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Home My WebLink AboutPermit Correspondence 2004-11-5 '. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2614 MAlA LP ASSESSOR'S PARCEL NO.: 1703251405500 PROJECT DESCRIPTION: MH with garage . CITY Uti ~rK11'\jljtiu.LD * Building/Combination Permit PERMIT NO: cOM2004-01291 ISSUED: 11/05/2004 APPLIED: 10/19/2004 EXPIRES: 05/05/2005 VALUE: $ 19,113.00 Springfield TYPE OF WORK: ManufHome w Garage/Carport Private TYPE OF USE: Nolv Residential Owner: AL HENDERSON Address: 14726 MITCHELL ST JEFFERSON OR 97352 Phone Number: 941-875-3014 Contractor Type General Electrical Plumbing I CONTRACTOR INFORMATION I License 66447 156678 66447 Expiration Date 05/07/2005 08/14/2005 05/07/2005 Contractor HARRISON JACOBSON INC ROBS ELECTRIC INC HARRISON JACOBSON INC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U-I VN Frnntyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 5.00 6.00 10.00 0.00 Phone 541-689-7762 541-686-5444 541-689-7762 I BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 552 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: 2 Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yes % of Lot Coverage: 39.10 I PUBLIC IMPROVEl\<u'-" 1" I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Sanitary Sewer connect to private line for Maia Park 10/22/04 CAS Notes: Paee I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Foundation Onlv Use Bid Amount Garaee Garaee Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Building Permit Manuf Home State Issuauce Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Mauufactured 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 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 SO Feet Willamalane Manuf Home Private Total Amount Paid Initial Review Plan nine Review Public Works Review 10/21/2004 10/21/2004 10/21/2004 . . L11 Y OF SPRINGFIELD Building/Conibination Permit PERMIT NO: cOM2004-01291 ISSUED: 11/05/2004 APPLIED: 10/19/2004 EXPIRES: 05/05/2005 VALUE: $ 19,113.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $24.30 Square Footage or Bid Amount 5,700.00 552.00 Value Date Calculated $5,700.00 $13,413.60 $19,113.60 10/19/2004 10/19/2004 Total Value of Project FpPo. PiilIJ Amount Paid $120.51 $62.84 $43.99 $3.00 $31.00 $185.40 $30.00 $45.00 $50.00 $160.00 $50.00 $103.00 $45.00 $402.16 $528.88 $10.00 $865.31 $82.03 $118.D3 $64.25 $772.49 $175.13 $809.60 $45.00 $45.00 $1,000.00 $5,847.62 Date Paid Receipt Number 10/19/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 11/5/04 1200400000000001486 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 1200400000000001578 I Plan Reviews I 10/21/2004 10/2912004 10/22/2004 APP SKG APP TAJ APP CAS Sanitary sewer connect into private line for Maia Park 10/22/2004 CAS Paee 2 nf3 . . CITY OF SPKll~u1<lJ!,LlJ Building/Combination Permit PERMIT NO: cOM2004-01291 ISSUED: 11105/2004 APPLIED: 10119/2004 EXPIRES: 05/05/2005 VALUE: $ 19,113.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 10/21/2004 11/03/2004 APP TCM 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 Relluired wsnedion,' Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or 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 to cover and after all rough in inspections have been approved. Drywall: Prior to taping. 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. Underfloor'hrain: 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 Final Electric: When all electrical work is complete. Electric Service: Apprnvnl 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 thnt NO OCCUPANCY will 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,~ tat he ermit card is located at the front of the property, and the approved set of plans will remain on the site at all times du n c H1ttr on. . -.- , J J "-../\ ----..::::::- (l-..r-O'7 Owne; or Contr~ctors Signature ~ Date Paee 3 of3 . 225 FIFTH STREET SPRINGFIELD, OR 97477 . (541) 726.3753 FAX (541) 726.3689 www.ci.springfield.or.us MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code;! understand and agree that with the approval of . the attached pennits, one of the following manufactured homes will be placed at ::;{.lo , ~ 1'<"7'" 1...,,,,(,> Springfield, Oregon, City Job Number c......,...,~ -.I'i'2..<:t I , Type! 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 of 3 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 thennal envelope meeting perfonnance standards which reduce heat loss to levels equivalent to tjre,;p,erfonnance standards required for single family dwellings at the time of construction. '-V,V initials Type II ~ufactured Home: . ' A unit o.frio~ss than 12 feet in width enclosing a minimum floor area Of50~ square feet, that has a .nominal roof pitch of 2 feet in height for each 12 feet in widt\1, that has no bare metal siding or roofing, and that has bee~~rtified by the manufacturer to have an exterior thennal envelope meeting perfonnance standards which reduce heat loss to levels equivalent to the perfonnance standards required for single family dwellings at th~f construction. . . initials 1 further state, by my signature below, that! have been provided with the following infonnation: Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection, Electrical Connection, and Minimum requirements for permanent steps. 1 also understand that the manufactured home shall be placed on an excavated and backfilled foundation. not to exceed 6 percent slope within 10 feet of the perimeter enclosure, enclosed at the perimeter with stone, brick or other concrete or masonry materials approved by the Building Official and with no more than 24 inches of the enTing material exposed above grade, . . .. . . J. - I/,S"I Signature ----.J Date CITY OF !INGFIELD SYSTEMS DEVELOPMEAoRKSHEET JOURNAL OR JOB NUMBER: COM2004-01291 NAME OR COMPANY: Al Henderson LOCATION: 2614 Mai. Loop TAX LOT NUMBER: 1703251405500 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 2152 LOT SIZE (SF): I. STORM DRAINAGE 5547 en Ul o o u ~ ~ en o Ul ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. 1 CHARGE I 2611.60 I $0.310 = I $809.60 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F. I x I COST PER S,F. 1 x I DISCOUNT RATE I I I 0.00 I I $0.310 I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC '$809.60 I 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 22 I DISCOUNT $0,00 $809.60 1070 COST PER DFU $24,04 $528.88 1091 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 22 I $18.28 ~ I $402.16 1092 ITEM 2 TOTAL. CITY SANITARY SEWER SDC = , $931.04 3 TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRlPFACTORI 9.57 I I I I $18.30 I 1.00 I $175.13 11093 B. IMPROVEMENT COST: I I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI 9.57 I I I I $80.72 I 1.00 I $772.49 11094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $947.62 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER 7F FEU's 1 x ICOST PER FEU I $82.03 = $82.03 11054 B, IMPROVEMENT COST: I INUMBER OF FEU's 1 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 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $957.34 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $3,645.60 l - 5. ADMINISTRATIVE FEE: 1 SUBTOTAL x I ADM, FEE RATE 1= CHARGE I I $3.645,60 I 5% $182.28 J TOTAL SANITARY ADMINISTRATION FEE: 118,03 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $64.25 1078 Cheryl Slaymaker 10/22/2004 TOTAL SDC CHARGES =, $3,827.88 PREPARED BY DATE I . . DRAINAGE F~TURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIV ALENT ~ DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIXTIJRES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR 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 ILAUNDRY TUB 0 0 2 = 0 ICLOmESWASHER / MOP SINK 1 0 3 = 3 ICLOmESwASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBlLE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 0 3 = 0 SHOWER. SINGLE STALL 1 0 2 = 2 SHOWER. GANG Q'lUMBER OF HEADSl. 0 0 2 = 0 SINK: COMMERCWJRESIDENTlAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2 I URINAL. STALL / WALL 0 0 5 = 0 lTOILET. PUBLIC INST ALLA nON 0 0 6 = 0 TOILET. PRIVATE INST ALLA TION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 22 ~EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFlfs) set at 167 galloru; per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR 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 RATFJSl,OOO III ASSESSED V AL~ $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 ELGlBLE FOR ANNEXA nON CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE SO,OO x S5,29 ~ , SO.OO CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) VALUE /1000 CREDIT RATE $0,00 x $5_29 = SO.OO TOTAL MWMC CREDIT . . I I I I I, I I I ., I I I II 2 =;I I I 2 o . S~._'_.';.. ~ Aity of Springfield Official Receipt .evelopment Services Department Public Works Department Z25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 1291 COM2004-0129l COM2004-0 1291 COM2004-01291 COM2004-0 1291 COM2004-0l29I COM2004-0l291 COM2004-01291 COM2004-01291 COM2004-01291 COM2004-01291 COM2004-0l29 I COM2004-01291 COM2004-0 1291 COM2004-0l29l COM2004-0l291 COM2004-0l291 COM2004-0l291 COM2004-0l29l COM2004-0l291 COM2004-0l29 I COM2004-01291 COM2004-0l291 COM2004-01291 COM2004-0 1291 Payments: Type of Paymeut CreditCard 11/5/2004 RECEIPT #: 1200400000000001578 Date: 11105/2004 Description Manufactured Home Placement Manuf Home State Issuance Addressing Assignment WilJamalane ManufHome Private Sanitary Sewer - 1st 50 Feet Storm Sewer - 1st 50 Feet Water Line - 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 Sanitary/Storm Admin SDC Transpo Admin Plan Review Major - Planning Building Permit Manufactured Home Feeder Manufactured Home Service Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By WILLIAM B HARRISON Item Total: Check Number Authorization Received By Batch Number Number How Received dIm 025011 In Person Payment Total: Page I of 1 10:40:09AM Amount Due 160.00 30.00 31.00 1,000.00 45,00 45,00 45.00 45.00 809.60 528,88 402.16 175.13 772.49 82.03 865.31 10.00 118,03 64.25 103.00 185.40 50,00 50,00 3,00 43.99 62.84 $5,727.11 Amount Paid $5,727,11 $5,727.11 225 fiFTH STREET. SPR[NGFIELD, OR 97477 . I'H:(541)7Zo-3753 . FAX: (541)716-3689 '--\..: ef4i ~~7::::::~~~~~TION, oP:;:~~t:!:/fi/8f' ... UI'I;.Acda.. 1-001 ~.o,"0,/q,,,, " . ":' "', . . o/;'l$' ~ . .", . A. . .~.~~"'.~.~~.~,~~n.tia.~;~ing~c ~:Wot~o~}nll)',pr.r dl't'("lling unil' '" ~ ,,'" - Service IncIUdti1Gr~ ~l?:' is'o?; Cl/~.r 0.,.. :f~ 01',1': o,$'v. IOBDESCRlPTJON 10OO'q.ft,orless <>" " "n,..~J06.0a I 0 Each additional 500 sq, ~ "'" "'" J.-l4A<>rkJiJ...J J..._ p ~;- hu~ portioo thereof "<1'< t', ,~~ V "....&~ /~~ Ptrmiti art non-transferable and (,l:pire if work iJ EElch r-!..unufnct'd :-Iorne.,r " ~ ~ C' ~ 9-0 ,... not slarted within 180 dll)'S or l;,uance or if work i$ Moduiar Dwelling Setvice or ,,"U 0 00 "0" ~G OD Su.pe..led for [SO da)'.. Feeder . , ~ :~'::;~:~~i:;\~~ .::;::o;~::~"~.,.,..,,,~~,~; 201 A:np, to 400 Amps $75,00 401 Amps 10 600 Amp, $125,00 601 Amps 10 1000 Amp' __ $163.00 O\'er 1000 Amps/Volts $375,00 Reconnect Only $ 50,00 - , . Sep-30-04 03:14P LEGAL DESCIUPTlON 11c1,S'I<I- 0.5100 Address \)() ~X 2P-2_\ Cil)'~'f\"- -q,Lj{Qphone ~~~ Supervisor Licerue Number 4 'll\.L\- ~ \ D\{)~ \D\ Conslt, Conn', Number _ \ ~L~lli_ ExpiratiunDate ~ I \1..\ !{')S Expiratio:l Date _Siil;nature_Q(~oer"ising J Icctrtc j~. c... ..,. ,- '-, ~ 'L.-- Owners Na~e ...4.L_rtG.'"'^- d EflS. c> --- t> Addres, "2 bl ....( rYl ,4-r A L., City "':=>?F~_ I'hone OWNER Th'ST ALLA TIO:"> The installation is being m~de or. proper:y (own which is nOI iDtcnd~tJ~~!Z~~6'9!l~ JS1US::> O~IS'Qll1l9I\l:Al!l!ln U06SJO S41 JOI Jsqwnu eU04dalal a41 :alON) 'JalUaO a41 6u!IIeo _An !':AmJ AUIlO sSldo:;,> UlelCO Aew nCA. '0600 -lOO'C:96l:l'v'O 46noJ41 0 WO- ~00-C:96l:l'v'O U! hNW~UE),I\WE(lC~,~!ry2~~HW. 'JalUa8 uOl\eo!l!loN N!l!ln Uo~aJO a41 Aq paldope sBlnJ MOllol 01 nOA sBJ!nbsJ Mel u06sJO :NOIIN311'v' P.02 ......q....\";!"liii...O .,',":' . ,~ 'r-'. -.. .'; ."..~~ ',,'_:, . ".." " ., c. C:te~~v~r~fr ~t6~Ct;1 or Fe-eden' ';"";;/~~Y;":';"~.';' . Imtallarioll, .o\Jeeration or Relocation $ 50,00 $ 69,00 SI00.00 200 Amps or less 20 I Amps 10 400 Amps 401 Amps 10 600 AmpE ___ Over 600 Amps or 1000 Volt.s see "B" aboy~. D. ~::~~~ncli.:~~~clJib.,.j,..< . . ,', i..' '-n ...~. l"ew .-\..Iteration or ExtensiGD Pu Panel Oce Cin;Ull Each Additional Circuit :>r \111m Service or Feeder Permit $43,00 I $ 3.00 -~ ";':'.. .... .....",. '_'h': ...., co.""'" '. ,.... ."_ _ .'" .:,....,;,;."... .' .~. . . E. :~1i", .U..~..ou.:(Seniceir..d.r not lneLudeill-Eatb InstAUatlon - ..... '-........ .-.-., ...., ,'.. . . . - . .' . P~p or imprion _ 'nOI\H:~O:,CO] 08l ANIf Sign:Outline Lighl:\'~:1 03NOON~g'i-Sll:.$"JO~0.9JN:J~lJlNOJ Limited Ener8Y\'Rc.identiAlu3d C'IU I \,nn$ 2Sl00lZIHOH Lnlf .LVI".;)I J..IV'40 .... _ 'J,.".....- limited Ene,gy/CODlmerQial\ 3uI JV~ ,,,.,$ 5S,OOfJ>1:J,.j C:IH I lidUIV\:3M.1.:3 a~~'11 ~. ,Minimum El~clric Permit Inspection Fee is $45.00 + Surcti1fri'e~lO N ,.t"""",'- /0> 7Z,1 /OZO -, 2-0 ~ 7% State Surcharge 10% Administ:-ative Fe: TOTAL Sha."1:d Dri..-e(T:):Buildint F"omWEJ<<I';:1I.1 P"r.nit .\pplic:liun ! -OJ.doc