ .-..1..'....\..\1....."-'.
:;J -__~. \t"o:"'"J:J~~:u-...:ill....-l\,~:a.....,_}\:..:.~~
, Eloclrioal C.n"'''., (.An\ AJ \la 1101 '\ &( tn c
Address J{;a y+\ ~1\O. Lf\ S~rf-~ C
City ~3 (J~ Phone 9-1 ~ %/-0387
SI17_00
$ 21.00
t:A
$55.00
//0 ' (]"V
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpslVollS
Reconnt:Ct Only
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
S 55.00
ExpiratIon Date
Sllplll'V1S0r L1cense Number '-{ 7 Lj ~
J () / I / 6){) 10 ~ ""Ti:"!"-'oll1lltallauolh Alteratioll or RelocatloD
. :. ,_I '1,- 1'>1; uregoll law requires you to
I I, : "'(,,fi' rllles2Q.Qj~~e Oregon Utilil $ 55.00
Constr. Contr. Number I L.f: q <;'(3L.j 1\I(,tl~ ~eilon aQhtm!p~~ are set forf.l $ 76.00
. 111 li,'-\:i D52-OUill-~~~@~~AR 952-001. S110.00
Expiration Date . I Q~.3 / &(1)o; OO;a~iln~~':~i1t~~i=~~~:=,e:~:~;~~~ ~'~~' "~';:J~,~:t:~F ',,:;" ~_~~
~;f SUPftsmg~Elec.,"'lOO numbe~~~~o:lt:;r.<<-;~;-,,,,-'~,:.:.~l1",,,
- /' { A V One CIrCUit $ 48.00
., '--V Each Additional CIrCuit or with
n ~ L _ __' /" d. J Service or Feeder Permit $ 4.00
Owners Name ~ )OJU/'. . _,l\.1TT
_ . .. ,.'..:;: '11\:..,...-:,'- .......:,.,f-f.:'........lo;.. .'\("';;~-c'.r.,-".(J' '~-i" y ~-';l -..~~~
::~ti~ ~~.stJ-~,f, E- ,::::~_1<~-"~~'~.~~J~-:~~~~~~j\:
1 d- Sign/Outline Lighung $ 55.00
OWNER I ST ALLA TION Lmuted Energy/Residenual $ 28.00
The installation is being made on property I own wmch Limited Energy/Commercial $ 50.00
is not Intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
NQ;riGbTOTAL ~iABOlk :.:~ < ~,<~~",}~ '~t:'
THIS -~~t~EXPiRE1F-'tHEWtltttC
AUTHmwZ.{c@1t!J~rP T~IS PERMIT IS NOT
COMM~~'tfflYIS'<<J\BANDONED FOR
ANY 1M~Y PERIOD,
Sbted Dnve(T:)IBUlldmg FotmSlElcclrical PemUt Apphcal101l 7.07.doc
" "..,_,,~ .~~~, _,'t,r ...,......... fl. ":'.f1j"'I~f~"7::--- ~~/J"': '~/n-1!" ll:.'J:"t~,J~'i!t"lt"~
C, -. T,emporarv.: ~~rvices j)r~~eeae,s:.c~fr-~1j~J' i'r,~ ~~~~~~~.~1i,)'-""~J~':I'~:~-;:~:~
. .. .', p..._~~A;j~... "'~..";:'_J,","",'''::''-'_'' ....Jr.""',......... u.- ~ '..r..,\:tt,.......,..... .u..r..t....&.:-N~ ....~;&,..lW
Owners Signature:
Inspection Request: 726-3769
10 39~d
al3I~9NI~dS ~o AII0
9L9E9GL
EI:50 L00l/vl/11
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER COM2008-00178/Replacement MFH
NAME OR COMPANY Robert Pugh
LOCATION 4352 SmIth Way
TAX LOT NUMBER 1702322401000
DEVELOPMENT TYPE Smgle FamIly ResIdence
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 1188 LOT SIZE (SF)
o
r:/)
~
Q
o
U
p:::
p:.l
f-<
r./)
.......
o
~
I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S F x I COST PER S F CHARGE
I 72 00 I $0 346 = I $59 52
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S F I x COST PER S F x I DISCOUNT RATE I I
o 00 $0 346 I 50% I = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$59.52 I
DISCOUNT
$000
$59.52
1070
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
NUMBER OF OFD's x
10
B IMPROVEMENT COST
NUMBER OF OFD's I x
10 I
COST PER DFU
$26 83
COST PER DFU
$20 40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = ,
$472.37
- -.
_...
3 TRANSPORTATION
A REIMBURSEMENT COST
ADT TRIP RATE x
957
B IMPROVEMENT COST
ADTTRIPRATE x
957
I NUMBER OF UNITS x I
I 0 I
COST PER TRIP
2043
x I NEW TRIP FACTORI
I 100 I
NUMBER OF UNITS I x
o I
ITEM 3 TOTAL - TRANSPORTATION SDC
= ,
COST PER TRIP
$90 10
$0.00
x NEW TRIP FACTOR
100
$268.33
$204.04
$0.00
$0.00
11091
,I
IIW2
1093
1094
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's I x' COST PER FEU
I 0 I $9535
B IMPROVEMENT COST
INUMBER OF FED's x
I 0
ICOST PER FEU
I $99039
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $0.00
- -
- -
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $531.89
5 ADMINISTRATIVE FEE
=
$0.00
1054
I 1055
I
I 1054
!
1056
=
$0.00
$0.00
$0.00
I SUBTOTAL x ADM FEE RATE
I $53189 5%
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
CHARGE
$26 59
2659
$000
I
I'
j:1079
11078
Kaye Wilson
I
2/12/2008
TOTAL SDC CHARGES
PREPARED BY
DATE
$558.48
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 1 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
\LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 1 3 = 0
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG / WATER STATION / ETC 0 0 1 = 0
IRECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3
I SHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK COMMERCIAL/RESIDENTIAL KITCHEN 1 1 3 = 0
I SINK COMMERCIAL BAR 0 0 2 = 0
I SINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK' SINGLE LAVATORY/RESIDENTIAL BAR 2 1 1 = 1
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRlV ATE INSTALLATION 2 1 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EOD'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 10
*EDU (Eqwvalent Dwellmg Urnt) IS a discharge eqwvalent to a smgle fwmly dwelhng urnt (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$529
$529
$519
$512
$498
$4 80
$463
$440
$407
$367
$322
$273
$225
$180
$159
$145
$125
$109
$092
$072
$0.48
$028
$009
$005
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
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0 00 x $5 29
= ,
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0 00 x $5 29
o
TOTAL MWMC CREDIT
$000
=