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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