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Home My WebLink AboutPermit Building 2006-03-08Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2006-00118ISSUED: 03/08/2006APPLIEIIT 0210112006 EXPIRES: 09/0812006VALUE: $ 14,766.00 - SITE ADDRESS: 500 34th St Springlield TYPE OF WORI(: Manuf Home w ASSESSOR'S PARCEL NO.: 1702312409100 Garage/Carport Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured home and garage on private lot KEI\INETH RAY 1242 LAURA ST SPRINGFIELD OR 97477 Phone Number: 541-7474345Owner: Address: Contractor Type General Electrical Manuf Home Inst Plumbing Contractor HARRISON JACOBSON INC MAG ELECTRIC INC HARRISON JACOBSON INC HARRISON JACOBSON INC License 66447 149834 66447 66447 Expiration Date 05t07t2007 12113t2009 05t07t2007 05t07t2007 Phone 541-689-7762 541-461-0387 541-689-7762 541-689-7762 ; INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: * Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: water Typd: r ui-iiz i D uEtggniqHls Range Ty$e:, I i,i ! iiC r tj rllg$"trtsAN ilflTlJHlJ,flg oo, PE R#aD. # of Stories: Height of Structure Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: I Lot Size: Sq Ft lst Floor: I Yes 34.00 I R-3 U Yr{ Typeof Heat: j : ": .,ri SEftbLTEXPISB 6,970 1,782 400 3 32.00 5.00 18.00 10.00 0.00 Sidewalk Type: Downspouts/Drains: REQUIRED PARI(NG Total: 2 Handicapped: Compact: Curbside 5' Curb and Gutter Fully Improved Yes Notes: Storm arainage piped to curb facel encroachment permit fee added to building permit costs still need to fill out form 2/10/2006 CAS DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Pase I of4 ,cz-UA1_ u/es by ,uUilcatlon 4). Occupant Load: Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00118ISSUED: 03/08/2006APPLIED: 0210112006 EXPIRES: 09/0812006VALUE: $ 14,766.00 Description Tvpe of Construction Foundation Onlv Use Bid Amount Garage Garage Fee Description Plan Review Residential + l0oA Administrative Fee + 87o State Surcharge " Add, Alter, Extend Circ Ea Add ' AddressingAssignment Encroachment Permit Garage/Carport Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Plan Review Major - Planning Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC IVIWMC 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 Willamalane Manuf Home Private Total Amount Paid Total Value of Project Date PaidAmount Paid $ Per Sq Ft or multiplier $1.00 $26.00 Square Footage or Bid Amount 4"366.00 400.00 Value $4,366.00 $10,400.00 $14,766.00 Receipt Number 2200600000000000153 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 2200600000000000283 22006000000000002E3 Date Calculated 02t09t2006 02t09t2006 $95.16 $60.64 $48.5r $6.00 $31.00 $r30.00 $146.40 $30.00 $4s.00 $50.00 $160.00 $50.00 $150.00 $45.00 $381.40 $501.40 $10.00 $86s.31 $82.03 $133.41 $65.12 $80s.70 $182.69 $1,142.13 $45.00 $14.00 $45.00 $1,000.00 2nt06 3t8t06 3/8/06 3t$t06 3t8t06 3t8106 3t8t06 3t8t06 3t8t06 3t8t06 3t8t06 3t8t06 318106 3t8t06 3t8t06 3t8t06 3t8106 3/8/06 3t8t06 3t8106 3/8/06 3/8/06 3t8106 3t8t06 3t8t06 3t8t06 3t8t06 3t8t06 $6,320.90 ['ees Paid Plan Reviews Initial Review Planning Review 02n0t2006 02fi012006 02n0t2006 02n4t2006 APP APP SKG TAJ Paee2 of 4 Valuation Descriotion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00118ISSUED: 03/08/2006 APPLIEDT 0210112006 EXPIRES: 09/0812006VALUE: $ 14,766.00 Public Works Review Structural Review 02n0t2006 02n0t2006 APP cAs 02n012006 0310212006 wE DLM Storm drainage piped to curb facel encroachment permit fee added to building permit still need to fill out form2ll0l2006 CAS Engineering expired. Called contractor - he will provide update. 31212O06 dlm To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Manuf Home Set Up: When installation of all piers or stands is complete. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Sanitary Sewer Line: Prior to lilling trench and including required testing. Storm Sewer Line: Prior to filling trench. Manuf Home Plumbing: After home has been connected to water and sewer. Water Line: Prior to filling trench and including required testing. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. MH Service: Approval required prior to utility company energizing service. red fnsneetions Pase 3 of4 L Status Issued 225 Fifth Street, Springfield, OR S4l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2006-00118ISSUED: 03/08/2006APPLIEDz 0210112006EXPIRES: 09/0812006VALUE: $ 14,766.00 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 Springlield 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 Iocated at the front of the property, and the approved set of plans wiII remain on the site at all times during construction. 3-8-coffiDate Pase 4 of 4 225 FIFTH STRI|ET . SPRINGFIELD, OR 97{ll c PHz(5,41)72G3753 o FAX:(s4rF2G3689 PERMIT City Job Date I LOCAI'ION OF COMPI,ETE FEE SCHED.WE BELOW eo LEGAL DESCRIPTION / 71)3/Z 1o ?/rt-z JOB DESCRIPTION Permits are non-transferable and erpire if work is not started withtn 180 days of issuance or if work ls Suspended for I80 days. 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 per drvelling'unit. $ 19.00 Z $so.oo lea 3 A., B. or , City Electrical Csntractor Address Phone S upervisor License Number Expiration Date /0- Constr. Cont. Number Expiration Date Signature of Electrician Owners Name Address 4/l'Btl 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Vols Reconnect Only 4. SUBTOTALOFESOVN 7o/o State Surcharge 10% Administrative Fee TOTAL Nerr ^gte*f,ffi gHEttrEl{Fl Bt' Hh{tl E W0 R K oncPtrri{fi 1 ui']DER THis PFRrt4lT lS SCIT'00 Each Additiqal P;'ffT( Hs""il"tl#EebH'it&rifir-,-rl'Itn D-ArPEH]0D, rAfroorurzFon$ 3.oo a the rules 3tf.OO tEr515Trffietrr.* i-olfiCdl-io3rrr.* $163.00 $375.00 $ s0.00 $ 50.00 $ 69.00 $100.00 5 C. Temporary Sen'ices or Feeders Installation, Alteration or Relocation 2fi) Ampe or less 201 Amps to 400 Amps 401 Amps to 600 AmPs ovq-600-A,11pt 9r l_-op v9lt1 99e "B'l-aboye. D. Branch.Circuits City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Siglature -r0A-- Ph""" fi7-'/3y'f E. Miscellaneous(Service/feedernot included)-Eacll lasfall*tiott Pump or irrigation $ 50.00 :, Si grrloutline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges /o,60 d9lnspection Request: 72G3769 Strared Drive{t:/Building FormVElectrical Permit Application l{3.doc f/14 4fal /n tt / <,+<me, fry 'yE rs{ I /0a.n) 8./0 5gr*'.dlGFiELD DEY ELCI P II/rENT SERVI CES DE PARTM ENT MANUFACTURED HOME SET.UP AGREEMENT As required bY the City of SPringfield Development Code,I understand and agree that with the of the attached Permits,one of the following manufactured homes will be at Springfield,Oregon, City Job Number ,t6 A (double wide or wider)unit with an enclosed floor area of not less than I ,000 square feet, that has a nominal roof Pitch of3 feet in height for each 12 feet in width,that has no bare metal siding or roohng,and that has been certified by the manufacturer to have an exterior thermal enveloPe meeting performance standards which for single familY dwellings at heat loss to levels equivalent to the Performance standards requiredreduceinitialsthe time of construction. 225 FIFTH STHEET SPRINGFIELD, OR 97477 (541) 726-3753' FAX (541) 726-3689 ,wvvw. ci. s p ri n gf i e ld. o r. u s s+ Type II Home: A unit of less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a nominai of2 feet in height for each 12 feet in width,that has no bare metal siding or roofing, and that has certified bY the manufacturer to have an exterior thermal enveloPe meeting performance standards which heat loss to levels equivalent to the performance standards required for single family dweliings at of construction.initials Signature Date 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 bacldtled foundation iiil ffi;;';.i;;;;;;;il t 0 i."t or tt " perimeter-enclosure, enclosed at the perimeter with stone, brick or other "on.r"t. or masonry materials approved by the Building oflicial and with no more tb'art24inchesoftheenclosingmaterialexposedabovegrade. 3 -d'oQ I Manufactured CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN- t\TORKSHEET JOURNAL OR JOB NUMBER: COM2006-001 18 NAME OR COMPANY:Ken LOCATION:500 34th St TAX LOTNUMBER:1702312409100 DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE NEW DWELLING LTNITS I. STORMDRAINAGE DIRECT RTINOFF TO CIry STORM SYSTEM COST PER S.F $0.323 BUTLDTNG SrZE (SF. 1782 LOT SZE (SF): CIIARGE $1,142.13 6050 IMPERVIOUS S.F 3536.00 RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS IMPERVIOUS S.F 0.00 ITEM I TOTAL - STORJT{ DRAINAGE SDC A. REIMBT]RSEMENT COST: x x x x x x x COST PER S,F $0.323 COST PER DFU $2s.07 $ r 9.07 NUMBER OF TINITS I NUMBER OF UNITS I ADM. FEE RATE 5o/o DISCOLNTRATE 5jYo DISCOT]NT $0.00 x ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: NUMBER OF DFU's 20 B. IMPROVEMENT COST: NIjMBER OF DFU's 20 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 SUBTOTAL $3,970.66 $882.80 COST PER TRIP $ r 9.09 COST PER TRIP $84. r 9 $988.39 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR r.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER. MWMC A. REIMBI.IRSEMENT COST: NUMBER OF FEU's I B. IMPROVEMENT COST: NUMBEROF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4) 5. ADMINISTRATIVE FEE: s957.34 CHARGE $ r 98.53 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CherylSlaymaker 2/10/2006 142.13 $s01.40 $182.69 s80s.70 $82.03 $86s.31 $10.00 l2 $4,169.19 I 070 I 091 1092 l 093 1094 I 054 1055 1054 1056 1079 I 078 ar!ooU &q.lFa o El& IU COST PER FEU $82.03 COST PER FEU $865.3 r 970.66 PREPARED BY DATE TOTAL SDC CHARGES x I x DRATNAGE FIXTTIRE UNIT CALCULATION TABLE NUMBER OF NEW FIXTURES x UNTT EQUWALENT : DRAINAGE FXTURE UNITS FOR CAI-CUI-ATE ONLY THE NETADDMONAL NO. OF FXTURES LINIT FIXTT]RE TYPE NEW OLD MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FXTURE I.]NITS isa toa unil set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE *EDU DRAINAGE FIXTURE T]NITS 0 2 2 1979 BEFORE 1979 1979 r980 l98l 1982 1983 1984 1985 I 986 1987 1988 1989 1990 1992 1993 1994 1995 1996 1997 1998 1999 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $1.+o $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 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 CREDIT FOR LAND OF APPLICABLE) VALUE/ IOOO $0.00 CREDIT RATE $5.29x l99l CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION) VALUE/ IOOO CREDITRATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.0s $0.05 BATHTTIB 2 0 3 6 DRINKING FOI]NTAIN 0 0 1 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR CREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 1 30 3 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTORFOR REFzuG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWE& SINGLE STALL 0 0 2 0 SHOWER, GANG (NUMBER OF IIEADS)0 0 2 0 STNK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK: COMMERCTAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2 URINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC IN STALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 2 0 3 6 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE $0.00 0 2000 2001 20 225 Fifth Street Springfield, Oregon 97 477 541-726'3759 Phone Jdb/Journal Number coM2006-00118 coM2006-001l8 coM2006-00118 coM2006-00118 coM2006-00118 ibNazooo-oot tg coM2006-001l8 coM2006-00118 coM2006-00118 coM2006-00118 coM2006-001l8 coM2006-001l8 coM2006-001l8 coM2006-00118 coM2006-00118 coM2006-001l8 coM2006-00118 cbNazooo-oot ts coM2006-00118 coM2006-001l8 coM2006-00 cbuzooo-oo cbuzooo-oo City of Springfield Oflicial Receipt --.O.n.fopm"nisttnices Department Public Works DePartment 118 118 ll8 l8 118 cbtr,tzooo-oOt tg coM2006-001l8 RECEIPT #: DescriPtion Manufactured Home Placement Manuf Home State Issuance Addressing Assignment Willamalane Manuf Home Private Encroachment 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 Plan Review Major - Planning Garage/CarPort Sanitary Sewer - lst 50 Feet Water Line - lst 50 Feet Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Service Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l}ohAdministrative Fee 2200600000000000283 Date:03/08/2006 Item Total: 11:28:07AM Amount Due 160.00 30.00 31.00 1,000.00 130.00 1,142.13 501.40 381.40 182.69 805.70 82.03 865.31 10.00 133.41 65.12 150.00 146.40 45.00 4s.00 45.00 14.00 45.00 50.00 50.00 6.00 48.51 60.64 $6,225.74 Payments: Type ofPaYment Check I rl ;l Paid BY Received BY Batch Number njm 9644 Number How Received Amount Paid In Person Payment Total: l( i 'i .(' { ; 3/8/2006 Page I of I KT