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Home My WebLink AboutPermit Building 2004-06-17Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00578ISSUED: 0611712004 APPLIEDT 0511412004 EXPIREST 1211712004VALUE: $ 2,500.00 SITE ADDRESS: 131131ST ST ASSESSOR'SPARCELNO.: 1702303404000 PROJECT DESCRIPTION: MH on private lot Owner: JOHN EARLy Address: POBOX25927 EUGENE OR 97402 Springfield TYPE OF WORI(: Manufactured Home on Private Lot TYPE OF USE: New Residential PhoneNumber: 541-968-5190 License Expiration Date Phone 66954 05t29t2005 541-747-9585 Contractor Type Electrical Manuf Home Inst Plumbing Contractor OWNER MELS BUDGET HOMES OWNER CONTRACTOR INFORMATION # of Units: Primary Secondary Primary Secondary # of Bedrooms: l$' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: a(? ot Building:nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Path: 0verlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: 25.00 s.00 ) REQUIRED PARIflNG Total: 2 Handicapped: 0.00 AC Mat 19.80 Type: )PMENT INFORMATION Notes: Storm sewer to drainage ditch, Pase 1 of3 through an encroachment permit. :!f,}.j Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line FIELD Building/Combination Permit PERMIT NO: COM2004-00578ISSUED: 0611712004APPLIED: 0511412004 EXPIRESz 1211712004VALUE: $ 2,500.00 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 2,500.00 16,000.00 Value $2,500.00 $16,000.00 $18,500.00 Date Calculated 05n412004 05n4t2004 Fee Description Plan Review Residential + l0o/o Administrative Fee + 7o/o State Surcharge Encroachment Permit Foundation Permit Manuf Home State Issuance Manufactured Home Connection Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Plan Review - Planning Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC NIWMC Administration SDC NIWMC Improvement SDC II{WMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Water Line - lst 50 Feet Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 1200400000000000737 r200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 r200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 1200400000000000927 $34.32 $49.28 $34.s0 $120.00 $s2.80 $30.00 $4s.00 $50.00 $160.00 $s0.00 $71.00 $45.00 $223.73 $294.32 $10.00 $214,23 $314.63 $60.84 $57.73 $727.42 $164.89 $422.24 $4s.00 $4s.00 5n4t04 6n7104 6tr7t04 6n7t04 6n7t04 6tr7t04 6n7t04 6n7t04 6n7t04 6n7t04 6lt7l04 6tr7l04 6n7t04 6n7t04 6n7t04 6n7t04 6fl7t04 6n7t04 6n7t04 6n7104 6n7to4 6fi7104 6n7t04 6n7t04 $3,321.93 ['ees Paid Plan Reviews 06n7t2004 06n7t2004 APP TAJ No LDAP required for MH replacement. Planning Review Page 2 of3 \t}.l 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: COM2004-00578ISSUED: 0611712004APPLIEDz 0511412004 EXPIRESz 1211712004VALUE: $ 2,500.00 Public Works Review Structural Review 06n6t2004 06n6t2004 APP VRJ 06n4t2004 06n4t2004 APP DLM Applicant is required to place new culvert for driveway, encroachment permit is required. Fee has been added to building permit and a blank application included in application packet. Storm sewer to go to drainage ditch along road side. Used standard plan review comments for M.H. 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. Foundation: After forms are erected but prior to concrete placement. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 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. Water Line: Prior to lilling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. 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. Reouired Insnect 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 during construction. /-- t2-a/ or Contractors Signature Page 3 of 3 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^'ty of Springfield Official Receipt - ;velopment Services Department Public Works Department RECEIPT #: 1200400000000000927 Date: 0611712004 2:52:18PM Job/Journal Number coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00s78 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00578 coM2004-00s78 coM2004-00578 Description Foundation Permit Manufactured Home Placement Manuf Home State Issuance Sanitary Sewer - lst 50 Feet Water Line - lst 50 Feet Storm Sewer - lst 50 Feet Manufactured Home Connection Manufactured Home Feeder Manufactured Home Service + 7o/o State Surcharge + lDoh Administrative Fee Encroachment Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin SDC MWMC Reimbursement Plan Review - Planning Amount Due 52.80 160.00 30.00 45.00 45.00 45.00 45.00 50.00 50.00 34.50 49.28 120.00 422.24 294.32 223.73 164.89 727.42 214.23 10.00 60.84 57.73 314.63 71.00 Item Total:$3,287.61 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check JOHN EARLY djb l0l6 In Person $3,287.61 Payment totat: -53p876f 611712004 Page I of I ma SPETFl(}FAELD D EV ELO PMENT SERYIC E5 DEPAftTMENT As required permits, one 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-375!) FAX (s41) 726-3689 MANUFACTURED HOME LAND USE AGREEMENT the approval ofthe attachedil <tsJ sr,, Springfield, __E 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 Ievels 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 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 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 if applicable: r Street Trees. 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 r 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 signature below, I agree to complete the above mentioned land use requirements. 6tZ-oF d< x Signature Date homes at sPR - -iFtE!-E, D EV ELO P M ENT SEF Y'CES D E PARTM E NT MANUFACTURED HOME SET-UP AGREEMENT As required the attached I Mauufactured 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 feetin width, that has no bare metal siding or roofing,and that has beeu certihed by the manufacturer to have an thermal envelope meeting performance standards which reduce heat loss to levels equivalent standards required for single family dwellings at the time of construction.initials Type II Manufactured Home: A unit of not less than 12 feet in width minimum floor area of 500 square feet, that has a nominal roof pitch of 2 feet in height for feet in width, that has no bare metal siding or roofing, and that has been certifred by the to have an exterior thermal envelope meeting performance standards which reduce heat loss to equivalent to the performance standards required for single initialsfamily dwellings at the time of I further state, by my signature below, that I have been provided with the following inforrnation: 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 enclosure,.enclosed at the perimeter with stone, brick o, oth"r "on"r"te or masonry materials approved by the Building Official and with no more than 24 inches of the enclosing material exposed above grade. 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-s689 vvww. ci. s p i n gf i e I d. o r. u s 0 - t7- ocf Date that the JOURNAL OR NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECTRUNOFF TO CIry STORM SYSTEM CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET John 1311 3lstStreet 17023034 tl 4000 SINGLE FAMILY RESIDENCE BUTLDTNG SrZE (SF) 0 LOT SrZE (SF):0 ar!n (-) & E]Fa o IJ]ilI IMPERVIoT.JS s-r. xI r+so.oo IMPERVIOUS S.F 0.00 NUMBER OF DFU's l3 B. IMPROVEMENT COST: COST PER S.F s0.290 COST PER S.F $0.290 COST PER DFU s22.64 COST PER DFU s17.21 NUMBER OF LTNITS I NUMBER OF UNITS I ADM. FEE RATE 5% CHARGE $422.24 DISCOUNT RATE 50% $422.24 DISCOUNT $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x x x x x x x x ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CIry A. REIMBURSEMENT COST: 1070 1091 1092 1093 1094 l 055 1056 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $518.05 3. TRANSPORTATION A. REIMBURSEMENT COST: ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 SUBTOTAL s2,371.46 xxCOST PER TRIP $17.23 COST PER TRIP $76.01 $892.31 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx ITEM 3 TOTAL - TRANSPORTATION SDC A. REIMBURSEMENT COST: NUMBER OF FEU's I B. IMPROVEMENT COST: NTJMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( : suBTorAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: $538.86 s2,371.46 CHARGE $ I 18.57 TOTAL SANITARY ADMINISTRATION FEE: ADMINI TION FEE: Virginia Jurasevich 6/15t2004 079 078 s294.32 $1 s727.42 $0.00 $l 60.84 ss7.73 $2,490.03 NUMBER OF DFU's 13 COST PER FEU s3 14.63 COST PER FEU s214.23 PREPARED BY DATE TOTAL SDC CHARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FIXTURES x LTNIT EQUIVALENT : DRAINAGE FIXTURE UNITS FOR CALCULATE ONLY TT{E NET ADDITIONAL NO. OF FIXTURES TINIT FIXTURE ryPE NEW OLD ALENT MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS lsa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE DRAINAGE FIXTURE UNITS 0 +EDU BATHTUB 0 0 3 0 DRINKING FOUNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LALINDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 1 0 3 3 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER, SINGLE STALL 1 0 2 2 sHowER, GANC (NLI]\4BER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 URINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 o 0 TOILET, PRIVATE INSTALLATION 1 0 3 3 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE BEFORE I979 $5.04 t979 s5.04 l 980 $4.95 l98t $4.88 1982 $4.75 I 983 $4.58 I 984 $4.41 I 985 $4.20 l 986 $3.88 I 987 $3.50 I 988 $3.07 l 989 $2.60 1990 $2.1 4 l99l $1.71 1992 $ 1.52 r 993 $ 1.38 1994 $1.19 I 995 $1.03 t996 $0.87 t997 $0.68 I 998 $0.46 t999 $0.27 2000 $0.09 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 IMPROVEMENT (IF AFTER ANNEXATION) TOTAL MWMC CREDIT 0 x 0 I so.oo CREDIT FOR LAND (IF APPLICABLE) 1979 VALUE / IOOO $0.00 CREDIT RATE $5.04 VALUE/ IOOO CREDITRATE $0.00 x $5.04 2001 $0.04 IU 20 1-o- 225FIFTIISTREET . SPRINGFIELD, ORg7477 o PII:(541)726-3753 cF ELE CTRI CAL P ERMIT AP P If, CATT O N City Job Number CC-W 7 5 Date 1.3. 1311 North 31st Street LEGAL DESCRIPTION Assessors Map No. L7-O2-30-34 OtlrXSO A. st letha*F tl.l, approval nd use Zoning L>a Signature Service Included 1000 sq. ft. or less 1000 - $106-00 Each additional 500 sq, ft. or portion thereof $ 19.00 JOB DESCRTPTION Placement of Mfg. Home Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. Electrical Contractor Owner John Earley Address P.O.Box 25927 City Eugehe Phone 968519Fc.fJTrvr" N1II S Over I K ISP IS NOT New Alteration or Extension Per Panel One Circuit THIS ND B. ER Each Manufact'dHome or Modular Dwelling $srvice 61 Feeder 200 Amps or less 20t Amps to 400 AmPs 401 Amps to 6@ AmPs 601 Amps to 1000 AmPs --*r--#p- xx $ 63.00 s 75.00 $125.00 $163.00 s375.00 $ 50.00 s s0.00 $ 69.00 s100.00 43.00 $so.oo l oo ( ---N ,R Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date Signature Electrician Owners Name Address John B. Earley City Eupenp Phone 9685100 OWNERINSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ANY 1 80 DAY PER l?P.t"rr",iorr, Alteration or Relocation 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs Over 600 or 1000 Volts see "B" above- IZED U DO R s D. Each Limited $ 2s.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45'00 * Surcharges az7Vo Stzte Surcharge 10% Administrative Fee TOTAL c)s t/7Request: 4. Shared Driv(T:/Building Forms/Electrical Permit Application I 43'doc Pf)Bnr \ot1 50.00