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Home My WebLink AboutPermit Building 2005-6-22 Status: Issued 225 Flfth Street, Springfield, OR .( \ 541-726-3753 Phone : 541-726-3676 Fax 541-726-3769 Inspection Line . .~_ CI!Y OF OSl'Kll'\jtJl'~LD Building/Combination Permit PERMIT NO: cOM2005-00661 ISSUED: 06/22/2005 APPLIED: 06/02/2005 EXPIRES: 12/2212005 VALUE: $ 11,300.00 SITE ADDRESS: 2445 MAlA LP ASSESSOR'S PARCEL NO.: 1703251408500 Springfield TYPE OF ManufHome w Garage/Carport Private Lot New Residential TYPE OF USE: PROJECT DESCRIPTION: Manufactured home and carport on private lot Owner: JOE COPELAND Address: 2267 33RD ST SPRINGFIELD OR 97477 Contractor Type .. General ; Electrical Plumbing I CONTRACTOR INFORMATION I Contractor HARRlSONJACOBSONINC RALPH W BROWN HARRISONJACOBSONINC License 66447 63137 66447 , # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: 1 R-3 U VN I, BUILDING INFORMATIONI # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Electric Electric Electric 3 NOlleE: S\1!'1ll DlrDEYELOPMENT'iNFORMATION I 1\1IS PERMll ER 1\1IS PtKNIII Iv ,,~ . . TUORIZED lJNO O,.rn mR Front yard SetbaclCl, n EO c,W.P9 !'IBI\NO,(;)verlay Dist: Side 1 Setback: COMMENC 2.0010 # Street Trees Side 2 Setback: !'INY 18G O!'lY Pll~OO' Paved Drive Rqd: Rearyard Setback: 50.00 % of Lot Coverage: Solar Setbacks: 5.00 1 Street Storm Sewer Available: Special Instruction: n/a Phone Number: 541-736-9634 Expiration Date 05/0712007 02/15/2006 05/0712007 Phone 541-689-7762 541-729-1500 541-689-7762 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occu pan t Load: 8,280 1,620 350 o Yes 23.70 REQUIRED PARKING Total: 2 Handicapped: Compact: IPUBLIC IMPROVEMEN'i'~iION: Oregon law requires you to L! ' ,. les ad9pted btthe Oregon Utility Fullv Improved Notification Ce~I!lf.WfHb~~1jl51es are set forth Yes in OAR 952-00tJ\'~;~ :;;,l!wg\lalMR 952-~ and Gutter 0090.. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Notes: Storm drainage piped to'curh face 6/3/2005 CAS 1 of 3 Status: Issued 225 Flfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Carport Carport Foundation Onlv Use Bid Amount Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Addressing Assignment Garage/Carport Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Plan Review Major - Planulng Sanitary Sewer - 1st SO Feet Sanitary Sewer - Improvement I~ Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st SO Feet Water Line - 1st SO Feet Wlllamalane MannfHome Private Total Amount .. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00661 ISSUED: 06/22/2005 APPLIED: 06/02/2005 EXPIRES: 12/22/2005 VALUE: $ 11,300.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $18.00 $1.00 Square Footage or Bid Amount 350.00 5,000.00 Value Date Calculated Total Value of Project $6,300.00 $5,000.00 $11,300.00 06/02/2005 06/02/2005 Fpp<. PiWLI Amount Paid Date Paid Receipt Number 2200500000000000707 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 1200500000000000890 $79.95 $52.40 $36.68 $31.00 $84.00 $30.00 $45.00 $50.00 $160.00 $50.00 $103.00 $45.00 $420.44 $552.92 $10.00 $865.31 $82.03 $12o.t5 $64.02 $772.49 $175.13 $805.07 $45.00 $45.00 $1,000.00 6/2/05 6122/05 6122/05 6/22/05 6122105 6122/05 6122/05 6/22/05 6/22/05 6122/05 6122/05 6122/05 6122105 6122/05 6122105 6122/05 6122105 6/22105 6/22105 6/22105 6/22105 6/22/05 6/22/05 6/22/05 6/22105 $5,724.59 I Plan Reviews I Initial Review 06/03/2005 06/03/2005 APP SKG Plannln!! Review 06/03/2005 06/15/2005 APP TAJ Public Works Review 06/03/2005 06/03/2005 APP CAS Storm drainage piped to curb face 61312005 CAS Strnctural Review 06/03/2005 06/16/2005 APP RJB 2 of 3 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2005-00661 ISSUED: 06/22/2005 APPLIED: 06/02/2005 EXPIRES: 12/22/2005 VALUE: $ 11,300.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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. wiD be made the following work day. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Footing: After trenches are excavated. Slab: To be made after alllnslab building service equipment, conduit piping and other equipment items are In place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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 numben, 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. Manuf Home Plumbing: After home has been connected to water and sewer. Final Plumbing: When all plumbing 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 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 wiD be made of any structure without permission of the Community Services Division, Building Safety. 1 further certifY that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 wiD remain on the site at all timf)durin} c?JtructlolL. ~~ N/A A AA , t; - 2.<:... .oS- Owner or Contractors Signature Date 3 of 3 ThetO\lOWlngprul"....lQ<;>.....-:..J;n.~. and use d does not requlr~ :~~;:;' an , 0t;JfJ/O_C) . · · I .. . ':PRING~~i1$ntf 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX;~J~:!!l(l6Slg8!lture . '~~:-.zJv ELECTRICAL PERMIT APPLICATION City Job Number CO,,"z..OO5"~c::rc:> bb( Date 6'20-0<;; I 2, I CONTRACl'OR INSTALLATION ONLY I 8,[ ~erv!c~,or Feeders - Insla}!1Vto!1; ~!tfdtib'n~':;r Relocation: -1'/., <l-- h/J, -r.-. J, \;":' ~ \ ;1'p.M\\ SI1f',LL (XI., tRMI1 I~ ,,01 Electrical Contractor I~ ~ 2pO,'Amps or/less llNOtR 1\1\5 ? _.,m I'C~1,63.00 U ~ 29J.'AMp1~6 ;0'6 Amps\S p.,\3I\Nuu,,~-' $ 75.00 /ocf2- /f~~ "^r.NI..uv., Address f' ~ 40lC.>Impsto 600,Amps\\OO.. $125.00 - 'v i\\fl \\1-\1 r-' 601\\\mps to 1000 Amps $163.00 Phone .,72--9. J 5 00 Over 1000 AmpsNolts $375.00 Reconnect Only ~ {c'iO.OO nJaw reclU1"''' , "If" " c. ~1!rn:Pd~"~'S~~?W"ietI.Qregon:~~~ follow rUIl:l~ o~~ ihose rule\; ore 2-001- Nm!!!lJa1l6ii\ ~it~~~~~'b'tf1~tQfl.R 9~\es bY i?POJAli\~~'a~s obtain copies ,?f the _ hdnW.OO :wJ~m)\S''tb'W ~IRI!~ (Note: \tie ''''~>:~~O 401cAffiPft6r60R~~gon Utility 1~~~11 $100.00 n' ,roher for 1\ .al'on, "l3~-'?,)""" Oven;u<r A~~~ \lDll ~lS1;'ee 'B" above.. D. j Branch Circuits 1. I LOCATION OF INSTALLATION 2-'1'1~ MAlA- L..t LEGAL DESCRIPTION 17D J '2SI t.( JOB DESCRIPTION ;Y\H- o"k prl"""~' ).5,..1- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days.. 08'SCOD City F- ,;:fP--t Le> t1 Supervisor License Number 9'C(S'-s /~~1 aC;(s7 Expiration Date Constr. Contr. Number Expiration Date 2- -O(P Signature of Supervising Electrician ~W iJ Owners Name T" e Cu,t:."IA-- J Address Z2b 7 :53' ~ OS pr'1 Phone 736 - '61,( '~'V'- City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: luspectlon Request: 726-3769 3.. I COMPLETE FEE SCHEDULE BELOW A. I New Residentiai - Single or Multi-Family per dwelling unit.. Service Included 1000 sq.. ft. or less Each additional 500 sq. fL or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106..00 $ 19.00 Z. $50..00 IOu New Alteration or Extension Per Pauel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E.I Miscellaneous (Service/feeder not included) -Each Installation I Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited EnergylCommercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.1 SUBTOTAL OF ABOVE 100 7 ,e 117-- 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc '. ~"~~ ~ ."", DEVELOPMENTSERWCESDEPARTMENT . 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 a.pEov~\ pf the !'ttaclled ' permits, one of the following manufactured homes will be placed at _::J I.{q~ '"IN\ .r.. f- ~, Springfield, Oregon, City Job NumberCoI"\Urn'!;"-cn~_t ' -. ~ 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 of2 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 niquirements 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. . Final lot grading " City Sidewalk and curbcut installation _ Any outside agency approval as required Le., Division of State Land approval. By my signature below, I agree to complete the above mentioned land use requirements.. Owner Signature i. -/IIcu.u: ~onll'llclOr:'1gnatur0 Date ~ rZ.ZrO$ Date 'I . ' CITY OF S&GFIELD SYSTEMS DEVELOPMEN"RKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS COM2005-0066I Joe Co~eland 2445 Maia Loop 1703251408500 SINGLE F AMIL Y RESIDENCE I BUILDING SIZE (SF: 2050 LOT SIZE (SF): 8280 I 112 10 18 I~ "'-l E-< [/) o ~ L STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 2597.00 I $0.310 I = I $805.D7 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 $0.310 I I 50% I ~ I ITEM I TOTAL - STORM DRAINAGE SDC $805..07 2 SANITARY SEWER - CITY DISCOUNT $0.00 $805..07 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 23 $24.04 $552..92 1091 R IMPROVEMENT COST: I I NUMBER OF DFU's I x I 23 $ I 8.28 $420..44 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $973.36 I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRlP FACTORI I 9.57 I I I I $18.30 I 1.00 I $175.13 1093 B. IMPROVEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEW TRJP FACTORI I 9.57 I I I I $80.72 I 1.00 I $772.49 . 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC = , $947..62 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: I NUMBER OF FEU's I x ICOST PER FEU I I I $82.03 = $82..03 1054 R IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I $865.31 = $865.3 I 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10,00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $957.34 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $3,683..39 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I~ CHARGE I $3,683.39 I 5% I $184.17 TOTAL SANITARY ADMINISTRATION FEE: 120.15 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $64.02 p078 - - Cheryl Slaymaker 6/3/2005 TOTAL SDC CHARGES = I $3,867.56 I PREPARED BY DATE . ,- 1 . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDIllONAL FIXTURES) NO. OF FIXTIJRES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTIJB 2 0 I 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS I ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH I ETe. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER I MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG I WATER STATION I ETe. 0 0 1 = 0 I RECEPTOR FOR COM. SINK I DISHWASHER I ETe. 0 0 3 = 0 SHOWER. SINGLE STALL 1 0 2 = I 2 I SHOWER. GANG INUMBER OF HEADS) 0 0 2 = ,I 0 ISINK: COMMERCiALlRESIDENTIAL KITCHEN 1 0 3 = I 3 ISINK: COMMERCIAL BAR 0 0 2 = I 0 ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = I 2 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = I 1 I URINAL, STALL/WALL 0 0 5 = I 0 ITOILET, PUBLIC INST ALLA TION 0 0 6 = I 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = I 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 .EDU (Equivalent Dwelling Unit) is a dischar~ equivalent to a ~e family dwelling unit (20 DFU's) set at 167 ~lons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TE/$I ,000 1 ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 I BEFORE 1979 $5.29 (Enter I for Yes. 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 I 1980 $5.19 (Enter I for Yes, 2 for No) I 1981 $5.12 BASE YEAR 1979 I 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.63 VALUE 11000 CREDIT RATE 1985 $4.40 SO.OO x S5.29 ~ , SO.OO I 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) I 1988 $3.22 VALUE/1000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 0 I 1990 $2.25 I 1991 $1.80 I 1992 $1.59 TOTAL MWMC CREDIT = SO.OO I 1993 $1.45 I 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 Str~et . ' Springfiel!J, Oregon 97477 i 541-726-3759 Phone . 'J . , Job/Journal Number COM2005-0066I COM2005-0066I COM2005-0066I COM2005-0066I COM2005-00661 COM2005-00661 COM2005-00661 COM2005-00661 COM2005-00661 COM2005-00661 COM2005-00661 COM2005-00661 ~ COM2005-00661 ; . COM2005-00661 COM2005-0066I GOM2005-0066I COM2005-0066I COM2005-0066I , COM2005-00661 COM2005-0066I COM2005-0066I COM2005-0066I COM2005-0066I COM2005-00661 Payments: Type of Payment CreditCard ~ oil f ~ ; . I, " 1 612212005 . RECEIPT #: ~~ 1200500000000000890 Description Manufactured Home Placement Manuf Home State Issuance Addressing Assignment Willamalane ManufHome Private Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1st 50 Feet Manufactured Home Conn - Plmb Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC SanitarylStorm Admin SDC Transpo Admin Plan Review Major - Planning Manufactured Home Feeder Manufactured Home Service Garage/Carport + 7% State Surcharge + 10% Administrative Fee Paid By WILLIAM HARRISON Received By djb \:beckNumber Batch Number 1 of 1 ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 06/22/2005 Item Total: Aulborization Number How Received 006165 In Person Payment Total: 2:23:02PM Amouut Due 160.00 30.00 31..00 1,000..00 45..00 45..00 45..00 45..00 805..07 552.92 420..44 175..13 772,,49 82..03 865.31 10..00 120..15 64..02 103..00 50..00 50.00 84..00 36..68 52,,40 $5,644.64 Amount Paid $5,644..64 $5,644.64