HomeMy WebLinkAboutPermit Building 2002-05-211of 3Page
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Job# 02-00381-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1584 00016th St Spr
AssessorsMap#: 17032531
Lot: Block: Addition:
Job Number: 02-00381 -01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 01500
Subdivision:
crTY oF SPRTNGFTELD, OREGO^
Owner: CarlMathews
Address: 1584 16th Street
Scope Of Work: Manufactured Home on Private Lot
Replacing existing MH with new MH (same size)
Phone Number:
City/State/Zip:
New
541-747-1977
Springfield, OR97477
Value: $74,000
Contractor Type
GeneralContr
ElectricalContr
Manuf Home lnstall
Plumbing Contr
Contractor
Durflinger & Sons lnc
32399 Lynx Hollow Rd, Creswell, OR
97426-9351
CarlMathews
1584 16th Street, Springfield, OR97477
Sunburst Contemporary Homes lnc
Po Box 21605, Eugene, OR 97402-0410
Durflinger & Sons lnc
32399 Lynx Hollow Rd, Creswell, OR
97426-9351
Registration # Expiration Date Phone
45710 811112003 541-942-7258
541-747-1977
58756 3/9/2003 541-461-6541
45710 8t11t2003 541-942-7258
To request an inspection call the 24 hour recording at 726-3769. All i
a.m. will be made the same working day, inspections requested after 7
working day.
Verify Ground Rod
Foundation
MH Service
IHE
UNDEB FOR
WORK
IS NOl
MH Set Up
MH Final
Required !nspections
Building ANY 180 DAY PERIOO.
-lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir
-After forms are erected but prior to concrete placement.
Electrical
Manufactured Home
-When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house number
NR
LE D
Address
City
STREET .
ob
N
Multi-Family per dlelling unit.
Seryice Included:
Items Cost
$ 106.00
$ 19.00
or
!fr
ate
200 amps or
201 amps to
401 anips to
I amps
Over 6
IBil
an
D. Branch
N or Extension
,
inclunotE
or with
or
(?q
-
$45
Fee is S45.00 * SurchargesNIi
TOTAL
e,
v/,.
4.
Permits are
if work is
of issuance
180 days.
1000 sq.ft. or less
. Each additional 500
sq. ft or portion
Dwelling
and expire
within 180 days
work is suspended for
$ 50.00
B.
70
8Vo
51 .SD
Street lmprovement:Fully lmproved
lmprovement Agr.?
9-7
00/00/0000 00:00:00
Sidewalk Type:
AdditionalROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Page 2 of 3
tr
8
To Curb and Gutter
4
00/00/0000 00:00:00
Job# 02-00381-01
Gurb Gut?[ ]
San Sewer Depth (Ft):
Storm Sewer Available?
Special Req.:
Security Required:
Bond Begin DateTime:
Special lnstructions:
Other Utilities:
Project Supervisor:
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? [ Wetlands? l]
Journalnumbers
1: 2=
Comments:
Planner: Sam Gollah
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? r'
Gtenwood Area?
2
3
Additional Requ irements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:1153 of 2975
Area (Sq. Feet)
Main: 1494 Accessory:
Private Garage/CarP/Stor
# Of Stories: 1 Height (feet): 16
Current Units:1 ProPosed Units:
Gensus Code: New Mfg Home
Total:1494
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
04t05t2002 8530 4,000 $39.39
$39.39
Build
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
0512112002
05t2112002
05t21t2002
91 82
9182
9182
4,000 $60.60
$4.24
$4.85
$69.69
Minimum Electrical Permit Fee
Manufactured Home Service\Feeder
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Electrical
05t2112002
05t21t2002
05t21t2002
05t2112002
1
$.00
$50.00
$3.50
$4.00
$57.50
91 82
9182
9182
9182
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 2
# Of Bedrooms: 3
Handicap Access? ._,
Job# 02-00381-01 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 Homt
Manufactured Home Administrative Fee
Total Manufactured Home
05t2112002
05t21t2002
0512112002
05t21t2002
9182
9182
9182
9182
70,000
1
$160.00
$30.00
$11.20
$12.80
$214.00
nt
Manufactured Home - Storm
SDC Administrative Fee
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC lmprovement
Total System Development
05t21t2002
05t21t2002
0512112002
05t21t2002
9182
9182
9182
9182
308
2
2
$84.08
$7.97
$42.74
$32.48
$167.27
Plan
Planning Plan Review
Total Planning
05t2112002 9182 1 $55.00
$55.00
Grand Total
PIan Check Type Checked By Date Completed Comment
lnitialReview-Res Lisa Hopper 0410812002
Engineering-Res Bob Kettwig 0412312002
Planning-Res Sam Gollah 0411612002
Structural-Res Tom Marx 0411712002
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 construction
$602.8s
s/2r,6 z
Signature Date
c
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS:0 BUILDING SIZE: 2652 SF LOT SIZE: 9638 SF
CARLMATHEWS
I584 I6TH ST
t7-03-25-31 rAX LOT #1500
SINGLE FAMILY RESIDENCE
JOURNAL OR JOB NUMBER: 02-00381-01
IMPERVIOUS S.F COST PER S.F.DISCOUNT RATE
5O7o0.00
IMPERVIOUS S.F
308.00
COST PER S.F.
$0.273 $84.08
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x x
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
ITEM l TOTAL. STORM DRAINAGE SDC
COST PER DFU
2 I $32.48
NUMBER OF DFU's
2
COST PER DFU
$21.37 $42.74
B.IMPROVEMENT COST:
x
x
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
ITEM 2 TOTAL . CITY SANITARY SEWER SDC
ADT TRIP RATE NUMBER OF LINITS COST PER TRIP NEW TRIP FACTOR
0 94 r.00 009.51
ADT TRIP RATE
9.57
NUMBER OF UNITS
0
COST PER TRIP
$ 16.21
NEW TRIP FACTOR
1.00 $0.00
B.IMPROVEMENT COST:
x x x
x x x
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ITEM 3 TOTAL - TRANSPORTATION SDC
$0.00
NUMBER OF FEU's
0
COST PER FEU
$332.86 $0.00
NUMBER OFFEU'S
0
COST PER FEU
$34.83 $0.00
$0.00
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
$0.00
B. IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
ITEM 4 TOTAL . MWMC SANITARY SEWER SDC
159.30SUBToTAL (ADD rTEMS 1,2,3, & 4)
SUBTOTAL ADM. FEE RATE
5Vo $1.91
5. ADMINISTRATIVE FEE:
x
$167.27TOTAL SDC CHARGES5t21t20029114,.Trrr+lb
SDC COORDINATOR DATE
1070
1091
1092
1093
t094
r055
r056
1013
a
E]
RoU
&
r4HV)
o
E]&
DRAINAGE FIXTURE UNIT CALCULATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
Lrl' u
NUMBER OF NEW FXTURES x UNIT EQUIVALENT = DRAINAGE FXTURE UNTTS
(NOTE: FOR REMODEI.S, CAI,CULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
FIXTURE
UNITS( +xnw - #oLD ) x UNIT
FIXTURE TYPE
BATHTUB (
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
2-2
0-0
0-0
0-0
0-0
0-0
1-1
0-0
0-0
0-0
0-0
l-0
0-0
l-t
0-0
0-0
0-0
r'la
00
0-0
1.,
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
3 0
DRINKING FOUNTAIN I 0
FLOOR DRAIN 3 0
INTERCEPTORS FOR GREASE I OIL /SOLIDS IE'TC.J 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.6 0
LAUNDRY TUB 2 0
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 / ETC.
RECEPTOR FOR COM
1 0
J
SHOWER, SINGLE STALL 2
SHOWER, GANG (NUMBER OF HEADS)2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN J 0
SINK: COMMERCIAL BAR 2 0
SINK: DOMESTIC BAR I 0
WASH BASIN 2 0
LAVATORY I
URINAL, STALL/WALL 5 0
TOILET, PUBLIC INSTALLATION 6 0
TOILET, PRIVATE INSTALLATION -l 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
(0-0 )x 20 0
TOTAL DRAINAGE FIXTURE UNITS
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
$o.oo
IF IMPROVEMENTS OCCURRED AFIER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNE)(ED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
I979 OR BEFORE $4.92 I 990 $2.06
1980 $4.83 l99l $ 1.64
198 I $4.77 1992 $1.45
1982 $4.64 t993 $1.31
1 983 $4.47 1994 $1.13
1984 $4.30 1995 $0.97
l 985 $4.09 1996 $0.82
1986 $3.78 1997 $0.63
1987 $3.41 I 998 $0.41
1988 $2.98 1999 $0.22
1989 $2.52 2000 $0.04
$0.00
$0.00$4.92
TOTAL MWMC CREDIT
0.000
x
x
VALUE / IOOO
0.000
CREDIT RATE
$4.92
0
2
0
lrl
E
t{
-
..
JOB
Perntits are and expire
if work is rvithin 180 days
of issuance work is suspended for
180 days.
ALLATION
Address
cruising Elec
Citr Job
'.Iulti-Family pcr drvelling unit.
.iervice Included:
lp,i t X
20[) itmps or
20 ) rrurps to
-10i rmps
60i ;intps to'I
D. Brl
E. iVIis:elll
Prrurp'or inigation
Li;rited Energv/Res
Lir;ited Energy/f,spm
illininrrrm E. lectric Permit Inspecti
4. SUIITO'I'AL OF ABOVE
7%, Statc Surchlrge
8%, Adrninistrative Fee
$ 50.00
1
not inclutled)
$2s.00
$,t5.00 __
on Fee is 545.00 * Surchargcslf,
TC'--.4.I
1
10,,) sq.ft. or less
Eirch additional 500
sq ir or portion
Manufd Home or
Olr':
Items Cost
$ 106.00
$ r9.00
0o
51 .Si
SPRID'GFIELE,
D EV ELO P M EI,IT S E R VI C E S D EPARTM ENT
_4 Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed
fl* *.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
Specialry Codes.
Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor area
of not t"5 tt an 500 square feet, that has a nominal roof pitch of 2 feet in height for each l2 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 ttre date of lssuance 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
r 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'
. 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, AR 97477
(541) 726-3753
FAX (541) 726-s689
Contractor
Date
MANUFACTURED HOME LAND USE AGFGEMENT
As required by the City of Springfield Development Code, I agree that with the approval of the attached
permits, one of the following manufactured h"*;;;ili;a"I9a ^r t 59+'' /b& ST-
'springfield, Oregon, City Job Number O Z ZtO"8 /-O/ .
,Q,-yC*.-/Ar-^