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Home My WebLink AboutPermit Building 2005-7-12 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . '* .- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00695 ISSUED: 07/12/2005 APPLIED: 06/08/2005 EXPIRES: 01/12/2006 VALUE: $ 62,700.00 SITE ADDRESS: 2599 MAlA LP ASSESSOR'S PARCEL NO.: 1703251407400 Springfield TYPE OF Manuf Home w Garage/Carport Private Lot New . Residential TYPE OF USE: PROJECT DESCRIPTION: Manufactured home with garage - Maia Park lot 51 Owner: HELEN STONE - Address: 1872 16TH ST SPRINGFIELD OR 97477 Contractor License Expiration Date HARRISON JACOBSON INC 66447 yof~87/2007 RALPH W BROWN N' Oregdi$l;1m requIres ~(~{~/2006 HARRISON JACOBSON I~jcretrn,?_ ~r1nnte~6H1ne Orego.n_~ ~~~007 I BUldiiN::"~rl u_'I'rO~~~h"OAR 952-001- ~&952-oUl.\fv.~.' "es of the rules by . . :may obtain coP'. thhel \).~e: tP1.~ center. (Not~~. i i~O=t1!t Flnor: Ty 1'tllr . r tiwdildElQillEre~ r )Sq Ft 2nd Floor: W ypt;lenter Is 1-80~ 1 Sq Ft Basement: Range Type: Electric Sq Ft Garage/Carport Energy Path: Sq Ft Other: . Sprinkled n/a Occupant Load: IPUBLIC Il\fi'RO~MENTSI ALL Evnll<~ I~ IHE WORK Fullv Improved THIS PERMIT SH SldewapLIKk;~ypes NOT Yes AUTHORIZED UNDER Tj-JIS L IVIl I I . COMMENCED OR IS A\~W~~..ffl~~RI'!'IDS ANY 180 DAY PERIOD, Storm drainage piped to curb face 6110/2005 CAS Contractor Type General Electrical Plumbing '. # of Units: Primary Occupancy Gronp: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Sethack: Rearyard Sethack: Solar Sethacks: Street Storm Sewer Available: Special Instruction: Notes: 1 R-3 U' VN 3 16.00 5.00 7.00 34.00 0.00 Phone Number: 541-746-6908 I CONTRACTOR INFORMATION I Phone 541-689-7762 541-729-1500 541-689-7762 5,842 1,620 308 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: 2 Handicapped: Compact: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: 1 Yes 33.00 Curb and Gutter . 1 of 4 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 Use Bid Amount Garaee Manufactured Home Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Foundation Permit Garage/Carport Manuf Home State Issuance Mannfactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Manufnctured Home Service Plan Review Major - Planning Sanitary Sewer - 1st SO Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbnrsement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC. Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st SO Feet Water Line - 1st SO Feet Willama1ane ManufHome Private Total Amonnt Initial Review Plan nine Review 06/10/2005 06/10/2005 . . CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: cOM2005-00695 ISSUED: 07/12/2005 APPLIED: 06/08/2005 EXPIRES: 01112/2006 VALUE: $ 62,700.00 I Valuation Descriotion , $ Per Sq Ft or muitipHer $1.00 $25.00 $1.00 Square Footage or Bid Amount 5,000.00 308.00 50,000.00 Value Date Calculated 06/08/2005 06/08/2005 06/08/2005 $5,000.00 $7,700.00 $50,000.00 $62,700.00 Total Value of Project Fppo, l:lWiLI Amount Paid $85.02 $60,32 $42.22 $3.00 $31.00 $68.40 $91.80 $30.00 $45.00 $50.00 . $160.00 $50.00 $103.00 $45.00 $402.16 $528.88 $10.00 $865.31 $82.03 $136.35 $62.41 $772.49 $175.13 $1,139.25 $45.00 $45.00 $1,000.00 $6,128.77 Date Paid Receipt Number 1200500000000000807 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 1200500000000000984 6/8/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 7/12/05 I Plan Reviews I 06/10/2005 -06/17/2005 APP LLH APP TAJ 2 of 4 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2005-00695 ISSUED: 07/12/2005 APPLIED: 06/08/2005 EXPIRES: 01/12/2006 VALUE: $ 62,700.00 Status: Issued 225 Flfth Street, Springfield, OR 541-726-3753 Phone _ 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 06/10/2005 06/1 0/2005 APP CAS Storm drainage piped to curb face 6/10/2005 CAS Structural Review 06/10/2005 06/20/2005 APP RJB To Request an inspection caD 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. I R~n~n.np..tiow 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 andlor 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 tn 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. 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. 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00695 ISSUED: 07/12/2005 APPLIED: 06/08/2005 EXPIRES: 01/12/2006 VALUE: $ 62,700.00 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 certity 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 certity 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 ofthe property, and the approved set of plans wiD remain on the site at all ~es dU9?r construction. '1~(y~ l-lL.05 Owner or Contractnrs Signature Date 4 of 4 I. LLOCATION OF INSTALLATION 3. 'I~O\~ t<\(\l,Q... LD LEG\Lr1~~ V\ D"'"'ACv JOB DESCRIPTION Permits are non-tran rable and eXPi~i~~ not started within 180 days of issuance or if work is Suspended for 180 days. A. I New Residential- Single or Multi-Family per dwelling unit. Service Inclnded 1000 sq. 1\, or less Each additional 500 sq, 1\, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 fJ- $50,00 \DO.ct> 2. I CONTRACTOR INSTALLATION ONLY I B. I Services or Feeders - Installation, Alterations or Relocation: Electrical Contractor ,l~ ~ 200 Amps or less $ 63,00 r~ -JL~. -P 201 Amps to 400 Amps . $ 75,00 Address 1'0 T 7-- /\I" -.r- ~ 401 Amps to 600 Amps $125,00 ~ 601 Amps to.lOo,O Amps $163.00 City ~ Phone7Z.r~(5co Over 1000 AmpsNolts $375,00 {7 Reconnect Only $ 50.00 Supervisor License Number 9'tf5 ~ /d /07 ~s(s7 2- - CJ&, s u\r'>" vnu to "Ti~UGl'Wfi)fOO9'SJW~~&~~UtilitY follow rules adoPte~p' rules are set 101 '1' 1 " dmlt!l~tOll, A. Mnt\'~60. i~ot\tlca I 1h"-J\fiiQ;}hrOUg " les by $ 50.00 \n OAR @9Q-E 1p>'<X. QEies of the ru . 0090. ,teQj!rAil\.PSllOtQ&)9:l:R~ thete\e~hone $ 69.00 Callir@t~llm\oJ~mDs.ility NotifIcatIon $100,00 the Oregon v,_.,;"....\. . nurnt@V.!ASoo'Aml\~8~rlI09a~"B" abovc, D. r~WNBrcuits Expiration Date Conslr, Conlr, Number Expiration Date The installation is bcing made on property I own which is not intended for sale, lease or rent. Signature of Supervising Electrician ~W~ Owners Name ~ ~\\O~Qj\ S\oruv. Address \. Cb 1.f2. \ \0 ~ ~et City ~a'<i(\a Qi (~one ~. toC{[J6 Pumporitrigation ,r ,"f'\RK$ 50.00 ~ ~01\~gi;;Outline Lig'r'l!l\I'\RE \f 11:~ ,:-' ~\f'\1 $ 50,00 OWNER INST ALLA nON ''r\\5 t:imI't~\En~~~/ResideiinaJl'tRM\ \ ;;::~. ,$ 25,00 \ ',:r...~!:\UI1\J[:.I' '~.''''''ONE\J IV" ^\.IT',c.lmltOd.Energy/Commercw' $ 45,00 " I ,. cO \j ~ Iv ,.-. M'-' ",nE,r,,[:. . ~\ "I)I . F '$ IDlmum ectrlc .ermlt nspectton ee IS 45.00 + Surcharges ....- . ~nQ I\UoY \-1"- 4~~'s~TOTALOFABOVE I \r:JnP'?J 7 ZI --LOibO IZD~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43,00 l $ 3,00 ?'.cP E.I Miscellaneous (Service/feeder not included) -Each Installation I Owners. Signature: Inspection Request: 726-3769 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FonnsIElectriClll Permit Application I-03.doc . , _' CITY OF SINGFIELD SYSTEMS DEVELOPMENeORKSHEET JOURNAL OR JOB NUMBER: COM2005-00695 NAME OR COMPANY: Helen Stone LOCATION: 2599 Mai. Loop TAX LOT NUMBER: 1703251407400 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 1928 LOT SIZE (SF): 1 STORM OMINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F, I CHARGE I 1 3675.00 I SO,31O = I $1,139,25 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 I SO.31O I 50% = I ITEM I TOTAL - STORM DRAINAGE SDC '$1,139.25 ~ 5842 ~ .0 lu I~ 1t.L1 ,l- t/) (3 gj DISCOUNT $0.00 SI,139.25 1070 2. SANITARY SEWER - CITY ......."". A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 22 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 22 I COST PER DFU S24,04 S18.28 $528.88 11091 I $402.16 11092 _I ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , S931.04 ). TRANSPORTATION A. REIMBURSEMENT COST: J ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP I 9,57 I I I S18.30 B. IMPROVEMENT COST: , ADTTRIPRATE I x ! NUMBER OF UNITS I x I COST PER TRIP I , 9.57 I I I I S80,72 ITEM 3 TOTAL - TRANSPORTATION SDC = I $947.62 x INEW TRIP FACTORI I 1.00 I S175.13 11093 I x INEWTRlPFACTORI i 1.00 I S772.49 1094 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER 7F FEU's I x ICOST PER FEU I I S82.03 = $82.03 11054 B.IMPROVEMENTCOST: I INUMBER 7F FEU's I x ICOST PER FEU I S865.3l = $865.3 I . 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO I 1054 MWMC ADMINISTRATIVE FEE SIO.OO 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I S957.34 I SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = I $3,975.25 I I 5 AOMINISTRATlVE FEE; I I SUBTOTAL x I ADM, FEE RATE 1= CHARGE I S3.975,25 I 5% I $198,76 11079 TOTAL SANITARY ADMINISTRATION FEE: 136.35 TOTAL TRANSPORTATION ADMINISTRATION FEE: S62,41 11078 Cheryl Slaymaker 6/1 0/2005 TOTAL SDC CHARGES $4,174.01 PREPARED BY DATE . . . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIX11JRES x UNIT EQUIVALENT"'" DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTIJRES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS ~rnTUB 2 0 3 6 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / Oil/SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 I CLOTHESW ASHER / MOP SINK 1 0 3 = 3 I CLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER ST AnON / ETC, 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiAi.JRESIDENTlAL KI:rCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE lAVATORY 0 0 2 = 0 ISlNK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2 I URINAL. STALL / WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INST ALLA TION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 22 .."EDU (Equivalent Dwel1in~ Unit) is 8 disc~ ~valent to a single familv dwellin~ unit (20 DRJ's) set at 167 nllons per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE r---- YEAR I ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 Ycs, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 1979 :l I I .CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x $5.29 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $5.29 = I o TOTAL MWMC CREDIT = $0,00 225 Fifth Stroet ' . Springfield, Oregon 97477 541-776-3759 Phone " . ~ .Rty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00695 COM2005-00695 C_OM2005-00695 Q>M2005-00695 C;OM2005-00695 COM2005-00695 COM2005-00695 COM2005-00695 COM2005-00695 COM2005-00695 COM2005-00695 , COM2005-00695 CQM2005-00695 COM2005-00695 COM2005-00695 COM2005-00695 COM2005-00695 CbM2005-00695 C'OM2005-00695 COM2005-00695 CbM2005-00695 COM2005-00695 COM2005-00695 COM2005-00695 COM2005-00695 COM2005-00695 Payments: T",e of Payment C;reditCard :1 :., ;, ;~ i ~ ;) 7/12/2005 RECEIPT #: 1200500000000000984 Date: 07/12/2005 Description Addressing Assignment Willamalane ManufHome Private Manufactured Home Feeder Manufactured Home Service Add, Alter, Extend Circ Ea Add Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement . SDC Transpo Reimbursement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement Plan Review Major - Planning Foundation Permit Garage/Carport Manufactured Home Placement Manuf Home State Issuance Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1 sf 50 Feet Manufactured Home' Conn - P1mb + 7% State Surcharge + 10% Administrative Fee Paid By WILLIAM HARRISON Reeeived By djb , 1 of 1 Item Total: Lheck Number Authorization Batch Number Number How Received 074499 In Person Payment Total: I:52:00PM Amount Due 31.00 1,000,00 50,00 50.00 3.00 1,139,25 528.88 402.16 175.13 82.03 865.31 10.00 136.35 62.41 772.49 103,00 68.40 91.80 160.00 30.00 45.00 45.00 45.00 45.00 42.22 60.32 $6,043.75 Amount Paid $6,043.75 $6,043.75