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Home My WebLink AboutPermit Building 2005-10-25OF SPRIN Buitdin g/Co mbinatio n Permit Status: Issued 225 Fifth Street, Springfield' OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I nspection Line PERIvtrT NO: COM2005-01376ISSUED: 1012512005APPLED: 10/0512005 E)GIREST 0412512006VALUE: $ 5,000.00 SITE ADDRESS: 278 35th St ASSESSOR'S PARCEL NO.: 1702313108200 PROJECT DESCRIPTION: Manufactured Home on Lot Springfield TYPE OF TYPE OF USE: Manufactured Home on Private Lot New Residential Owner: Address: Contractor Type General Electrical Manuf Home Inst RADOSEVICH JOHN W 3290KINNEYLOOP EUGENE OR 97408 equires you to Contractor HARRISON JACOBSON INC MAG ELECTRIC INC HARRISON JACOBSON INC HARRISON JACOBSON INC License Expiration Date Phone 66447 0510712007 54l-689-7762 149834 l2ll3l200s 541-461-0387 66447 0510712007 541-689-7762 66447 05rc7n007 s4t-689-7162 is 1-800-332-23441. # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontlard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Sohr Setbacla: Street Storm Sewer Available: Special Instruction: I VN 3 # ofStories: Height of Type of Heat: Water Type: Range Type: Energr Path: Sprinkhd o 'orced Air Electric Electric Electric nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I R-3 30.00 s.00 19.00 10.00 0.00 1,824 Fully Improved No REQUIRED PARKING Total: 2 0 Type: DEVELOPMENT INFOR Notes: Storm drainage piped to curb face 1017/2005 CAS l of 4 DownspoutMDrains Curb and Gutter Overlay Dist: # Street Trees Paved Drive Rqd: rs N01 Building/Co mbinatio n Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Rax 541:1 26-37 69 Inspe ction Line PERMIT NO: COM2005-01376ISSUED: 1012512005 APPLIED: 10/0512005E)PIRESt 0412512006VALUE: $ 5,000.00 Description Type of Construction Foundation Onlv Use Bid Amount Manuf Home Manufactured Home $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bful Amount 5,000.00 25,000.00 Value $5,000.00 $25,000.00 $30,000.00 Date Calculated 10/05/200s 10/05/2005 Amount Paid Total Value of Project Date Paid Fee Description Foundation Permit + l0oh Administrative Fee + l0Yo Administrative Fee' +lYo State Surcharge + 77o State Surcharge Addressing Assignment Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service PIan Review Major - Planning Plan Review Residential Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement 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 Water Line - lst 50 Feet Willamalane Manuf Home Private Receipt Number 2200500000000001379 1200500000000001602 1200500000000001602 1200s00000000001602 1200500000000001602 1200s00000000001602 1200500000000001602 1200500000000001602 1200500000000001602 1200s00000000001602 1200s00000000001602 1200500000000001602 1200500000000001602 1200s00000000001602 r200s00000000001602 1200500000000001602 1200s00000000001602 120050000000000r602' 1200s00000000001602 1200500000000001602 1200s00000000001602 1200500000000001602 1200s00000000001602 1200s00000000001602 1200500000000001602 1200500000000001602 1200s00000000001602 $68.40 $6.84 $44.00 $4.78 $30.80 $31.00 $30.00 $4s.00 $50.00 $r60.00 $s0.00 $150.00 $44.46 $45.00 $381.40 $501.40 $10.00 $86s.31 $82.03 $107.14 $68.01 $805.70 $182.69 $674.42 $4s.00 $45.00 $1,000.00 10/5/05 r0t25105 10t25t05 10t25t05 r0t2st0s 10t25t05 tot2st05 10t25t05 10t25t05 10t25t05 10t25105 10t25t05 t0l2sl0s 10t25t05 t0t25to5 t0t2st05 t0t25to' 10t25t05 t0t2st05 10t25t05 t0t2stos 10125105 t0tzst0s t0tzst0s 10t25t05 r0125105 t0l25t0s Daid Total Amount $5,528.38 2of4 Plan Reviews Valuation Descriotion I SPRINGFIELD Buildin g/Combin ation Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 Inspection Line PERMIT NO: COM2005-01376ISSUED: 1012512005APPLED: 10/0512005 E)GIRESz 0412512006VALUE: $ 5,000.00 Initial Review Initial Review Planning Review Public Works Review r0/06/2005 10/06/2005 WE LLH 1010712005 10t071200s APP LLH Need lloor plan. Brad Harrison told Don Moore he will be bringing it in. I will wait to route so I can include information prior to routing and have information for routing. I hadn't received the floor plan from Brad Harrison so I called and he faxed it to me. He said he left it at the front counter with someone to bc included with the plans, but it has not made it to the folder yet. He faxed me another copy so I could complete my review and route the plans. Needs 32 sfofstorage. Storm drainage piped to curb face 10/7/200s cAs 10t0712005 10t07t200s 10n3t2005 10t07t2005 APP APP TAJ CAS Structural Review 10t07t2005 t0n4t2005 APP RJB To Request an inspection call the24 hour recording at 72G3769. All inspection requested before 7:00 a.nL will 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. 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. Manuf Home Plumbing: After home has been connected to water and sewer. Water Line: Prior to lilling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. MH Electric: When blocking, setup and ptumbing inspections have been approved and the home is connected to the panel. MH Service: Approval required prior to utility company energizing service. MH Pedestal: Approval required prior to utility company energizing service. Reouired fnsnections 3 of 4 - GFIELD Buildin g/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:1 26-37 69 I nspe ction Line PERMIT NO: COM2005-01376ISSUED: 1012512005 APPLIED: 10/0512005E)PIRES: 0412512006VALUE: $ 5,000.00 By signaturer l state and agreg 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 SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCC[PANCYwill be made of any structure without permission of the Community ServicesDivision' 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 atl required inspections are requested at the proper time, that each address is readable from the streeg that the permit card b located at the front of the property, and the approved set of plans will remain on the site at all times struction Ai/vL4-lo -z<-o{ Owner or Contractors Signature Date 4of4 SP*--{GFIELD D EV ELA P ld ENT SEHY'CES DE FARTM ENT MANUFACTURED HOME SET.UP AGREEMENT the attached permits,one of the following manufactured homes will be placed at ^rvii$$ *As required by the City of Springfield Development Code, I understand and agree that with the Springfield, Oregon, Ciry Job Number Type i Mauufactured Home: A multi sectional (double wide or wider) unit with an enclosed floor area of not less than I ,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 beln certified by the manufacturer to have an exterior thermal envelope meeting perforii,ance standards which reduce heat loss to levels equivalent to the performance standards required ior single family dwellings at the time of construction. initials x II Manufactured Home: A unit less than 12 feetin width enclosing a minimum floor area of 500 square feet" that has a nominal pitch of 2 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 to the performance standards required for single family dwellings at initials I further state, by my signature below, that I have been provided with the following inforrnation: 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 p&cent slope within 10 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 thar. 24 inches of the enclosing material exposed above grade. 225 FIFTH STREET SPRINGFIELD, AR 97477 (541) 726-3753 FAX (541) 726-s689 www. ci. spi ngfie ld. o r. u s loss to levels equivalent of construction. X Signarure Date I 0 -Z-S -oS CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: ELECTRICAL City Job Number TION Date 3. LEGAL DESCRIPTIONnDLt\a Duho JOB DESCRIPTION Permits are and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1 Electrical Contractor Address Phone / Supervi sor Li cense Number Expiration Date /a- tr 0-7 ruQIey' 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 A. C. D. E. $106.00 $ 19.00 B. $s0.00 $ 63.00 )w0 City /t,au,L 4i '?o" law re bY tlre ose ru 10 throug btain cople 3,92'2344)t Constr. Cont. Number Expiration Date /2 / 3-4{ Signature of Electrician t Owners Name Address City Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Serr.ice or Feeder Permit $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 ffiffi,:ils[- ABAuDoilEp 50to0 $ 4s.00 Inspection Fee is $45.00 + Surcharges (yJ lYo Slale Surcharge 10% Administrative Fee TOTALInspection Request: 72G3769 4. Shared Drive(T:/Building FormJElectrical Permit Application l-03.doc FEE New 1. or unit. re CONTRACTAR ft c'/ t{k/ ONLY - Installation,Alterations or Relocation: {'r ', ,(*1 75.00 {or x JOURNAL ORJOBNUMBER: NAME ORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENTTYPE: NEW DWELLING IINITS I. STORM DRAINAGE DIRECT RTNOFF TO CITY STORM SYSTEM CITY OF Sr-.TNGFIELD SYSTEMS DEVELOPMEN ORKSHEET coM200s-01376 John Radosevich 278 35th St r702313r08200 SINGLE FAMILY RESIDENCE BUILDING SIZE 1824 LOT SIZE (SF)6000 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY ST,ANDARDS IMPERVIOUS S.F x 00 IMPERVIOUS S.F 0.00 B. IMPROVEMENT COST: NUMBER OF DFU's 20 COST PER S.F $0.323 COST PER S.F $0.323 COST PER DFU $25.07 $ r 9.07 NLMBER OF TINITS I NUMBER OF T]NITS 1 ADM. FEE RATE 5o/o CHARGE $674.42 DISCOT-INT RATE 50o/o $674.42 DISCOUNT $0.00 x x x x x x ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A.COST: x ITEM 2 TOTAL. CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: $882.80 COST PER TRIP $r 9.09 COST PERTRIP $84. l 9 $988.39 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 B. ADTTRIP RATE 9.57 COST: SUBTOTAL $3,s02.95 xx xxx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEU'S I B. IMPROVEMENT COST: NLIMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) IvfWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBToTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: $9s7.34 $3,502.95 CHARGE $1 75.1 5 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CherylSlaymaker 10/7/2005 NUMBER OF DFU's 20 $50t.40 $805.70 $82.03 $86s.31 $0.00 $r0.00 107.14 $3,678.10 1070 1091 1092 r 093 1094 I 055 l 056 079 078 a rr.l t-loU HFa rq& ADT TRIP RATE 9.57 COST PER FEU $82.03 COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CHARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT: DRAINAGE FIXTURE UNITS FOR CALCULATE ONLY THE NET ADDITIONAL NO. OF FXTURES I]NIT FIXTURE TYPE NEW OLD MISCELLANEOUS DFU TYPE NUMBER OI.'EDU'S TOTAL DRAINAGE FXTURE UNITS tsa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTI]RE UNITS 0 +EDU IS LAND ELGIBLE FORANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) 2 BEFORE I979 1979 I 980 1981 1982 1983 I 984 1986 1987 I 988 t 989 I 990 1991 1992 I 993 1994 I 995 1996 1997 r998 1999 $5.29 $5.1 I $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $s.29 x985 2 1979 VALUE/ IOOO $0.00 CREDITRATE $5.29 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTALMVYMC CREDIT$1.5s $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 BATHTUB 1 0 3 3 DRINKING FOUNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS /ETC.0 0 3 0 INTERCEPTORS FOR SAND /AUTO WASH /ETC.0 0 b 0 LAL]NDRY TUB 0 0 2 0 CLOTT{ESWASHER / MOP SINK 1 0 3 3 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASI]ER / ETC.0 0 3 0 SHOWER, SINGLE STALL 1 0 2 2 sHowE& GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1 TIRINAL, STALL / WALL 0 0 5 0 TOI LET, PTIBLIC INSTALLATION 0 0 b 0 TOILET, PRIVATE INSTALLATION 2 0 3 6 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALT]E 00 0 2000 2001 225 Fifth Street Springrield, Ore gon 97 477 541:726-3759 Phone City of Springfield Official Receipt xelopment Services Department Public Works D epartment RECEIPT#: 1200500000000001602 Date: 1012512005 1:18:4lPM Job/Journal Number coM2005-01376 coM2005-01376 ccM2005-01376 coM2005-01376 cpM2005-01376 c0M2005-01376 coM2005-01376 coM2005-01376 coM2005-01376 coM2005-01376 coM2005-01376 coM2005-01376 coM2005-01376 coM2005-01376 coM200s-01376 coM2005-01376 coM2005-01376 coM2005-01376 coM2005-01376 cbM200s-01376 coM200s-01376 c'oM2005-01376 cbuzoos-ot:zo coM200s-01376 coM200s-01376 coM2005-01376 Description Plan Review Residential Addressing Assignment Willamalane Manuf Home Private Manufactured Home Feeder Manufactured Home Service 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 Manufactured Home Placement Manuf Home State Issuance Sanitary Sewer - lst 50 Feet Water Line - lst 50 Feet Storm Sewer - lst 50 Feet Manufactured Home Conn - Plmb + lYo State Surcharge + l0o/o Administrative Fee + l0o/o Administrative Fee + 7o/o State Surcharge Amunt Due 44.46 31.00 1,000.00 50.00 50.00 674.42 501.40 381.40 182.69 805.70 82.03 865.31 10.00 107.14 68.01 150.00 160.00 30.00 4s.00 45.00 45.00 4s.00 30.80 44.00 6.84 4.78 Item Total:$5,459.98 Payments: Tlpe of Paynent Paid By Received By Check Number BatchNumber Aulhorization Number How Received Amount Paid CreditCard WILLIAM HARzuSON djb 015430 In Person $5,459.98 Payment totat: ---SffiIlI5- t ll 1012512005 lofl tFeut6Ftrr3