Loading...
HomeMy WebLinkAboutPermit Building 2019-08-21SPRINGFIELD SPRINGFIELD Building Permit Residential Manufactured Dwelling Permit Number. 811 -19 -001739 -MD IVR Number: 811018860034 Web Address: www.springfield-or.gov Permit Issued: August 21, 2019 TYPE OF WORK Category of Construction: Manufactured Dwelling Submitted Job Value: $150,000.00 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.gov Type of Work: Replacement Description of Work: Replace existing Manufactured Home w/ new Manufactured Home JOB SITE INFORMATION Worksite Address Parcel Owner: HILL NEAL L & DIANA M 1095 MT VERNON CEMETERY RD 1802044200500 Address: 1095 MT VERNON Springfield, OR 97478 CEMETARY RD SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATION Business Name HARRISON JACOBSON INC - Primary Inspection 5999 Final Manufactured Dwelling 6300 On-site Stormwater Facility License License Number Phone CCB 66447 541-689-7762 PENDING INSPECTIONS Inspection Group Mfd Dwelling Public Works Inspection Status Pending Pending 5300 MH Setup Mfd Dwelling Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811018860034 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503) 232-1987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Printed on: 8/2:/19 Page 1 of 2 C:\myReports/reportsHproductlon/01 STANDARD Permit Number: 511 -19 -001739 -MD Page 2 of 2 PERMIT FEES Fee Description Quantity Fee Amount Technology Fee $17.10 Manufactured dwelling placement permit 1 $553.00 State manufactured dwelling fee 1 $30.00 Plan Review - Minor, UGB $342.00 SDC: Total Storm Administration Fee 35.2 $35.20 SDC: Improvement Cost - Storm Drainage 416.9 $416.90 SDC: Reimbursement Cost - Storm Drainage 287.15 $287.15 State of Oregon Surcharge - MFD (12% of applicable fees) $66.36 Total Fees: $1,747.71 Printed on: 8/21/19 Page 2 of 2 C:\myReports/reports//production/OS STANDARD t `0 N m a fn N n Ln O C O O co r N O r ul O^i O E LO M COO aro O M v •L u t K N 'o {a Ln 611 t<) N ER M fA r f C j ii 0 ^ N •8 d4 09,64 r C v6-1 Ia. Lnrn o veqvLo Sa N O� C. C N CL N E a N U Q E 0 O CL Q Q 0 O co r N N O N �+ � 7 r0 m o fM O 6 CO N• CO Cfl L6 Cl) CV M r— Ll LO � En EA EH : EF? V% LLL O O O O O O CA O M O O O O O M O O O O 0o co 0o O O O O co aQ ao - O N O 4 C6 co v N LO O O O N N O O O Co O O O O Cfl O C4 N - - v � co N N C'4 N Y `t 0 O 0 O O O O O O C. co 0 o 0 0 0 0 o p o � = 0 r V N N � N r- r ti r 0, 0 O 0 O N Q N . co co Co Co f� NN M 00 m O E C5 Oi Z a+ V 3 D O Z 0 LL w rn. c rn 0 r Q. 4.0 .d p -E m Q: v c co O = co ao : 0 m LL U L r d N LL E C 0 mrn S � rn U C N O _ C)O i N G co (1) a cLi : c U -0 < c c 0 C1 'a N tm N 7 > ' LL N CL E o E c LU tq m o +9 cn m a in m 0 C/) 0 U) 0 U) m a N w c o W N U v •c Z O c c c m o L o: 0 0 o m j w w w ¢ ¢ ¢ w F- o o Co U') o O o o O O O CA N O O 'a C C = Li) p r r r 1- aD CO r U) M N L 0 a o o� N q UN m �' r o o D Lu °C o v :: v m N T 0 c 04 m o co d Y L 0 CA N O CA CD CT CA CA r CA N N 3 (� E t N NN N N N cam�— co co ao ;3 co 00a0 ao d U t `0 N m a 225 Fifth Street ♦ Sorini field. OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 Manufactured Dwelling/Recreational-Park Trailer Placement Permit Application ��+�a�wo�rzaua DEPARTMENT USE ONLY Permit no.: Date: 1-7]2-4q This permit is issued under OARs 918-500-0105 and 918-525-0370. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVALS Zoning approval verified: ❑ Yes ❑ No Property is within flood plain: ❑ Yes ❑ No Sanitation approval verified: ❑ Yes ❑ No CATEGORY Of CONSTRUCTION Residential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: 0,75- A , City: SIR �� County: La re. State: ZIP; 57q -7P Subdivision: Space/lot no.: Reference: Taxlot: 06,5-a DESCRIPTION OF WORK $553.00 Year Manufactured: 2-6> 19 4 Bedrooms: Sq. Ftg: L q L4L Value: 15Z:> oco PROPERTY OWNER Name: f0ea + Oiqnct - A - Address: City: �0 r(!24 01 State: o(L ZIP: 9 IV7 Phone: +- M 84060 Fax: - - E-mail: Q '� , Co(n This installation is being made on residen ial or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-515-0010. Signature: CONTRACTOR INSTALLATION Business name: Cin- ICSrrlt oo Cas*vc;he Address:) qqN City: LJ a State: ZIP: 17LIN_ Phone. -5141 -?-2& Fax5gj-6&Z1-/o3 E-mail it coi-tA CCB licen . no.: 6OL17MDI license no.: �0,r Print name:/ f /�l ju14etrr Lsoyi Signature: last edited 71112019 Wones FEE SCHEDULE Description Qty. I Cost each Total (1) Manufactured dwelling (a) Placement (includes placement, electrical feeder, water/sewer connection): $553.00 $ (b) Reinspection (no. of hrs. x fee per hr.): $102.00 $ Placement permit can only be obtained by homeowner or Oregon - licensed manufactured dwelling installer. (2) Recreational -park trailer (a) Installation (includes stand and lot preparation; support blocking; anchoring; temporary steps; plumbing, mechanical, and electrical): $553.00 $ (b) Reinspection (no. of hrs. x fee per hr.): $102.00 $ (c) Each additional inspection: (1) $102.00 $ Electrical service permit to be obtained only by homeowner performing work or signing supervisor of Oregon -licensed electrical contractor performing work. FEE SCHEDULE (3) Surcharge, 12% (.12 x total, equal to 1 or 2): $ (4) State administrative fee for manufactured dwelling (item 1) only, OAR 918-500-0105(5): $30.00 1 $30.00 (5) Technology Fee, 5% $ TOTAL fees and surcharges (3 + 4+5): $ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: 19-001739 A. REIMBURSEMENT COST: NAME OR COMPANY: Neal & Diana Hill ADT TRIPRATE x NUMBER OF UNITS x COST PER TRIP x LOCATION: 1095 Mt Vernon Cemetery Rd 9.57 0 19.86 1.00 TAX LOT NUMBER: 1802044200500 DEVELOPMENT TYPE: Single Family Residence NEW TRIP FACTOR 9.57 0 NEW DWELLING UNITS 1 IlriuiiDiNG SIZE (SF): 11 0 11 IAT SIZE (SF)II 0 IMPERVIOUS AREA MAX 45% 1 0 1 MAX 35%1 0 1. STORM_DRAINAGE A. REIMBURSEMENT COST: DIRECT RUNOFF TO CITY STORM SYSTEM NUMBER OF FEUs x COST PER FEU A. REIMBURSEMENT COST 0 $135.93 AREA DRAINING TO = $0.00 B. IMPROVEMENT COST: IMPERVIOUS S.F. x COST PER S.F. DRYWELL CHARGE = $0.00 C. COMPLIANCE COST: 1908.00 $0.301 = 1908 0 1 $22.82 $287.15 $287.15 B. IMPROVEMENT COST _ $0.00 MWMC ADMINISTRATIVE FEE IMPERVIOUS S.F. x COST PER S.F. = $0.00 CHARGE 1908.00$0.437 = 1908 $416.90 $416.90 ITEM 1 TOTAL - STORM DRAINAGE SDC $704.05 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x COST PER DFU 0 $170.50 = $0.00 B. IMPROVEMENT COST: NUMBER OF DFU's x COST PER DFU 0 $83.99 = $0.00 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = $0.00 ?, TItANSPORT15T10N A. REIMBURSEMENT COST: ADT TRIPRATE x NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR 9.57 0 19.86 1.00 = $0.00 B. IMPROVEMENT COST: ADT TRIP RATE x NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR 9.57 0 $377.40 1.00 =1 $0.00 ITEM 3 TOTAL - TRANSPORTATION SDC = $0.00 4. SANITARY SEWER - NILMC A. REIMBURSEMENT COST: NUMBER OF FEUs x COST PER FEU 0 $135.93 = $0.00 B. IMPROVEMENT COST: NUMBER OF FEVs x COST PER FEU 0 $1,620.85 = $0.00 C. COMPLIANCE COST: NUMBER OF FEVs x COST PER FEU 0 1 $22.82 = $0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) _ $0.00 MWMC ADMINISTRATIVE FEE _ $0.00 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = $0.00 1 1091 1092 1093 1094 1056 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) _ $704.05 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE = CHARGE $704.05 5% $35.21 TOTAL STORM ADMINISTRATION FEE $35.20 TOTAL SEWER ADMINISTRATION FEE: 0.00 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 1077 TOTAL MWMC ADMINISTRATION FEE - LOCAL $0.00 1078 TOTAL SDC CHARGES = $73916 PREPARED BY Steven Petersen DATE 8/15/2019 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE NO. OF FIXTURES UNIT NEW OLD EQUIVALENT DRAINAGE FIXTURE UNITS BATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESWASHER / MOP SINK 0 0 3 = 0 CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP 1 PER TRAILER 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE UNITS *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwellin unit (20 DFUs) set at 167 gallons per da 0 0 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED IFASSESSED CREDIT RATE/$1,000 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? 0 (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 (Enter 1 for Yes, 2 for No) BASE YEAR 1979 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 = 0 TOTAL MWMC CREDIT 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 z 0 .o Q z - N 0 W Z n o M N M ti _ T— CO a Z o O LO a F— U) v/ f" r r� _ Il 0 ti O (3) 0 to I y --f m o 0 o m T o ¢.., d O O (O V N LL iiN O m CTD T CD C, 'f I f Al co I m yy Q) N yy U d CL as o CD fl ©' mE�°-' w o° C, mm a o Ir] ca o w a •3 co CL T Ca ' �. O N aJ o C E v m y co + LL N C7 M cl Q 'c c wa I c o . m m Ma rn y s a ` 0 ca C 1 ° L rn c aN1 N O a N Ca � L CY p ❑ rn 01 .o cu N 0 W Z n o Z��o, ° Z � =coo rL az_cc T ILW Q 2' N E o LO U3 zt U a7 a0 a) co N N -j co rcoE O U } ° O+ Q �° Y FI W CU T N Z U LO 0{1111{ CU a) CL di C6 -LO E ca V LLI �)w FL q j w�zz` �z _E1 o�-�o( Z _j in H U O=TG) C); .vi; = H cn E_. ;U IL LL li A, I ya J W E N U Z PZ A. _ C O coa) >_ a i > O-... ❑ a w g 3 ❑ 3 v W c H W LU c o W LcD -2 a w O— z go ?�p!r�� :. N ° W N N W aa)i I O V O CL > o `n .. _' 3h` O O J Q cn co 7 T a)ai D d c ° a ° > LL rn H +' o a i Qf Q j o J to LU LL p� H I O0 c �+ y ,L o a)° W �N 'r i o c ca CO Q OJv o .R uyi c W co LU J wa3 M W F ti Q' m o 0 o m T o ¢.., d O O (O V N LL iiN O m CTD T CD C, 'f I f Al co I m yy Q) N yy U d CL as o CD fl ©' mE�°-' w o° C, mm a o Ir] ca o w a •3 co CL T Ca ' �. O N aJ o C E v m y co + LL N C7 M cl Q 'c c wa I c o . m m Ma rn y s a ` 0 ca C 1 ° L rn c aN1 N O a N Ca � L CY p ❑ rn 01 r • • ',r� 0&0 N Gi E J o '1is� 76 02 - ��,,Vot �-� , vo"; E� r 1 C KOP• NSA 3o x77— Al 1 1 i sv0 Fxssrnv(, Nomc- 202. N C � to9s !MT VER.ryonJ G�M#I��f (�� owme R' N E r+ L + r-)ryAivFi Kul H76 A •e !S2.1—% Nii.��f✓� 7"i'v� 157a5l'x5v JSP 0 0 O r 76 { ESE � f� �s , I ( At t i X00 I 3o _ . ug .. FxsS�s� Ho�AE �a Ho�Hc- S ` lle is require A permit !dion. fR. 'GE-3Vkr,u� IFN logs MF V5PUU00 rCMG r?y ( � aS.'7o -ZV s OWNER, N 6 ryL+ pr-A'\)iq Rvul =; 43 iLm l IAW 1 1 &7yj "-jW 9 �S VIts TL - 18 -D2 Del ZZs _ . ug .. FxsS�s� Ho�AE �a Ho�Hc- S ` lle is require A permit !dion. fR. 'GE-3Vkr,u� IFN logs MF V5PUU00 rCMG r?y ( � aS.'7o -ZV s OWNER, N 6 ryL+ pr-A'\)iq Rvul =; 43 iLm l IAW 1 1 &7yj "-jW Delp �e�t An hor./�tabilizer Combines the earth anchor and stabilizer plate into one installation step. Large stabilizing disc 7" x 1-5/8" sets faster in harti,grqurfd pith 4 digging points. Redq es"ibstAlfation time • Slotted head for easy carry 4 packs • Less inventory- plate & anchor in one! 30" long with 3/4" rod and 2 - 4" helix, for Soil Class 3 Black Paint Part #59091 Galvanized Part #59091 G 36" long with 3/4" rod and 4" & 6" helix, for Soil Class 4A Black Paint Part #59092 Galvanized Part #59092G Concrete Anchor w/Threaded Rod This anchor is designed to be inserted through a 3/4" hole drilled or formed into an existing concrete slab. Model #MIT2 Black Paint Part #59115 Galvanized Part #59117 J Rod Concrete Anchor The J Rod Concrete Anchor is designed to be installed into a concrete slab at the time the concrete is being poured. Model MIJ2 12" Anchor MIJ2 8" Anchor MIJ2 12" w/Swivel Head MIJ2 8" w/Swivel Head- Double'Head Anchor with Expansion Boit This anchor is designed to be bolted to an expansion sleeve in an existing concrete slab. Model # MICS2 Black Paint Part #59125 Galvanized Part #59124 Black Paint Galvanized #59120 #59121 #59123 #59123G #59109 #59109G #59147 #591476 Double Head Only Black Paint Part #59103 Galvanized Part #59104 Single Head Anchor with Expansion Bolt Black Paint Part #59029 Expansion Boit Only Part #2M58SA ama Tie with Hook For fast and safe installatNR of fr4r� tiesgft�is heavy duty 1/4" steel hook locks securely onto NCS BCS A225.Certified 1 Galvanized Steel Strapping conforms to (ANSI A119.3) and HUD specifications. Frame Tie with Buckle For fast & easy installation of frame ties with buckle. Description Part # Length MBU7 59141 7' MBU8 59146 8' MBU10 59138 10' MBU12 59144 12' MBU16 59234 16' Slotted Bolt & Nut Required for the tensioning of frame or sidewall with all tension head anchors. Model #BISBr- Part #59135 0 O'UIL118 L6•.ene www... �..�....a ... ... Model Part # Length MHT6 59185 6' MHT7 59190 7' MHT8 59195 8' MHT10 59210 10' MHT12 59211 12' MHT14 59214 14' MHT16 59196 16' Double Tension Head Featured on all tension head anchors. Built tough for maximum tensioning on either frame and/or roof ties. Strap bolts are securely locked every fourth of a turn with the square lock head._ Model #MIDH Black Paint Part #59100 Galvanized Part #59100G Swivel Adapter Head Adapter converts existing eye anchors into tension head anchors. Includes two slotted bolts & nuts. Model #MIS2 Black Paint Part #59105 Galvanized Part #59106 • • r•• • •• XAC CONNECTOR WITH JEW tPio ING MAN Q 1)[VICE * . : `-r. ,�.- !.9.- PIER:.(�4UrM: p•pQa l��r��)t?�G I rk k W • -- — cs•m ua aQii u.7 ��� a _ CM SO