HomeMy WebLinkAboutPermit Building 2001-11-05SPR!NGFIELD
Job# 01-01066-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page '1 of 4
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 465 00048th St Spr
AssessorsMap#: 17023200
Lot:7 Block: Addition:
Job Number: 01-01 066-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 00700
Subdivision: Lynn Lee Estates
ctTY oF SPRiNGFTELD, OREGOTV
Owner: Robert Piper
Address: 1415 Bertlesen Rd
Scope Of Work: Manufactured Home on Private Lot
Phone Number:
City/State/Zip:
New
541-342-1405
Eugene, OR 97401
Value: $73,782
MH on private lot w/garage
Contractor Type
General Contr
Electrical Contr
Manuf Home lnstall
Plumbing Contr
Contractor
M&AConstructionlnc
916 Prescott Lane, Springfield, OR97477
Glen NealElectric
4715 Fox Hollow Road, Eugene, OR
97405
Emerald Lifestyles Homes
575 S. A. Street, Springfield, OR97477
M&AConstructionlnc
916 Prescott Lane, Springfield, OR97477
Registration # Expiration Date Phone
BB92B 2t1112003 541-747-6504
541-747-4008
BB92B 2t11t2003 541-747-6504
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNC
1
(VN) Wood Frame
Electric
Office Use
-
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms:
Range: Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1404
To request an inspection call the 24 hour recording a1726-3769. 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
Buildin
Site
Verify Ground Rod
Footing
Foundation
Shear Wall Nailing
Framing
Drywall
-To be made after excavation but prior to setting forms.
-lnstallground rod atfooting, and callfor inspection in conjuction with footing and/orfoundation i
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Before covering sheathing with finish materials.
- Prior to cover.
-Prior to taping.
FinalBuilding
Verify Ground Rod
MH Electrical
Rough Electrical
MH Service
Final Electrical
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
MH Set Up
MH Final
SW-Curbside
CC-Standard
Street lmprovement:
Curb Cut?f
San Sewer Depth (Ft):
Storm Sewer Available?
SpecialReq.:
Security Required:
Bond Begin DateTime:
Specia! Instructions:
Other Utilities:
Project Supervisor:
Fully lmproved
Improvement Agr.?
6-4
00/00/0000 00:00 AM
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
8
To Curb and Gutter
4
00/00/0000 00:00 AM
Job# 01-01066-01 Page2 of 4
Required lnspections
Building
-When all required inspections have been approved and the building is complete
Electrical
-lnstall ground rod at footing, and callfor inspection in conjuction with footing and/or foundation i
-When blocking, setup, and plumbing inspections have been approved and the home is connect
-Prior to cover.
-After home has been connected to water and sewer
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
Manufactured Home
-When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house number
Public Works
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? [ Wetlands? [
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:2
3
Planner: Liz Miller Additional Requirements:
Urban Growth Boundary?[ Glenwood Area? [ Required Attachments:
Quantity Of Fill: Source Locn:
Supplier: Material:
Drainage:
Floodway FEMA: Panel 1 162 o12975 Flood Ptain FEMA:
Land Use: Single Family Dwelling
Pave Driveway?
Zone X White
-When all electrical work is complete.
Plumbing
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq
Main: 1404 Accessory456
Job# 01-01066-01
# Of Stories: Height (feet):
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:1860
Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
0912812001 6846Residential Plan Check
Total Plan Check
11,887 $79.95
$79.9s
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
1110512001
1110512001
11t05t2001
7180
71 B0
7180
11,887 $123.00
$8.61
$9.84
$141.45
Minimum Electrical Permit Fee
Manufactured Home Service\Feeder
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrica!
Electrical
1110512001
1110512001
1110512001
1110512001
11t05t2001
11t05t2001
71 80
7180
71 B0
71 B0
7180
71 B0
2
2
$.oo
$100.00
$.00
$6.00
$7.42
$8.48
$121.90
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Manufactured Home Connection
Administrative Fee - Plumbing
Total Plumbing
Plumbing
11t05t2001
1110512001
1110512001
11t05t2001
1110512001
1110512001
1110512001
7180
71 B0
71 80
71 B0
71 B0
7180
71 B0
35
35
35
1
$.oo
$12.60
$45.00
$45.00
$45.00
$45.00
$14.40
$207.00
Manufactured Home
Manufactured Home Setup Fee
Manufactured Home State lssuance
State Surcharge For Manufactured Hom,
Manufactured Home Administrative Fee
Total Manufactured Home
11t05t2001
11t05t2001
1110512001
1110512001
7180
71 B0
71 B0
71 B0
61,895
1
$160.00
$30.00
$11.20
$12.80
$214.00
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Public Works
11t05t2001
1110512001
1110512001
71 B0
71 B0
7180
50
1
1
$65.00
$65.00
$-30.00
$100.00
Devel
Residential- Single Family - Storm
Residential lmprovement MWMC
MWMC Administrative Fee
SDC Administrative Fee
1110512001
11t05t2001
1110512001
1110512001
7180
7180
7180
7180
5
1
1
$686.60
$34.83
$10.00
$124.75
2,51
Job# 01-01066-01 Page 4 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
System Development
Property Annexed 1979 or Before
Residential Sanitary MWMC
Residential - lmprovement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC lmprovement
Total System Development
11t05t2001
1110512001
11t0512001
11t05t2001
1110512001
11t0512001
71 B0
71 B0
7180
71 B0
7180
71 B0
$-136.37
$332.86
$659.76
$1ss.13
$427.40
$324.80
$2,619.76
28
1
1
1
20
20
Manufactured Home - Willamalane
Total Willamalane SDC
Willamalane SDC
11t0512001 7180 1 $1,000.00
$1,000.00
Planning
11t05t2001 7180 1Planning Plan Review
Total Planning
$50.00
$50.00
Address Assignment
Total Permits w/o Srchg
Permits w/o Srchg
1110512001 7180 1 $8.00
$8.00
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Checked By
Bob Barnhart
Steve Templin
Liz Miller
Liz Miller
Don Moore
Date Completed
1010112001
1011012001
10t29t2001
1012912001
10t17t2001
$4,542.06
Comment
Don has asked me to call contractor regarding
new plot plan. Left message on 10/1701
Submitted new plot plan.Planning-Res
Structural-Res
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.055 will be used on
this project.
I further agree to ensure that all required inspections are requested at the proper time, that each
address is readable from the street, that the permit card is located at the front of the propery, and the
set of will remain on the site at alltimes during constructionPlns
fnx ,:1rl-
Date
2?5 FIFfiI STREET '
SPFSIGFCLb, OREGON
INSPEC:TIOI.i'REQUEST:
OFFTCE:,726j3?-s9
t.-
i: '.i
.i,g
fr-
LEGAL DESCRIPTIOIT -14 ,01
oo
Sp$i-Fanity per drrelling unit
$cnice Included:
6utuo7 lterns Cost
sr0it.00
$ 19.00Fermits are non{ransferable and e"\pire
if work is not.started rvithin t80 dap
of issuane or if rrork is suspended for
thor€of
Errh rVanrrfd Hcure or
- lvlodularDweiling' Servicc orFedcrIiiuelEO dsys. ..,. ..,,
:- -'. .
":':r,
2. CONTRJq.CTOR
'; ,:- l
' Co:rstr
Date 1
U*rSfefl."qn0li ONLY B. Servires or Fecders
Iostellation,
Relocation:
2S ampsor
20I anpa to
{01 amps to
I amps
D. Branch
PERMITSHALLEXP
ORIZEDU
ENCEDOR ISABA
DAYPERIOD
345.00
Fee is -q{5.00 + Surchsrgcs
l01,'<1.b3.( z''
la6 .35
PER\{IT
qr
JOB DESCRIPTION
llP tt Cur,r-.,' c-f!puel
tt
-r*_ S 50.ff,
-.j li;.' .
't-i, ' -
]blllMUIIsf-r-
Electrica!'INC
or rvith
TrrTrr
CITY OF OREGO'U
zonrng and does not require specific land use
approval I,DL
Date
225 FIETE SIBEET AL/thoilzed Srgnature
SPRINGFTELD, oREGoN 97 477
INSPECf,ION REQIESTz 726-3769
OFFICE: 726-3759
1.or
IJGAL DESCRTPTION
JOB
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
SPh JFIELO
City Job Nu.mber
3. COI{PI,ETE FEE SCffiDTIl,E BELOS
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Hodular Dvelling
Service or Feeder
$ 1s.00
Sum
g4@
$4&€e /0o do
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor (a.
Address
Ci ty Phone 4P .l7Z
Supervisor License Number "57?s
Expiration Date -22- o
Constr Contr. Number
Expiration Date o
of Supervising trician
0vners Name
Address
DATE:
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0n1y
c.
E
Temporary Services or Feeders
Insial-lation, Alteration or Relocation
200 amps"or less $
201 amps to 400 amps
-
$over 4b1 to 600 amps
-
$
over 600 amps or lbOO-G-ITs se
Branch Circuits
s s0.00
s 60.00
$100.00
s130.00
$300.00
s 40.00
40.00
55.00
80.00
,e trBx aE66
D
ciq fu{.-
-Ynone
3/2-/4oS:
OVNER INSTALLATION
The installation is being made on
property I ovn vhibh is not intended
for sale, lease or rent.
Orners Signature:
Nev, Alteration or Extension Per Panel
one Circuit $ 35'00
Each Additional-:i;*i:":;,:iil.'ervice
s Esi G6 o
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lighting-
Limited Energy/Res
-
Limited Energy/Comm
SUBTOTAL OF ABOVE
7% state Surcharge
8Z Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
RECEIVED
5 ao
ELECERTC/\L PEDUjIID j'DILjICI TON
$ 8s.00
\
DI:
CITY OF SPRINGFIE. SYSTEMS DEVELOPMENT CH/ }E WORIGHEET
JOLIRNAL OR JOB NUMBER: 0l-01066-01
NAME OR COMPANY: RoberPiper
LOCATION:465 48th Street
TAXLOTNUMBER:I 7-02-32-00-06000
DEVELOPMENTTYPE: NEWMOBILEHOMERESIDENCE
NEW DWELLING UNITS:I BUILDING SIZE: 1860 SF LOT SZE: 6204 SF
IMPERVIOUS S.F COST PER S.F DISCOUNTRATE
s0%$0.000.00
IMPERVIOUS S.F
2515.00
COST PER S.F.
$0.273 $686.60
RUNOFF ROLTTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x x
I. STORM DRAINAGE
DIRTCTRUNOFFTO CITY STORM SYSTEM
$686.60ITEM l TOTAL. STORMDRAINAGE SDC
NUMBER OF DFU's COST PER DFU
$324.8020$16.24
NUMBER OF DFU's
20
COST PER DFU
$21.37 $427.40
B.IMPROVEMENT COST:
x
x
2. SANITARY SEWTR- CITY
A. REIMBURSEMENT COST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
NEW TRIP FACTORADTTRIP RATE NLIMBER OF LINITS COST PERTRIP
L00 $6s9.76I$68.949.57
ADT TRIP RATE
9.57
NUMBER OF UNITS
I
COST PERTRIP
$ 16.21 I 55. l3
NEW TRIP FACTOR
1.00
B. IMPROVEMENT COST:
xxx
x x x
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$814.89ITEM3 TOTAL - TRANSPORTATION SDC
$10.00
NUMBER OF FEU's
I
COST PER FEU
$332.86 $332.86
NUMBER OF FEU's
I
COST PERFEU
$34.83 $34.83
($136.37)
SUBTOTAL OF MWMC REIMBTIRSEMENT,IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
$231.32
B. IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SANITARY SEWER - MWMC
A. REIMBI.]RSEMENT COST:
1.32ITEM 4 TOTAL - ltvIWMC SAI\ITARY SEWER SDC
01SUBTOTAL (ADD ITEMS 1,2,3, &4)
SUBTOTAL ADM. FEE RATE
124.7515%
5. ADMINISTRATIVE FEE:
x
$2,619.76
109
lo56
1073
ar!ooO
&r!Fa
Otrl&
I
t}lt2l200tSlrtLTu1l;4-
SDC COORDINATOR
TOTAL SDC CIIARGES
DATE
DI'U
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE I,INITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
FIXTURE
UNITSFIXTURE TYPE (#NEW - #OLD )x UNIT
EQUIVALENT
BATHTUB (l-0
(0-0
(0-0
(0-0
(0-0
(0-0
(l-0
(0-0
(0-0
(0-0
(0-0
(l-0
(0-0
(l-0
(0-0
(0-0
(0-0
(3-0
(0-0
(0-0
(2-0
)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 I 0
FLOORDRAIN J 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS / ETC J 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 6 0
LAUNDRY TUB 2 0
CLOTHESWASHER / MOP SINK J J
CLoTHESWASHER- 3 ORMORE (EA)6 0
MOBILE HOME PARKTRAP (I PERTRAILER)t2 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.
RECEPTOR FOR COM. SINK / DIS}IWASHER / ETC.
I 0
J 0
SHOWER, SINGLE STALL 2 2
sHowER, GANG (NLIMBER OF HEADS)2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN J J
SINK: COMMERCIAL BAR 2 0
SINK:DOMESTIC BAR I 0
WASH BASIN 2 0
LAVATORY I 3
URINAL, STALL/WALL 5 0
TOILET PUBLIC INSTALLATION 6 0
TOILET, PRIVATE INSTALLATION J 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU,s*
( 0 - 0 )x 20
TOTAL DRAINAGE FIXTURE UNITS
0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
DRAINAGE F :URE UNIT CALCULATIC
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
$136.37
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
136.37
$0.00
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
I979 OR BEFORE $4.92 I 990 $2.06
I 980 $4.83 l99t $ 1.64
198 l $4.77 1992 $ l.4s
1982 $4.64 $1.31
I 983 s4.47 1994 $ l.l3
1 984 $4.30 I 995 $0.97
I 985 $4.09 r996 $0.82
I 986 $3.78 t997 $0.63
1987 $3.41 I 998 $0.41
I 988 $2.98 1999 $0.22
l 989 52.s2 2000 s0.04
TOTAL MWMC CREDIT :
0.000 x $4.92
VALUE / IOOO CREDIT RATE
27.717 x 54.92
I 993
SPAIIt.GFIELEl
D EV ELO P M ENT S ERV I C ES D E PARTM ENT
Signature
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that with the apprrolalg! the attached
permiis, one of the following manufacturedhomes,will be placed " #U 4g e tT-Springfield,
oregon, City Job Number Dl-b/l%6-O/
_d 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 *t 1"5 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 issuance 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
o Paving Driveway
o Minimum 32 square foot storage structure
o Completion of partition approval
o Removal of any existing structures as noted on your partition approval
o Signing and recording of any required partition, easement, improvement agreements, etc'
o Final lot grading
. Clty 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'
Date,
t,l4
Signature Date
0
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