HomeMy WebLinkAboutPermit Building 2003-12-4
.
Status
Issued
*
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2003-01136
ISSUED: 12/04/2003
APPLIED: 11/12/2003
EXPIRES: 06/04/2004
VALUE: $ 67,324.80
225 Fifth Street, Springfield, OR
541-726-3753 Phone.
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2480 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251404500
Springfield TYPE OF WORK: Manuf Home w
Garage/Carport Private
TYPE OF USE: New Residential
PROJECT DESCRIPTION: MH w/garage
Owner: GARY PIERCE
Address: 87776 OAK ISLAND DR VENET A OR 97487
Phone Number: 541-935-6846
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Manuf Home Inst
Contractor
CHRISTENSON ELECTRIC INC
RAY SHARP CONSTRUCTION INC
License
458
60926
Expiration Date
05/01/2007
07/12/2005
Phone
541-688-6121
541-345-2279
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
2
# of Stories: I
Height of Structure
Type of Heat: Forced Air Elect
Water Type: Electric
Range Type: Electric
Energy Path:
Lot Size:
Sq FIIst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
5,240
1,404
I
R-3
U-l
VN
SETBACKS
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
15.00
5.00
23.00
10.00
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
1
Total:
Handicapped:
Compact:
2
Yes
33.20
I PUBLIe IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction: Private Infrastructure.
NOTICE:
Notes!HIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
Downspoutsmrains:
hi i EI\..: lGI'll:ufc9,uil ic..\N n:~qUil'::i~ 1'0.... ;...1
follow ruleS adopted by the Oregon Utilitv
Notification Center. Those rules are set faith.
in OAR 952-001-0010 through OAR 952-001
0090. You may obtain copies of the rules b,
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Paee I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Foundation Onlv
Garaee
Manuf Home
Use Bid Amount
Garaee
Manufactured Home
.,
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 70/0 State Surcharge
Add, Alter, Extend Circ Ea Add
Addressing Assignment
Annexed 1979 or Before
Building Permit
Manuf Home State Issuance
Manufactured Home Connection
Manufactured Home Feeder
Manufactured Home Placement
Manufactured Home Service
Plan Review - Planning
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
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
Willamalane Manuf Home Private
Total Amount Paid
Initial Review
Plan nine Review
11/12/2003
11/14/2003
.
. CITY VI' ~rKll'iu1'lJ',LD
Building/Combination Permit
PERMIT NO: cOM2003-01136
ISSUED: 12/04/2003
APPLIED: 11112/2003
EXPIRES: 06/04/2004
VALUE: $ 10,796.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$23.80
$1.00
Square Footage
or Bid Amount
2,800.00
336.00
56,528.00
Value
Date Calculated
Total Value of Project
$2,800.00
$7,996.80
$56,528.00
$67,324.80
11/12/2003
11112/2003
11113/2003
Fpp<, p.,W
Amount Paid
Date Paid
Receipt Number
$74.88
$55.82
$39.07
$3.00
$8.00
$-154.78
$115.20
$30.00
$45.00
$50.00
$160.00
$50.00
$59.00
$45.00
$344.20
$452.80
$10.00
$214.23
$314.63
$99.21
$51.15
$727.42
$164.89
$933.80
$45.00
$45.00
$1,000.00
11112/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
12/4/03
1200200000000002453
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
1200200000000002550
$4,982052
I Plan Reviews I
11114/2003
11/26/2003
APP LLH
APP TAJ
Paee 2 of3
.
. '\...11 t' OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2003-01136
ISSUED: 12/04/2003
APPLIED: 11/1212003
EXPIRES: 06/04/2004
VALUE: $ 10,796.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
Structural Review
11/14/2003
11/14/2003
11/17/2003
11/1912~03
APP
APP
VRJ
TCM
Private Infrastructure.
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.
I Reoqired Inmeetions I
I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
2 Footing: After trenches are excavated.
3 Foundation: After forms are erected hut prior to concrete placement.
4 Shear Wall Nailing: Before covering sheathing with finish materials.
5 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
6 Manuf Home Set Up: When installation of all piers or stands is complete.
7 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.
8 Final Building: After all required inspections have been requested and approved and the building is complete.
9 Undernoor Drain: Prior to cover or placement of concrete.
10 Water Line: Prior to filling trench and including required testing.
II Sanitary Sewer Line: Prior to filling trench and including required testing.
12 Storm Sewer Line: Prior to filling trench.
13 Final Plumbing: When all plumbing work is complete.
14 Manuf Home Plumbing: After home has been connected to water and sewer.
15 Rough Electric: Prior to Cover
16 Final Electric: When all electrical work is complete.
17 Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that 1 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.
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 ofthe property, and the approved set of plans will remain on the site at all
"mm '''''~A~,''; ) j);; II A /J /~. j tJ3
Owner or Contractors Signature Date
Pa~e 3 of3
225 Fifth Street.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0l136
eOM2003-0l136
eOM2003-0l136
COM2003-0l136
eOM2003-0l136
eOM2003-0l136
eOM2003-0l136
COM2003-01136
eOM2003-0l136
eOM2003-0l136
eOM2003-01136
eOM2003-01136
eOM2003-0l136
eOM2003-0l136
eOM2003-0l136
eOM2003-0l136
eOM2003-0l136
eOM2003-01136
eOM2003-01136
COM2003-01136
eOM2003-0l136
eOM2003-0 1136
eOM2003-0l136
COM2003-0l136
eOM2003-0ll36
eOM2003-01l36
Payments:
Type of Payment
Check
~j.'~"'R",,...!"..,.BLD "~". ." ",.~,
1Ii:.. '. 1
.'., :
~'r', ~ ,"
"~'~",,'e,,_'. ,.- "
Receipt #: 1200200000000002550
Description
Addressing Assignment
Willarnalane Manuf Home Private
Manufactured Home Feeder
Manufactured Home Service
Add, Alter, Extend eirc Ea Add
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDe MWMe Reimbursement
SDe MWMe Improvement
SDC MWMe Administration
SDe Sanitary/Storm Admin
SDC Transpo Admin
Annexed 1979 or Before
Building Permit
Manufactured Home Placement
ManufHome State Issuance
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Manufactured Home eonnection
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review - Planning
Paid By
RAY SHARP eONSTR
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department..
Public Works Department.
Date: 12/04/2003 1:16:16PM
Amount Paid
Item Total:
8.00
1,000.00
50.00
50.00
3.00
933.80
452.80
344.20
164.89
727.42
314.63
214.23
10.00
99.21
51.15
(154.78)
115.20
160.00
30.00
45.00
45.00
45.00
45.00
39.07
55.82
59.00
$4,907.64
.
.
How Received
Amount Paid
In Person
Payment Total:
$4,907.64
$4,907.64
..\1'<;1
\0\'0 0
. ~o-.:,s
. .~\0 ~,
<<' s
~\\a
. FAX: (541)~~~!fO: . .' .'
:-tI,<,Q 600? .
\0\\0 .....0
€j -a."
",\'1;\ ~\~' \.
.,0(\\ ",,,,-a:' ~\f\~
Q../ 1..0
~;f-~I>;!~~~,r.t:'~~'JP:":'~--"_..,~~~'I;"'~~~~.i1~~~er-:Zlil~t;J.~
3. ~\GOJllIEEETE:FEEfS .' -~LOW';~;""~~':.i.;'~~:rr~~,i&
~~..;i(.'".aI';';"';"~~.il,,,,,,,>~'r,(!';)'..!.:,~.......ii;~;l~:.- :'.~ . ,,,~.a.~..:..~~~...z.~~~~_it~~
0'0 ,00 .
~\...
JtO
A.. ~~I~Yif~t~itil1it~~slliW~~~~Thltl1F~i?~~a~r~~~~.-'~:~)
.'I:.:Jl.~:;~Ii~~""'--' "-"-"~-'-<~="~J'~~....4~;:;jJ.:t'i;.y:.;i:n.:I'!:l,.:.,ykLi,.1k...'.f.'_i~
225 ~ 11' Hi STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753
ELECTRI~~~4P.ul~1JON
eity Job Number ~'\'I \JJ~'U\~ Date
~"'~i\t.~ill,.~~)':;';""'flZ"wr.....~"c<;;-'~"-;'>jo<~'itI'~~~~"-If~.Jliiiti~~
C. ~~!l0J;~~iE~~4.~~iilA~~11t. 'm,.~
- -. ....... - '- . ',- -.
follow rules adop.ted by the Oregon Utility
Installation, A1teration.or Relocation e rules are set f ..
'JUdlll,;cUIUII \...otl(llt:r. I nut! 0.;
200 Amp~ '2!'.I!7~952-001-001 n thm. onh ~?9Ws'-nn
26-34C 201 Amp.s:rg.190.'M>P~.ay obtai!"' Mni;;" ~I6J:Q.orul"" I
401 Amps t'?-&QQ'~p~ center. (No~"'. '''t$~.9.o"991nnA
Expiration Date 10/01/04. Over 600 RmjiStOr'oJOoO ;;r61ts'1ee~B"J.ili'o~~.Y Notification
Si:t)~c:=;~-""-+) ~N~~~
) j ) T "~t\Qw.WI8.n One eircuit $ 43.00
. Each Additional eircuit or with t f:j.W
Service or Feeder Permit $ 3.00 -.::>
Owners Name ..
Address _~,\f\f\\.o
eity ~ --' Phone
1. W.Eo€A"TiONjO&Ilvs~j;pitN#<~}:~~
"~...\'J"''';;';[i,~~,).~,,,,",.1ai~~ra:~'''''''''''''~~''I:.W''~m~~
'tt\r\ ti) )
LEGAL DE;,eRIPTI~~.. rvlC::: ~ '
\nf)52.~\, lJ\;:)JL/
.,
JOB DESeRIPTION'
~p~~2~~
not started within 180 days of issuance or if work is
Suspended for 180 days'-
. ~"''''''''''';'l:'.''''J",,~~:;,';f.i!,1!::~~.~~'Wr.~.,~\\-':!!..~~~..
2. ~~~~~~I~~~JJ..~",'I1j
Electrical eontractor Orris tenson Elee triC:
Address
1298 Beth" 1 1)ri""
City Eugene
Phone 541-688-6121
Supervisor License Number
3759 S
Expiration Date
10/01/04
Constr. Contr. Number
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Service Included'
1000 sq. ft. or less
Each additional 500 sq. ft. or "
portion thereof .
Each Manufact' d Home or
Modular Dwelling Service or
Feeder .
$106.00
$ 19.00
fL
$50.00
IDDcD
~~~..:,~..;"<i,.........:-,,,,,~~.:t""i-~~':"-""-'",.,:;;';i""'~"-":"'''.'''l~.t~I''4~h..t~'''''-"'d'''''''=o.'''m
B ""'""'S'" """""f~MF"""d~"\~"'Iii. 't-'ll.._..,.n,~""t "' 't'~"""'hR'''I'~'' "d'''~i>t!
. $'1. eI:V1Ces;:orl~.ee ers-~' s a ation',":.Mr.I er;a lons;on e ocatlon:'i:fi',:,,o,
$:~~~~~~~~~~TIt~-r~:-~'JlT~~~~a.~
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
~gll~=~('s~;'~~~7J~~cl~ardo)m:1'\:~~~
11~i':::~:,~':;";"';\f,~,,'L';;i>('..~~~~""~'/!>>"'''''''<'''''''''''''''.:.l':.1f.t:l:~~
(ittlUIS P'Jin~%~T~'ti9P EXPIRE IF TH~ 1"-,. __. $ 50.00
''XUTHSi'1Q!7"cn" ''In-c - '--. L nun" $ 50.00
C gIlf'9UU.me l.J'lS"njlgIIS PERMIT ,n ,.~-
OM~~~reli!E~fld-~l!AlJN ,,~"V I $ 25.00
ANY l~JlJJfc!~~[~mmercial ED F", I $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
,- \O~P?
, I. fi.. \
._Wl~
1W.S\
r;>>~"~~cr'..r.:.""~~'!"iI#I>"'.~~'~''':'~'':'''~''S>~
4.' '4SUBTOTALWE%BOVE'
~1U'ff~~~f1,)1.'~~ffiili -:;
7% State Surcbarge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuilding Fonns/Electrical Pennit Application 1-03.doc
'CITY 6~ S!NGFIELD SYSTEMS DEVELOPMEN_ORKSHEET
JOURNAL OR JOB NUMBER: Com2003-0 1136
NAME OR eOMPANY: Ga~ Pierce
LOCATION: 2480 Maia Loop.
TAX LOT NUMBER: 17032514 tl 4500
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF; 1387 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO elTY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I I eHARGE
I 3220.00 I $0.290 = I $933.80 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED TO elTY STANDARDS
I IMPERVIOUS S.F. I x I eOST PER S.F. I x I DISCOUNT RATE I "I DIseOUNT
I 0.00 I I $0.290 I 50% I ~ $0.00
5240
rIl
~
Cl
o
U
0::
~
rIl
~
C
~
ITEM 1 TOTAL - STORM DRAINAGE SDC $933.80 $933.80 1070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT eOST:
I NUMBER OF DFU's I x r eOST PER DFU
I 20 I I $22.64 $452.80 1091
B. IMPROVEMENT eOST:
I NUMBER OF DFU's I x COST PER DFU
I 20 I $17.21 $344.20 11092
ITEM 2 TOTAL - elTV SANITARY SEWER SDe = , $797.00
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I I I I $17.23 I 1.00 I $164.89 11093
B. IMPROVEMENT COST: I
I ADTTRIP RATE I x I NUMBER OF UNITS I x I eOST PER TRIP x INEW TRIP FACTOR I
I 9.57 I I I I $76.01 I 1.00 I $727.42 11094
ITEM 3 TOTAL - TRANSPORTATION SDC = , $892.31 I
=
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I I $314.63 = $314.63 11054
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x leOST PER FEU
I I I I $214.23 = $214.23 11055
MWMe eREDIT IF APPLleABLE (SEE REVERSE) ($154.78) 1054
MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , $384.08
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $3,007.19
5. ADMINISTRATIVE FEE:
ISUBTOTAL I x I ADM. FEE RATE 1= CHARGE
I $3.007.19 I I 5% I $150.36
TOTAL SANITARY ADMINISTRATION FEE: 99.21 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $51.15 1078
Virginia Jurasevich 11/17/2003 TOTAL SDC CHARGES = $3,157.55
PREPARED BY DATE
--
.
.
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT" DRAINAGE FIXTURE UNITS I
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
[BATHTUB - 2 0 3 6
=
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE lOlL 1 SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETe. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER 1 MOP SINK 1 0 3 = 3
leLOTHESWASHER - 3 OR MORE (EAt 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IREeEPT.QR FOR REFRIG 1 WATER STATION iETe. 0 0 1 = 0
!RECEPtl)R FOR eOM. SINK 1 DISHWASHER 1 ETe. 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCiAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LA VATORYIRESIDENTIAL BAR 2 0 1 = 2
IURINAL, STALL 1 WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INST ALLA TION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
-EDU (EQuivalent Dwel1in~ Unit) is a discharJ!:e eouivalent to a sinsde family dwellin'i!; unit (20 DFU's) set at 167 gallons oer day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I YEAR CREDIT RA TE/$ 1,000 I 'I
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
I BEFORE 1979 $5.04 I (Enter I for Yes, 2 for No) . I
I 1979 S5.04 I IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
I 1980 $4.95 I' (Enter 1 for Yes. 2 for No)
I 1981 $4.88 I BASE YEAR 1979
I 1982 $4.75 I
I 1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.41 VALUE /1000 CREDIT RATE
I 1985 $4.20 $30.71 x $5.04 - , $154.78
I 1986 S3.88
I 1987 S3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $3.07 VALUE/IOOO CREDIT RATE
I 1989 S2.6O $0.00 x $5.04 0
1 1990 S2.14
I 1991 $1.71 "
I 1992 51.52 I TOTAL MWMC CREDIT = $154.78
I 1993 $1.38 11
I 1994 S1.19
I 1995 S1.03 I
1996 SO.87 I
1997 SO.68 I
1998 $0.46 I
1999 $0.27 I
2000 SO.09 I
2001 SO.04 --.JI