The URL can be used to link to this page

Home My WebLink AboutPermit Building 2005-8-5 . . CITY OF SPKll'l\.d'IELD Building/Combination Permit PERMIT NO: COM2005-01015 ISSUED: 08/05/2005 APPLIED: 07/28/2005 EXPIRES: 02/0512006 VALUE: $ 14,250.00 Status Issued , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ,_ 541-726-3769 Inspection Line SITE ADDRESS: 3238 INDUSTRIAL AVE ASSESSOR'S PARCEL NO,: 1702303406500 Springfield TYPE OF WORK: Manufactured Home on Private Lot ' TvPETe~tJ8E'!: O'N~n law reqUlresR'c~l~to tial PROJECT DESCRIPTION: Replace Manufactured home on private lot follow rules adopted by the Oregon UlIIffy Notification Center, Those rules are set forth . _ _ . _ 'I ,........... ....r-.... ""''\<1 III Uf'\n ~::;"J'-VV I-VIJ.v ~ .. --;::J.' _. ,. -. 0090, You may88l\11/)/BB1P.""J 01i!!~1l5t1Jl!!l\' calling the center, (Note: the telephone number for the Oreqon Utility Notification Center is 1-800.;;l;;j~-~J4'l). I, CONTRACTOR INFORMATION I LARELLE GRANT 455 ALEXANDER LOOP APT 149 EUGENE OR 97401 Owner: Address: Contractor Type General Electrical -, Manuf Home Inst Plumbing Contractor DON FAIRCHILD CONCRETE INC BURRELL BROS ENTERPRISES INC RONALD N KLOEHN OWNER License 24425 136446 94324 Expiration Date 04/29/2006 08/20/2005 10/13/2005 Phone 541-747-8381 541-747-2724 541-343-5966 , BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 3 # of Stories: I Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: orced Air Electric Sq Ft 2nd Floor: Water Type: NOTICE: Electric Sq Ft BasementWnRK Range Type: THIS PER~,FJlec1i'ic\LL 1S({Ft1GJ~ak~/€arport Energy Path: AUTHORIZED UNDER Sii,Ft Oih'e'r':ll IS NU r Sprinkled BuiId~~;"H\~ENCE~(',R IS jQ~~"p:a]ltILOaliOR I DEVELOPMENT INFORM;\TION': (t.t'\IUU' 1,536 VN Frontyard Sethack: Side I Setback: Side 2 Setback: . Rearyard Setback: Solar Setbacks: 24,00 8,00 28,00 15.00 5,00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 23,90 REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I ACMat Yes Sidewalk Type: DownspoutslDrains: To Storm Sewer Notes: Storm drainage piped to storm system 7/29/2005 CAS Page I of3 . 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 Manuf Home Manufactured Home Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Foundation Permit Manuf Home State Issuance Manufactured Home Conn - Plmh Manufactured Home Placement Manufactured Home Service Plan Review Major - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Initial Review 07/29/2005 Plannine Review 07/29/2005 Plannine Review 08/02/2005 Public Works Review 07/29/2005 Structural Review 07/29/2005 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 1,300,00 12,950,00 Total Value of Project Fpp<, PiiILI Amount Paid $29,25 $30,00 $21.00 $45,00 $30,00 $45,00 $160,00 $50,00 $150,00 $57,21 $75,21 $18,83 $244,19 $955,69 Date Paid 7/28/05 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 I Plan Reviews I 07/29/2005 08/0212005 08/02/2005 07/29/2005 08/0212005 APP LLH WE TAJ APP TAJ APP CAS APP DLM Paee 2 of3 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01015 ISSUED: 08/05/2005 APPLIED: 07/28/2005 EXPIRES: 02/05/2006 VALUE: $ 14,250.00 Value Date Calculated $1,300,00 $12,950,00 $14,250,00 07/28/2005 07/29/2005 Receipt Number 1200500000000001110 2200500000000001054 2200500000000001054 2200500000000001054 2200500000000001054 2200500000000001054 2200500000000001054 2200500000000001054 2200500000000001054 2200500000000001054 2200500000000001054 2200500000000001054 2200500000000001054 WllIamalane SDC & Addressing fee not charged, This Is a replacement borne Site plan not to scale and no setbacks shown, Called Don Faircbild Contractor and left a 'message 8/2, I can't process tbe permit without this Information. 1. This is Lot 3 of MS-134, 2. Provide 32 sf of storage area. 3, Provide 2 off street parking spaces, the first 18' needs to he paved unless Industrial is not a curb and gutter street. Storm drainage piped to storm system 7/29/2005 CAS Standard M,H, Only comments, . . LU f OF SrKll~ul'1J!,LU Building/Combination Permit PERMIT NO: COM2005-01015 ISSUED: 08/05/2005 APPLIED: 07/28/2005 EXPIRES: 02/05/2006 VALUE: $ 14,250.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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 R~ouir~d Tns?~~ti'W Foundation: After forms are erected but prior to concrete placement. Manuf Home Set Up: When Installation of all piers or stands is complete, Final ManufHome Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc, have been installed, Manuf Home Plumbing: After home has been connected to water and sewer, MH Service: Approval 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 that 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, that the permit card is located at the front of the property, and the approved set of plans will remain on Ihe site at all ~nstru~~~ ~/2~h< ~ d'5w"~er o~ Contract~rs Si~;a;~r;- . D~ / ~ ---./ Pa2e 3 00 . I .. . "sS iiI 0\ , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: ~~~~~~a48'" ELECTRICAL PERMIT APPliCATION ~~O",(I\\~:~ . II City Job Number {]H1.2HJ!J-()/t:J/5" Date ~/~mS'" ' 0.99'0 1-0(1\(1 I I 3, "'e.d.MP,fut:f.E{JfEEls~Jjr1.' ~~ "v~ 1. ~~€A:j;~@!,,/~iJ1NS1iAI;-'T~4,:P!@~_ ~2-~~ J.1IDL./-:;TF?-W- .A~, LEGAL DESCRIPTION 1'102. '--3D"54 D05lJO JOB DESCRIPTION - )1.1.)./. Satv/ez!. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, 2 ~~@kFAAC:~ l!IA!'.I1Oj~T:A~Hi~A/h(;iN/ONE'yJt . .. ~, ;..,i",,;;..1I I....,,' ,"I..... . Electrical Contractor BURRELL BROS, ElECTRIC Address p, 0, Box 697 WOH:ervllle, v,; Y/~O~ 541-747-2724 City Phone Supervisor License Number L(J7.1 '> /0-07 7.0 -L/l/Z(i 1lJ -0(, Expiration Date Constr, Contr, Number Expiration Date SLO~:"S~ Owners Name LApe=.L1F... ~T Address --fe:<:"A:I..ExA~ L; J4't City EJqt!1.JE. Phone ~i!;" -ms OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. N'(fl1 (, ~~ature: THIS fl;:F;r,lIT SriilLL cAt'IRE IF THF WORK AUTHORIZED UNDER THIS PERMIT IS NOT q~~~M~.r~rtf~QuQ~: %a.~mDONED FOR ANY 180 DAy PERIOD, . 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 I $50,00 '5lJ ."0 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIV olts Reconnect Only $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00 C. ~T~mI!or~~~i~~~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, D. IBran~~~~~uit~ New Alteration or Extension Per Panei One Circuit i-\ l"Il:I~ IILii'l:oregcn law r'S14'9!liijS you to Each AdditiJrulh6itcuil~r:Wiih')pteo oy me Oregon UllIllY Service or !;e,ei18:.'P-ermit Center, Tnn~o rl.~ebo,gre ~ol fnrin '- n"'" AA E, r~isclell~~ous.<~er.vicegeeilen!l.!l~ iDcluileil)iT!l.'!l'!!' ~,!!ion , ' , c,aliing the center, (Note: the telephone , Pump or 'mg~8fWber for the Or~d'=~ 'J~ilM%>8tif!,:~I',:~ Sign/Outline LightingCenter is 1 ~')':' ??~~~), Limited Energy/Residential $ 25,00 Limited Energy/Commercial $ 45,00 $ 50,00 $ 69,00 $100,00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges 4, ~J7r.r.>L\i:r.rm;J. ,;--' :" , ~~~',-.7,~" ,~ , ~, ...t- " A .'- 7% State Surcharge 10% Administrative Fee e:::;t) ,~ 5.>0 <t:J" 513. so TOTAL Shared Drive(T:)lBuilding Fonns/Electrical Permit Application 1-03.doc = I $0,00 I 1055 $0,00 1054 , $0,00 I 1056 $0,00 ~I $376,61 I I CHARGE I $18,83 18,83 1079 $0,00 11078 -. TOTAL SDC CHARGES =, $395,44 I I '.. ' . CITY OF SPRINGFIE'LD SYSTEMS DEVELOPMEN_ORKSHEET JOURNAL OR JOB NUMBER: C0M2005-010i5 NAME OR COMPANY: , James Phillios LOCATION: 3238 Industrial ' TAX LOT NUMBER: 1702303406502 DEVELOPMENT TYPE: SINGLE F AM1L Y RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF; 756 LOT SIZE (SF): llTORM DRAlNAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, CHARGE I I 756,00 I $0,323 I = I $244,19 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSS,F, I x I COSTPERS,F, I x I DISCOUNTRATE I I I 0,00 I I $0.323 1 1 50% = 1 6390 DISCOUNT I $0,00 . ITEM 1 TOTAL - STORM DRAINAGE SDC 2, SANITARv SEWER - r.l'IT A. REIMBURSEMENT COST:, I NUMBER OF DFU's I x I 3 I , $244,19 $244,19 COST PER DFU $25,07 = , $75,21 B. IMPROVEMENT COST: I NUMBER OF DFU's I x , 3 I $19.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 557.21 = I $132.42 ~,TRANSPOR1AI!QI:l. , A. REIMBURSEMENT COST: I ADTTRIP RATE I x 9.57 B. IMPROVEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS I x 9,57 I 0 ITEM 3 TOTAL - TRANSPORTATION SDC x INEW TRIP FACTORI I 1.00 I = , I NUMBER OF UNITS I x I I 0 I COST PER TRIP $19,09 $0,00 ,x 'INEW TRIP FACTORI I 1.00 I = , = I COST PER TRIP $84,19 $0,00 $0,00 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU o I I $82,03 B, IMPROVEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU o I I $865,31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , 5 ' ADMINISTRATIVE FEE; I SUBTOTAL x I ADM. FEE RATE 1= 1 $376,61 1 1 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEL-,--_,_ = $0,00 Cheryl Slaymaker PREPARED BY 7/29/2005 DATE I ]~ .. 0 'u 10:: ~ (IJ G ~ 1070 I 1091 1092 1093 I 1094 I _I I 1054 1 . . j I DRAINAGE FIXTURE UNIT (DFU)CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FlXTIJRE UNITS (NOTE, FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT ' UNITS IBAl1ITUB 2 1 3 - 3 I IDRINKING FOUNTAIN 0 0 1 = 0 I I FLOOR DRAIN 0 0 3 = 0 I IINTERCEPTORS FOR GREASE I,OIL 1 SOLIDS 1 ETC, 0 0 3 = 0 I IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0 I ILAUNDRY TUB 0 0 2 = 0 I ICLOTIffiSW ASHER I MOP SINK 1 1 3 = 0 I ICLOTIffiSWASHER.3 OR MORE (EAl 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I IRECEPTOR FOR REFRlG 1 WATER STATION 1 ETC. 0 0 1 = 0 I fRECEPTOR FOR COM. SINK I DISHWASHER 1 ETC. 0 0 3 = 0 I SHOWER. SINGLE STALL ' 0 0 2 = 0 I I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I I SINK: COMMERCiAiiR'ESIDENTlAL KITCHEN 1 1 3 = 0 I ISINK: COMMERCIAL BAR 0 0 2 = 0 I ISINK: WASH BASlNlDOUBLE LAVATORY 0 0 2 = 0 I ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 2 1 = 0 I URINAL. STALL 1 WALL 0 0 5 = 0 I TOILET, PUBLIC INSTALLATION 0 0 6 = 0 I TOILET, PRNATEINSTALLATION 2 2 3 = 0 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 3 ~u (Equivalent Dwellinp; Unit) is a discharRe eQuivalent to a sinsde familv dwellinl!: unit (20 DWs) set at 167 ~Ions per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 I CREDIT RATE/$ 1 ,000 II ASSESSED VALUE j"'!'(""""'< i' $5,29 i ~ili~~~j , $4,80,.,.,.>,; "$.1,63 "., , $4,40',''', " ",r..', ....':...(.. '1,\:",. $4,07."" ,,', -::, ,,:,$3,67'; ,..: , ' ,,$3,22 ' i ;" $2,73"'~\: : " $2,25",."" ,;$1,80 ',L ';$1,59, ~ $1.45.. " c...., $1,25'<,,' ',-. ,. , .. " ~.' ',':" .$1,09"",,,:_ .- , $0,92:::' , ' $0,72', , ,$0.48" .. $0,28 ' ".' "$0,09 , ' $0,05 ro' IS LAND ELGffiLE 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 I , I I II 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $0,00 x $5,29 = I $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0,00 x $5.29 o TOTAL MWMC CREDIT $0,00 = . . MANUFACTURED HOME LAND USE AGREEMENT As required by t1ie City of Springfield Development Code, I agree that with the approval of the attached permits, one of the following manufactured homes will be placed at ~2.~~ lNDJl5WAt Ave: , Springfield, Oregon, City Job Number CS - CJ / t:) J 5' ' - ,~ Type I Manufactured Home, A multi-sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feel, 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 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 than 24 inches of the enclosing material exposed above grade. I further agree to meet all land use and City Cod~ requirements of the above mentioned parcel within 60 days of the date of issuance of the manufactured home set up permit. These requirements 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 . Completion 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 . City 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, ~ ~~c; ~L- X ~a~e tJ'. ><- Contractor Signature Date ~, 225 Fifth Street , , " \ Springfield, Oregon 97477 541-726-3759 Phone . ~, City of Springfield Official Receipt .velopment Services Department, Public Works Department' Job/Journal Number COM2005-01015 COM2005-0 I 0 15 COM2005-0 10 15 1 COM2005-01015 . COM2005-01015 " COM2005-0 10 15 COM2005-01015 C'OM2005-01015 COM2005-01Ol5 , COM2005-01015 ; , COM2005-01015 '\ COM2005-01015 P-ayments: Type of Payment Check , :; ~. ':l i " ') (, I ,\ 8/5/2005 RECEIPT #: 2200500000000001054 Date: 08/05/2005 Description Storm Drainage Impervious Area Sanitary Sewer, Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Foundation Permit Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Plan Review Major - Planning Manufactured Home Service + 7% State Surcharge + 10% Administrative Fee Paid By FAIRCHILD PROTECTIVE COATINGS Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 3639 In Person Payment Total: Page I of I I:I2:29PM Amount Due 244,19 75,21 57,21 18,83 45,00 160,00 30,00 45,00 150.00 50,00, 21.00 ' 30,00 S926,44 Amount Paid $926.44 S926.44