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Home My WebLink AboutPermit Building 2005-8-23 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00978 ISSUED: 08/23/2005 APPLIED: 07/26/2005 EXPIRES: 02/23/2006 VALUE: $ 71,200.00 REQUIRED PARKING Overlay Dist:. Total: 2 -u~ # Street Trees 0 \'It. ",Handicapped: Paved Drive Rqd: ''!'It. \\' \ $Ccilti~act: % of Lot C?ver~ge: t>-\..\.. t.'iS40:3,Oc\'-w.\\ \'O\'- ~U'\_\~~I'\~\\\ ~:~\\\t.\'- \~~~,,\$\)~t.\) IPUBLIC I MPROVEMENTS i I)\'- \';);;. ,. .,~t.\'- -.J ?t.~\ F U I d c.1)\"" \)t>-' SIdewalk Type: u V mprove :'< \'0" Yes t-.V\ DownspoutslDrains . Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2525 MAlA LP ASSESSOR'S PARCEL NO.: 1703251408000 Springfield TYPE OF TYPE OF USE: PROJECT DESCRIPTION: Manufactured home and Garage U to . Q__~nn laW requIreS Y?"a,nl Owner: BEN & DOR~W~W~doPted by tne u'''~;;;s~t lorth Address: 1409 NW ULRICli\OW " ' 'Center. ihOSe rule~I\.R 952-001- ROSEBURG QR)~~~~_001-0010thr~~~~ nHne rules by UI....... U may QUlCl'" .-:-:_. ..hp.1e\epnU\l~ 0090 .\y~ tne CI'~CaNl'~tToR,INIiORMA TI ON I cal \~er lor the U'''\JV'' '32-2344). contrac<<lr center is 1-800-3 License HARRISON JACOBSON INC 66447 ROBS ELECTRIC INC 156678 HARRISON JACOBSON INC 6.6447 Contractor Type General Electrical Plumbing I BUILDING INFORMA TIONI #ofUnits: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: 1 # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled nla 'orced Air Electric Electric Electric 3 IUEVELOPMENTINFORMATION I . Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 22.00 5.00 5.00 10.00 0.00 . Street Storm Sewer Available: Special Instruction: Notes: Storm drainage piped to system 7/2912005 CAS 1 of 4 Manufactured Home on Private Lot New Residential Phone Number: 541-672-8974 Expiration Date 05/07/2007 08/14/2007 05/0712007 Phone 541-689-7762 541-686-5444 541-689-7762 /' 1 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,566 To Storm Sewer Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Foundation Onlv Garaee ManufHome . . CITY (JI< ~rRl1~ul'IJ!,LD Building/Combination Permit PERMIT NO: cOM2005-00978 ISSUED: 08/23/2005 APPLIED: 07/26/2005 EXPIRES: 02/23/2006 VALUE: $ 71,200.00 I Valuation Descrintion I $ Per Sq Ft or mnltip6er $1.00 $25.00 $1.00 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 GaragelCarport Manuf Home State Issuance . Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Plan Review Major - Planning Sanitary Sewer - Ist 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Improvement SDC MWMC Reimbursement SDC SanltarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervions Area Storm Sewer - Ist 50 Feet Water Line - Ist 50 Feet WilIamalane Manuf Home Private Total Amount Initial Review 07/27/2005 Square Footage or Bid Amount 5,000.00 648.00 50,000.00 Value Date Calculated $5,000.00 $16,200.00 $50,000.00 $71,2.00.00 07/26/2005 07/26/2005 07/26/2005 Total Value of Project Fee.. p,,\lU Amount Paid $130.65 $64.40 $45.08 $3.00 .$31.00 $201.00 $30.00 $45.00 $50.00 $160.00 $50.00 $150.00 $45.00 $438.61 $576.61 $10.00 $59.61 $805.70 $82.03 $131.02 $65.35 $805.70 $182.69 $966.42 $45.00 $45.00 $1,000.00 $6,218.87 Date Paid Receipt Number 2200500000000000989 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 . 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 1200500000000001228 7/26/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05. 8/23/05 8/23/05 8/23/05 8/23/05 8/23/05 I Plan Reviews I 07/29/2005 APP LLH 2 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00978 ISSUED: 08/23/2005 APPLIED: 07/26/2005 EXPIRES: 02/23/2006 VALUE: $ 71,200.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , Plannine Review 07/29/2005 08/0112005 APP TAJ Public Works Review 07/29/2005 07/2912005 APP CAS The ramp and landing on the south property line may be In the side setback as long as it Is less than 2 1/2' In height. If it is between 2 1/2' . 6' in height, it can be up to 3' from the property line. Anything higher than that must maintain a 5' side yard setback. Storm drainage piped to system 7/29/2005 CAS Standard comments for M.H. & Garage/Carport. All other notes on drawings Structural Review 07/29/2005 08/0112005 APP DLM 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. EroslonlGrading Inspection: Prior to ground disturbance and after erosion measures are Installed. VIer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Foundation: After forms are erected but prior to concrete placement. 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 numbers, trees, driveway, etc. have been installed. Final Building: After all required inspections have been requested and approved and the building is complete. Undernoor Drain: Prior to cover or placement of concrete. 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. Rough Electric: Prior to Cover MH Electrie: 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. Final Electric: When aU electrical work Is complete. 3 of 4 . . CITYOF~I'Kll~u!'IJ!,LD Building/Combination Permit' PERMIT NO: cOM2005-00978 ISSUED: 08/23/2005 APPLIED: 07/26/2005 EXPIRES: 02/23/2006 VALUE: $ 71,200.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. I further 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 wiD remain on the site at all timvnn. 'nn~ c1f:n:ti:n.. f),~ IJOl/V',-","--, 8, 23 -oS- Owner or Contractors Signature Date / 4 of 4 ~\,.- o '0~~~0 ~ 0 0",0;" \0'" C. ~0 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: ~~;0~~689 - ELECTRICAL P.~E(~'PLlCATION ,.i,,,Q, 000' - \O~O fj,f\.O ~.iryl:;~;;;;~M~E.~ST4b;:()N 3. I COMPL;;~;~~~:~;:~~~~ _A~c::) \\ '{ll1t ,) 0'0\0 "'".00 ",Wi LEG~i,IjfJifJU.U!9lj rY:lNv"l A. I New Residentinh..l>-S'ingle or Multi-Fnmily per dwelling unit. 'I ~ IIO~\"t V~ Service Included JOB DESeRlPTION 1000 sq. ft. or less , ffi 1\ f\ I. n ~1...'\rY\ ^ .......l /: ll\ 1 () /).p-- Each additional 500 sq. ft. or ~ 'M'~ 'l "]~,~ portion thereof Permits are non-Ynsf~rable and expire jfwork is Each Manufact'd Home or not started within 180 days of issuance or jfwork is Modular Dwelling Service or Suspended for 180 days. . Feeder 2. ~~~-'!\1~it!-RpY,ST:MMti~J\TONLY I B. I Services or Fecdcrs - Installation, AlterationsorReloc~tion1 Electrical eontractor ~ ') 8 Q{ -hri (__: I Vl C ' 200 Amps or less $ 63.00 ..,.., 201 Amps to 400 Amps $ 75.00 Address "',(). \So 'i- J-~ J.-\ A ffl~Y1~I~ @~'YI1S!aw requires vou to$125.00 folR9hme'!.;ladll\J.<lcAtripy the Oregon Utilit~$163.00 Phone J ~8LQ -5: If':f! Not~~ffii!llq~'1lrol:V1l1ls:lSe rules are set for~~75.00 in ~'i'l9:\!.9~tl(l~~01 0 through OAR 952-00$ -50.00 009~ma~~~~i.n Mr;p" nf.'hp. rules bv CC~9,!;'L.~"'~I~&!Iif~!1ters'lephone , number for the Oregon Utility Notification I nstallation,JI>\tellD'ioD, or,Relneotlop \...ot:llldr ;:J l-vvV ............ ....;:::., 1 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 , ' . , 'CITY OFut'RINGFIELD, OREGON 'j . " ,. I $106.00 $ 19.00 !l $50.00 1Q'2[i>. J eity E l-COOU'\ Q Supervisor License Number 41~'i5 Expiration Date ID!61 I()! Constr. eontr. Number I ~ n ( 0 l ~ Expiration Date ~ Signature of Supervising Electrician Over 600 Amps or 1000 Volts see "B" above. D. I B~anch Circui,ts New Alteration or Extension Per Panel One eircuit Each Additional eircuit or with I.l~ Service or Feeder Permit Owners Name i' 1.VL(tK ~~:resbt&I~\ ~~ Phone ~I'.~E. L:;S:~lil:~~~~:n(Service/feeder not include:)5:::chInstall~tio~1 ~ Sign/Outline Lighting $ 50.00 OWNER INSTALLATION \Li~it~H~ergY/ResidentiaIXP\RE IF THE W$'z'!;~OO -, ,,~ pLqic\\ I :--'I1;-1LL ~ '\\T \~ N" I Limite~'Energy/eommercial-1\S PER" '-'$ 45.00 nll1'-lOI-\\7.tU UI~UL" '~ ,,,,C\~LI' ..I1R Minimum Electric Permit Inspection"Fee is $45:00 + Surcharges r'(\i",I\H-"l\I\J[.U VI' .~ ~ ------ $ 43.00 l $ 3.00 f; .00 The installation is being made on property I own which is not intended for sale, lease or rent. 7% State Surcharge 10% Administrative Fee I HI!> CO '/ .1l1 \ D:siT ldJl ~ L Owners Signature: 4.1 ~~TQ.TAL OF ABoVE . Inspection Request: 726-3769 TOTAL Shared Orive(T:)lBuilding FonnslElectrical Pennit Application I-03.doc . . MANUFAeTURED HOME LAND USE AGREEMENT As required by tIie eity of Springfield Development eode, [agree that with the approval of the attached permits, one of the following manufactured homes will be placed at -.2~:?- ~ ~ A-IA f-./J. Springfield, Oregon, eity Job Number (!~ - ~CJ1" . ~ 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 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 roofmg. 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 thai124 inches of the enclosing material exposed above grade. I further agree to meet all land use and eity eode 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 . eompletion 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 . eity 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. x Vl. Owner Signature ~ IICZA~ eontractor Signature Date )< a '/_ ~ - O!:' Date ~ITY OF SaGFIELD SYSTEMS DEVELOPMEN&RKSHEET JOURNAL OR JOB NUMBER: e0m2005-00978 NAME OR eOMPANY: Ben Wood LOeATION: 2525 Mai. . TAX LOT NUMBER: 1703051408000 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENeE NEW DWELLING UNITS I BUILDING SIZE (SF; 2214 LOT SIZE (SF): 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. eHARGE "2992.00 I $0.323 I = I $966.42 I RUNOFF ROUTED TO DRYWELL DESIGNED AND eONSTRUeTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I eOST PER S.F. I x I DISCOUNT RATE I ! 0.00 I S0.323 I I 50% I = I ITEM I TOTAL - STORM DRAINAGE SDe $966.42 DISCOUNT $0.00 5490 I~ 'I ~ ILLl ,I- CIl (3 ~ $966.42 1070 2. SANITARY SEWER - r:lTY A. REIMBURSEMENT eOST: I NUMBER OF DFU's I x I 23 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 23 S19.07 ITEM 2 TOTAL - elTY SANITARY SEWER SDe eOST PER DFU S25.07 =, $1,015.22 3 TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIP RATE I x I NUMBER OF UNITS I x I eOST PER TRIP x INEW TRIP FAeTORI I 9.57 I I I S19.09 I 100 I B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFAeTORI I 9.57 I I I I I S84.19 1.00 I ITEM 3 TOTAL - TRANSPORTATION SDC = I $988.39 $576.61 11091 I $438.61 . 1092 $182.69 11093 I $805.70 11094 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT eOST: INUMBER OF FEU's I x I I I leOST PER FEU I S82.03 B. IMPROVEMENT eOST: INUMBER OF FEU's I x I I I leOST PER FEU I S865.31 MWMC CREDIT IF APPLleABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE 1= I S3.927.37 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 7/29/2005 PREPARED BY DATE = $82.03 1054 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIX11IRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS BATHTUB 2 0 3 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 INTEReEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 leLOTHESWASHER I MOP SINK 1 0 3 = 3 leLOTHESW ASHER - 3 OR MORE reA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IREeEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0 IREeEPTOR FOR eOM. SINK I DISHWASHER I ETC. 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCiAuRESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: eOMMEReIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 I SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL. STALL I WALL 0 0 5 = 0 ~TOILET. PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INST ALLA TION 2 0 3 = 6 MIseELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 ~EDU (Equivalent Dwellinp; Unit) is a discharge eauivalent to a sinRie family dwelling unit (20 DFU's) set at 167 R8llons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980. 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 '199.5 1996 1997 1998 1999 2000 2001 eREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR eREDIT FOR LAND (IF APPLIeABLE) VALUE I 1000 eREDIT RATE SO.OO x S5.29 eREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE I 1000 eREDITRATE $0.00 x $5.29 TOTAL MWMC CREDIT = 1979 ~ , SO.OO SO.OO 2 I I I I I 2 o 225 Fifth Street . . . . Springfiel~, Oregon 97477 541-n6~3759 Phone , . ~ j;Lty of Springfield Official Receipt .elopment Services Department Public Works Department J;i,/Journal Number COM2005-00978 CpM2005-00978 CpM2005-00978 eOM2005-00978 COM2005-00978 COM2005-00978 COM2005-00978 COM2005-00978 COM2005-00978 COM2005-00978 COM2005-00978 CbM2005-00978 COM2005-00978 COM2005-00978 eOM2005-00978 GpM2005-00978 GOM2005-00978 COM2005-00978 CbM2005-00978 CbM2005-00978 ,. eOM2005-00978 eOM2005-00978 eOM2005-00978 eOM2005-00978 COM2005-00978 COM2005-00978 P-~yments: T-jpe of Payment ereditCard '~ :t. .{' '1 ; .~ ., :\. :r 8/23/2005 RECEIPT #: 1200500000000001228 Date: 08/23/2005 Description Addressing Assignment Willamalane ManufHome 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 MWMC Administration SDe SanitarylStorm Admin SDC Transpo Admin SDC MWMC Improvement Plan Review Major - Planning Garage/earport Manufactured Home Placement Manuf Home State Issuance Sanitary Sewer - t st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1st 50 Feet Manufactured Home eonn - Plmb + 7% State Surcharge + 10% Administrative Fee Paid By WILLIAM HARRISON Item Total: Lbeck Number AutllOl1zation Received By Batch Number Number How Received djb 086586 In Person Payment Total: I of I 2:08:53PM Amount Due 31.00 1,000.00 50.00 50.00 3.00 966.42 576.61 438.61 182.69 805.70 82.03 805.70 10.00 131.02. 65.35 59.61 150.00 201.00 160.00 30.00 45.00 45.00 45.00 45.00 45.08 64.40 $6,088.22 Amount Paid $6,088.22 $6,088.22 .