HomeMy WebLinkAboutPermit Building 2000-7-7
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I Job# 00-00852-01 I
Page 1 of 3
TRANS#:01-0002485
OATE:JUL 07 2000
AMT RECD:2 $ 3736.97
CHANGE:
CASHIER: 061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00852-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1616 Dotie Dr Spr
Assessors Map#: 17033422
Lot: 18 Block: Addition:
Tax Lot #: 01000
Subdivision: Oakbreeze
Owner:
Fred Hample
3426 Brookview Dr
Phone Number: 541-484-7076
Address:
Scope Of Work: Manufactured Home on Private Lot
City/State/Zip:
New
Eugene, OR 97401
Value: $47,336
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Harrison Jacobson Inc 66447 5/7/2000 541-689-7762
1441 Hwy 99N, Eugene, OR 97402
Electrical Contr Heritage Investors Inc Of Eugene 63137 12/27/2000 541-688-1600
1042 Horn Ln, Eugene, OR 97404-2923
Plumbing Contr Harrison Jacobson Inc 66447 5/7/2000 541-689-7762
1441 Hwy 99N, Eugene, OR 97402
Office Use
Land Use: Mfg Home - in a Park # Of Buildings: 2
Zoning Code: LDR NOTICEC?ccupancy Group: Dwelling
Bedrooms: 3 \il1'F-! 5Ral'!:9;?IR6'rCEi(jljfrr\EQg~c
Range: Electric THIS PER~Sg. '~otage'HIc.'l P~M\T IS NOT
. ._. ,......n'7c:ll 11NI )t::1 \ I OJ - _
t"ou , , ,..;, r.__ ONEU run
To request an inspection call the 24 hour recording at 726-3769. All inspe.sl!.qn~1feiiuest~~&W'f:80
a.m. will be made the same working day, inspections requested after 7:00 am. .rt,i/l B'i\I'\8!!~,tIJelfollowing
working day. AN~ I
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
1RNW
1
(VN) Wood Frame
Electric
SW-Curbside
CC-5tandard
Required Inspections
I Public Works I
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete ' . '~c \'lIld~ j,j" :
, '. .. -J' ""d" ~ I lJt'\'!
" t. \\ 'I'._"'~.,,", .:!. 'nr~C10r 1\'
., ~ d t(lh\l\nFJ"
t Ilow rL,Ip'<" (1) P . .' ',' lOC'
o '-_,-:\~ . 1'~ . 0)_11:",' , '; - ~
lnrf!~' tll .1--",' . 'I' ,,~).~'.'; ".I~.OO I
O '.1\.1:-'.,.'1' t." r ',:1"'5 b'
'\ ;-11""" '- . , CO", 1(0 Oi..1 'u ,. .
. O'"l,?'r ,"
,l090 Yo' 11("" .....' '\]< : ':. :_,one
, cl"~'Y"" \,.,.1 t' "
cai\lr"~ :0.. ..' -." -. ut'\',l'. ~\ot;\ica 10
'h~ a e00,1 I .
'lumbel lOI! ~. : ,.;-;",\ '...,~..?1.14).
rn,...t,c,.-:-- . . -. ".
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: DO/DO/DODO 00:00 AM
Special Instructions:
Other Utilities:
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Project Supervisor:
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
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I Job# 00-00852-01 I
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
Page 2 of3
Curbside - 5'
D
8
To Curb and Gutter
San Sewer Tee (in):
Bond End DateTime:
4
DO/DO/DODO 00:00 AM
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 1
Land Use: Mfg Home - in a Park
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 2
# Of Bedrooms: 3
Handicap Access? D
,Area (Sq. r, ~l)
I Main: 1026 AccessoryaOO
Fee
Residential Plan Check
Total Plan Check
Garage/Carport
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Manufactured Home ServicelFeeder
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Flood Plain FEMA: n/a
Accessory Structure
# Of Stories: 1 Height (feet): 15
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:1426
Paid On Receipl#
I Plan Check
06/01/2000 1982
Value/Quantity
I
Fee Amount
8,336
$48.43
$48.43
Buildin!l
07/07/2000 2485
07/07/2000 2485
07/07/2000 2485
7,336
$68.50
$4.80
$2.06
$75.36
Electrical
07/07/2000 2485
07/07/2000 2485
07/07/2000 2485
2
$80.00
$5.60
$2.40
$88.00
Plumbinll
07/07/2000 2485
$.00
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. . Job# 00-00852-01 Page 3 of 3
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Fee Paid On Receipl# Value/Quantity Fee Amount
Plumbinll I
State Surcharge For Plumbing Permit 07/07/2000 2485 $6.30
Water Service Footage 07/07/2000 2485 34 $25.00
Sanitary Sewer Footage 07/07/2000 2485 34 $25.00
Storm Sewer Footage 07/07/2000 2485 34 $25.00
Manufactured Home Connection 07/07/2000 2485 1 $15.00
Plumbing Administrative Fee 07/07/2000 2485 $2.70
Total Plumbing $99.00
Manufactured Home
Manufactured Home Setup Fee 07/07/2000 2485 40,000 $105.00
Manufactured Home State Issuance 07/07/2000 2485 1 $30.00
State Surcharge For Manufactured Horn. 07/07/2000 2485 $7.35
Manufactured Home Administrative Fee 07/07/2000 2485 $3.15
Total Manufactured Home $145.50
Public Works
New Sidewalk 07/07/2000 2485 46 $60.00
New Curbcut 07/07/2000 2485 1 $60.00
Total Public Works $120.00
System Development
Residential - Single Family - Storm 07/07/2000 2485 2,020 $468.64
Sanitary Sewer 07/07/2000 2485 18 $868.86
Residential Transportation 07/07/2000 2485 1 $491.60
Residential Sanitary MWMC 07/07/2000 2485 1 $242.76
Residential Improvement MWMC 07/07/2000 2485 1 $22.05
MWMC Administrative Fee 07/07/2000 2485 1 $10.00
SDC Administrative Fee 07/07/2000 2485 $105.20
Total System Development $2,209.11
Willamalane SDC
Manufactured Home - Willamalane 07/07/2000 2485 1 $1,000.00
Total Willamalane SDC $1,000.00
Grand Total $3,785.40
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Engineering-Res
Planning-Res
Lisa Hopper
Steve Templin
AI Ward
06/07/2000
06/14/2000
06/27/2000
Structural-Res Wendy Stanley 06/29/2000
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.
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 propery, and the
approved set of plans will remain on the site at all times during construction.
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p'", Willamalane '
t,"1' Park & Recreation District Job. No.a) .D()~~.o l
;" SYSTEM DEVELOPMENT CIiARGE
I O. . WORKSHEET
NAME: \:::1I'LQ/t PHONE: ~4. tQl ( {?
ADDRESS: 9:Afu ~ ;) STATE:lCWl ,~IP: Q-Ko(
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \ \.Q~lo \)o\\e. \Jh\.1€'"
Pial Name: lL-._ Tax Lot Number: l!lD~2A?~ _ O\CJJ....)
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). sac calculations and dwelling t
ype definitions are on the back.)
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A. ,Sinole-Fl'Imilv Detl'lchp.d
Single Family home
NO. OF UNITS
I Manufactured home not in a park
X $1,000 per unit = $ I (y-f). 00
B. ~inolp..Fl'Imilv Attl'lched
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactured Home PArk
NO. OF UNITS
WILLAMALANE SDC
2. SDc CREDIT (If applicable) SDc-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
$
3. TOTAL WILLAMALANE NET SDC ASSESSED.
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De~~fupment~~epan~t
City of Springfield
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225 FIFTH STREET O",,"~ . "0/......
SPRINGFIELD, OREGON 97477 "'''',' ~"'9,,~6~.
INSPECTION REQUEST.: 726-37~" "''''.. ~'"
OFFICE: 726-3759, ' 6>,<-" "'''',,1....
"'~ 3. ~b ~PLETE FEE SCHEDULE BELOI/
1. LOCATION ~ I~S~ALLA,UQN' 6>"",0t,
\ \ () \ 'u> \. Y"\\ \.JU ~ Xl. De.: Ne~", ~ iden t ial-Single or
~ ~ Multi-Family per dwelling unit.
\ cl{'~~~'l!i-N D\.~J. '", rvice Included: Items Cost
......Y"\I\.~,B DE1Slj~qO!l__ f'\ ~ ~(\\~ 1000 sq.ft. or less, $ 85.00
, A\~ .~l,~ 'k Each additional 500
sq. ft or portion
Permits are n -transferable an expire thereof $ 15.00
if work is not started within 180 days Each Manuf'd Home. or
of issuance 0[' if WOI'k is suspended for Modular,'Dwelling
180 days. Service or Feeder
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2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor ~~ ~
Address /(7,/2- ~,~ n - .
City ~~
{7
Supervisor License Number
Phone 7,;2 Y -/500
'1'fc;-.s
/l./ 0/
Constr Contr. NumbeL' b ~/~7 f5j;~
42j/S,k-t
Signature of Supervisin~ Electrician
'. '&/1111 4J ~
-~ -, -
})lIners Name~tj W~\Q. _ D.
Address.1f\L.ln ~r:dl')\O. U
City~rQ.....- Phone"\~4 .lcr\lo
~STALLATION
Expiration Date
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease 'or rent.
Owners Signature:
DATE:
RECEIPT II:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number{)O. CXY6 -W -.oL
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Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconned'Only
Su
. $ 40.00
86
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over ~01 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nell, Alteration or Extension Per Pahel
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One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. ~BTOTAL OF ABOVE
7 . State Surcharge
Yo Administrative Fee
TOTAL
$ 35.00
$ 2.00 ,;.~
no t include,
$
$
$
$
~.(X)
_ ~~;tt
r.ttrde-
40.00
40.00
20.00
36.00
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S_CFI"LD-~' .
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRlNGF/ELD, OR 97477
(541) 726-3753
FAX (541) 726.3689
MANurACTURED HOME LAND USE AGREEMENT
As required by Ihe City of Springfield Developll1ent Code, I 3gree th3t ~ill\lle 3pprov31 of the 3113ehed
pennils, one of the rollowing 1ll3nur3elnred homes will pl3eed 31 \ \ (J ,
Springfield, Oregon, Cily Job Nufnber -
~ Type I M~nuf~etured Home. A lI1ulti-section~1 (double wide or wider) unil wilh an enclosed
floor ~re~ of not less Ih~n 1,000 squ~re feet, th~1 h~s a nomin~1 roof pileh 00 feet in height for e3ch 12
feet in widlh, th~t has no b~re lI1el31 siding or roofing, ~nd lhal has been eenified by the m3nuf3eturer to
hove an exlerior Iherm~1 envelope meeling performance slnndards which reduce heal loss 10 levels
equivalenllo Ihe perrormanee slandards required orsingle family dwellings constmeled under the Stale
Specialty Codes.
Type II Monuraetured 1-loll1e. A unil of no I less than 12 feel in widlh wilh 3n enelosed flooi' 3re3
of not less limn 500 square feel, Ihat has a nOlllin31 roof piteh of2 feel in heighl for eaeh 12 reet in widlh
and Ih3t has no b3re mel31 siding or roofing.
111e m3nur3clured home shall be plaeed on 3n exeav3led and back-filled rOUndalion nol to exceed 6
percenl slope within 10 feet oflhe perimeter enelosure. 111e perimeter found3tion w311 surrounding Ihe
home sh311 be eonstmeted or stone, brick or olher masonry m3terials, and wilh no more than 24 inches or,
the enclosing 1I13leri31 exposed above grnde.
I funher 3gree to meet all land use and City Code requirements oflhe above mentioned pareel within 60
days of the dote of issuance oflhe manuf3ctured home set up permit. TIleSe requirements may include, but
arc not limited to the items listed below. Specific I~nd use requiremenls reg~rding your parcel ~re noted on
your ~pproved set up plans ~ndlor permit ~nd your p3nilion approval ifapplieable:
. Slreel Trees
. Paving Drivew3Y
. Minimull1 32 square foot storage strueture
. Completion ofp3nition ~pprov~1
. Remov31 of any existing stmclures ~s noted on your p3nition ~pprov~1
. Signing nod recording ornny required partition~ ~ascmcnl, improvement agreements, etc.
. rinallot grnding
. Cily Sidewalk and eurbeuI inslall~tion
. Any oUlside agency approval as required i.e., Division of Stale Land approval.
Oy my sigowlure below, I agree to eomplete the above mentioned land use requirements.
, ~~a,~\~arJ:2
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O\Vllcr Signature
, ftJ1I~
Contrnctor Sign~ture
rp - ,. 00
DilfC
0-1-00
Date