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Home My WebLink AboutPermit Building 2006-09-22Status Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01083ISSUED: 0912212006 APPLIED: 0812212006 EXPIRES: 06/1512007VALUE: $ 83,659.00 SITE ADDRESS: 164g f 6TH ST Springfield TYPE OF WORK: Manufactured Home on ASSESSOR'S PARCEL NO.: f 703253101300 Private Lot TYPE OF USE: New Residential pROJECT DESCRIPTION: Replacement manufactured home. See also COM2006-01082 for demo permit PhoneNumber: 541-232-1872Owner: Address: Contractor Type General Electrical Mechanical Manuf Home Inst Plumbing CHRIS MATHEWS 1648 16TH ST SPRINGFIELD OR 97477 Contractor OWNER OWNER OWNER DURFLINGER & SONS OWNER Phone 541-942-2285 # 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: Type of Heat: Water Type: Range Type: Energy Path: AUTHORI oh of Lot Coverage: otG: tsr orced Air Electric Electric Electric nla UlilitY PERIOD, 2 I R-3 VN Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ts PERMIT lfrNurnE, PARKTNG OR ri nsnHooNED Fogtar. 1,538 1 3 24.00 r1.00 58.00 0.00 overlagffi(T4ENCED $iffR$y.tffi'0*' Handicapped Compact: Fully Improved Yes 22.20 Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: storm drainage piped to curb & gutter 09/11/06 CJS Page I of4 Curb and Gutter CUN Il{A(-I t(rt\ I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01083ISSUED: 0912212006 APPLIEDT 0812212006 EXPIRES: 06/1512007VALUE: $ 83,659.00 Description Type of Construction f,'oundation Onlv Use Bid Amount Manuf Home Manufactured Home $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 5,659.00 78,000.00 Value $5,659.00 $78,000.00 $83,659.00 Date Calculated 08t22t2006 t0t0412006 Fee Description Plan Review Residential + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Plan Review Minor - Planning Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Water Line - lst 50 Feet -Mechanical lssuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Foundation Permit Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 1200600000000001320 1200600000000001436 1200600000000001436 1200600000000001436 1200600000000001436 r200600000000001436 1200600000000001436 1200600000000001436 1200600000000001436 1200600000000001436 1200600000000001436 1200600000000001436 1200600000000001436 1200600000000001436 1200600000000001436 1200600000000001436 2200700000000000307 2200700000000000307 2200700000000000307 2200700000000000307 2200700000000000307 2200700000000000307 2200700000000000307 $49.53 $39.00 $25.10 $31.20 $30.00 s45.00 $50.00 $160.00 $112.00 $4s.00 $197.91 $260.27 s33.s9 $213.64 $4s.00 $45.00 $10.00 stz.t2 $6.06 $9.70 $76.20 $4.00 $41.00 8122t06 9t22t06 9t22t06 9t22t06 9t22t06 9t22t06 9t22t06 9122t06 9t22106 9t22t06 9t22t06 9t22t06 9t22t06 9t22t06 9t22t06 9t22t06 3t7t07 3t7107 3t7t07 317107 3t7t07 3t7t07 3t7t07 $1,541.32 Plan Reviews Initial Review 08t2312006 08t23t2006 APP LLH 09n5t2006 APP TAJ Addressing Fee, Willamalane SDC, and Fire Fee are not applicable. This is a replacement home. Planning Review 08t23t2006 Pase 2 of 4 Valuation Descriotion I I ees rard l Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line FIELD Building/Combination Permit PERMIT NO: COM2006-01083ISSUED: 0912212006 APPLIED: 0812212006 EXPIRES: 06/1512007VALUE: $ 83,659.00 Public Works Review Structural Review 08t2312006 09nu2006 APP CJS 08t23t2006 09t20t2006 APP RJB Lft msg on machine. Need accurate drainage fixture count & impervious surface area on demo'd house. Currently can not accurately calculate SDC fees due to incomplete information. Information received 9/8 via voicemail to JP 09/11/06 CJS Permit review & SDC calculation complete 09/11/06 CJS Storm drainage piped to curb & gutter 09/11/06 CJS To Request an inspection call the 24 hour recording at 726-3769. AII 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 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. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Masonry: 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. Final Plumbing: When all plumbing 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. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Reouired Insnections Page3 of4 C Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2006-01083ISSUED: 0912212006 APPLIEDz 0812212006 EXPIRES: 06/1512007VALUE: $ 83,659.00 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 Springfield and the Laws of the State of Oregon pertaining to the work described herein' and that NO OCCUPANCY wilt 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 is located at the front of the properfy, and the approved set of plans will remain on the site at all times 1rt/or Owner Signature Date Page 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cit-' of Springfield Official Receipt D. -,lopment Services Department Public Works Department RECEIPT #: 2200700000000000307 Date: 0310712007 l:4e:01PM Job/Journal Number coM2006-01083 coM2006-01083 coM2006-01083 coM2006-01083 coM2006-01083 coM2006-01083 coM2006-01083 Description Foundation Permit Gas Outlets l-4 Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 5olo Technology Fee + 8% State Surcharge + 10Yo Administrative Fee Amount Due 76.20 4.00 41.00 10.00 6.06 9.74 12.12 Item Total $1s9.08 Payments: Type of Payment Paid By CheckNumber Authorrzatron Received By Batch Number Number How Received Amount Paid CreditCard CHRISTOPHER MATHEWS djb 852807 In Person $159.08 Payment total: -5T5f0T- cReceintl Page I of I 31712007 t|tilrtlfWtr,"o < Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01083ISSUED: 0912212006APPLIEDz 0812212006 EXPIRESz 0412212007VALUE: $ 5,659.00 SITE ADDRESS: 1648 16TH ST ASSESSOR'S PARCEL NO.: 1703253101300 PROJECT DESCRIPTION: Replacement man :$fiXlYfactured Home on Lot rutt You the License 45710 Expiration Date 0811112007 Residential ber: 541-232-1872 Phone s41-942-2285 1 Ownerl Address: Contractor Type Manuf Home Inst CHRIS MATHEWS I648 I6TH ST SPRINGFIELD OR 97477 tha tor the Contractor DURFLINGER & SONS INC CONTRACTOR INFORMATION # 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: I Height of Structure Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I,538 2 NOT Curb and Gutter I R-3 VN 3 REQUTRED PARKING 24.00 I 1.00 ili:::li;::: nqaN.TrGE: r*"0 o'r". irqi' iHts PERMI T SHALL EXP Total: lHefficIHFeU{ORK 58.00 0.00 oh of Lot Coverage:trgTH0RIZE MMENGED D2U.UPER THI on ts ngn Srummr ts NDONED FOR Fully Improved Yes Sidewalk Type: Downspouts/Drains: Notes: storm drainage piped to curb & gutter 09/l l/06 CJS $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Page I of3 Value Date Calculated \rtllw 1 t u ILLINU tl\ r UKry!\!]!|.IJ L[! V tlL(rrlvrEl\ r u\{ryJ V a I uati q n lDaserlB! qr-.] F Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01083ISSUED: 0912212006APPLIED: 0812212006 EXPIRES: 0412212007VALUE: $ 5,659.00 Foundation Onlv Use Bid Amount Fee Description Plan Review Residential + lDoh Administrative Fee + 5olo Technology Fee + 87o State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactu red Home Feeder Manufactured Home Placement Plan Review Minor - Planning Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Water Line - lst 50 Feet Total Amount Paid $1.00 5,659.00 Total Value of Project Date Paid $5,659.00 $5,659.00 Receipt Number 1200600000000001320 r200600000000001436 l 200600000000001436 1200600000000001436 1200600000000001436 I 200600000000001436 I 20060000000000 I 436 I 200600000000001436 I 20060000000000 I 436 l 200600000000001 436 l 20060000000000 I 436 1 200600000000001436 I 200600000000001 436 I 20060000000000 I 436 1200600000000001436 1200600000000001436 08t22t2006 Amount Paid $49.s3 $39.00 $2s.10 $31.20 $30.00 $45.00 $50.00 $160.00 $112.00 s4s.00 $197.91 $260.21 $33.s9 $213.64 $4s.00 $45.00 8t22106 9t22t06 9t22t06 9t22t06 9t22t06 9t22106 9t22t06 9t22t06 9t22t06 9t22106 9t22t06 9t22106 9t22t06 9t22t06 9t22106 9t22t06 $1,382.24 tr'ees Paid Plan Reviews Initial Review Planning Review Public Works Review 08t2312006 08t23t2006 09n5t2006 09fiU2006 0812312006 08t23t2006 APP LLH Addressing Fee, Willamalane SDC' and Fire Fee are not applicable. This is a replacement home. Lft msg on machine. Need accurate drainage fixture count & impervious surface area on demo'd house. Currently can not accurately calculate SDC fees due to incomplete information. Information received 9/8 via voicemail to JP 09/l l/06 CJS Permit review & SDC calculation complete 09/l I/06 CJS Storm drainage piped to curb & gutter 09/11/06 CJS APP APP TAJ CJS APP RJBStructural Review 08t23t2006 09/20t2006 Paee 2 of3 ffiIT Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line PERMIT NO: COM2006-01083ISSUED: 0912212006APPLIED: 0812212006 EXPIRES: 0412212007VALUE: $ 5,659.00 To Request an inspection call the 24 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Instalt ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Masonry: 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. Final Plumbing: When all plumbing 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. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. nsnections 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 701.005 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 dyring construction. /,l/n,/u J>^H /-;a-ob Owner or Contractors Signature Page 3 of3 Date hffi JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLTNG LTNITS 1. STORM DRAINAGE DIRECTRUNOFFTO CIry STORM SYSTEM CITY OF SI''<INGFIELD SYSTEMS DEVELOPMEN'r ._,ORKSHEET coM2006-01083 Mafrews 1648 l6th St. t7 0325 3l 0t300 REPLACEMENT MANUFACTIIRED HOME 0 BUTLDTNG SrZE (SF. 1600 LOT SZE (SF): IYEW IMPERYIOUS SURFACE= OLD SQ.m -NEW SQ. FT. 9638 NEW IMPERVIOUS S.F. x RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 NUMBER OF DFU'S t0 B. IMPROVEMENT COST: NUMBER OF DFU's l0 ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 STIBTOTAL $67r.8r COST PER S.F $0.336 COST PER S.F s0.336 COST PER DFU $26.03 $r 9.79 NTA{BER OF TINITS 0 NTA{BER OF T]NITS 0 ADM. FEE RATE 5o/o CHARGE $213.64 DISCOIINT RATE 50% $213.64 DISCOLNT $0.00 x x x x x x x ITEM l TOTAL- STOR]U DRAINAGE SDC 2. SANITARY SEWER - CITY A.COST: x ITEM 2 TOTAL - CITY SAII'ITARY SEWER SDC $4s8.17 3. TRANSPORTATION NO NEW TRANSPORTATION SDC'S A. REIMBI.-TRSEMENT COST: xxCOST PER TRIP $19.81 COST PER TRIP $87.39 $0.00 NEW TRIP FACTOR 1.00 xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER. MWMC NO NEW MVYMC SDC'S A REIMBT]RSEMENT COST: NUMBEROF FEU's 0 B. IMPROVEMENT COST: NUMBEROF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMTNISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBToTAL (ADD rTEMS 1,2,3, & 4\ 5. ADMINISTRATME FEE: $0.00 $671.81 CHARGE $33.59 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTAT]ON CarolStineman COST PER FEU $9r.61 TRIP 1.00 $213.64 s260.27 $197.91 $0.00 $0.00 $0.00 $0.00 $70s.40 r 070 1091 1092 1 093 1094 1 054 I 055 t0s4 l0s6 a rr.l t-l L-)(-) &trlFa tJ rrl& COST PER FEU $961.52 PREPARED BY TOTAL SDC CHARGES l-6,t6r- x DRAINAGE FD(TURE UNIT CALCULATION TABLE NUMBER OF NEW FD(TURES x UNIT EQUIVALENT: DRAINAGE FXTURE LTNITS FOR CALCULATE ONLY TT{E NET ADDITIONAL NO. OF FIXTURES L]NIT FIXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FTXTURE LINITS 0 2 2 1979 *EDU Z BEFORE 1979 1979 I 980 l98l 1982 1983 I 984 1985 I 986 1987 I 988 1990 t99t 1992 1993 1994 1995 1996 1997 1998 1999 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 IS LAND ELGIBLE FORANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPL]CABLE) VALUE / IOOO s0.00 CREDITRATE $5.29x 989 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/ IOOO CREDITRATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.s2 $0.72 $0.48 $0.28 $0.09 $0.05 BATHTUB 2 1 3 3 DRINKING FOUNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND i AUTO WASH / ETC.0 0 6 0 LALINDRY TUB 0 0 2 0 CLOT}IESWASF{ER / MOP SINK 1 1 3 0 CLOTTIESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.1 0 3 3 SHOWE& SINGLE STALL 0 0 2 0 SHOWE& GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 1 3 0 SINK:COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOTIBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 1 1 1 LIRINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 b 0 TOILET, PRIVATE TNSTAILATION 2 1 3 3 10 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 0 $0.00 2000 -Et 2001 SPFTI NGFIELE g:11!:::.i:,::'liiliiti.' ';-: i ,:a,,,-. ,6#:::::j.,j!.l,l;*:::':" i:i:i=l:rt:ir illiili',i:ni= #ffitf:,,:,. " %,""r ZON INITIALS DATE SOURCE225 FIFTH STREET . SPRINGFIELD,OP.97477 o PH:(5'll)726-3753 'FAX: (511)726-3689 E LECTRI CAL P ERMIT APP LI CATI AN City Job Number Coyv\?-.>o6 - OtO 87 1. LOCATION SCHEDWE BELOI,I' Date !j; 3. LEGAL \ JOB DESCRIPTION Permits are and expire if work is not started within 180 of issuance or if work is Suspended for 180 days. A. : Ne*'Residential - Single or Nlulti-Family- per d'vr'elling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or H::1"''il'dTfoTi"'* $ 19.00 B. 2oo Amps 60bEMENC ED OR IS ABAND $ 63.00 $ 75.00 $ 125.00 $163.00 $375.00 $ s0.00 2ol Amps tA+00 il&$O AY PERI0D:- C Temporary Seivices or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. E. $ 106.00 Contractor City Supervisor License N Expiration Date Constr. Contr. Expiration of Supervising Electrician i owners N*n" C[, lg{-pter D H-rtop.,S Address 16 4 6 16 *' City 5ptrtd pnone F4 t ?g.L lV72- OWNER INSTALLATION The installation is being made on property I own which is not iritended for sale, lease or rent. qh^m*- Limited EnergyiResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges Pump or irrigation Sign/Outline Lighting 4. SWTOTAL OF ABOW 8% State Surcharge l0% Administrative Fee 5% Technology Fee 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ s0.00 $ s0.00 D #r"-IaInspection Request: 726-3769 TOTAL Shared Drive(T:)/Building Forrns/Electrical Pennit Application 8-06.doc FOR OF THE aro sot lorll One Each coplesService Installation SPFlIdGFtEI-O DEV ELO PMENT SERVI C ES D EPARTMENT MANIJFACTIJE.ED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree that u,ith the approval of the aftached one of the following manufactured homes will be placed at -L Springfield,Oregon, Ciry Job Number C-{).tf;4$1Aq}r'-:*j+ ( {-{ A multi sectional (doubie wide or wider) unit with an enclosed floor area of not less than 1 ,000 squate 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 rnanufacturer to have an exterior thermal envelope meeting 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www. ci. sp ri ngf i eld. o r. u s -t.4.- Lr.t e// f6 3 performance standards which reduce heat loss to levels for single family dwellings at the time of construction. equivalent to Type II Home: A unit of less than I 2 feet in width enclosing a minimum floor area of 5 00 square feet, that has a nominal 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 loss to levels equivalent to the performance standards required for single t'ne of construction. initialsfamily dweliings I further state, by my signature below, tfrat 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 backfiiled foundation not to exceed 6 percent slope within l0 feet of the perimeter enclosure, enclosed at the perirneter with stone, brick or other concrete or mason-ry materials approved by the Building Official and u'ith no more than 24 inches of the enclosing material exposed above grade. 7-Zz- ob Date standards required initials X x Manufach.rred 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C;*' of Springfield Official Receipt L _.elopment Services Department Public Works Department RECEIPT #: 1200600000000001436 Date: 0912212006 l0:06:3lAM Job/Journal Number coM2006-0 r083 coM2006-01083 coM2006-01083 coM2006,01083 coM2006-0 r 083 coM2006-01083 coM2006-01083 coM2006-01083 coM2006-01083 coM2006-01083 coM2006-01083 coM2006-01083 coM2006-01083 coM2006-0 r083 coM2006-0 r 083 Description Manufactured Home Feeder Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Minor - Planning Manufactured Home Placement Manuf Home State Issuance Sanitary Sewer - l st 50 Feet Water Line - l st 50 Feet Storm Sewer - I st 50 Feet Manufactured Home Conn - Plmb + 57o Technology Fee + 8% State Surcharge + l0%o Administrative Fee Amount Due 50.00 213.64 260.27 197.91 33.59 I12.00 160.00 30.00 45.00 45.00 45.00 45.00 25.10 3l .20 39.00 Item Total:$1,332.71 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check VONDA P. SMITH ddk I 869 In Person $1,332.71 Payment total: -S'iffi cRecernt I Page I of I 9122t2006