HomeMy WebLinkAboutPermit Building 2006-07-31GFIELD
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2006-00831ISSUED: 0713112006
APPLIED: 07/0512006
EXPIRES: 01/3112007VALUE: $ 4,000.00
SITE ADDRESS: 1348 3lST ST
ASSESSOR'S PARCELNO.: 1702303402200
PROJECT DESCRIPTION: Mfgd. Home Replacement
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New Residential
PhoneNumber: 541-726-0975Owner:
Address:
JARED MICHAEL A & TERESA L
1348 N 3IST ST
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Plumbing
Contractor
HARRISON JACOBSON INC
ROBS ELECTRIC INC
HARRISON JACOBSON INC
License
66447
156678
66447
Expiration Date
05/07t2007
081r412007
0510712007
Phone
541-689-7762
541-686-5444
541-689-7762
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:
# 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:
1,404
)
Drywell - Provide
Drywell Engineering
1
R-3
VB
3
40.00
5.00
23.00
54.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
1
15.r0
REQUIRED PARKING
Total:
Handicapped:
Compact:
S ubdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type;
Downspouts/Drains:
AC Mat
No
.ility Notification
2-2344).
DEVELOPMENT INFORMATION
Notes: Stormwatertodrywell.JLPTl13106
Page I of3
&
t-
t ulLUlNU lNlutrrvrA r ruNJ
- f,.r
R1 P
0010 throutrUUI
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: COM2006-00831ISSUED: 0713112006
APPLIEDz 0710512006
EXPIRES: 0l/3112007VALUE: $ 4,000.00
Description Tvpe of Construction
Foundation Onlv Use Bid Amount
Manuf Home Manufactured Home
$ Per Sq Ft
or multiplier
s1.00
$1.00
Square Footage
or Bid Amount
4,000.00
60,000.00
Value
$4,000.00
$6o,ooo.oo
$64,000.00
Date Calculated
07t05t2006
07tost2006
Fee Description
Plan Review Residential
+ l0o/o Administrative Fee
+ 87o State Surcharge
Fixture
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
Manufactured Home Service
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Total Amount Paid
Amount Paid
$39.39
s31.40
$25.12
$r4.00
$30.00
$45.00
$160.00
$s0.00
s112.00
$39.58
$52.05
$8.61
$80.55
$45.00
$732.70
Total Value of Project
Date Paid
7 t5106
7t3u06
7t3U06
7t3u06
7t3y06
7t3U06
7t3u06
7t3u06
7 t31t06
7t3u06
7t3u06
7t3u06
7t3y06
7t3u06
Receipt Number
1200600000000001018
1200600000000001 17r
1200600000000001 I 7l
l 20060000000000 I I 7 I
l 200600000000001 171
l 200600000000001 r 71
1200600000000001171
1200600000000001 171
1200600000000001 171
I 20060000000000 I I 7 I
I 20060000000000 I I 7 I
I 200600000000001 171
I 200600000000001 I 71
I 200600000000001 I 71
Fees Paid
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
07t0s/2006
07t05t2006
07t05t2006
07t20t2006
APP
APP
LLH
TAJ
07t0512006 0711012006 APP JLP
07t0512006 0712812006 APP DLM
2 street trees are required unless
they are aready in.
Approved. JLP 07113106 Waiting for
drywell calcs. Unable to reach
owner, contacted Harrison Jacobson
inc. Project manager to provide
calcs.JLP 7ll0l06
Standard comments for M.H. setup
only.
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.
Paee 2 of3
Valuation Description 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: COM2006-00831ISSUED: 0713112006APPLIED: 07/0512006EXPIRES: 0l/3112007VALUE: $ 4,000.00
Reouired Insnections
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Foundation: After forms are erected but prior to concrete placement.
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.
Storm Sewer Line: Prior to filling trench,
Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file.
MH Service: Approval required prior to utility company energizing service.
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 that all required inspections are requested at the proper time, that each address is readable from the
rdlt located at the front of the property, and the approved set of plans will remain on the site at all
n.,
street, that
times
to enl$
f")r,Jtd
re
ca
.L
o b
Owner or Contractors Signature Date
Paee 3 of3
R
CITY OF SPxINGFIELD SYSTEMS DEVELOPMEN, zORKSHEET
JOURNAL OR JOB NUMBER: COM2006-00831
NAME OR COMPANY Michael & Teresa Jared
I,OCATION:I 348 3 I st Street
TAX LOTNUMBER:1702303402200
DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE
NEW DWELLING LNITS 0 BI]II-DING SIZE
I. STORMDRAINAGE
DIRECT RLTNOFF TO CITY STORM SYSTEM
TMPERVIOUS S.F. x
0.00
RTiNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
COST PER S.F
$0.336
COST PER S.F
$0.336
COST PER DFU
$26.03
$19.79
NI.A{BER OF LTNITS
0
NI]MBER OF TINITS
0
ADM. FEE RATE
5o/o
CHARGE
$0.00
DISCOTINT RATE
50o/o
$80.55
LOT SrZE (SF):
DISCOLINT
$80.55
IMPERVIOUS S.F
480.00
NUMBER OF DFU's
2
B. IMPROVEMENT COST:
NUMBER OF DFU's
2
ADTTRIP RATE
9.57
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
SUBTOTAL
$r72.r8
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER- CITY
A. REIMBTIRSEMENT COST:
x
x
x
x
x
x
x
x
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$91.63
COST PER TRIP
$r 9.81
COST PER TRIP
$87.39
$0.00
NEW TRIP I.-AC'IOR
1.00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL. TRANSPORTATION SDC
4. SANITARY SEWER. MWMC
A. REIMBURSEMENTCOST:
NUMBER OF FEU's
0
B. IMPROVEMENT COST:
NUMBER OF FEU's
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMTNISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBToTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
$0.00
$172.18
CHARGE
$8.61
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Carol Stineman 711312006
COST PER FEU
$82.03
s80.ss
$52.05
$0.00
$0.00
$0.00
1
$180.79
I 070
l09l
1092
l 093
1094
I 054
1055
1054
l0s6
1079
1078
ar!aoO
&
rr.lFa
trl
COST PER FEU
$865.31
PREPARED BY DATE
TOTAL SDC CHARGES
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES x UNIT EQUIVALENT: DRAINAGE FIXTURE UN]TS
FOR CALCULATE ONLY TI{E NET ADDITIONAL
NO. OF FIXTURES
UNIT
FIXTIIRE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTUR.E UNITS
lsa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
UNITS
0
2
2
t979
*EDU
BEFORE 1979
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 LAND (IF APPLICABLE)
x
1984
1986
1985
1979
1980
1981
1982
1983
\987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
I 998
1999
2001
$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
VALUE/ IOOO
$0.00
CREDITRATE
s5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTUB 0 0 3 0
DRINKING FOUNTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND /AUTO WASH / ETC.0 0 b 0
LAUNDRY TI]B 0 0 2 0
CLOTHESWASI{ER / MOP STNK 0113
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 C
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHI]R / ETC.1 0 3 ?
0SHOWER" SINGLE STALL 2 2 2
SHOWE& GANG ATUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 1 3 0
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 1 2 -2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 1 1 1
URINAL. STALL / WALL 0 0 5 0
TOILET, PUBLIC TNSTALLATION 0 0 b 0
TOI LET, PRIVATE IN STAI-LATION 2 2 3 0
1
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
0
2000
SPFrrt{GFiELD
DEV ELO P M ENT SENVI C ES D EPARTM ENT
MANUFACTI,,RED HOME SET-UP AGREEMENT
As required by the Ciry of Springfield Development Code, I understand and agree that with
a&,225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
vvww. ci. s pri n gf i e ld. o r. us
of.s2the attached permits, one of the following n-ranufactured homes will be placed at
Springfield, Oregon, City Job Number <7t
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 leet in width,that has bare metal siding or
roofing, and that l'ras been certified by the manufacturer to have an envelope meeting
performance standards which reduce heat loss to levels equivalent to standards required
initialsfor single family dwellings at the time of construction.
0n
Type II Manufactured Home:
A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square feet. 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 performance standards required for single
family dwellings at the time of construction.initials
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 Mini lum requirements for permanent steps.
I also understand that the manufactured home shall be piaced on an excavated and backfilled foundation
not to exceed 6 percent slope within l0 feet of the J erimeter enclosure, euclosed at the perimeter with
stone, brick or other concrete or masonry materials approved by the Building Official and with no more
than 24 inches of the material exposed above grade
7'Yt-ob
Date
t
225 Fifth Street
SpringfielJ, Oregon 97 477
541-726-3759 Phone
C'\ of Springfield Official Receipt
1_ ;elopment Services Department
Public Works Department
RECEIPT#: 1200600000000001171 Date: 0713112006 2z49z22PM
Job/Journal Number
coM2006-00831
coM2006-0083 r
coM2006-00831
coM2006-00831
coM2006-00831
coM2006-00831
coM2006-00831
coM2006-0083 r
coM2006-00831
coM2006-00831
coM2006-00831
coM2006-00831
coM2006-00831
Description
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
Storm Sewer - lst 50 Feet
Fixture
Manufactured Home Conn - Plmb
Manufactured Home Service
+ 8% State Surcharge
+ 10oh Administrative Fee
Amount Due
80.55
52.05
39.5 8
8.61
I12.00
r 60.00
30.00
45.00
14.00
45.00
50.00
2s.12
31.40
Item Total $693.31
Payments:
Type of Payment Paid By
UneckNumber Authorrzation
Received By Batch Number Number How Received Amount Paid
Check GOODEN HARRISON djb 9742 In Person
Payment Total:
$693.3 r
-$6e-337
cReceintl Page I of I 713112006
crBtil&n3LE
OF SPRTNGFIELD, OREW-I.{CITY APRIN G FI ELE'
225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (541)72G3689
ELECTRICAL
City Job Number Date
ffi
3. . COIWI'LI|TE L'EE SCIIEDULE BELOW,
l. ltf* Rcsi9cntial - Single or Multi-Family per dwelling unit.
I OF
LEGAL
D\r,
JOB DESCRIPTION
Permlts are 'able and explre lf ls
not started within 180 days of issuance or if work is
Suspended for 180 days.
Electrical ConEactor
Address ,(,;ta /
City e: none (:,fb -5-//y'
Service Included
l0i\so. ft. or less
rUn##:',::i''uu sq r'l or
\
$ 106.00
$ 19.00
$50.00 e
2. CONTRACTORI 'STAILA-7fON-O.l\try B. Scrviccs or f'csdcrs - Installation, Alterstions or Rclocation:
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 Arnps
401 Amps to 600 Anrps
601 Anrps to 1000 Amps
Over l00tt AmpsiVolts
Reconnect Only :---
$ 63.00
s 75.00
$ l2s.00
$ 163.00
s375.00
$ 50.00
$ 43.00
$ 3.00
Supervisor License Number
"
7r'lJ C. Tenrporarl' Scn'ices or Feeders
Expiration Date /2 -/ a7
Constr. Contr. Numbe, / 560 7f
Expiration Date ,f -t y' -z'7
Signature of Supervising Electrician
-"'2"--- <----
Owners Name
Address
City
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, leasc or rent.
Owners Signature:
Installation, Altcration or Relocltlon ,l
201 Anips to 400 Anrps : $ 69.00
401 Amps to 600 Anrps $ 100.00
Over 600 Amps or 1000 Volts sce "B" above.
D. 'Branch Circuits
New Altcration or Extension Per Panel
One Circuit
. Fach Additional Circuit or with
J(.fgcf"rvice or Feeder Permit
E. I\'liscelllncous (Scrvice/feeder not included) -Each Installation
Pump or irrigation
Sign/Outline Lighting
Limitcd E nergy/Residential
Limited Energy/Commercial
Minlmum Electric Pcrmit lnspection Fee is $45.00 + Surcharges
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Inspectlon Request: 126'3769
Sirrrcd Drivs('f:)/Building Forms/Electrical Permit Application l-06.doc
""*'cffifi8(rroN
) UNDEI'
DORlS
rr ntrQifl
4. S(IBTO'I'AL OF ABOW"". ,: :
8% Statc Surchargc i
I
I 07u AJrr..rristrutir clFee
I'[o'l'AL I