HomeMy WebLinkAboutPermit Building 2002-01-03Job#0 1 -0 1 392-01 Page 1 of 3
Job Number: 01-01 392-01
Office:726'3759
lnspection Line: 726-3769
before 7:00
made the following
Land
Pave
Use
SPRTNGFIELD
RESIDENTIAL PERMIT
City Of SPringfield
CommunitY Services Division
Building SafetY
225 North Fifth Street
Springfield, OR97477
Location Of ProPosed Site: 1357
AssessorsMaP#: 17023034
Lot:7300 Block:
Owner: Robert TYndall
Address: 1348 33rd St
Scope Of Work: Manufactured Home on Private Lot
00033rd St SPr
Reolacing previous M.H' & Garage wjth new'r,rti. rnail'e rrtilitv room Aonrox so footaoe
Gontractor
Robert TYndall
1348 33rd St, SPringfield, OR 97478
Antone Electric
27514 SnYder Road, Junction CitY' OR
97448
Robert TYndall
1348 33rd St, SPringfield, OR 97478
Addition:
Tax Lot#: 07300
Subdivision:
PhoneNumber: 541-736-5560
City/State/Zip: Springfield,OR97478
New Value: $39'471
M.H. & Shop/Garage. Previous residence had one
ni nr"rin,,* residenie and oaraoe was 1794 so' ft'
Registration # Expiration Date Phone
541-736-5560Contractor TYPe
GeneralContr
ElectricalContr
Plumbing Contr
To request an insPection callthe 24 hour recording at 726-3769' All
a.m. will be made the
working daY.
Zoning: LDR
FloodPlain? [
same working day, inspections requested after
Wetlands? [
Journal numbers
1:
Comments:
2|3:
Planner: Sam Gollah
Urban Growth Boundary?[
QuantitY Of Fill:
Supplier:
Drainage:
Ftoodway FEMA: X-White
AdditionalReq
Glenwood Area?tr Required
Flood Plain FEMA: 1161 of 2975
Overlay District:
# of Street Trees:
7
Source Locn:
Material:
2
ts${
L^aPrh UAt<d.
O(r:nof Xqnotrtte- [.4. \q-uJ/-norD l.nruCt $qC.. tO
ctTY SPRtNGFtEL4 OREGONOF
-736-5560
82835
t
Construction Types(VN) Wood Frame
OccuPancY GrouPs: Dwelling
# Of Buildings: 2
# Of Bedrooms: 3
HandicaP Access? [
Jo b#01 -01 392-0 1
Total2184
Page 2 of 3
ValuelQuantitY
Private Garage/CarP/Stor
# Of Stories: 1 Height (feet): 16
Gurrent Units: ProPosed Units:1
Census Code:New Mfg Home
(sq.F
Main: 1512 Accessory672
Fee AmountReceiPt#
Plan Check
Fee Paid On
1211812001 7551
Building Permit
Sirt" S-utcnarge For Building Permit
Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Manufactured Home Service\Feeder
er;ncn Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
ResidentialPlan Check
Total Plan Check
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Storm Sewer Footage
Manufactured Home Connection
Administrative Fee - Plumbing
Total Plumbing
Planning Plan Revlew
Total Planning
Manufactured Home SetuP Fee
Manufactured Home State lssuance
State Surcnarge For Manufactured Hom'
Manutactured Home Administrative Fee
Total Manufactured Home
Residential- Single Family - Storm
SDC Administrative Fee
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC lmProvement
Total SYstem DeveloPment
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
0110312002
7666
7666
7666
7666
7666
7666
7666
7666
16,171
16,171
23,300
I
1,004
$105.30
$105.30
$162.00
$1 1.34
$12.96
$186.30
$.00
$50.00
$6.00
$3.92
$4.48
$64.40
7666
7666
7666
7666
7666
1
2
90
1
7666
7666
7666
7666
$.00
$7.28
$59.00
$45.00
$8.32
$119.60
$160.00
$30.00
$11.20
$12.80
$214.00
$274.09
$26.87
$149.59
$113.68
$564.23
$50.00
$50.00
7666
7666
7666
7666
7
7
Plan
Electrical
Plu
HomeredManufactu
Deve
01t03t2002 7666 1
t
Job# 01-01392-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Address Assignment
Total Permits w/o Srchg
Permits w/o Srchg
0110312002 7666 1 $8.00
$8.00
Grand Total
Plan Check Type Checked By Date Completed Comment
lnitial Review-Res Lisa Hopper 1211912001
Engineering-Res Steve Templin 0110212002
Planning-Res Sam Gollah 1212612001
Structural-Res Don Moore 1213112001
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 701.055 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 propery, and the
approved set of plans will remain on the site at all times during construction.
Signature
$1,311.83
o o)OZ
SPIIINGFIELO
DEVELOPMENT SERV I C ES D EPARTMENT
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that with the approval of attached
permits, one of the following manufactured homes will be placed at
Springfield, Oregon, City Job Number r'-o r' -o/.
,,/ Tvoe I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed---{--
ffio. *.u 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 *t t.5 tt an 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 excayated and back-filled foundation not to exceed 6
percent slope within l0 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 than24 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
*" 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 ifapplicable:
r Street Trees. Paving Driveway
o Minimum 32 square foot storage structure
o Completion of partition approval
. Removal of any existing structures as noted on your partition approval
r Signing and recording of any required partition, easement, improvement agreements, etc.
o Final lot grading
o Cit/ 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.
Owner Signature
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
Contractor Signature Date
o 7 Z
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSIIBBT
0 SF LOT SIZE: 0 SF
JOURNAL OR JOB NUMBER: 0l-01392-01
NAME OR COMPANY TYNDALE
LOCATION:I 357 33RD STREET
TAX LOT NUMBER:t7 -02-30-34-07300
NEW DWELLING UMTS:
DEVELOPMENT TYPE: REPLACEMENT HOME
O BUILDING SIZE:
IMPERVIOUS S.F
1004.00
COST PER S.F.
$0.273 $274.O9
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY
x
STANDARDS
COST PER S.F.DISCOUNT RATEIMPERVIOUS S.F.
x x
5O%o$0.273
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
i274.0e IITEM l TOTAL. STORM DRAINAGE SDC
NUMBER OF DFU's
7
COST PER DFU
$21.37 $ 149.59
$l13.68$t6.24
x
x
7
B. IMPROVEMENT COST:
NUMBER
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
$263.27ITEM 2 TOTAL . CITY SANITARY SEWER SDC
ADT TRIP RATE
9.57
NUMBER OF UNITS
0
COST PER TRIP
$ 16.21 $0.00
NEW TRIP FACTOR
1.00
COST PER TRIP
x xx
xxADT TRIP RATE NUMBER OFUNITS
B. IMPROVEMENT COST:
x
09.57
NEW TRIP FACTOR
1.00
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
$0.00 IITEM 3 TOTAL. TRANSPORTATION SDC
NUMBER OF FEU'S
0
COST PER FEU
$332.86 $0.00
NUMBER OF FEU's
0
COST PER FEU
$34.83
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
$0.00
;0.00
[0.00
B. IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
$o.ooITEM 4 TOTAL . MWMC SANITARY SEWER SDC
$537.36SUBTOTAL (ADD ITEMS 1,2,3, &4)
$26.87
5. ADMINISTRATIVE FEE:
ADM. FEE RATESUBTOTAL
x
57o
$s64.23TOTAL SDC CHARGES =
U2t2002tlr4oTu4.tflb
SDC COORDINATOR DATE
ar!ooU
&i4Fa
o
rq&
1070
1091
t092
1093
| 1094
1055
1056
to73
DRAINAGE FIXTURE UNIT CALCULATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
NUMBER OF NEW FXTURES X UNIT EQUTVALENT = DRAINAGE FXTURE UNITS
(NOTE: FOR REMODEIS, CAI-CULATE ONLY TI{E NET ADDITIONAL FXTURES)
NO. OFFIXTURES DRAINAGE
FIXTURE
UNITSFIXTURE TYPE ( *mw - #oLD )
UNIT* gouIvAlENT =
BATHTUB (2-1
(0-0
(0-0
(0-0
(0-0
(0-0
(1-1
(0-0
(0-0
(0-0
(0-0
(0-0
(0-0
(t-1
(0-0
(0-0
(0-0
(2-1
(0-0
(0-0
(2-1
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
J J
DRINKING FOUNTAIN 1 0
FLOOR DRAIN -1 0
INTERCEPTORS FOR GREASE I ON- ISOLIDS IETC.J 0
INTERCEPTORS FOR SAND / AUTO WASH IETC.6 0
LAUNDRYTUB 2
CLOTHESWASHER / MOP SINK J 0
CLOTHESWASHER - 3 OR MORE (EA)6 0
MOBILE HOME PARK TRAP (1 PER TRAILER)t2 0
RECEPTOR FOR REFRIG / WATER STATION IETC.I 0
J 0
SHOWER, SINGLE STALL 2 0
SHOWER, GANG (NUMBER OF I{EADS)2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0
SINK: COMMERCIALBAR 0
SINK: DOMESTIC BAR 0
WASH BASIN 2 0
LAVATORY I
URINAL, STALL/WALL 5 0
TOILET PUBLIC INSTALLATION 6 0
TOILET PRIVATE INSTALLATION J 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'SX (0-0 )x 20 0
TOTAL DRAINAGE FD(TURE UNITS
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
7
$0.00
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$0.00
$0.00
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSED VALUE
1979 OR BEFORE $4.92 1990 $2.06
1980 $4.83 1991 $1.64
1981 $4.77 1992 $1.4s
t982 $4.64 1993 $1.31
1983 $4.47 1994 $l .13
1984 $4.30 1995 $0.97
1985 $4.09 1996 $0.82
1986 $3.78 t997 $0.63
t987 $3.41 1998 $0.41
1988 $2.98 1999 $0.22
1989 $2.s2 2000 $0.04
TOTAL MWMC CREDIT =
x
0.000 x $0.00
SEPARATELY
CREDIT RATE
$0.00 =
VALUE/ IOOO
0.000
0
I
3
2
I
ATTLILAT IIJl\
{ l rl l'!.1
Il*nrs C*st Sunr
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$r--1;-.!'t'
Ifarrrriic,rrp rrn
l,ql] *:rr-c
.'_ t.R INSI'AI-I-
il'work is uot staried
rjl ls)uiirr* uJ ]l l!tll.i! ls tius
Rrsiqlenti:rl-Single sr
;!Iiliri-F arnily per drteiiing unit.
t1. or less
Ir'{a*irfd }{i:me or
ivlo{r!i:ar u1}elring
Sen-i,;r ci Fe3=det
?fll) *nn<.r l.*e
R- Sr:r'r,ice,r *r Feetlerx
lur-t:rl t irticn, A lterations
ll - l,- .,'+: .: ia.t\L tu!slautt.
2(i t auips to
iil i .tiLrprs
lil Ftf ;s qJ: lll! = Si*ir-r!;.uIr:
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}i i ;i i ; rr u r :i E. ! r i:i:'i': F r ;-;:: l! -I ;:.* J: :-'i ii ;
r i_ ! .r1.;.r'\ !- . I llF . Erra-'F+. JLUa\rr.'.& Ut _:ri;u'ii-
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: a'-'n r.r=. liJ 1'tl:.t1t .:trllrlfl' SPFINGFfEI-D" OREGOI'J 9?,1?? ', ti.{Si'ELflUi-i RtsQUE.S]': 726-iloS
Vl r ILL- i..U_j. -'.
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illr!lu l'-]:r:t!. i\l* rr :i,i:
h.:il)iriilrcn i
i' I !---.:",-r'. -:ii*i+'t:lli ff ii.\.i'.-rniiuil IrI f.rnfi'.
r*,ritf {_trcu!t
i.,:ri' i.lr't. --,-i r.',-^,,.- ... .. ,.;,t,,rL.ri 11i:t.rrrrri..--j I il+rlli \,; t,.,iiji
a.l Fa,:,Ti7:.9rmtt "'*rr..- . I noc)_A:i --,.';it \4tlrf!'l{uR
i iiri iiiliiijli.iijuii i.i Liiijiln iii.rri\., Uii
-7'tirlirrtrr i iiii:?i 1.:'!ri; Il 1{ -r;; aTii;.,titi,..ti
,-.,- .-.! -- t --., ., ..-- -_.,.:
SPRINGFIELD
Job# 01-01392-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of 3
Job Number: 01 -0'l 392-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 07300
Subdivision:
lblob
D
1.3.0L
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1357 00033rd St Spr
AssessorsMap#: 17023034
Lot:7300 Block: Addition:
ctrY oF SPRINGFIELD, OREGOTV
Owner: Robert Tyndall
Address: 1348 33rd St
Scope Of Work: Manufactured Home on Private Lot
Phone Number:
Gity/State/Zip:
New
541 -736-5560
Springfield, OR 97478
r{0il Value
CE:
$39,471
Replacing previous M.H. & Garage with new M.H. &
hrath and one rrtilitv room Anorox so footaoe of nreviotts
nesistrati60ff/[4
82835
ANY 1S O DAY PE
0511912002
had one
IHIS P
F trHe I,VORK
I
541-688-4444
541 -736-5560
Contractor Type
General Contr
Electrical Contr
Contractor
Robert Tyndall
1348 33rd St, Springfield, OR 97478
Antone Electric
27514 Snyder Road, Junction City, OR
97448
Robert Tyndall
1348 33rd St, Springfield, OR 97478
lsn
RIOD.
Footing
Foundation
Framing
FinalBuilding
To request an inspection call the 24 hour recording at726-3769. All inspections 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
working day.
Required lnspections
i euildins I
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Prior to cover.
Electrical
MH Electrical
Rough Electrical
MH Service
Final Electrical
Plumbing
MH Plumbing
Storm Sewer Line
Manufactured Home
MH Set Up -When all blocking is complete.
Plumbing Contr
Job# 01-01392-01 Page 2 of 3
Required lnspections
Manufactured Home
-After all required inspections are approved and porches, skirting, decks, venting, house numberMH Final
Zoning: LDR
FloodPlain?Wetlands? [
Journal numbers
1:
Gomments:
Planner: Sam Gollah
Urban Growth Boundary? [l
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
2
3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
FIood Plain FEMA:1161 of2975
Land Use: Single Family Dwelling
Pave Driveway? Z
Overlay District:
# of Street Trees
2
Glenwood Area? [
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 2
# Of Bedrooms: 3
Handicap Access? [
(sq.
Main:1512 Accessory672
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 16
Gurrent Units: Proposed Units:1
Census Code: New Mfg Home
Total:2184
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
1211812001 7551Residential Plan Check
Total Plan Check
16,171 $105.30
$105.30
Building
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
0110312002
0110312002
01t0312002
7666
7666
7666
16,171 $162.00
$11.34
$12.96
$186.30
Electrical
Minimum Electrical Permit Fee
Man ufactured Home Service\Feeder
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
0110312002
0110312002
0110312002
0110312002
0110312002
7666
7666
7666
7666
7666
1
2
$.00
$50.00
$6.00
$3.e2
$4.48
$64.40
Plumbinq
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Storm Sewer Footage
Manufactured Home Connection
Administrative Fee - Plumbing
Total Plumbing
0110312002
0110312002
01103t2002
0110312002
0110312002
7666
7666
7666
7666
7666
90
1
$.00
$7.28
$59.00
$45.00
$8.32
$119.60
Job# 01-01392-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Manufactured Home
Manufactured Home Setup Fee
Manufactured Home State lssuance
State Surcharge For Manufactured Homr
Manufactured Home Administrative Fee
Total Manufactured Home
0110312002
0110312002
0110312002
0110312002
7666
7666
7666
7666
23,300 $160.00
$30.00
$11.20
$12.80
$214.00
I
System Development
Residential - Single Family - Storm
SDC Administrative Fee
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC lmprovement
Total System Development
0110312002
0110312002
0110312002
01t0312002
7666
7666
7666
7666
1,004
7
7
Planning
0110312002 7666 1Planning Plan Review
Total Planning
$50.00
$50.00
Address Assignment
Total Permits w/o Srchg
Permits w/o
0110312002 7666 I $8.00
$8.00
Grand Total
PIan Check Type Checked By Date Completed Comment
lnitial Review-Res Lisa Hopper 1211912001
Engineering-Res Steve Templin 0110212002
Planning-Res Sam Gollah 1212612001
Structural-Res Don Moore 1213112001
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 701.055 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 propery, and the
approved set of plans will remain on the site at alltimes during construction.
$1,311.83
/ 1-
Signature ifr
$274.09
$26.87
$149.59
$113.68
$s64.23
DEV ELO P M ENT SERV IC ES D E PART M ENT
January 4,2002
Robert Tvndall
i 348 33'd Street
Springfield, Oregon 97 47 8
Dear Mr. Tyndall:
Enclosed is the original permit for the installation of your new manufactured home and
the construction of your shop for 1357 33'd Street, Springfield, Oregon.
When you obtained your permits, we neglected to include the required inspections
needed to complete your project on your permit. Please sign the permit on the indicated
line and return it to me in the enclosed self addressed pre stamped envelope. I am
enclosing a copy of the permit for you to keep for your records.
Thank you, and if you have any questions, please feel free to phone me at 726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor
Encl
225 FIrTH STEEET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-s689
ww w. ci. spri n gf i e ld. o r. u s
f