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Home My WebLink AboutPermit Building 2003-04-08Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00153ISSUED: 04/08/2003APPLIED: 03/1012003EXPIRES: 10/0812003VALUE: $ 10,340.00 SITE ADDRESS: 26818th St ASSESSORTS PARCEL NO.: 1703362401400 PROJECT DESCRIPTION: Manufactured Home and Garage Springfield TYPE OF WORI(: Manufactured llome on Private Lot TYPE OF USE: New Residential PhoneNumber: 541-607-8836Owner: Address: PEGGY GOULET 613DEANAVENUE EUGENE OR 97402 Contractor Type General Electrical Manuf Home Inst Owner Plumbing # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Contractor License HARDACKER & OLEARY DEVELOPMENT 79496 KIDD ELECTRIC 154009 HARDACKER & OLEARY DEVELOPMENT 79496 PEGGY GOULET RS PLUMBING CONTRACTING #of1 6 I 15.00 Forced Air Elect Electric Electric 0U04t2004 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Ft Other: Surface Area: $, Expiration Date 02fi9t2005 0u2712005 02n9t2005 Compact: Phone 541-89s-4307 s4t-942-1352 541-89s-4307 541-607-8836 54t-4614714 9,735 1,440R-3 76.00 16.00 js' 400 ,,44.00 6.00 9.00 Overlay Dist: # Street Paved % '\9 Sidewalk Type: Downspouts/Drains: PARKING Curbside 5' Curb and Gutter Fullv Improved No Sidewalk and curbcut existing. Entire driveway approach needs to be within appHcants property. Encroachment permit included in permit for new sanitary sewer tap. Notes: Pase 1 of4 uuN I r(AU r uK rN r u$!!l!\l Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00153ISSUED: 0410812003APPLIED: 03/1012003EXPIRES: 10i0812003VALUE: $ 10,340.00 Descrintion Tvne of Construction Foundation Only Use Bid Amount Garage Garage Manuf Home Manufactured Home Fee Description Plan Review Residential + l0oh Administrative Fee + 7%o State Surcharge Addressing Assignment Annexed 1979 or Before Building Permit Encroachment Permit Manuf Home State Issuance Manufactured Home Connection Manufactured Home Placement Plan Review - Planning Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC NIWMC 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 - lst 50 Feet Water Line - lst 50 Feet Willamalane Manuf Home Private + lUVo Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Ea Add Manufactured Home Feeder Manufactured Ifome Service $ Per Sq Ft Square Footase $1.00 2,500.00 $19.60 400.00 $1.00 42,000.00 Total Value of Project Value $2,500.00 $7,840.00 $42,000.00 $52,340.00 Date Calculated 03i10/2003 03/10/2003 03n0t2003 Amount Paid Date Pai Receipt Number 1200200000000000791 r200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000000970 1200200000000001088 1200200000000001088 1200200000000001088 1200200000000001088 1200200000000001088 $74.88 $4s.s2 $31.86 $8.00 $-184.37 $r1s.20 $120.00 $30.00 $45.00 $160.00 $s9.00 $4s.00 $386.17 $s08.07 $10.00 $34.83 $332.86 $92.93 $46.77 $709.81 $160.87 $83s.8s $45.00 $45.00 $1,000.00 $10.30 $7.2t $3.00 $s0.00 $s0.00 3t6t03 4t8t03 4t8t03 4t8t03 4t8t03 4tBt03 418t03 4t8t03 418t03 4t8t03 4t8,t03 418t03 4t&t03 4t8t03 4t8t03 4t8t03 4t8t03 4t8t03 4t8t03 4t8t03 4t8t03 4t8t03 4t8t03 4t&t03 4t&t03 4t29t03 4t29t03 4t29t03 4t29t03 4t29t03 tr'ees Pa Total Amount Paid $4,878.76 Paee 2 of 4 Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00153ISSUED: 0410812003APPLIED: 03/1012003EXPIRES: 10i0812003VALUE: $ 10,340.00 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 03tr0t2003 03n012003 03110t2003 03t2U2003 LLH EMM APP APP 03110t2003 03t27t2003 APP VRJ 03fi0t2003 03114t2003 OK TCM Needs to obtain an over the counter LDAP unless this is a replacement. Fee is $284.00 Sidewalk and curbcut existing. Entire driveway approach must be within applicants property lines. Encroachment permit and fee included in permit for new sanitary sewer tap. To Request an inspection call the24 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. wiII be made the following work day. I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Shear Wall Nailing: Before covering sheathing with finish materials. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 6 Drywall: Prior to taping. 7 Manuf Home Set Up: When installation of all piers or stands is complete. 8 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. 9 Final Building: After all required inspections have been requested and approved and the building is complete.10 Water Line: Prior to filling trench and including required testing. l1 Sanitary Sewer Line: Prior to filling trench and including required testing. 12 Storm Sewer Line: Prior to filling trench. 13 Manuf Home Plumbing: After home has been connected to water and sewer. 14 Rough Electric: Prior to Cover 15 Final Electric: When all electrical work is complete. 16 MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. 17 MH Service: Approval required prior to utility company energizing service. Paee 3 of4 Keourreo lnsDectrons I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00153ISSUED: 04/08/2003APPLIED: 03/1012003EXPIRES: 10i0812003VALUE: $ 10,340.00 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 the site at all times during construction. Owner or Contractors Signature Date Page 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-72G3759 Phone City of Springfield Development Services Department Public Works I)epartment Oflicial Receipt Receipt #: 1200200000000001088 rtstet t1t29t2oo3 JotfioumdNunoer Ixrcdptlor coffid63-oo-l s3 r\,r-ri CoM2003-00153 ManufrcttrEd Home Service 50.00 COM2003-00153 Ad4 AItEr, BxteDd CLc Es Add 3.00 COM2003-00153 +7% Slat€ Surcharce 7-21 COM2003-00153 + 10% AdmiDisFative Fe" 10 30 Item Total:$120.51 Payments Check KIDD ELECTRIC djb In Person Payment Total: 120.51 -ffi 4/29/2003 ll:32:02ANI Page I of I cReceipt.rpt T'IHNGES CITY OF OREGON SPFHGFTELO DEV ELO P M ENT SERV I C ES DEPARTMENT MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree that with the approval of the attached permits. one of the following manufactured homes will be placed at - Springfield,C)reson. Cirv Job Number Type II Manufactured Home: A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a nominal roof pitch of 2 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 for single family dwellings at the time of construction.initials I further state, by my signature below, that I have been provided with the following information: Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer ConneQtion, Electrical Connection, and Minimum requirements for permanent steps. I also understand that the manufactured home shall be placed on an excavated and backfilled foundation not to exceed 6 percent slope within l0 feet of the perimeter enclosure, enclosed at the perimeter u'ith stone, brick or other concrete or masonry materials approved by the Building Offrcial and with no more than 24 inches of the enclosing material exposed above grade. 4-t -4j Date h,225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www. ci. spri ngf i eld. or. us Type I Manufactured Home: A multi sectional (double wide or wider) that has a nominal roof pitch of 3 feet in unit with an enclosed floor area of not less than 1,000 square feet, height for each 12 feet in width, that has no bare metal siding or initials manufacturer to have an exterior thermal envelope meetingroofing, and that has been certified by the standards requiredloss to levels equivalent to theperformance standards which reduce heat for single family dwellings at the time of construction. CITY OF SPruruCTIELD SYSTEMS DEVELOPMEN] WORKSHEET a trlo (-) & i4Fa r f'l trl& I 070 1091 1092 1 093 1094 I 0s4 1 055 1054 1056 10019 JOURNAL OR JOB NUMBER: Com2003-00153 NAME ORCOMPANY Pe.qgy Goulet NEW DWELLING UNITS T-OCATION 268 lSth Street TAX LOTNUMBER:17033624 tlt400 BUTLDTNG SrZE (SF. 1620 LOT SIZE (SF): DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE COST PER S.F s0.282 CHARGE $835.85 YWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 COST PER S.F $0.282 DISCOUNTRATE 50% DISCOUNT $0.00 $835.85ITEM 1 TOTAL - STORM DRAINAGE SDC x x 5.85 I rMPERVtoLls s-F. I zgeq.oo x RUNOFF ROUTED TO DR I. STORM DRAINAGE DIRECT RTINOFF TO CITY STORM SYSTEM NUMBER OF DFU's 23 COST PER DFU s22.09 NUMBER OF DFU's 23 COST PER DFU s 16.79 $894.24 B. IMPROVEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC x x : | $so8.o7 2. SANITARY SEWER - CIry A. REIMBURSEMENT COST: ADT TRIP RATE 9.57 NUMBER OF UNITS 1 COST PER TRIP s I 6.81 NEW TRIP FACTOR r.00 ADTTRIP RATE 9.57 NUMBER OF LINITS I COST PER TRIP s74.r7 $870.68 TRIP F r.00 B. IMPROVEMENT COST: ITEM 3 TOTAL - TRANSPORTATION SDC xxx xx 3. TRANSPORTATION A. REIMBURSEMENT COST: NUMBER OF FEU's I NUMBER OF FEU's 1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( =$r93.32 COST PER FEU $332.86 COST PER FEU s34.83 B. IMPROVEMENT COST: x : I ($184.37) 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: SUBTOTAL (ADD ITEMS 1,2,3, & 4),794.09 SUBTOTAL $2,794.09 ADM. FEE RATE 5% CHARGE s 1 39.70 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: 5. ADMINISTRATIVE FEE: x I e2.e3 Virginia Jurasevich 3127t2003 TOTAL SDC CHARGES PREPARED BY DATE 078 x l-5?or-.t-i- - | $34.83 x = I $332.86 : I $10.00 IT DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FIXTURES x LNIT EQUIVAIENT: DRAINAGE FXTURE UNITS DRAINAGE FIXTURE I.]NITS NO. OF FIXTURES FIXTURE TYPE NEW OLD CALCULATE ONLY TTIE NET ADDITIONAL FXTURES)(NOTE: FOR REMODELS. UNIT EQUIVALENT BATHTTIB 2 0 3 6 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 b 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 1 0 3 3 CLOTHESWASHER - 3 OR MORE (EA)0 0 o 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 1 0 2 2 SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1 URINAL, STALL IWALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 2 0 3 6 23 MISCELLANEOUS DFU ryPE NUMBER OF EDU'S 0 TOTAL DRAINAGE FIXTURE UNITS *EDU lsa toa uni t set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/S I,O(]O ASSESSED VALUE IS LAND ELGIBLE 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 0 1979 CREDIT FOR LAND OF APPLICABLE) VALUE/ IOOO CREDITRATE $37.47 x $4.92 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1OOO CREDIT RATE $0.00 x $4.92 :l 0 TOTAL MWMC CREDIT BEFORE 1979 $4.92 t979 $4.92 I 980 $4.83 l98l s4.77 t982 s4.64 1983 $4.47 1984 $4.30 I 985 $4.09 1986 $3.78 1987 $3.41 1988 s2.98 I 989 $2.52 1990 s2.06 l99l s1.64 1992 $1.4s 1993 $1.31 1994 $1.13 1995 $0.97 t996 s0.82 1997 $0.63 1998 $0.4 r 1999 $0.22 2000 s0.04 L'T U 20 l-Tir.-- 225 FIFTH STREET . SPRINGFIELD, OF-g7477 o PH:(541)726-3753 o FAX: (541Y2543689 Zoning E LE CT RI CAL P E RM IT AP P LI CAilON Date City Job Number 3-oot Date r,uUru{tZud stgnature LO CAT I A N O F IN STAL IATTO}T 1. COMPLETE FEB SCHEDULE BELOW z6{/ trLt^=l LEGAL DESCRIPTION t703>LzL(olLtoo JOB DESCRIPTION 1414 NrLei Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 davs. COI\rIRACTOR IN STAI-I ATI AN ONLY 1 Electrical Contractor Address Expiration Date /O -o/ -oz/ Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name Address as submitted has the lollowing not require specific land use LIr,L A.Nern Residential - Single or i\{ulti-Famil-v per drrelling unit' Service Included 1000 sq. ft. or less $ 106.00 Each additional 500 sq. ft. or portion thereof $ 19.00 Each Manufact'd Home or Modular Dwelling Service or A Feeder (- $50'oo Services or Feeders - tnstallation, Alterations or Relocation: 3 o city fure,u et- rnone ;f?/ - ??,/-/ff'z ffi#J.: 8il1',"'" Supervisor License Number y75A_5 B. C. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps $ 63.00 $ 7s.00 $125.00 $ 163.00 $375.00 $ 50.00 or Feeders $ 50.00 69.00 100.00 Ciry Phone O\IT{ER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Each Additional Circuit or with s-> Sen ice or Feeder Permit / S :.OO ) i! iscellaneous (Service/feeder not included) -Each lnstallation 1,. iuicnti.i#g 0090. You t. Mininrirfr$ Installation, Alteration or Relocation 200 Amps or less 201 Arnps to 400 ArnPs to 600 BE IT ENC Per Panel One Circuit 7o/o State Surcharge l0% Administrative Fee TOTAL $ 43.00 T,T /o3 7z\olo 5Inspection Request: 726-3769 4 Shared Drive(T:),tsuilding Fonns/Electrical Permit Application I -03.doc CITY OF OREGON 4x7-os Z,// ' , -rL I