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Home My WebLink AboutPermit Building 2006-07-17Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Buitding/Combination Permit PERMIT NO: COM2006-00723ISSUED: 0711712006APPLIED: 06/1312006 EXPIRESz 0212212007VALUE: $ 55,800.00 SITE ADDRESS: 1154 34TH ST Springfield TYPE OF WORK: Manufactured Home on ASSESSOR'S PARCEL NO.: 1702303408201 Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace manufactured home with manufactured home PhoneNumber: 541-736-5578Owner: Address: RON WALLACE rT54 34TH ST SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical Manuf Home Inst Plumbing Contractor License HARDACKER & OLEARY DEVELOPMENT 79496 CHRIS MILLERS ELECTRIC INC 62377 COMFORT FLOW 460 HARDACKER & OLEARY DEVELOPMENT 79496 HARDACKER & OLEARY DEVELOPMENT 79496 Expiration Date 0211912007 1212112006 06t2712007 02n9t2007 0211912007 Phone s41-89s-4307 541-895-3660 541-726-0100 541-895-4307 541-89s-4307 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: I R-3 VN # of Stories: Height of Structure Type ofHeat: orced Water Type: Range Type: ' Energy Path: Sprinkled Buildiilg: I Air Electric Electric Electric tcE: h/a RE IF THE WORK ED FOR ragelCarport Sq Ft Other: Occupant Load: 3 38.00 5.00 16.00 0.00 Fullv Improved yes Overlay Dist: ' # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Sidewalk Type: REQUIRED PARKING Total: 2 Handicapped: Compact: Curbside 5' Curb and Gutter 1 calli numl DEVELOPMENT INFORMATION Notes: Storm drainage piped to curb face 612312006 CAS Page I of3 Downspouts/Drains: follow rules adopted DV the Or on utit 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: COM2006-00723ISSUED: 0711712006APPLIED: 06/1312006EXPIRES: 0212212007VALUE: $ 55,800.00 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 2,800.00 53,000.00 Value $2,800.00 $53,000.00 $55,800.00 Date Calculated 06n3t2006 06n3t2006 Fee Description Plan Review Residential + l0o/o Administrative Fee + 87o State Surcharge Foundation Permit 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 -Mechanical Issuance Fee- + l0'/o Administrative Fee + 5%o Technology Fee + 87o State Surcharge Heat Pump Minimum/Adj ustment Mechanical Sidewalk Permit Total Amount Paid Amount Paid $34.32 $3s.28 s28.22 $52.80 $30.00 $4s.00 $160.00 $50.00 $112.00 $95.35 $125.35 $21.02 $199.61 $45.00 $10.00 $4.50 s2.2s $3.60 $12.00 $33.00 $80.00 $1,179.30 Total Value of Project Date Paid 6/t3106 7n7t06 7n7t06 7fi7t06 7fi7t06 7 tr1 t06 7n7t06 7n7t06 7n7t06 7n7t06 7n7t06 7n7t06 7n7t06 7n7t06 8nu06 8/11/06 8nu06 8ttu06 8nu06 8nu06 8t23t06 Receipt Number 1200600000000000856 r200600000000001072 1200600000000001072 1200600000000001072 1200600000000001072 120060000000000r072 1200600000000001072 1 200600000000001 072 1200600000000001072 r200600000000001072 1200600000000001072 r 200600000000001072 1200600000000001072 r200600000000001072 1200600000000001247 1200600000000001247 1200600000000001247 1200600000000001247 1 200600000000001247 1200600000000001247 2200600000000001 r85 Plan Reviews Initial Review Planning Review Public Works Review 06114t2006 06n4t2006 06tr4t2006 06n4t2006 APP LLH Replacement Home. Exempt from Addressing, Willamalane SDC, and Fire Fee. 2 street trees are required unless there already are street trees. Received info 611912006 completed review 612312006 Called Ralph for existing home (sdc credits) not in plan set 611612006 CAS TAJ CAS 06t28t2006 06t23t2006 APP APP Page 2 of3 Valuation Description I F ees Paid I 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: COM2006-00723ISSUED: 0711712006 APPLIED: 06/1312006 EXPIRESz 0212212007VALUE: $ 55,800.00 Public Works Review Structural Review 08/09/2006 JLP 06n4t2006 0613012006 APP DLM Per Gene's request / notes (see Inspection notes), added fee for sidewalk permit. Standard plan review comments for M.H. only. 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. 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. Storm Sewer Line: Prior to filling trench. Manuf Home Plumbing: After home has been connected to water and sewer. MH Service: Approval required prior to utility company energizing service. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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. Owner or Contractors Signature Date COPl for C'r co rd S , rV Page 3 of3 oofzsfor" b.r_p, ?p€firfr Street Spriirgfield, Oregon 97 477 541-726-3759 Phone Cit'' of Springfield Official Receipt D. ;lopment Services Department Public Works Department RECEIPT#: 2200600000000001185 Date: 0812312006 2:08:43PM Job/Journal Number coM2006-00723 Description Sidewalk Permit Item Total: Amount Due 80.00 -sEmd' Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard MATTHEW T. OLEARY njm 023084 In Person Payment Total: $80.00 -smd- cReceint I Page I of I 812312006 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: COM2006-00723ISSUED: 0711712006APPLIED: 06/1312006EXPIRES: 0210912007VALUE: $ 55,800.00 SITE ADDRESS: 1154 34TH ST Springfield TYPE OF WORK: Manufactured Home on ASSESSOR'S PARCEL NO.: 1702303408201 Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace manufactured home with manufactured home PhoneNumber: 541-736-5578Owner: Address: Contractor Type General Electrical Mechanical Manuf Home Inst Plumbing RON WALLACE II54 34TH ST SPRINGFIELD OR 97478 License 79496 62377 460 79496 79496 Expiration Date 02n9t2007 12t2y2006 06t27t2007 02n9t2007 02n9t2007 Phone s4l-895-4307 s41-89s-3660 s4t-726-0100 s41-895-4307 541-895-4307 CONTRACTOR # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # ofStories: I Height of Structure Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Curbside 5' Curb and Gutter R-3 VN 3 ANDO 0.00 , 1 26.50 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: PUBLIC IMPROVEMENTS Notes: Storm drainage piped to curb face 6/2312006 CAS Pase 1 of3 [3 Uiil\tY ru\es lt01 Frontyard or the Center ic I o(egr 1 1,782 ANY 180 DAY Fully Improved Yes D 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: COM2006-00723ISSUED: 0711712006APPLIED: 06/1312006EXPIRES: 0210912007VALUE: $ 55,800.00 Description Tvpe 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 2,800.00 53,000.00 Value $2,800.00 $53,000.00 $55,800.00 Date Calculated 06n3t2006 06n3/2006 Fee Description Plan Review Residential + l0o Administrative Fee + 87o State Surcharge Foundation Permit Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement Manufactured Home Service PIan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet -Mechanical Issuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Heat Pump Minimum/Adjustment Mechanical Total Amount Paid Amount Paid $34.32 s35.28 $28.22 $52.80 $30.00 $4s.00 $160.00 $50.00 $r 12.00 $95.35 $125.35 $21.02 $199.61 $45.00 $10.00 $4.50 $2.25 $3.60 $12.00 $33.00 $1,099.30 Total Value of Project Date Paid 6n3t06 7n7t06 7n7t06 7n7t06 7n7t06 7n7t06 7n7t06 7n7t06 7n7t06 7n7t06 7n7/06 7n7/06 7n7/06 7n1t06 8nu06 8nu06 Strr/06 8fiy06 8/l r/06 8nu06 Receipt Number 12006000000000008s6 120060000000000r072 1200600000000001072 1200600000000001072 r 200600000000001072 1200600000000001072 r20060000000000r072 r200600000000001072 1200600000000001072 1200600000000001072 r200600000000001072 I 200600000000001072 r 200600000000001072 1200600000000001072 l 200600000000001247 I 200600000000001 247 1200600000000001247 1200600000000001247 1200600000000001247 1200600000000001247 Fees Peid Plan Reviews Initial Review Planning Review Public Works Review 06114/2006 06n4/2006 APP LLH Replacement Home. Exempt from Addressing, Willamalane SDC, and Fire Fee. 2 street trees are required unless there already are street trees. Received info 6119/2006 completed review 612312006 Called Ralph for existing home (sdc credits) not in plan set 6/16/2006 CAS TAJ CAS 06n4/2006 06t28t2006 06t23t2006 APP APP06n4t2006 Page 2 of3 Valuation Descrintion I F Status Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 InsPection Line B uildin g/Com bin ation Permit PERMIT NO: COM2006-00723ISSUED: 0711712006 APPLIED: 06/1312006 EXPIRESz 0210912007VALUE: $ 55,800.00 Public Works Review Structural Review day 08/09/2006 JLP 0611412006 06t3012006 APP DLM Per Gene's request / notes (see Inspection notes), added fee for sidewalk permit. Standard plan review comments for M.H. only. To Request an inspection call the 24 hour recording at 726'3769' All will be made the same working day, inspections requested after 7:00 inspection requested before 7:00 a.m. a.m. will be made the following work By signature, I state and agree, that I havecarefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furthlr certify that any uoo utt woit< perrormed shall be done in accordance with the ordinances of the city of Springfield and the Laws of the state Lf 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 au required inrp..iiom are requesteo at tne proper time, that each address is readable from the street, that the permit card is locatei at the front of the property, and ttre appioved set of plans will remain on the site at all times during construction. 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. Storm Sewer Line: Prior to filling trench' Manuf Home Plumbing: After home has been connected to water and sewer. MH Serryice: Approval required prior to utility company energizing service. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete' d - it- aL Owner or Contractors Signature Date Paee 3 of3 w @ 225 Fifth Street Springlield, Oregon 97 477 541-726-3759 Phone Cit'' of Springfield Official Receipt D _ lopment Services Department Public Works Department RECEIPT #: 1200600000000001247 Date: 0811112006 8:03:02AM Job/Journal Number coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 Description + 57o Technology Fee + 8% State Surcharge + llYo Administrative Fee Heat Pump M inimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 2.25 3.60 4.50 12.00 33.00 t 0.00 Item Total:s65.35 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check coMFoRT FLOW HEATING djb 35242 In Person $65.35 Payment Total: -56ffi cReceint I Pase I of I 811U2006 ItiNictille Building/Combination Permit Status Issued PERMIT NO: COM2006-00723 22s Firth street, Springnerd, oR ffy*h , 3Zl,iZ!1332 541-726-3753 Phone s4t-726-3676lax !_ r !_ $I'r',Irlt' $'ilJJfi%'r'541-726-3769 Inspection Line , SITE ADDRESS: 1154 34TH ST Springfield TYPE OF WORK: Manufactured rth ASSESSOR'S PARCEL NO.: 1702303408201 Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace manufactured home with manufactured home numDer for C ri i r te r rPhbCur![itii8 i*A 4 qlt -7 3 6-s s7 8Owner: Address: RON WALLACE 1154 34TH ST SPRINGFIELD OR 97478 Contractor Type General Electrical Manuf Home Inst Plumbing Contractor License HARDACKER & OLEARY DEVELOPMENT 79496 CHRTS MTLLERS ELECTRIC INC 62377 HARDACKER & OLEARY DEVELOPMENT 79496 HARDACKER & OLEARY DEVELOPMENT 79496 Expiration Date 02n912007 12t2,/2006 02n9t2007 02n912007 Phone 541-895.4307 s41-895-3660 541-895-4307 541-895-4307 # 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 lnstruction: # of Stories: I Height of Structure Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I R-3 VN 1,782 3 38.00 s.00 16.00 0.00 26.50 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: Curbside 5' Curb and Gutter 1 Fully Improved Yes DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Storm drainage piped to curb face 612312006 CAS Paee I of3 il 1} E U r LD INli ll\ lI2t(MA.!gJ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-1 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00723ISSUED: 0711712006 APPLIED: 06/1312006 EXPIRESz 0111712006VALUE: $ 2,800.00 Description Tvpe of Construction Foundation Onlv Use Bid Amount Manuf Home Manufactured Home $ Per Sq Ft or multiplier $1.00 $r.00 Square Footage or Bid Amount 2,800.00 53,000.00 Value $2,800.00 $53,000.00 $55,800.00 Date Calculated 06n3t2006 06n312006 Fee Description Plan Review Residential + l0o/o Administrative Fee + 87o State Surcharge Foundation Permit 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 Total Value of Project Date Paid 6n3t06 7fi7106 7n7t06 7n7t06 7n7t06 7fi7t06 7n7t06 7n7106 7n7t06 7n7t06 7n7t06 7n7t06 7n7/06 7 tr1 t06 Receipt Number 1200600000000000856 1200600000000001072 r200600000000001072 1 200600000000001 072 1200600000000001072 1200600000000001072 1200600000000001072 1200600000000001072 1200600000000001 072 I 200600000000001 072 1200600000000001072 1200600000000001072 r200600000000001072 1200600000000001072 $34.32 $3s.28 $28.22 $s2.80 $30.00 $45.00 $r60.00 $s0.00 $r 12.00 $95.35 $125.35 $21.02 $199.61 $45.00 $1,033.95 Feps Peid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 06n412006 06n4t2006 06t28t2006 0612312006 06tr412006 0611412006 APP LLH Replacement Home. Exempt from Addressing, Willamalane SDC, and Fire Fee. 2 street trees are required unless there already are street trees. Received info 6/19/2006 completed review 612312006 Called Ralph for existing home (sdc credits) not in plan set 6/16/2006 CAS Standard plan review comments for M.H. only. APP APP TAJ CAS 06n4t2006 06t30t2006 APP DLM 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. Page 2 of3 b.rEl Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 I nspection Line Building/Combination Permit PERMIT NO: COM2006-00723ISSUED: 0711712006APPLIED: 06/1312006 EXPIRESz 0111712006VALUE: $ 2,800.00 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. Storm Sewer Line: Prior to filling trench. Manuf Home Plumbing: After home has been connected to water and sewer. 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 agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street,card is located at front of the properfy, and the approved set of plans will remain on the site at all times 7-t '-/ Owtrer or Co Signature Date Page 3 of3 Keoutreo lnsDectrons I 225 FIFTH STREET r SPRINGFIELD, OR 97477 t PH:(541)726-3753 ' FAX: (541 )776-3689 ELECTRICAL TION -.-ffi 'i .ii+.-' ffi'u;t"t,' City Job Number a LEGAL DESCRIPTION Permits are non-transferable and expi if work is Electrical Contractor, Address L 4.) not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. coI{7'RAcroR INS,TaLLATION ONLY Date 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Over 1000 AmPs/Volts Reconnect OnlY Sign/Outline Lighting Limited Energy/Residential -tl - s 63.00 $ 75.00 s 125.00 $ r 63.00 $375.00 s 50.00 s 50.00 $ 25.00 C 1.L ?-ION OIr 3. COMI'LET'E FEE SCHI|DULE ISELOTI'' A. Ne'rv Residential - Single or N'lulti-[amit"r-'per drvelling unil' Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Epch Manufact'd Home or Modular Dwelling Service or Fbeder $ I 06.00 $ 19.00 s50.00 s\a) B. Services or Feeders - Installation, Alterations or Relocation: Amps or less ru crtfi,<6Et^t.; Pno"" {/t -- - ?/ I d Supervisor License Number Zzz?5' Expiration Date i b o Constr. Contr. Number Expiration Date 2a46 Signature of Supervising Electrician Owners Name City O\YNER TALLA The installation is being made on property I own which is not intended for saie, lease or rent. Owners Signature: Over 600 Amps or 1000 Volts see "B" above' D. Branch Circuits ' i: , ' New Alteration or Extension Per Panel one circuit $ 43'oo Each Additional Circuit or with Service or Feeder Permit $ 3'00 E. Ntiscellaneous (Servic elleeder not inclutletl) -Each Installation fir ror irrigation Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 AmPs $ 69.00 $ 100.00401 Amps to 600 AmPs s 50.00 C. Limited Energy/Commercial $ 45'00 Nlininrum Electric Permit lnspection Fee is $45.00 + Surcha 4. stiBToTALOFeSOtr 7% State Surcharge 10% Administrative Pee TOTALInspection Request: 126'37 69 Shared Drive(T:)/Building Fornrs/Electrical Pemrit Application l-03'doc I /2"?{ D EV ELO P M ENT SEHVICES DEPARTMENT MANUFACTI.IRED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree that with the 4the attached permits, one of the following manufactured homes will be placed at Spnngfield, Oregon,City Job Number Type I Manufactured Home: Type lI Manufactured Home: A unit of not less than 12 feetin 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 blen certified by the manufacturer to have an exterior thermal enveiope meeting performance standards which reduce heailoss to levels equivalent to the performance standards required for single family dwellings at the tirne of construction. initials 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 shali be placed on an excavated and backfilled foundation not to exceed 6 percent slope within l0 feet of the perimeter enclosure, enclosed at the perimeter with sto1e, brick o. oth"r concrete or masonry materiais approved by the Building Official and with no more tban 24 inches of the enclosing exposed above grade. SPhrr{GFIELD Date 225 FIFTH STREET SPRINGFIELD, OB 97477 (541) 726-3753 FAX (541) 726-3689 wrww. ci. s p ri n gf i e ld. o r. u s @fi, A multi sectional (double wide or wider) unit with an enclosed floor area of not less than I ,000 square feet, that has a nominairoof pitch of 3 feet in heigirt for each 12 feet in width, that has no bare metal siding or roofing, and that has bein certified by the manufacturer to have an exterior thermal envelope meeting perfotilance standards which reduce heat loss to levels equivalent to the performance standards required ior single family dwellings at the time of construction. initials Yf- oe x CITY OF SrttlNGFlELD SYSTEMS DEVELOPMEN. JTORKSHEET JOURNAL OR NUMBER: COM2006-00723 NAMEORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING LINITS Ron Wallace I .154 34th Street 1702303408201 SINGLE FAMILY RESIDENCE I. STORM DRAINAGE DIRECT RLTNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F $0.323 BUTLDTNG SrZE (SFl 1782 LOT SIZE (SF): CHARGE $199.61 0 9075 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS 618.00 IMPERVIOUS S.F. 0.00 NUMBEROF DFU's 5 B. IMPROVEMENT COST: NUMBER OF DFU's 5 ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 SUBTOTAL $420.31 COST PER S.F $0.323 COST PER DFU $25.07 $r9.07 NUMBER OF LINITS 0 NUMBEROF LINITS 0 ADM. FEE RATE 5o/o DISCOUNTRATE 50o/o $199.6r DISCOLTNT $0.00 x x x x x x x x ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER- CIry A. REIMBTIRSEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC $220.70 3. TRANSPORTATION A. REIMBTIRSEMENT COST: xx xx COST PER TRIP $ r 9.09 COST PER TRIP $84. l9 $0.00 NEW TzuP FACTOR r.00 NEWTRIP FACTOR r.00 ITEM 3 TOTAL-TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 B.IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4) 5. ADMINISTRATIVE FEE: $0.00 $420.31 CITARGE s21.02 TOTAL SANITARY ADMINISTRATION FEE: TOTAL CherylSlaymaker 6/2312006 TION FEE: COST PER FEU $82.03 $199.6r $9s.3s $0.00 $0.00 $0.00 21.02 $441.33 I 070 l09l 1092 I 093 1094 1054 10s 1056 r079 078 o rI]o Q &r!Fa or!& I COST PER FEU $865.3 r PREPARED BY DATE TOTAL SDC CIIARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FIXTURES x LINIT EQUTVALENT : DRAINAGE FXTURE UNITS FOR CArcULATE ONLY THE NET ADDITIONAL NO. OF FIXTI]RES TINIT TYPE NEW OLD MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FXTURE T.INITS isa toa mit set at I 67 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE +EDU DRAINAGE FIXTT]RE TINITS 0 0 1979 BEFORE I979 1979 I 980 l98l 1982 1983 1984 1985 1986 1987 1988 1989 I 990 1992 1993 1994 1995 r996 1997 1998 1999 $5.29 $5.1 I $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 .29 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLD 0 vALtrE / 1000 s0.00 CREDITRATE $5.29x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CR.EDIT l99l $1.5s $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 BATHTUB 2 1 3 3 DRINKING FOI.INTAIN 0 0 1 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LALNDRY TUB 0 0 2 0 CLOTMSWASHER/MOP SINK I 1 3 0 CLOTHESWASTIER - 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 SHOWER" SINGLE STALL 1 1 2 0 SHOWE& GANG (NUMBER OF I{EADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 1 3 0 SINK: COMMERCTAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 1 2 -2 SINK: SINGLE LAVATORY/RESIDENTTAL BAR 2 1 1 1 URINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRTVATE INSTALLATION 2 2 3 0 YEAR ANNEXED CREDIT RATEi$1,OOO ASSESSED VALUE 0 $0.00 2000 2001 20 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone RECEIPT #: 1200600000000001072 Date: 0711712006 11:33:l3AM Job/Journal Number coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 coM2006-00723 Description Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Minor - Planning Foundation Permit Manufactured Home Placement Manuf Home State Issuance Storm Sewer - 1st 50 Feet Manufactured Home Conn - Plmb Manufactured Home Service + 8% State Surcharge + l}Yo Administrative Fee Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Amount Due 95.35 21.02 112.00 52.80 160.00 30.00 45.00 45.00 50.00 28.22 35.28 199.61 125.35 Item Total:$999.63 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check HARDACKER & O'LEARY njm 9210 In Person Payment Total: $999,63 -Fe.6I cRecernt I Page I of 1 711712006 *snNx*#lxl.a C;-' of Springfield Official ReceiPt L---. elopment Services DePartment Public Works DePartment