HomeMy WebLinkAboutPermit Building 2005-5-9
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
*
. CITY OF ~rK11~GFIELD
Building/Combination Permit
PERMIT NO: COM2005-00301
ISSUED: 05/0912005
APPLIED: 03/16/2005
EXPIRES: 11109/2005
VALUE: $ 65,000.00
SITE ADDRESS: 2233 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251303400
Springfield TYPE OF WORK: ManufHome w
Garage/Carport Private Lot
New Residential
TYPE OF USE:
PROJECT DESCRIPTION: Manufactured Home with garage Maia Park lot 74-
Owner: DENNIS MARSHALL
Address: PO BOX 702
MYRTLE CREEK OR 97457
Contractor License Expiration Date Phone
HARRISON JACOBSON INC 66447 05/07/2007 541-689-7762
RALPH W BROWN 63137 ren\.!!21IS/fOQlrt 541-729-1500
~ laW "I ..~ 'I
HARRISON JACOBSON INC _. ""i,,:6~47JO" e OPMIV'2il h 541-689-7762
HARRISON JACOBSON INC ",,-"-'LO\'\:_' 66447.ed b'i ~'''\P.\l.5lll'1I2~ ~._ 541-689-7762
BUILDING INFORMA'FION'01 ~ ~~~~Ugh 01'; ";;es '0'1 ,.
'.'- . ;..R g52.-Uv'.v tain copies olt e hOlle I
# of StoriesP '{au ('(Ia'l ob l~ote~\!l~ non
Height of ~1\%~~ur8..!ne cellte!, all U~litfl'iqt\~or:
Type ofHea6a\ \~e~q~t!#IfA.Q~l?i'~f:MaltFloor:
Water Type5lIl('(l Celltet iS6-~ Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled. Building: nla Occupant Load:
I PUBLIC IMPROMEJMEN,~S'. HI\LL E~P\RE \I' 1HE IJ'I~01
U\5 Utt\\VII \ 5 , _ _ "~ Dl=RMIi \5
"\ n ' "IS,del\:alkilfype: cO'"'
Fullv Improved HORIIEO u w~' p.lI.NIJONEO r n
Yes I\U~MENCEO (J)'oWns'j,ouWDrains: To Storm Sewer
CO 'BO Ol\'{ PERlOO.
I\N'{ I .
Storm drainage to system at rear of lot 3/21/2005 CAS
Contractor Type
General
Electrical
Manuf Home Inst
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
1
R-3
U
VN
19.00
6.00
6.00
41.00
5.00
Phone Number: 541-643-5722
I CONTRACTOR INFORMATION I
7,845
1,566
440
3
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
o
Yes
25.40
Paee 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Foundation Onlv
Garaee
ManufHome
Use Bid Amount
Garaee
Manufactured Home
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Garage/Carport
Gas Outlets 1-4
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
Minimum/Adjustment Mechanical
Plan Review Major - Planning
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimhursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Wmamalane ManufHome Private
Total Amount Paid
Initial Review
Plan nine Review
03/1712005
03/17/2005
.
. L11 f VI' ~rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2005-0030I
ISSUED: 05/09/2005
APPLIED: 03/16/2005
EXPIRES: 11/09/2005
VALUE: $ 65,000.00
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$1.00
$25.00
$1.00
Square Footage
or Bid Amount
6,000.00
440.00
48,000.00
Value
Date Calculated
$6,000.00
$11,000.00
$48,000.00
$65,000.00
03/16/2005
03/16/2005
03/16/2005
Total Value of Project
]fpp< PAilLI
Amount Paid
$105.30
$10.00
$54.70
$38.29
$31.00
$162.00
$4.00
$30.00
$45.00
$160.00
$41.00
$103.00
$45.00
$420.44
$552.92
$10.00
$865.31
$82.03
$119.86
$64.05
$772.49
$175.13
$799.80
$45.00
$45.00
$1,000.00
$5,781.32
Date Paid
Receipt Number
3/16/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
1200500000000000334
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
2200500000000000552
I Plan Reviews I
03/17/2005
04/08/2005
APP LLH
APP TAJ
Paee 2 of4
.
. CITY OF ~r'Kll'lul'lJj,LJJ
Building/Combination Permit
PERMIT NO: COM2005-00301
ISSUED: 05/09/2005
APPLIED: 03/16/2005
EXPIRES: 11/09/2005
VALUE: $ 65,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
03117/2005
03121/2005
APP CAS
Storm drainage to system; possible
Encroachment permit if stubs are in
PUE 3/21/2005 CAS
Electrical permit is not included. No
signed electrical permit forms on
file. They have been requested.
Structural Review
03/17/2005
03/28/2005
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.
~IPlrtilfln\l
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough In Inspections have been approved.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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.
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.
Final Plumbing: When all plumbing work is complete.
ManufHome Plumbing: After home has been connected to water and sewer.
UnderOoor Gas: After line is installed and required testing and capped if not attached to an appliance.
UnderOoor Gas: After line is Installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Final Gas: When all gas work is complete.
Paee30f4
-~'
~-
.
. CITY OF ~rKlNul'1)i;Lli
Building/Combination Permit
Status. Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-00301
ISSUED: 05/09/2005
APPLIED: 03/16/2005
EXPIRES: 11/09/2005
VALUE: $ 65,000.00
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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.
MH Pedestal: 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 d~ne 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 wllI be made ofany 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 wllI be used on this project.
I further agree to ensure that all required luspections 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 wllI remain on the site at all
times during construction.
-fLIjJn~'
5-Q,..b$
Owner or Contractors Signature
Date
Page 4 of 4
CI'-rv OF S&GFIELD SYST~S DEVELOPMEN"RKSHEET
JOURNAL OR JOB NUMBER: COM2005-0030 I
NAME OR COMPANY: Dennis Marshall
LOCATION: 2233 Maia Loop
TAX LOT NUMBER: 1703251303400
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF; 2006 LOT SIZE (SF):
1. STORM DRAINAGE
7844
I
,rn
W
Cl
o
U
~
W
E-
rn
G
W
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I
2580.00 I 50.310 = $799.80
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
0.00 I 50.310 50% ~ I
ITEM I TOTAL - STORM DRAINAGE SDC 5799.80 ~
2. SANITARY SEWER - CITY
DISCOUNT
$0.00
5799.80
1070
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 23 524.04 $552.92 11091
B. IMPROVEMENT COST: I
! NUMBER OF DFU's I x
I 23 518.28 $420.44 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $973.36 I
3 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRJP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRJPFACTORI
I 9.57 I I I I 518.30 I 1.00 I $175.13 11093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEW TRIP FACTORI
I 9.57 I I I 1 580.72 I 1.00 I 5772.49 '11094
ITEM 3 TOTAL - TRANSPORT A nON SDC = , $947.62 I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I I 582.03 = $82.03 11054
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x ICOST PER FEU
I I I I 5865.31 = $865.31 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054
MWMC ADMINISTRATIVE FEE 510.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $957.34
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $3,678.12
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE I~ CHARGE
I 53.678.12 1 5% I 5183.91 I
TOTAL SANITARY ADMINISTRATION FEE: 119.86 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: 564.05 11078
Cheryl Slaymaker 3/21/2005 TOTAL SDC CHARGES $3,862.03
PREPARED BY DATE
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FIX11JRE UNITS II
(NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
WRINKING FOUNTAIN 0 0 1 = 0
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 I
iLAUNDRY TUB 0 0 2 = 0 I
ICLOTHESWASHER / MOP SINK 1 0 3 = 3 II
ICLOTHESWASHER - 3 OR MORE rEA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I
I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 II
ISHOWER. SINGLE STALL 1 0 2 = 2
I SHOWER. GANG (NUMBER OF HEADS\. 0 0 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 I
SINK: COMMERCIAL BAR 0 0 2 = 0 I
SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 I
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 I
IURINAL. STALL / WALL 0 0 5 = 0 I
TOILET. PUBLIC INSTALLATION 0 0 6 = 0 I
iTOILET. PRIVATE INSTALLATION 2 0 3 = 6 I
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
.EDU (EQuivalent Dwellim!: Unit) is a disc~e equivalent to a sincle family dwellin~ unit (20 Oms) set at 167 gallons pet day
-
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/SI,OOO II 1
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $5.29 (Enler I fnr Yes, 2 fnr No)
1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2
1980 $5.19 (Enler I for Yes, 2 for No)
1981 $5.12 BASE YEAR 1979
,1982 $4.98
1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.63 VALUE /1000 CREDIT RATE
I 1985 $4.40 SO. 00 x S5.29 ~, SO.OO
I 1986 $4.07
I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $3.22 V AWE /1000 CREDIT RATE
I 1989 $2.73 $0.00 x $5.29 0 II
I 1990 $2.25
I 1991 $1.80
I 1992 $1.59 TOTAL MWMC CREDIT = SO.OO
I 1993 $1.45
I r994 $1.25
I 1995 $1.09
I 1996 $0.92
I 1997 $0.72
I 1998 $0.48
I 1999 $0.28
I: 200(} $0.09
2001 $0.05
. SpeGFIELD
I"~~ ~~P'L~
.". ~~ DEVE~O;;W:NT~ER~/;ESDEP~:;~N:" El D (J';'7~ -.".,,_;
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, 1 agree that with the approval of the attached
pennits, one of the following manufactured homes will be placed at Z"'Z.3 3. flIJ/+-/~ L.~
Springfield, Oregon, City Job Number COM "ZOO r - 0030 I .
K Type 1 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 thennal envelope meeting perfonnance standards which reduce heat loss to levels
equivalent to the perfonnance 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 les 500 square feet, that has a nominal roof pitch of2 feet in height for each 12 feet in width
and that has no ba tal siding or roofing. -
The manufactured home shall be pia on an excavated and back-filled foundation not to exceed 6
percent slope within 10 feet of the perimete closure. The perimeter foundation wall surrounding the
home shall be constructed of stone, brick or other omy materials, and with no more than 24 inches of
the enclosing material exposed above grade.
1 further agree to m~et all land use and City Code requirements of th ove mentioned parcel within 60
days of the date of issuance of the manufactured home set up penni!. The equirements may include, but
are not limited to' the items listed below. Specific land use requirements regar our parcel are noted on
your approved set up plans and/or penn it 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.
. Final lot grading
.. City Sidewalk and curbcut installation
. Any outside agency approval as required i.e., Division of State Land approval.
By my signature below, 1 agree to complete the above mentioned land use requirements.
own1f:J)j~
Contractor Signature
Date
5 -9 -0<;;
Date
.
S.tlG'C1ELD ,
225FfFJH STREET
SPRINGF.IELD, 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 apl'roval of
. the attached permits, one of the following manufactured homes will be placed at ? _1-:':' /Vle...: c.- ~
,Springfield, Oregon, City Job Number CIlM~?.r;7)) ~ 19.>:>,0 I .
T~factured HO-;:)' .... .
('---- ~ ..'
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 iri 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 t~ tit\' performance standards required
for single family dwellings at the time of construction. 1MV18- initials .
\ .
TYP\Manufactured Home: .. .
A unit o(i'ot less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a
nominal roof pitch of 2 feet in height for each 12 feet iri width, that has no bare metal siding or roofmg,
and that has'b~en.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 for single
family dwellings ~t.the time of construction.. initials
'" .
I further state, by my signature below, that I have been provided with the following information:
Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, and Minimum requirements for permanent steps.
I also understand that the manufactured home shall be placed on an excavated and backfilled foundation
not to exceed 6 percent slope within I 0 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. . . .
iU {L-LI AA;____
Signature
5-1-fJ5"
Date
225 Fifth Street ,. .'
Sp.rjl1gfip,ld, Oregon 97477
541-726-3759 Phone
.
.;~N'!"'!lL9 .'.'_. .... ....
1IrIt::
.. ;
_.~ .~-
.ity of Springfield Official Receipt
.velopment Services Department
, Public Works Department
Job/Journal Number
COM200s-0030 1
COM200s-0030 1
COM200s-0030 I
COM200S-0030 1
COM200s-0030 1
COM200s-00301
COM200S-0030 1
COM200S-0030 1
COM200S-00301
COM200S-0030 1
COM200S-0030 I
COM200S-0030 I
COM200S-0030 1
COM200S-0030 I
COM200s-0030 I
COM200s-0030 1
COM200S-0030 1
COM200S-0030 1
COM200S-0030 1
COM200S-0030 1
COM200S-0030 1
CbM200S-0030 I
COM200S-0030 1
COM200S-0030 1
COM200S-0030 1
Payments:
Type of Payment
CreditCard
.'
,
:'
S/9/200S
RECEIPT #:
2200500000000000552
Date: 05/09/2005
Description
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stann Admin
SDC Transpo Admin
Garage/Carport
Manufactured Home Placement
Manuf Home State Issuance
Sanitary Sewer - 1 st sO Feet
Water Line - 1st SO Feet
Stann Sewer - I st sO Feet
Manufactured Home Conn - Plmb
Gas Outlets 1-4
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
Addressing Assignment
WiIlamalane ManufHome Private
Stonn Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
Paid By
WILLIAM HARRISON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 010S19 In Person
Payment Total:
Page 1 of 1
2:26:46PM
Amount Due
86S.31
10.00
119.86
64.0S
162.00
160.00
30.00
4S.00
4s.00
4S.00
4S.00
4.00
41.00
10.00
38.29
S4.70
103.00
31.00
1,000.00
799.80
552.92
420.44
175.13
772.49
82.03
$5,676.02
Amount Paid
$S,676.02
$5,676.02