HomeMy WebLinkAboutPermit Building 2019-08-09SPRINGFIELD
OREGON
Web Address: www.springfield-or.gov
Permit Issued: August 09, 2019
Building Permit
Residential Manufactured Dwelling
Permit Number: 811 -19 -001655 -MD
IVR Number: 811038062843
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address: permitcenter@springfield-or.gov
I TYPE OF WORK
Category of Construction: Manufactured Dwelling Type of Work: New
Submitted Job Value: $80,000.00
Description of Work: Single Family House (Replacement)
]OB SITE INFORMATION
Worksite Address Parcel Owner: RIDGE BRITTANY H
3249 VALLEY MEADOWS CT 1702302103500 Address: 3249 VALLEY MEADOWS
Springfield, OR 97477 CT
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name License License Number Phone
HARRISON JACOBSON INC - CCB 66447 541-689-7762
Primary
PENDING INSPECTIONS
Inspection Inspection Group Inspection Status
5999 Final Manufactured Dwelling Mfd Dwelling Pending
5300 MH Setup Mfd Dwelling Pending
5240 Footing Mfd Dwelling Pending
1020 Zoning/Setbacks Struct Res 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: 811038062843
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: 8/9/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD
Permit Number: 811 -19 -001655 -MD Page 2 of 2
PERMIT FEES
Fee Description
Quantity
Fee Amount
Technology Fee
$12.55
Manufactured dwelling placement permit
1
$553.00
State manufactured dwelling fee
1
$30.00
Plan Review - Major, City
1
$251.00
SDC: Total Sewer Administration Fee
127.25
$127.25
SDC: Total Storm Administration Fee
53.8
$53.80
SDC: Improvement Cost - Local Wastewater
839.9
$839.90
SDC: Improvement Cost - Storm Drainage
637.15
$637.15
SDC: Reimbursement Cost - Storm Drainage
438.86
$438.86
SDC: Reimbursement Cost - Local Wastewater
1705
$1,705.00
State of Oregon Surcharge - MFD (12% of applicable fees)
$66.36
Total Fees:
$4,714.87
Printed on: 8/9/19 Page 2 of 2 C:\myReports/reports//production/01 STANDARD
r�
a
CL
d
K
0
O
c
H
Z
LL
O
a�
a
w
0
c�
m
m
ami
C
CL
w n F,
C O
O
M
r
O
Do
O
�
v=
o
0
c
o00
a)
N
00
CM
3 U) rn
o
�
M
c00
M
M
O
M
�
_
N
�
'
t W N
lo
cp LO
69
69
�
O
1—
00
69
_N
N
69
fl.
O ^
69
69
69
cA
ci3
69
—
-464
a L v
a,
io
o
-0 N Ln
c
a
T
C N On
a
U'o
C
c aU
'"
(U N
E
w
CL
o
u
c
CE
0
L
�
E
❑.
C
CC)
O
m
co
LO
o
O
O
LO
O
LO
E
7 0
O
M
c0
r
O
0)
00
N
O
V
celd
O fM
O
C6
OO
(h
r-_:
L6
On
6
cM
LO
r_:
N
to
N
In
69
d4
co
co
09,co
N
E9
d69
cfl
M
69
69
d
64
LL
O
O
O
O
O
O
O
O
O
O
O
M
O
O
O
O
O
O
O
O
co
O
O
O
O
c0
00
O
00
00
c0
O
O
O
O
O
00
OO
o0
00
OD
i
O
N
0)
v
0)
c0
;T
LO
lqr
IT
N
LO
O
O
O
N
N
N
N
O
O
O
O
co
O
O
O
O
O
O
co
co
O
co
LO
LO
LO
OD
co
CC)
co
N
N
LO
LO
d N
Iq
V
N
N
o'T
N
N
Y
q
IT
v
IT
IT
IT
V O
O
O
O
O
O
O
O
O
O
O
r O
O
O
O
O
O
O
O
O
O
O
}�
c 0
O
O
O
O
O
Co
O
O
O
O
aM
7 0
O
O
O
O
O
O
O
O
O
O
O OvO
O
O
O
O
O
9
9
0
0
co
O
O
N
ONO
OND
O
O
c0
O
�
r
L
Loto
U
V
Z
C.
d
o
c
rn
*'
m
m
Z
O
LL
€
o
.4
d
a
m
a°�i
O
McoU)
d
Ca)
-ja
LL
LL
.V
LL
O
U
C
C
Q
I—
1
c
m
Z
fCi
mJ
C
55
i
i
N
U)
rt
N
30
O
0
C
C
T
U
of
CF)m
'
U
C
O
U
C
O
U
o
c
Q
O
=
a)
ami
c
Q
Q
o
_
3
m
Ln
m
E
d)
12
E
E
4=
'a
a�
O
"-
O O) p
7
Q
>
7
�
(D
(n
fn
$
LL
c0
CD
c
c L
o
N�
E
O
E o
o
m
m
,,
a
CL
CL
E
O o:
o m
a
a
E
rn
a3:
H
c
m
m
o
cn
m
cn M
U)
w
ca
w
w
w
0
m
a-
U)
0 O
N
0
Q
O
O
2
>
>
E
O
O
O
O
O
O
O
N
w
J
co
W
ns
W
m
W
E
Q
E
Q
E
Q
E
Q
E
Q
E
Q
m
W
5
Q
v
N
w
QO
O
O
O
O
O
O
O
LO
r
O
O
O
0)
O
00
Lr)O
N
O
O
O
00)j
O
.. Z
O O
r
r
r
co
p-
c0
O-
0)
Cl)
P-
r
r
d a1
O
N UO
v
co
OD
U M
C7
W
07
M CO
cc
t��� C
0
Oi
a
_O
M
m
LD
M
L
O
m O
O
Z
n
a?
c
aE
(q
V)
y O)
C)1
d7
d)
0)
O
O)
O
r
0)
0)
0)
a
� rn
rn
rn
rn
rn
rn
rn
rn
rn
rn
rn
�
H oo
ao
ao
ao
ao
ao
oD
OD
00
OD
00
LL
r�
a
CL
d
K
0
O
c
H
Z
LL
O
a�
a
w
0
c�
m
m
ami
C
CL
DEPARTMENT USE ONLYCITY OF M OREGON BIPRIMYxP36t.b .. .
Permit no.:�
225 Fifth Street • SDrinpfield. OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689
Manufactured Dwelling/Recreational-Park Trailer Date. Zb
Placement Permit Application
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 ENT APPROVALS
Zoning approval verified: ❑ Yes ❑ No
Property is within flood plain: ❑ Yes ❑ No
Sanitation approval verified: ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
Q Residential
❑ Government
❑Commercial
JOB SITE IN1M MATION AND LOCATION
Job site address: 3249 Valley Meadows Ct
City: Springfield
County: Lane
State: OR
ZIP: 97478
Subdivision:
Space/lot no.:
Reference:l-t�o2.3 �1)
Taxlot:3500
DESCMPTION OF WORK
MFG Home Replacement
Year Manufactured: 2019
# Bedrooms: 3
Sq. Ftg:1458
Value:
PROPERTY OVM£R
Name: Brittany Ridge
Address: 2159 Augusta
City: Eugene
State. OR
ZIP: 97403
Phone: - -541-331-3005
Fax: -
E-mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under OAR 918-515-0010.
I
Signature:
CONTRACTOR 11NOTALLATION
Business name: Gooden -Harrison i
Address: 1441 Hwy 99N
City: Eugene
State. OR ZIP: 97402
Phone: - -541-689-77621
Fax: - -
E-mail: Randy@Gooden-Harrison.com
CCB license no.: 66447 MDI license no.: 330
Print name: Ra y D to an
Signatur
last edited 7/112019 Nones
FEE SCHEDULE
Description
Qty.
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).
Ok- Ur--� -
ToN
WY,—
GNJl3— STeje 1 .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
19 -001655 -MD
NAME OR COMPANY:
BRITTANY RIDGE
LOCATION:
3249 VALLEY MEADOWS CT
TAX LOT NUMBER:
170230213500
= $0.00
A
DEVELOPMENT TYPE:
Single Family Residence
Ov
NEW DWELLING UNITS
1 BUILDING SIZE (SF): 1458
LOT SIZE (SF) 16988
w
IMPERVIOUS AREA
MAX 45% 1 0
MAX 35%1 0
14
1. STORM DRAINAGE
A. REIMBURSEMENT COST:
NUMBER OF FEVs x COST PER FEU
DIRECT RUNOFF TO CITY UQRM SYSTEM
= $0.00
105
B. IMPROVEMENT COST:
NUMBER OF FEVs x COST PER FEU
0 $1,620.85
A. REIMBURSEMENT COST
105`
C. COMPLIANCE COST:
AREA DRAINING TO
NUMBER OF FEUs x COST PER FEU
IMPERVIOUS S.F. x
0 $22.82
COST PER S.F.
= $0.00
DRYWELL
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
CHARGE
_ $0.00
1052
MWMC ADMINISTRATIVE FEE
1458.00
1056
$0.301
=
0
$438.86
_ $3,620.90
S438.86
B.
IMPROVEMENT COST
IMPERVIOUS S.F. x
COST PER S.F.
CHARGE
1458.00
$0.437
= 0$637.15
$637.15
107(
ITEM 1 TOTAL - STORM DRAINAGE SDC
$1,076.00
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
x
COST PER DFU
10
$170.50
=
$1,705.00
1091
B. IMPROVEMENT COST:
NUMBER OF DFU's
x
COST PER DFU
10
$83.99
=
$839.190
1092
ITEM 2 TOTAL - CITY SANITARY SEWER
SDC
= $2,544.90
3. TRANSPORTAIION
A. REIMBURSEMENT COST:
ADT TRIP RATE
x
NUMBER OF UNITS
x
COST PER TRIP
x
NEW TRIP FACTOR
9.57
0
19.86
1.00
=
$0.00
1093
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
=
$0.00
1094
ITEM 3 TOTAL - TRANSPORTATION SDC
= $0.00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEVs x COST PER FEU
0 $135.93
= $0.00
105
B. IMPROVEMENT COST:
NUMBER OF FEVs x COST PER FEU
0 $1,620.85
= $0.00
105`
C. COMPLIANCE COST:
NUMBER OF FEUs x COST PER FEU
0 $22.82
= $0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
_ $0.00
1052
MWMC ADMINISTRATIVE FEE
_ $0.00
1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
= $0.00
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4)
_ $3,620.90
5. ADMINISTRATIVE FEE:
SUBTOTAL x ADM. FEE RATE = CHARGE
$3,620.90 5% $181.05
TOTAL STORM ADM NISTRATION FEE
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
TnTAT. MWM(` ATIMTNTSTR ATT(lN FFF - T f)CAT.
TOTAL SDC CHARGES
PREPARED BY Steven Petersen
$53.80
127.25
$0.00
$0.00
$3,801.95
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
2 1 3 =
3
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
1 0 2 =
2
CLOTHESWASHER / MOP SINK
1 1 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.
1 0 3 =
3
SHOWER SINGLE STALL
0 1 2 =
-2
SHOWER, GANG UMBER OF HEADS
0 0 2 =
0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN
1 1 3 =
0
SINK: COMMERCIAL BAR
0 0 2 =
0
STN'K: WASH BASIN/DOUBLE LAVATORY
0 0 2 =
0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR
3 2 1 =
1
URINAL, STALL / WALL
0 0 5 =
0
TOILET, PUBLIC INSTALLATION
0 0 6 1=
0
TOILET PRIVATE INSTALLATION
1 2 1 1 1 3 =
3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 =
TOTAL DRAINAGE FIXTURE UNITS
"'EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit 20 DFU's) set at 167 gallons per da
0
10
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE/$1,000
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? 2
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2
(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 = $0.00
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
3
I - k --
d 3: 2.. 43.-e..
DATE RECEIVED 07/23/19 10B NO.19-001655-MD
ZONE LDR OCCUPANCYGROUP R3
UNIT 1 OCCUPANCYLOAD
STORIES 1 TYPE CONSTRUCTION
LEGAL DESCRIPTION 170230213500
ADDRESS 3249 VALLEY MEADOWS CT
OWNER BRITTANY RIDGE
THE CON. .N7S H ERZ. ON HAVE BEEN RMEWED, WrM
ALTERATIONS NOTED ON THE PLANS OR BYATT'ACIMMIEEVT
CHANGES OR ALTERATIONS MADE TO THE APPROVED
DRAWINGSOR PROJECTAFTER THE DATE BELOW SHALL BE
APPROVED BY THE BUILDING OFFICIAL.
_ l
CITY OF SPRINGFIELD, OREGON
Iv�2
APPROVED BY DATE
NOTICE: This permit shall expire if the work authorized under
this permit is not commenced or is abandoned for any 180 day
period.
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 952-001-0090. You may obtain copies of the
rules by calling the center. (Note: The administrative telephone
number for the Oregon Utility Notification Center is (800)332-2344.
3 2�� !%,&GL6y
s��� v ,I✓i:1� UI? 97w78
-
vEwAf
O9
Eb
,
`- 4
kl ., 2
j`T"ot2 A6 E }
Connect Sanitary Sewer to 6" service connection, Field verify
location.
Rooftop storm water may be discharged to the nearby
slough no other water allowed without pre-treatment
MINIMUM SETBACKS— INTERIOR LOTS
All measurements are from Property lines
-Front Yard to House 10 feet
-Front Yard to Garage 18 feet
-Side Yard to House or Garage 5 feet
-Rear Yard to House or Garage 10 feet
P.U.E. MAY CHANGE SETBACKS
r�-
L 1-1
1.
,fix r`,sT W i4rG>' � SEW ER�
S'i�¢rti W A -t EF-
1�-�h-ofP
2>-8"f C
approximate sewer connection
�r .•1•��h1 Y ��
P
5
l
02-
30
zI
3s00
r�-
L 1-1
1.
,fix r`,sT W i4rG>' � SEW ER�
S'i�¢rti W A -t EF-
1�-�h-ofP
2>-8"f C
approximate sewer connection
�r .•1•��h1 Y ��
. .
. ..
......
940:69:
00000
••
0
• •
•
......
......
....
00
• •.
• •
• • •
••.♦