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Home My WebLink AboutPermit Building 2003-12-12OF SPRIN FIELD Buildin g/Combination Permit PERMIT NO: COM2003-01153ISSUED: 1211212003APPLIED: 11/1812003 EXPIRES: 09/1912004VALUE: $ 7,436.80 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 1002 25th St Springfield TYPE OF WORI(: Manufactured Home on ASSESSOR'S PARCEL NO.: 1703361103702 Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured Home il garage foundation & slab only. Applicant will resubmit carport instead of garage 03114104 db. (Submitted carport plans 3/16/2004 dlm) Owner: MARVIN MARGOLIS Address: 3045 WINTERCREEK DR EUGENE OR 97405 PhoneNumber: 541-686-2525 Contractor Tvpe General Electrical Manuf Home Inst Contractor AL STONE CONSTRUCTION INC DEANS ELECTRIC FATHER & SONS OF OREGON INC License 896r3 99579 100726 Expiration Date 03n5t2004 06t2012004 06t29t2005 Phone 541-688-1479 s41-93s-5303 541-689-5090 C ONTRACTOR INFORMATION \FORMATION # of Units: 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: # of Stories: Height of Structure Type of Heat: Forced Air Elect Water Type: Those to I R-3 VN Paved Drive Rqd: Yo oILot Coverage: ICE: 1 Lot Size: Sq Ft lst o the 0 Yes 28.30 Total: Handicapped: Compact: WORK t0R Area: PARIflNG 2 Curbside 5' 6,020 1,188 3 48.00 5.00 s.00 10.00 0.00 .'l ED ORFully Improved OAY PERI9D' nspouts/DrainsYes Curb and Gutter Roof drainage to curb and runoff to street via area drain and piping. Sanitary sewer to main in 25th Street. If applicant cannot get adequate fall, pumping may be required. Notes: Pase I of5 r}'i Utiltty lHIS FS Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2003-01153ISSUED: 1211212003APPLIED: 11/1812003 EXPIRESt 0911912004VALUE: $ 7,436.80 Description Tvpe of Construction Bid Amount Use Bid Amount Carport Carport Foundation Onlv Use Bid Amount Manuf Home Manufactured Home $ Per Sq Ft or multiplier $1.00 $16.60 $1.00 $1.00 Square Footage or Bid Amount 1,728.00 448.00 2,500.00 45,000.00 tilt7l03 t2n2t03 t2n2t03 t2n2t03 t2n2t03 t2n2t03 12fi2t03 t2n2t03 t2n2l03 t2n2t03 t2n2t03 t2tr2t03 t2n2t03 t2n2t03 12n2l03 t2n2t03 t2n2t03 12fi2t03 t2n2t03 tzltzl03 t2n2t03 t2n2t03 t2n2t03 t2n2t03 12n2t03 t2n2t03 t2n2t03 12t12t03 r2ltzt03 12lt2t03 t2n2t03 t2n2t03 2t9t04 Value $1,728.00 $7,436.80 $2,5oo.oo $45,000.00 $56,664.80 Date Calculated 12t02t2003 0311512004 tut8t2003 rut8t2003 Amount Paid Total Value of Project Date Paid Fee Description Plan Review Residential + l0o/o Administrative Fee + 77o State Surcharge Addressing Assignment Annexed 1979 or Before Curbcut Permit Fixture Foundation Permit Manuf Home State Issuance Manufactured Home Connection Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Plan Review - Planning Plan Review Residential Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtl 100' 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 - lst 50 Feet Storm Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' Willamalane Manuf Home Private PIan Reyiew Residential Receipt Number 2200200000000001774 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200400000000000180 $34.32 $s6.44 $39.51 $8.00 $-96.40 $7s.00 $14.00 $68.40 $30.00 $4s.00 $s0.00 $r60.00 $s0.00 $59.00 $10.14 $4s.00 $344.20 $4s2.80 $14.00 $10.00 $214.23 $314.63 $113.47 $5r.52 $727.42 $164.89 $1,168.12 $4s.00 $14.00 $45.00 $14.00 $1,000.00 $90.09 tr'ees Paid Paee 2 of 5 Valuation Descrintion I Building/Combination Permit Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01153ISSUED: 1211212003APPLIED: 11/1812003 EXPIRESz 0911912004VALUE: $ 7,436.80 Plan Review Residential + l0o/o Administrative Fee + 7o/o State Surcharge Building Permit Total Amount Paid $59.67 $9.18 $6.43 $91.80 $5,598.86 3fi6t04 3t24104 3t24t04 3t24t04 1200400000000000332 1200400000000000381 1200400000000000381 1200400000000000381 PIan Reviews Initial Review Planning Review Plannins Review Plannins Review Public Works Review tut8t2003 tUt8t2003 tt/18t2003 12t08t2003 12t08t2003 APP TAJ 03t24t2004 03t24t2004 APP TAJ Lu24t2003 1u24t2003 APP VRJ Awaiting resolution of several issues including setbacks, storm drainage for the front house, sanitary sewer issues, and location of the driveway. Met with owner and contractor on site today (1215). tara Plot plan signilicantly reconfigured (see revised site plan dated 12108/03) in order to meet panhandle setbacks. I checked with Virginia and the revised site does not affect her review or comments. The 12" driveway needs to be located along the south property line so as not to encroach on the front house. I gave Steve G a heads up re: possible changes needed to be made to the storm and sanitary ofthe front house because of the driveway construction. tara 1. Verfy to the satisfaction of the Building Inspector that construction meets the 5' minimum side yard setbacks. 2. Provide at least 32 sfof permanent enclosed storage, height not to exceed l2'. Roofdrainage to curb and gutter, driveway runoff to street via area drain and piping. Sanitary sewer to main in 25th Street. If applicant cannot get adequate fall, pumping may be required. Impervious surface SDCrs included paving driveway and apron. APP WE LLH Page 3 of5 T Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-01153ISSUED: 1211212003APPLIED: 11/1812003EXPIRES: 0911912004YALUE: $ 7,436.80 Public Works Review Public Works Review Structural Review 03t24t2004 03124t2004 APP VRJ rut8t2003 1u20t2003 wE vRJ lut8t2003 12t03t2003 APP DLM As per pervious PW's comments: Roof drainage to curb and gutter, driveway runoff to street via area drain and piping. Sanitary sewer to main in 25th Street. If applicant cannot get adequate fall, pumping may be required. Contacted Mr. Margolis and the contractor Al Stone and have asked for location of sanitary and storm sewer connections. They plan to come in Monday morning and look over the Land Use Decision for building permit issues, Journal Number 1999-08-213. 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 \ryorking day, inspections requested after 7:00 a.m. will be made the following work day. I ) 3 4 5 curbcut - standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/orfoundation inspection. Foundation: After forms are erected but prior to concrete placement. Manuf Home set up: when installation of all piers or stands is complete. Final Manuf Home Set Up: After all required inspections "." ."q,,"rted and approved and porches, skirting,decks, venting, street address numbers, trees, drivewayo etc. have been installed. Final Building: After all required inspections have been requested and approved and the building is complete.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.MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected tothe panel. MH service: Approvar required prior to utility company energizing service. 6 7 8 9 10 11 t2 Page 4 of5 Keourred InsDectrons I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Eax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-01153ISSUED: 1211212003APPLIED: l111812003 EXPIRESz 0911912004VALUE: $ 7,436.80 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. ,rh Z/ >z uy Owner or Contractors Signature Date Pase 5 of 5 225 Fifth Street* '' Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipl. Development Services Department Public Works Department Date:12:39PM coM2003-01153 coM2003-01153 coM2003-011s3 Building Permit + 7oh State Surcharge + ljYo Administrative Fee 91.80 6.43 9.18 Item Total:$107.41 Payments: Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check Number Check MARGOLIS FAMILY LTD djb 58 l0 In Person Payment Total: $ 107.41 $107.41 -l- LD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01153ISSUED: 1211212003APPLIED: 11/1812003 EXPIRESz 0611212004VALUE: $ 4,228.00 SITE ADDRESS: 1002 25th St Springfield TYPE OF WORK: Manufactured Home on ASSESSOR'S PARCEL NO.: 1703361103702 Private Lot TYPE OF USE: New Residential PROJECT DESCRJPTION: Manufactured Home w/ garage foundation & slab only. Owner: MARyIN MARGOLIS Address: 3045 WINTERCREEK DR EUGENE OR 97405 Contractor Tvpe General Electrical Contractor AL STONE CONSTRUCTION INC DEANS ELECTRIC License 89613 99579 Expiration Date 0311512004 06t20t2004 Phone 541-688-1479 541-935-s303 )NTRACTOR INFORMATION BUILDING INFOR # of Units: 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: # of Stories: 1 Height of Structure Type of Heat: Forced Air Elect Water Type: Electric Range Type: Electric Energy Path: NOTICE: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING I VN 3 R-3 17.00 0.00 6,020 1,188 110.00 s.00 20.00 Overlay Dist: Total: # Street Trees Rqd: 0 Handicapped: Paved Drive Rqd: yes Compact: oh of Lot Coverage: 30.00 Fuily Improved Sidewalk rype: curbside 5, Yes Downspouts/Drains: Curb and Gutter Roof drainage to curb and gutter, driveway runoff to street via area drain and piping. Sanitary sewer to main in 25th Street. If applicant cannot get adequate fall, pumping may be required. DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Pase I of4 IAI|3'"B ;i.q )lnun Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01153ISSUED: 1211212003APPLIED: 11/1812003 EXPIRES: 0611212004VALUE: $ 4,228.00 Description Tvpe of Construction Bid Amount Use Bid Amount Foundation Only Use Bid Amount Manuf Home Manufactured Home $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 Square Footage or Bid Amount 1,728.00 2,500.00 45,000.00 Value $1,728.00 $2,500.00 $45,000.00 $49,228.00 Date Calculated 12t02t2003 tUt8t2003 tut8t2003 Amount Paid Total Value of Project Date Paid Fee Description Plan Review Residential + l0o/o Administrative Fee + 77o State Surcharge Addressing Assignment Annexed 1979 or Before Curbcut Permit Fixture Foundation Permit Manuf Home State Issuance Manufactured Home Connection Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Plan Review - Planning Plan Review Residential Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtl 100' 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 - lst 50 Feet Storm Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' Willamalane Manuf Home Private Receipt Number 2200200000000001774 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 r200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 r200200000000002602 1200200000000002602 1200200000000002602 r200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 r200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 1200200000000002602 r200200000000002602 1200200000000002602 1200200000000002602 $34.32 $56.44 $39.s1 $8.00 $-96.40 $7s.00 $14.00 $68.40 $30.00 $4s.00 $s0.00 $160.00 $50.00 $59.00 $10.14 $4s.00 s344.20 $452.80 $r4.00 $10.00 $214.23 $314.63 $1r3.47 $sr.s2 $727.42 $164.89 $1,168.12 $4s.00 $14.00 $45.00 $14.00 $1,000.00 tut7l03 t2n2l03 12n2t03 t2n2t03 r2n2t03 tzlt2l03 t2n2t03 12lt2l03 12n2t03 t2lt2t03 t2n2t03 t2lt2l03 t2n2t03 t2lt2lo3 tztr2t03 t2n2t03 t2n2t03 12n2t03 tzlt2to3 t2n2t03 t2tr2l03 t2nzt03 t2nzt03 t2n2t03 t2ltzt03 tzlt2l03 t2n2t03 t2n2l03 tzlt2t03 12fizt03 t2n2t03 t2n2t03 Fpes Peid Total Amount Paid $5,341.69 Paee2 of 4 f, Valuation Descriotion I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01153ISSUED: 1211212003APPLIED: 11/1812003 EXPIRESz 0611212004VALUE: $ 4,228.00 Plan Reviews Initial Review Plannins Review Public Works Review Public Works Review LLH Planning Review 12108t2003 1210812003 APP TAJ Awaiting resolution of several issues including setbacks, storm drainage for the front house, sanitary sewer issues, and location of the driveway. Met with owner and contractor on site today (1215). tara Plot plan signilicantly reconfigured (see revised site plan dated l2l08/03) in order to meet panhandle setbacks, I checked with Virginia and the revised site does not affect her review or comments. The L2tt driveway needs to be located along the south property line so as not to encroach on the front house. I gave Steve G a heads up re: possible changes needed to be made to the storm and sanitary ofthe front house because ofthe driveway construction. tara Contacted Mr. Margolis and the contractor Al Stone and have asked for location of sanitary and storm sewer connections. They plan to come in Monday morning and Iook over the Land Use Decision for building permit issues, Journal Number 1999-08-213. Roofdrainage to curb and gutter, driveway runoff to street via area drain and piping. Sanitary sewer to main in 25th Street. If applicant cannot get adequate fall, pumping may be required. Impervious surface SDC's included paving driveway and apron. Structural Review lll18/2003 12t03t2003 APP DLM To Request an inspection call the24 hour recording at 726-3769. AII 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 Curbcut - Standard: After forms are erected but prior to placement of concrete. Paee 3 of4 tut8t2003 tut8t2003 tut8l2003 APP WE 11118/2003 1u20t2003 wE vRJ rU24t2003 1U24t2003 APP VRJ Renrrired Insnpefinns 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: COM2003-01153ISSUED: 1211212003APPLIED: 11/1812003 EXPIRESz 0611212004VALUE: $ 4,228.00 2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 3 Foundation: After forms are erected but prior to concrete placement. 4 Manuf Home Set Up: When installation of all piers or stands is complete. 5 Finat 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. 6 Final Building: After all required inspections have been requested and approved and the building is complete. 7 Water Line: Prior to filling trench and including required testing. 8 Sanitary Sewer Line: Prior to filling trench and including required testing. 9 Storm Sewer Line: Prior to filling trench. 10 Manuf Home Plumbing: After home has been connected to water and sewer. 11 MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. 12 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 the site at all times during construction. D-, /2, 2oo 3 Owner or Contractors Signature Date Pase 4 of 4 h^, )lu-r* 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department' Public Works Department 12n2t2003 coM2003-01153 coM2003-01153 coM2003-01153 coM2003-01153 coM2003-01153 coM2003-01153 coM2003-01153 coM2003-01153 coM2003-01153 coM2003-01153 coM2003-011s3 coM2003-011s3 coM2003-01ls3 coM2003-01153 coM2003-01153 coM2003-01153 coM2003-01ls3 coM2003-01153 coM2003-01153 coM2003-011s3 coM2003-01153 coM2003-01153 coM2003-011s3 coM2003-01153 coM2003-01153 coM2003-01ls3 coM2003-01153 coM2003-01153 coM2003-011s3 coM2003-01153 coM2003-011s3 Addressing Assignment Willamalane Manuf Home Private Manufactured Home Feeder Manufactured Home Service Curbcut Permit 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 Annexed 1979 or Before Plan Review Residential Foundation Permit Manufactured Home Placement Manuf Home State Issuance Fixture Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' Manufactured Home Connection + 7o/o State Surcharge + l0oh Administrative Fee Plan Review - Planning 8.00 1,000.00' 50.00 50.00 75.00 1,168. l2 452.80 344.20 164.89 727.42 314.63 214.23 10.00 113.47 st.52 (e6.40) 10.14 68.40 160.00 30.00 14.00 45.00 14.00 45.00 14.00 45.00 14.00 45.00 39.51 56.44 59.00 $5,307.37 {, Item Total Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check MARVIN MARGOLIS djb $5,307.37 In Person Payment Total: $5,307.37 aFfilra$FrSA ( \a$o 225 FIFTH STREET . SPRINGFIELD, OR9'7477 r PH:(541)726-3753 ' FAX: TION City Job Number Date 689 ,ud z.e,tc's 1. LEGAL DESCzuPTION JOB DESCRIPTION Permits are 'aLrle and expire if not started within 180 days of issuance or if work is Suspended for 180 days. Electricai Contractor A. Nerv Residential - Single or Nfulti-Fami}-v per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps a- $so.oo IOO-OO B. Services or Feeders - Installation, Nteiations or Relocation: t $ 63.00 s 7s.00 s 125.00 s I 63.00 s37s.00 s 50.00 $ r 06.00 $ 19.00 Address D q City (^11\f-' Phone AU Supervisor License Number Expiration Date l0.Oi-oou Constr. Contr. Number 1t S 1q Expiration Date t-'Ao - a\"\D'j of ing Electrician Owners Name Address PE Rt00.Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or iess $ 50.00 401 Amps to 600 Amps $100.00 e,t?SI#"g THORIZED U HALL NDER T IV1ENCED O RISAB D. Over 600 Amps or 1000 Volts see "B" above. llranch Circuits Nelv Nteration or Extension Per Panel Onc Circuit Each Additional Circuit orrith $ 43.00 $ 3.00 City OWNER INSTALLATION The installation is being made on property i own which is not intended for sale, lease or rent. Owners Signature; -r^q}--pu""" (pKb.ZSZS Sen'ice or Feeder Permit (n. Pump or irrigation Sign/Outline Lighting Limited Energy,&.esidentiai Limited EnergyiCommercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges t 0 7o/o State Surcharge 10% Administrative Fee TOTAL $ s0.00 s s0.00 s 25.00 s 4s.00 4. Inspection Request: 726-37 69 Shared Driv(T:)/Building Forms/Electrical Pennit Application I-03.doc 3. ..COMPLETE ) Insfallation. $$'dnF{{}FiiEr-[D D EV E LA F M Efiln .SEtrytCE S OEDAEI,VTEFJF MANUFACTURED HOME LAND USE AGREEMENT As required by the City of Springfield Development Code, I agree that with the aooroval ofthe" 2-q rL *O\-..19" 225 FIFTH SI'8EEI SPRINGFIELD, AR 97477 (541) 726_s753 FAX (541) 726-3689 loo2 attached5r,permits, one of the following manufactured homes will be placed at Springfield, Oregon, City Job Number Cbtet %Ol -OllE|. t/-' Type I 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 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 of 2 feet in height for each 12 feet in width and that has no bare metal siding or roofing. 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 thar.24 inches of the enclosing material exposed above grade. I further agree to meet all land use and City Code requirements of the above mentioned parcel within 60 days of the date of lssuance 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: o Street Trees. Paving Driveway o Minimum 32 square foot storage structure e Completion of partition approval o 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. d ),o.,; la,u,. Owner Signature /Date Contractor Signature Date OJD,-./2. )-- MANUFACTURED HOME SET.UP AGREEMENT As required by the City of Springheld Development Code, I understand and agree that with the of the attached permits, one of the following manufactured homes will be placed at a sr Springfield, Oregon, Ciry Job Number I Manufactured Home: 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 225 FIFTiI SIEEET SPRII'IGFIELD, OR 974V7 (541) 726-3753 FAX (541) 726-3689 wvwv. ci. s p ri n gf i e ld. o r. u s 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 ior single family dwellings at the time of construction. -----l*lr--initials Type II Manufactured Home: A unit of not less than 12 feetin 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 perfonnance standards which reduce heat loss to levels equivalent to the performance standards required for single family dwellings at the time of conshuction.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 Connection, 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 with stone, brick or other concrete or masonry materials approved by the Building Official and with no more $an24 inches of the enclosing material exposed above grade. ,{&z /?,20a3 Signature Date ),,**, /l*.*rl /?' JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING TINITS DIRECT RUNOFF TO CITY STORM SYSTEM CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN'I WORKSHEET I 153 Marvin 1002 25th Street 17033611 tl 3702 SINGLE FAMILY RESIDENCE BUILDING SIZE LOT SrZE (SF):6020 IMPERVIOUS S.F. x 4028.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS IMPERVIOUS S.F 0.00 NTIMBER OF DFU'S 20 B. IMPROVEMENT COST: NUMBEROFDFU's 20 ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 STIBTOTAL $3,299.89 COST PER S.F $0.290 COST PER S.F s0.290 COST PER DFU $22.64 COSTPERDFU $17.21 NUMBER OF LTNITS I NUMBER OF L]NITS I ADM. FEE RATE 5% CHARGE $1 ,168.12 DISCOUNTRATE 50% DISCOLINT $o.oo x ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENTCOST: x x x x x x x ITEM 2 TOTAL. CITY SANITARY SEWER SDC s797.00 3. TRANSPORTATION A. REIMBT]RSEMENT COST: xx xx COST PER TRIP s17.23 COST PER TRIP $76.0r $892.31 NEWTRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC A. REIMBURSEMENTCOST: NUMBER OF FEU's 1 B. IMPROVEMENT COST: NLIMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = SUBTOTAL (ADD ITEMS I,2,3, & 4) 5. ADMINISTRATIVEFEE: s442.46 CHARGE sl64.99 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Virginia Jurasevich tU24t2003 168.12 $4s2.80 $344.20 $214.23 $10.00 113.47 1.52 1070 1091 1092 1093 1094 1 055 1056 079 078 a rqooU & E1t<(n r!& III@L COST PER FEU s314.63 COST PER FEU s214.23 299.89 PREPARED BY DATE TOTAL SDC CHARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NIJMBER OF NEW FXTTIRES x LINIT EQUIVAIENT : DRAINAGE FXTURE T]NITS FOR CAICULATE ONLY THE NET ADDITIONAT NO. OF FIXTURES UNIT NEW OLD MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS +EDU lsa toa unit set at 1 67 ryPE DRAIT..AGE FIXTI]RE TINI'IS 0 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE BATHTUB 2 0 3 6 DRINKING FOUNTAIN 0 0 1 0 FLOORDRAIN 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 1 0 3 3 CLOTHESWASHER- 3 ORMORE (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 IHOWER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SNK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2 URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 2 0 3 6 YEAR ANNEXED CREDIT RATE/$1,OOO ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR I 0 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE/ 1OOO sl9.l3 CREDITRATE $5.04x ! sso.+o CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1OOO CREDIT RATE $0.00 x $5.04 TOTAL MWMC CREDIT ! sqo.+o BEFORE I979 $5.04 1979 $5.04 1980 $4.95 l98l $4.88 1982 $4.75 1983 $4.58 1984 $4.41 1985 $4.20 1986 $3.88 1987 $3.50 1988 $3.07 1989 $2.60 1990 $2.14 l99t $ 1.71 1992 $1.52 1993 $ 1.38 1994 $1.19 1995 $1.03 1996 $0.87 1997 $0.68 r998 $0.46 1999 $0.27 2000 $0.09 2001 $0.04 20 =l-r'-