HomeMy WebLinkAboutPermit Building 2005-4-4
-e
,
'~ J_,~tatus Issued
. .....225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
. LH :f(Jl' ~rKlNGFIELD.
.
Building/Combination Permit
PERMIT NO: COM2005-00303
ISSUED: 04/04/2005
APPLIED: 03/17/2005
EXPIRES: 10/04/2005
VALUE: $ 4,000.00
SITE ADDRESS: 3855 KATHRYN AVE
ASSESSOR'S PARCEL NO,: 1702304304101
Springfield
TYPE OF WORK: Manufactured Home on
Private Lot
New
Residential
TYPE OF USE:
PROJECT DESCRIPTION: Manufactured Home Placement (Replacement Home)
Owner: WHEELER JESSIE ISABEL
Address: 3855 KA THRYN AVE
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor
HARJUSONJACOBSONINC
RALPH W BROWN .{0~:'\
HARJUSON JACOB,~Ol'! Il"C
License
66447
63137
66447
Expiration Date
05/0712005
02/15/2006
05/0712005
Phone
541-689-7762
541-729-1500
541-689-7762
i'I' ,BUlI;DlNG INFORMATION'
</~~:' <)0' ~'V ' ~.
# of Units: 0:1 :!?' <;0~ # of Stories: /'. ,~Lot Size:
Primary Occupancy Group: ~VR"3C: .p<:.5 Height of St~ucture O';:';'!$;~ ~q Ft Ist Floor:
Secondary Occupancy Group:s~ ~~. ~ Type of Heat: orced Ai~~i~~ ,0~q.Ft 2nd Floor:
Primary Construction.Typet' ~~ ""VN <;0<::)' Water Type: ~'El~riCQ~ X<S'q~ Basement:
Secondary construci!};~ty1>e~~ ~ <:.5 'k.,'i!- Range Type: ~...0 cti~ctr\- <!l<:i Jq F~ Garage/Carport
# of Bedrooms: ~\)~s <;0~':ii:-'0<<:;~'< Energy Path: ~,'I> '$'0 ~0 O'?' 0~~q)l1t<9ther:
'" ,0..'0 ~<<; COo. <::) Sprinkled Buil~~ 'Q'\ f>0 ~ ~arS 'S' ~~O~j,ant Load:
",,",-'V ,,~ o..'V f"\~ "Q'I .'i'o "v.c.. _ ~ _,~
'0~~ ' I DEVELOPM~miiNiORMAfiON<'I- i~:~'\"'~~~\"
r \,. I 1\ .." 0-;.1
~,' ~'l>- 0' )J- '/Y' ~~~..... ,v
<:-.V <.-: !::-C; ~~" &~ 0...'~ 0<:0 ~".J'l;
Olltr~'1l1St:~'1: (/>'\ ~ ;,0(;$ ~~
# Stfe~~~:a9'f: 0 V~'<:o0 0 ,,93 2
Paved'Drive R~h: 'S' ;. "" ;, {>
~- 10' R> ,0 ,,0
% oeD ~ov~rrge;' C;0<:'
vi> ~v
"oS
1,782
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10,00
20,00
12,00
89,00
0,00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
18,60
",
'.
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Partially Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Curb and Gutter
Notes: Storm drainage into existing 3/21/2005 CAS
Pa2e 1 of3
. CITY lJl< ~1' Kll'\j \Jl'IELD '
Building/Combination Permit
PERMIT NO: COM2005-00303
ISSUED: 04/04/2005
APPLIED: 03/17/2005
EXPIRES: 10/04/2005
VALUE: $ 4,000.00
f'
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
4,000,00
30,000,00
Tvpe of Construction
Foundation Onlv Use Bid Amount
ManufHome Manufactured Home
Total Value of Project
~ Fpp< ~
Value
Date Calculated
$4,000,00
$30,000,00
$34,000,00
03/17/2005
03/17/2005
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $180,08 3/17/05 1200500000000000339
+ 10% Administrative Fee $34,00 4/4/05 2200500000000000380
+ 7% State Surcharge $23,80 4/4/05 2200500000000000380
Manur Home State Issuance $30,00 4/4/05 2200500000000000380
Manufactured Home Conn - Plmb $45,00 4/4/05 2200500000000000380
Manufactured Home Placement $160,00 4/4/05 2200500000000000380
Plan Review Major - Planning $103,00 4/4/05 2200500000000000380
Sanitary Sewer - Ist 50 Feet $45,00 4/4/05 2200500000000000380
Sanitary Sewer - Improvement $127,96 4/4/05 2200500000000000380
Sanitary Sewer - Reimbursement $168,28 4/4/05 2200500000000000380
SDC Sanitary/Storm Admin $33,04 4/4/05 2200500000000000380
Storm Drainage Impervious Area $364,56 4/4/05 2200500000000000380
Storm Sewer - Ist 50 Feet $45,00 4/4/05 2200500000000000380
Water Line - Ist 50 Feet $45,00 4/4/05 2200500000000000380
Total Amount Paid $1,404,72
I Plan Reviews I
Initial Review
03/17/2005
03/17/2005
WE LLH
Initial Review
03/18/2005
03/18/2005
APP LLH
Plannine Review
03/18/2005
03/31/2005
APP. TAJ
Public Works Review
03/18/2005
03/2112005
APP CAS
Paee 2 00
l\
Called Gooden Harrison and asked
for a floor plan, Tbey told me they
would get one faxed over, I
explained the project could not be
reviewed without it.
I have processed the Initial review
excluding tbe number of bedrooms.
Please add # of bedrooms during
structural review once floor plan ha,
been received.
1, Needs 32 sf of storage, 2, Two
street trees are required unless there
are already street trees,
Need floor plan - me Is on my desk
CAS received 3/21/2005 SDC credits
given for existing unit to be replaced
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00303
ISSUED: 04/0412005
APPLIED: 03/17/2005
EXPIRES: 10/04/2005
VALUE: $ 4,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
03/18/2005
03/23/2005
APP RJB
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection,
Footing: After trenches are excavated,
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,
ManufHome Plumbing: After home has been connected to water and sewer.
MH Electric: When blocking, setup and plumbing inspections bave been approved and the home is connected to
lhe panel.
MH Service: Approval required prior to utility company energizing service,
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,
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 furtber 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,
~~ 'I-t/~
-- )" , .
Owner or Co..tffc'tors Signature Date
~t
Paee 3 00
...
SPR.FIELD
.. ,~~."~~"11
,_ ~:..'t.,~~i5.._, ,_
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that with the appJoval of the attached
permits, one of the following manufactured homes will be placed at 3 ~5S"'\P,..t~iI'"YN \\n
Springfield, Oregon, City Job NumberCc,l'UrD'5-cn 'r<)"<."
~ 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 of3 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,
The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6
percent slope within 10 feet of the perimeter enclosure. The perimeter foundation wall surrounding the
home shall be constructed of stone, brick or other masonry materials, and with no more than 24 inches of
the enclosing material exposed above grade,
I further agree to meet all land use and City Code requirements of the above mentioned parcel within 60
days of the date of issuance of the manufactured home set up permit. These requirements may include, but
are not limited to the items listed below. Specific land use requirements regarding your parcel are noted on
your approved set up plans and/or permit and your partition approval if applicable:
. Street Trees
. Paving Driveway
. Minimum 32 square foot storage structure
. Completion of partition approval
. Removal of any existing structures as noted on your partition approval
. Signing and recording of any required partition, easement, improvement agreements, etc.
. Fmallot gradmg
.. City Sidewalk and curbcut installation
. Any outside agency approval as required i.e" Division of State Land approval.
By my signature below, I agree to complete the above mentioned land use requirements,
Owner Signature If "
~J4/~
Contractor llI!na'tur,
Date
'(J.(-03
---
Date
~\
DEVELOPMENT SERVIC;ES DEPARTMENT
,'%l't"i\W:....""."'....g- ~g
""",',~~t~~
.#~~~ .
225 FfFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
, www.ci.springfiefd.or.us
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 perinits, one of the following manufactured homes will be placed at '?'O~ ~ ~.
. ' Springfield, Oregon, City Job Number G,"",^~, 't- DD30J ' . ,
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
roofmg, and that has been certified by the manufacturer to have an exterior thennal envelope meeting
perfonnance standards which reduce heat loss to levels equivalent to the l'.2nnance standards required
for single family dwellings at the time of construction. _ _- initials .
. /
Type II Manufactured Home:
, . .
A unit~f-not less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a
'nominal r~(pitch of2 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 thennal envelope meeting perfonnance
standards which ~~ce heat loss to levels equivalent to the perfonnance standards required for single '
family dwellings at t1ie,time of construction. initials
, ~.
I further state, by my signature below, that I have been provided with the following infonnation:
Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, 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 inches of the enclosing material exposed above grade, . .
,~~~
'1- tj-o c;
Date
CITY OF SaG FIELD SYSTEMS DEVELOPMEN&RKSHEET
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x I COST PER S,F, CHARGE
I 1176,00 I $0.3 10 I = I $364,56 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F, I x I COST PER S,F, I x I DISCOUNT RATE I I
I 0.00 I i $0.310 I I 50% I = I
JO'URNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
II;
10
o
u
~
P-l
e-
rn
G
gj
COM2005-00303
Isabel Wheeler
3855 Kathl~
1702304304107
SINGLE FAMILY RESIDENCE
o BUILDING SIZE (SF:
1176
LOT SIZE (SF):
9900
DISCOUNT
$0,00
ITEM I TOTAL - STORM DRAINAGE SDC
2, SANITARY SEWER - CITY
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $296.24
3, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS 1 x I COST PER TRIP x INEW TRIP FACTORI
I 9,57 I I 0 $18.30 I 1.00
B. IMPROVEMENT COST:
I ADTTRIPRATE I x I NUMBER OF UNITS 1 x I COST PER TRIP x INEW TRIP FACTORI
9,57 I 0 $80,72 I 1.00
ITEM 3 TOTAL - TRANSPORT A nON SDe = I $0,00
4, SANITARY SEWER - MWMf:
A. REIMBURSEMENT COST:
INUMBER OF FEU's 1 x
I 0
B. IMPROVEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
I 0 I I $865.3 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
A, REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 7 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 7 I
. $364.56
$364,56
11070
COST PER DFU
$24,04
$168,28
1091
$18.28
$127.96
1092
$0.00 1093
I
$0,00 I 1094
J
I
$0,00 I 1054
I
ICOST PER FEU
I $82,03
I
I
=
1= I
= $0,00 1055
$0.00 I 1054
$0,00 11056
$0,00 I
$660.80 -----1
CHARGE
$33,04
33,04 1079
$0,00 11078
TOTAL SDC CHARGES =, $693,84
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =,
--
SURTOT AI. (ADD ITEMS 1,2,3, & 4) = ,
5, ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM, FEE RATE
I $660,80 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
PREPARED BY
3/2] /2005
DATE
... ...
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUlV ALENT ~ DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
I BATHTUB 1 1 3 = 0
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
!LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER / MOP SINK 1 1 3 = 0
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I!>HOWER. SINGLE STALL 1 0 2 = 2 I
I SHOWER. GANG <!'lUMBER OF HEADS). 0 0 2 = 0 I
SINK: COMMERCIAURESIDENTIAL KITCHEN 1 1 3 = 0 I
SINK: COMMERCIAL BAR 0 0 2 = 0 I
SINK: WASH BASINIDOUBLE LA V A TORY 1 0 2 = 2 I
SINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 1 1 = 0 I
IURINAL, STALL / WALL 0 0 5 = 0 I
BOILET, PUBLIC INSTALLATION 0 0 6 = 0 I
TOILET. PRIVATE INST ALLA TION 2 1 3 = 3 I
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S il
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 7
.EDU (Equivalent Dwelling: Unit) is a discharge equivalent to a single family dwellin~ unit (20 DFlfs) set at 167 gallons per day
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
I YEAR CREDIT RATE/SI,OOO 11
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $5.29 (Enter 1 for Yes, 2 for No)
1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 2
1980 $5,19 (Enter I for Yes, 2 for No)
1981 $5,12 BASE YEAR 1979
1982 $4,98
1983 $4,80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4,63 VALUE / 1000 CREDIT RATE
1985 $4,40 $0,00 x $5,29 ~ , $0,00
1986 $4,07
1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
1988 $3,22 VALUE /1000 CREDIT RATE
1989 $2,73 $0,00 x $5,29 0
1990 $2,25
1991 $1.80
1992 $1,59 TOTAL MWMC CREDIT = $0,00
1993 $1.45
1994 $1,25
1995 $1,09
1996 $0,92
1997 $0,72
1998 $0.48
1999 $0,28
2000 $0,09
2001 $0,05
'225 Fifth Street
'Springfield, Oregon 97477
~54I-726-3759 Phone
.
G!'~. on;
~
..... !
JiIily of Springfield Official Receipt
"elopment Services Department
Public Works Department
Job/Journal Number
COM2005-00303
COM2005-00303
COM2005-00303
COM2005-00303
COM2005-00303
COM2005-00303
COM2005-00303
COM2005-00303
COM2005-00303
COM2005-00303
COM2005-00303
COM2005-00303
COM2005-00303
Payments:
Type of Payment
Check
"
:\
"
:,
4/4/2005
RECEIPT #:
2200500000000000380
Date: 04/04/2005
Description
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
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
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
Paid By
GOODEN-HARRISON
CONSTRUCTION CO,
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 9375 In Person
Payment Total:
Page 1 of I
11:S6:07AM
Amount Due
36456 ,
168.28
127.96
33,04
160,00
30,00
45,00
45,00
45,00
45,00
23.80
34,00
103,00
$1,224,64
Amount Paid
$1,224,64
$1,224,64