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Home My WebLink AboutPermit Building 2004-10-14Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01137ISSUED: 1011412004APPLIEDz 0911412004EXPIRES: 0411412005VALUE: $ 14,766.00 SITE ADDRESS: 1252 39TH ST Springfield TYPE OF WORI(: Manufactured Home on ASSESSOR'S PARCEL NO.: 1702304304200 Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: MH replacement on private lot. Previous MH demolished w/o permit by owner unkown recent date. Owner: Address: OGAN JOHN R & PAULA S 83494 PAPENFUS RD PLEASANT ITILL OR 97455 vl .1'Uo'g(47 (r( Contractor LONNIE LEROYJENKINS MELS BUDGET HOMES TRAVESS CONSTRUCTION LLC rur{.n 001-License Expiration Date Phone 1s6582 08/06/2005 541-746-6441 66954 05t29t2005 54t-747-9s8s 138060 r1l0U200S 541-746-6399 es t9 Contractor Type Electrical Manuf Home Inst Plumbing # 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: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist:D# Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: nla Yes 7.90 Sidewalk Type: Downspouts/Drains: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: HE WORK . S,EQUIRED PARIflNG ' -'i Total: z 2 Handicapped: R-3 VN 16.00 13.00 60.00 57.00 0.00 Compact: PUBLIC IMPROVEMENTS Notes: Page I of3 mL] !.; iu j,t tiiliiiy )01 I, U rLUrN U lr\ r UKrvlA,! lr,2Nl 0R ts H F Status Issued 225 Fifth Street, Springfield, OR S4l-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01137ISSUED: 1011412004APPLIED: 0911412004 EXPIRESz 0411412005VALUE: $ 14,766.00 Description Tvpe of Construction Foundation Onlv Use Bid Amount Manuf Home Manufactured Home $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 1,000.00 13,766.00 Value $1,000.00 $13,766.00 $14,766.00 Date Calculated 09114t2004 091t4t2004 Fee Description PIan Review Residential + l0o/o Administrative Fee + 77o State Surcharge Fixture Foundation Permit Manuf Home State Issuance Manufactured Home Conn - PImb Manufactured Home Placement Plan Review Major - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet + l0o/o Administrative Fee + 7%o State Surcharge Manufactured Home Service Total Amount Paid Total Value of Project Date PaidAmount Paid $29.2s $30.90 $21.63 $14.00 $45.00 $30.00 $45.00 $160.00 $103.00 $2.0s $40.92 $45.00 $5.00 $3.s0 $s0.00 $62s.2s Receipt Number 1200400000000001349 1200400000000001407 1200400000000001407 1200400000000001407 1200400000000001407 1200400000000001407 r200400000000001407 1200400000000001407 1200400000000001407 1200400000000001407 1200400000000001407 1200400000000001407 220040000000000r289 2200400000000001289 2200400000000001289 9n4t04 9t29104 9t29t04 9t29t04 9t29t04 9t29t04 9t29t04 9t29t04 9t29t04 9t29t04 9t29t04 9t29t04 t0n4t04 t0n4t04 t0n4t04 tr'ees Paid Plan Reviews Initial Review Planning Review 09t20t2004 09t20t2004 09t20t2004 09t28t2004 APP APP SKG TAJ Needs to provide: 32 sfofenclosed storage and 2 paved off-street parking spaces. Paving only required if39th is a curb and gutter street. MH can either be a Type 1 or 2 since lst Addition to Adams Plat is considered an approved MH subdivision. Paee 2 of3 Valuation Descriotion 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: COM2004-01137ISSUED: 1011412004APPLIEDz 0911412004 EXPIRESz 0411412005VALUE: $ 14,766.00 Public Works Review Structural Review 09t20t2004 09t27t2004 APP MS 09t20t2004 09t27t2004 APP DLM 912712004 - Storm drainage not shown on plans. Applicant agreed to route drainage to a dryrvell as per phone conversation on 9127 12004. Applicant will specify location of drywell at the time of building permit pickup, and ensure it is l0 feet from both property line and foundation. Drywell information has been included in the building permit, and mailed to the applicant. -MS 912712004 - Infrastructure is private. Hookups are private. - MS Standard plan review comments for MH setup. 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. will be made the following work day. 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. 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. Manuf Home Plumbing: After home has been connected to water and sewer. Storm Sewer Line: Prior to filling trench. MH Service: Approval required prior to utility company energizing service. By signaturer l 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 located at the front of the property, and the approved set of plans will remain on the site at all times during construction. /n'/q - O q or Signature Page 3 of3 Date Kequlreo rnsDeeuontl 225 h-ifth Street Springfield, Oregon 97 477 541-726-3759 Phone nrly of Springfield Official Receipt - lvelopment Services Department Public Works Department RECEIPT#: 2200400000000001289 Date: 1011412004 1:49:11PM Job/Journal Number coM2004-01137 coM2004-01137 coM2004-01137 Description Manufactured Home Service + 7%o State Surcharge + l0% Administrative Fee Amount Due 50.00 3.50 5.00 Item Total:$58.50 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard JOHN R. OGAN nJm 004588 In Person $58.50 Payment Totat : -$58-:5d' r0n4t2004 Page I of 1 I'T.II' 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:{541)726-3753 o F E LE CTRI CAL P ERMIT APP LI CATI ON City Job Number CAq4ZOoq - O L l3-7 3i'fitN.:FrgLD -.,. r. .r-i.i' t, l Date 'C 1 35 LEGAL DESCRIPTION70)to 43o$atu JOB DESCRIPTION J4/;4 a-<- Permits are non-transferable and expire if work is not started within 180 days of issuauce or if work is Suspended for 180 days. '' ' . - - :1, . -- CO NTRACTO R IN STAI,IATIO N ONLY Service Included 1000 sq. ft. or less Each additionai 500 sq. ft. or portion thereof 6fl0fi64d A.Nerv B. C. D. d $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ s0.00 $ 50.00 the center' (Note .00 ?\BUqllte$ffiE-osPie ;###;dI* -- ) Electrical Contractor Address l\-15 l.C ! ^(Aup city Eut-qen€ Phone 3*1 -j3ci-] Supervisor License Number )S rf-r <. Expiration Date Constr. Contr. Number \"1 5a Expiration Date Si gnature of Supervising an Name y1 Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps ---l 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above. New Alteration or Extension per pauel One Circuit Each Additional Circuit or with Service or Feeder Permit 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Arnps Over 1000 Amps/Volts Reconnect Only , Pi9?.gq.i $100.00 ., $ 43.00 $ 3.00 Address r E. Ciry OWNER INSTALLATION The installanon is being made on properry I own which is not intended for sale, lease or rent. Owaers Signature: 7.4/ {(3 4 Pump or irrigation {. SIJBTOTAL OFABOVE' 7o/o State Surcharge 10% Adminisrrative Fee TOTAL $ 50.00 Sign/Outline Lighting S 50.00 Limited EnergyiResidential S 25.00 Limited EnergylCommercial S 45.00 Minimum Electric Permit Inspection Fee is S4S.00 + Surcharges 50 J s-o ?O SBszInspection Request: 72G37 69 Shared Drive(T:)/Building FormyElecrrcal permit Applicarion l -03.doc lires re (Jregon Lir..., nc,irt.q F\rr -trr( Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line FS Building/Combination Permit PERMIT NO: COM2004-01137ISSUED: 0912912004APPLIEDz 0911412004 EXPIRESz 0312912005VALUE: $ 14,766.00 SITE ADDRESS: 1252 39TH ST ASSESSOR'S PARCEL NO.: 1702304304200 Springfield TYPE OF WORI(: Manufactured Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: MH replacement on private lot. Previous MH demolished ilo permit by owner unkown recent date. Owner: Address: OGAI\ JOHN R & PAULA S 83494 PAPENFUS RD PLEASANT HILL OR 97455 Contractor Type Electrical Manuf Home Inst Plumbing Contractor LONNIE LEROY JENKINS MELS BUDGET HOMES TRAVESS CONSTRUCTION LLC License 156582 66954 138060 Expiration Date 08/06/200s 05t29t2005 rU0u2005 Phone 541-746-6441 541-747-9585 54r-746-6399 CONTRACTORINF( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 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: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo oflot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN 16.00 13.00 60.00 57.00 0.00 nla ,, Yes 7.90 Sidewalk Type: Downspouts/Drains: REQUIRED PARIilNG Total: 2 Handicapped: Compact: N()IICE: THIS PEBMII SHALL EXPIRE IF THE WORKAuTHofi rzED uNDER rirs pin rvrii,i,io, g^g.yy-ENcED 0R rs asnNooNil i0"R,'ANY 180 DAY PERIOD. PUBLIC IMPROVEMENTS Notes: Page 1 of3 f-----------r L-I{ EL b D Ulll-rll\ (r II\-F UlI..lYr4, I-!!!|I'I l 90. \ callir f tire rules telenhone l ruarl 2344). U|rV-I'L( TNI[N I TNI(-,I(1VIAIIT.,I\ I Building/C ombination Permit PERMIT NO: COM2004-01137ISSUED: 0912912004 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line 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 Bid Amount 1,000.00 13,766.00 APPLIED: 0911412004 EXPIRESz 0312912005VALUE: $ Value $1,000.00 $13,766.00 $14,766.00 Date Calculated 09fiAt2004 09n4t2004 Fee Description Plan Review Residential + l0o/o Administrative Fee + 7oh State Surcharge Fixture Foundation Permit Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement Plan Review Major - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number r200400000000001349 1200400000000001407 1200400000000001407 1200400000000001407 1200400000000001407 1200400000000001407 1200400000000001407 1200400000000001407 1200400000000001407 1200400000000001407 1200400000000001407 r200400000000001407 $29.25 $30.90 $21.63 $14.00 $4s.00 $30.00 $4s.00 $160.00 $103.00 $2.05 $40.92 $45.00 9n4t04 9t29t04 9t29104 9t29t04 9t29t04 9129t04 9129t04 9t29t04 9t29t04 9t29104 9t29104 9t29t04 $s66.7s tr'ees Paid Plan Reviews Initial Review Planning Review 09t20t2004 09t20t2004 09t20t2004 09t28t2004 APP APP SKG TAJ Needs to provide: 32 sfofenclosed storage and 2 paved off-street parking spaces. Paving only required if39th is a curb and gutter street. MH can either be a Type I or 2 since lst Addition to Adams Plat is considered an approved MH subdivision. Paee 2 of3 \ Valu ati o n D eseriBlion--] Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Public Works Review Structural Review PERMIT NO: COM2004-01137ISSUED: 0912912004APPLIED: 0911412004 EXPIRESz 0312912005VALUE: $ 1 09t20t2004 0912712004 APP MS 09t20t2004 0912712004 APP DLM 912712004 - Storm drainage not shown on plans. Applicant agreed to route drainage to a drywell as per phone conversation on 9 127 12004. Applicant will specify location of drywell at the time of building permit pickup, and ensure it is 10 feet from both property line and foundation. Drywell information has been included in the building permit, and mailed to the applicant. -MS 912712004 - Infrastructure is private. Hookups are private. - MS Standard plan review comments for MH setup. 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. will be made the following work day. 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. 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. Manuf Home Plumbing: After home has been connected to water and sewer. Storm Sewer Line: Prior to filling trench. 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 located at the front of the property, and the approved set of plans will remain on the site at all times during e- ,o^0( Owner or Page 3 of3 Date Keoulreo InsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-72''-3759 Phone rity of Springfield Official Receipt _ rvelopment Services Department Public Works Department RECEIPT #: 1200400000000001407 Date: 0912912004 12:00:38PM Job/Journal Number coM2004-01137 coM2004-01137 coM2004-01137 coM2004-01137 coM2004-01137 coM2004-01137 coM2004-01137 coM2004-01137 coM2004-01137 coM2004-01137 coM2004-01137 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Foundation Permit Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - PImb Storm Sewer - 1st 50 Feet Fixture + 7o/o State Surcharge + l0% Adminishative Fee Plan Review Major - Planning Amount Due 40.92 2.0s 45.00 160.00 30.00 45.00 45.00 14.00 21.63 30.90 103.00 Item Total:$537.s0 Payments: { Type ofPayment Paid By Check Numtrer Received By Batch Number Authorization Number How Received Amount Paid Check MELS BUDGET MOBILE HOMES djb 3571 In Person Payment Total: $s37.s0 $s37.50 t t 912912004 Page I of I aixcrf.o strR. _/FlE!-l} DEVELOPMENT SERVICES DEPARTMENT MANUFACTURED HOME SET-UP AGREEMENT As required of the attached I Manufactured A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square fee! 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 standards required for single family dwellings at the time of construction.initials Date 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 bein certihed by the manufacturer to have an exterior thermal envelope meeting perfo#ance standards which reduce heat loss to levels equivalent to the performance standards required ior single family dwellings at the time of construction. initials 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 wvvw. ci. s p ri n gf i e ld. o r. u s ST 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 10 feet of the perimeter errclosure, €nclosed at the perimeter with stone, brick o, oth", "on"rit. or masonry materials approved by ttre Building Offrcial aud with no more that24 inches of the enclosing material exposed above grade. 2 lI Manufactured JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING LTNITS I. STORM DRATNAGE DIRECT RTINOFF TO CITY STORM SYSTEM CITY OF SPRINGFIELD SYSTEMS DEVELOPMENI T/ORKSHEET coM2004-01137 1252 39th Street 17023043 TL 04200 Placement of MH 0 BTIILDING SIZE 0 LOT SrZE (SF):0 TO DRYWELL DESIGNED AND CONSTR TO CITY STANDARDS x COST PER S.F $0.3 r 0 ITEM I TOTAL- STOR]T,I DRAINAGE SDC $40.92 2. SANITARY SEWER - CIry A REIMBURSEMENT COST: IMPERVIOUS S.F. x 132.00 RLINOFF MIMBER OF DFU's 0 B. IMPROVEMENT COST: NIIIvIBER OF DFU's 0 COST PER S.F $0.3 r 0 COST PER DFU s24.04 $r 8.28 NT]MBER OF UNITS 0 NUMBER OF UNITS 0 ADM. FEE RATE 5% CHARGE $40.92 x DISCOLINT $0,00 ITEM 2 TOTAL - CITY SANTTARY SEWER SDC 3. TRANSPORTATION A. RETMBTIRSEMENT COST: x x x x x x $0.00 COST PER TRIP $ r 8.30 COST PER TRIP $80.72 $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.s7 ST]BTOTAL $40.92 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NIIMBER OF FEU's 0 B. IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3,&4') 5. ADMINISTRATIVE FEE: $0.00 $40.92 CHARGE $2.05 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Matt Stouder 912712004 IMPERVIOUS S.F 0.00 DISCOLINT RATE 50v, COST PER FEU $82.03 $0.00 $0.00 $0.00 2.05 $42.97 I 070 I09l 1092 I 093 1094 1055 I 056 1079 I 078 0 IJ] t-l (.) rI]Fa or! -ifilirar COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CIIARGES DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OFNEW FIXTURES X I]NIT EQUTVALENT: DRAINAGE FXTURE UMTS FOR CALCUI-ATE ONLY THE NET ADDITIONAL NO. OF FTXTURES LTNIT DRAINAGE FIXTT-IRE TINITS 0 0 r979 FIXTT]RE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NTIMBER OF EDU'S 20 TOTAL DRAINAGE FXTURE UNITS isa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COI.]NTY ASSESSED VALUE BEFORE 1979 $s.29 $s.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 VALUE/ IOOO $0.00 CREDITRATE $5.29 01979 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 CREDIT FOR L4ryD OF APPLICABLE) 1980 l98l 1982 1983 1984 1985 1986 1987 I 988 1994 1995 1996 1997 x I 990 1989 1991 t992 t993 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALTIE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT I 998 1999 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 3 011BATHTLTB 0010DRINKINC FOLINTAIN 3 000FLOOR DRAIN 0030INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0006INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0200LAUNDRY TUB 0131CLOTMSWASF{ER / MOP SINK 0600CLoTFIESWASHER - 3 OR MORE (EA) 00120MOBILE HOME PARK TRAP (1 PER TRAILER) 0010RECEPTOR FOR REFRIG / WATER STATION / ETC. 3 000RECEPTORFOR COM. SINK / DISHWASHER / ETC. 0020SHOWER SINGLE STALL 2 000sHowER, GANG (NUMBER OF UE4p!) 1 3 0ISINK: COMMERCTAL/RESIDENTIAL KITCHEN 0002SINK: COMMERCTAL BAR 2 000SINK: WASH BASIN/DOUBLE LAVATORY 1 I 0SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 0 5 0URINAL, STALL / WALL 0 0 6 0TOILET, PUBLIC INSTALLATION 0TOILET. PRTVATE INSTALLATION 1 1 3 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALTIE 00 0 2000 200'l SPFIIhJGFIELfS DEVELO P{Vl E ;\iT SERViCF-S DEPART(dENT MANUFACTURED HOME LAND USE AGREEMENT As required by the City of Springfield Development Code, I agree that with the 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX(541) 726-s6Ss approval attached permits, one of the following manufactured homes wil! be placed at'Springfi e ld, Ore gon, C ity Job Nunaer @.{%2{ - O// 3 / x 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 oinot 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 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 i-ssuance 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 ifapplicable: o Street Trees. Paving Driveway . Minimum 32 square foot storage structure . Completion of partition approval . Removal of any existing structures as noted on your partition approval o Signing and recording of any required partition, easement, improvement agreements, etc. r 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. Dateo\ ?- ]o-o{ Date