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Home My WebLink AboutPermit Building 2008-9-4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2008-01047 ISSUED: 09/04/2008 APPLIED: 07/14/2008 EXPIRES: 03/04/2009 VALUE: $ 25,000.00 ,225 Fifth Street, Springfield, OR 541-726"3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1294 31ST ST ASSESSOR'S PARCEL NO.: 1702303402401 Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured home (replacement M.H.) Owner: GEORGE TRA VESS Address: 1495 CHEEK STREET SPRINGFIELD OR 97477 Phone Number: 541-747-9740 I CONTRACTOR,INFORM~TION I Contractor Type Electrical Manuf Homc Inst Plumbing Contractor RALPH W BROWN GREAT WESTERN HOMES INC GREAT WESTERN HOMES INC License 63137 46472 46472 Expiration Date 02/15/2010 12/29/2009 12129/2009 Phone 541-729-1500 747-9940 747-9940 3 'I BUlLDlNG_INFORI\!~ TION I ~. '..~VI- r~;t~".II\J: Uregon law ,- , "O'~'"",,,':~ "opt" by ~ ....,'" l' ' Heig~":?f)~!!,uctirre'r. Th.os r e Orego~q}/i"~ t Floor: TYP'!JOf\1j5atr010\lfE(r!J~lrl e~Wltare stII d Floor: WateKrIJPrfray obtain co ,~~R..AR 9~lJil .asement: Rang!'J!vp.H t~enter. (Not;~~lg(Jhe rl$d'Warage/Carport Energy Eath: e Oregon Ut'I , telePf8Jolitf>ther: "J.I(Or '0..1 8 ' 'Ilv Noli'" Sprinkled Iinifdin,b"- 00-332-;;!S44L "Clliwl!pant Load:, I DEVELOPMENT I,NFORMATION I 9,583 1,620 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constrnction Type Secondary'Construction Type: # of Bedrooms: 1 R-3 VB REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: ' Solar Setbacks: 39.00 42.00 11.00 22.00, 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Total: Handicapped: Compact: 2 17.90 I ,PUBLIC IMP~O~E~E~TS I ' , , Street Improvements: ' IVU IIl;t. , Sidewalk Type: Storm Sewer Available: No '. THIS PERMIT SHAlllOO',m"lFuitlHi.lm.l~K , Special Instruction: Rain Garden for storm water ~lbW>RIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR Notes: Previous MFH was 14X66/924 sq feet credit wMi've6~e$Ip!Rf@I).#101 Oxley Urban Land/no easements Pa!!e I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Ph"ne 541-726-3676 Fax 541-726-37691nspection Line Description Tv De of Construction Foundation Onlv Use Bid Amount Manuf Home Manufactured Home Fee Description Plan Review Residential + 10% Administrative Fee , + 12% Stale Surcharge + 5% Technology Fee Foundation Permit ManuI' Home State Issuance Manufactured Home Conn - Plmb Manufllctured Home Feeder Mannfactnred Home Placement , Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Initial Review 07/17/2008 Public Works Review 07/1712008 I Valuation Descriotion 1 $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 5,000.00 20,000.00 Total Value of Project I. l)'~r~ PiWJ Amount Paid $49.23 $34.07 $40.89 $22.99 $75.74 $30.00 $50.00 $55.00 $160.00 $119.00 $-21.04 $-27.67 , $9.98 $248.30 $846.49 Date Paid 7/14/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4108 ,9/4/08 1 Plan Reviews .1 07/17/2008 07/22/2008 " APP LLH 10 LKW Pa!!e 2 of 3 CITY OF SPRINGF,IELD Building/Combination Permit PERMIT NO: cOM2008-()1047 ISSUED: 09/0412008 APPLIED: 07/14/2008 EXPIRES: 03/04/2009 VALUE: $ 25,000.00 Value Date Calculated $5,000.00 $20,000.00 $25,000.00 07/1412008 07/1712008 Receipt Number 1200800000000000772' 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 Replacement Home - Willamalane Fee, Addressing Fee, and Fire Fee do not apply. Previous home demolished 1-18-08 Callcd and left message for Terry Travess on 7-22-2008. Waiting for information on previously demo'd MFH for credit. 7-29-2008 gave Terry Travess a copy of rain garden standards. He will get back tome if he is going to use those standards instead of a drywell for storm water runoff. CITY OF SPRINGFIELD' l:' Building/Combination Permit Status Issued PERMIT NO: cOM2008-01047 ISSUED: 09/04/2008 APPLIED:' 07/1412008 EXPIRES: 03/04/2009 VALUE: $ 25,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541"726-3676 Fax 541-726-3769 Inspection Line Structural Review 07/17/2008 07/22/2008 APP DLM Standard M.H. comments for M.H. Only apply. Complete,installation instructions for both milDufactured foundation systems shall be available on the job site at the time the M.H. setup inspection is conducted. Public Works Review 07/30/2008 07/30/2008 APP LKW Will do rain garden for storm water run"off. Plannin!! Review 07/17/2008 08/0712008 APP T AJ Two street. trees are required unless they are already in. To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. ~iIl be made the same working day, inspections requested aft~r 7:00 a.m. will be made the following work day. I ReolJired Insn,ecti?~s , 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 iJistalled. Final Building: After all required inspections have been requested and approved and the building is complete. Manuf Home Plumbing: Afterhome has been connected to water and sewer. MH Electric:. When blocking, setup and plumbing inspections have been approve'd and the home is connected to the panel. 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 (lertaining 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 fnrther certify that ouly 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 iuspcctions 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 C007/" " ", ~~/~~~ Y-9-Dc9 Owner or Contractors Signature Date Paee 3 of3 225 FIFTH STREET. SPRINGFIELD,OR'97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT.APPLICATION City Job Number lil.8- IC>\\ ' 1. liiljj'cicAitomeFilNsJiAiCLWiI@JVi!llli_- -(tz:q~-5srr:k-~~ , LEGAL DESCRIPTION \1 c:fl '3D3dt D1..4JJ \ A. ~~~hf.R~~J~~V~~'~~~~~~1~Ifrr~!rEI~~~4~~~~rrr~m Service Included JOB DESCRIPTION . 1000 sq, ft. orless 'Each additional 500 sq, ft. or portion thereof Each Manufac!' dHome or Modular Dwelling Service or Feeder $106,00 Cl '" Permits are n()n~ sferabJe and expir if work is not started within 180 days of issuance or if work is Snspended for 180 days. $ 19,00 ~ \ $50,00 ~t{%(;W;H,%,iAAIDWl~"'k'1~*""fW'~,;_"""" :'0Jl;;\jt~ ; !:\I:'/\l%llilAi,i00I!4'/piHiIfW!'W'*";:! . e()N'FRA(i)1j()R41NSrpA:I1E$.fFJ()N()~,!iXt :;ectr;::I':::::c:::"'.~~'M~ B. ~i~8&m~i~riil~IRJ1~!~ife~M~~R'Ci~ii~if:~1ti . ..," ~,I!nj.. _ '\;~G1PM#jAM#f$Wi!MY"'l<'''M,)';;''''''='~:r''''''')''",j'i'j<lW'4.t;~''JI'''~,i','l''Vr;.>,,: ,~"".,w:;;:S-1 200 Amps or less $ 63,00 , 201 Amps to 400 Amps $ 75,00 401 Amps to 600':Amps $125,00 601 Amps to 1000 Amps $163,00 Over 1000 AmpsNolts $375,00 , Reconnect Only $ 50,00 /\TTi::NlioN: Oregon law requires you to OU,ffc....:,kles adopte, ~tI~~e~~~l;\1:~MM~FFi1'~~f1s"~'~~fl'.1~~;\t~1 T II~UllllvdllUII Ct:nter..T .J..".........U~afe~fto;'J/g....-,...._A,"" -W~~t~\~.t'iild}~ft1\!;;;.~-_it1 /0 //, / dl)^)AR 952c001-001~hW8\llIDoQA.R~~~~Q1;r Relocation I " ;;XJ. ltu ,-,'tay obtain copIes b'tt'iie ru1es'b)' / ;> r <,c~ing the center. tmfiP.'me>lEile'Phone Constr, Contr, Number i? ';> '-flumh~r Inr the Oregllh ~~R ""'/1 / () c Center is 1~284li}OAmps ' Expiration Date <L- (5 Over 600 Amps or 1000 Volts see "B" above, "D. Address ;1{JC(''7_ /~ ~ City ~ Ph.one 7 Z. ?-(5ex> Supervisor License Nurnber Expiration Date $ 50.00 $ 69,00 $100,00 ., ~"W~ fJ Signature of Supervising Electrician Owners Name \ A 1!~lG0~H;;l1b'~~h_H\\lMfhlN~t\iiL!M!JMUli~&:-i.t~'W"'1~iift10~~'''AAift#:;;;;U Address \' E. isS~U~>.!lt;,o1lJ,lS~,~~~!~,~ft~il~n9t i,n~lu~~~1J,*i~~~jl~~~ta!lation Clty~ Phone~. lIi'i.:. ' Pump or Imgal10n ~ - $ 50,00 - NOf1't~ lif~Wh- wO $ 5000 OWNER S ALLA TlON THIS PERMIT S'" 1~'l\-fl5'~I;relSl>>Ol $ 25,00 The mstallatlOn IS bemg made on property I <Ab\mQ~\ZEO U~ :~I~t,,~\i\diORaI $ 45,00 IS not tntended for sale, lease or rent. COMMENC~~ 1091ectric Permit Inspection Fee is $45.004- Surcharges Owners SIgnature: ANY 1800 4., ""~~@E'11;@VE;M1i~W1J;: ~,;.,~ ~ ~mi{liY1irwd('t>;;t~~\(!lj~~t<~-" ~~S:l ' % State Surcharge 6. () {o . ('0-- 10% AdmInistratIve Fee .?;; ~6 .z.,.::.:J.. 7-.75"' f. .:V ~,! New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with . Service or FeedeT'Permit $ 43,00 $ 3.00 ;.'.' Inspection Request: 726-3769 TOTAL Shaced DriVe(ToJIBU;]d;ngFO~]"t~~ad~ CITY OF SPRINGFIELD SYSTEMS DEVELOPME!'lT WORKSHEET JOURNAL OR JOB NUMBER: C0M2008-01047 NAME OR COMPANY: George Travess LOCAT]ON: ' ]294 3]st Street TAX LOT NUMBER: ] 70230340240 I DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS 0 BUILDING SIZE (SF' 1620, r----- VJ U-l CI o u ~ IU-l 'I f- IG I, ~ 9583 LOT SIZE (SF): , I. STORM DRAJNAG~ ' DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, I, I ' CHARGE I 696,00 $0,357 I = . $248,30 I RUNOFF ROUTED TO DRYWELL DES]GNED AND CONSTRUCTED TO CITY STANDARDS 'I ]MPERVIOUS'S,F, I x I COST PER S,F, I x I DISCOUNT RATE I. ,I 0,00 1 1 $0.357 I 50%" '=0 ITEM t TOTAL - STORM DRAINAGESDC $248.30 I DISCOUNT' $0,00 , , i! 1070 $248.30 i I I i091 I 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: : NUMBE~10EDFU'S I x B. ]MPROVEMENT COST: ,I NUMBE~IOFDFU'S I COST PER DFU I, $27,67 I ($27.67), COST PER DFU , $21.04 ,x ~ I ($21.04) 1092 = , ITEM 2 TOTAL - CITV SANITARY SEWER SDC ($48.70) 3,TRANSPORTATlON A. REIMBURSEMENT COST: I ADT TRIP RATE I x 9,57 I B. IMPROVEMENT COST: I ADT TRIP RATE I I 9,57 I I NUMBER OF UNITS I x I I 0 I x I x /NEW TRIP FACTORI 1.00 I' COST PER TRIP 21.06 '[1093 $0.00 x' I NUMBER OF UNITS I ,I 0 I 'x INEW TRIP FACTORI I 1.00 I COST PER TR]P $92,89 $0.00 $0.00 1094 I, I = , ITEM P:OT AL - TRANSPORT A nON SDC ....: ~ "t;....~ ' 4, SANIT AR Y SEWER - MWMC "t, A, REIMBURSEMENT COST:. INUMBEROF FEU's I x I 0:, ICOST PER FEU I $97,90 $0.00 1054 = B, IMPROVEMENT COST: INUMBER OF FEU's I x I 0 I ' ICOST PER FEU I $],009,17 1 I $0.00 1055 $0.00 I 1054 $0.00 1056 I , I 9,98 1079 $0,00 1078 ---, =/ $209.58 I I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM4TOTAL-MWMCSANITARYSEWERSDC =, $0.00 '- SUBTOTAL (ADD ITEMS 1,'2,3, & 4) ~ , $199.60 L 5, ADMINISTRATIVE FEE: I SUBTOTAL x I ADM,FEERATE I~ I $]99,60 I 5% 1 TOTAL SANITARY ADMJNISTRAT]ON FEE: TOTAL TRANSPORTAT]ON ADMINISTRATION FEE: CHARGE $9,98 Kaye Wilson PREPARED BY 7/24/2008 TOTAL SDC CHARGES DATE DRAINAGE FIXTURE UNIT (DFl!} CALCULATION TABLE - ~E~ OF NEW FIXTIJRES x UNIT EQUIVALENT = DR.A!NAGE FIXTURE U!'JITS (NOTE: FOR REMODELS, CALCULA IE ONLY TIIE NET ADDITIONAL FIXTIJRES) NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD EQUIV ALEJ'o!.T IBATHTUB 0 Tl 3 = IDRlNKING FOUNTAIN 0 1 = , I FLOOR DRAIN 0 0 i 3 = IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 I 3 = INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 I 6 = LAUNDRY TUB 0 ,0 I 2 = CLOTI-IESW ASHER / MOP SINK 0 0 I 3 = CLOTI-IESWASHER - 3 OR MORE (EA) 0 0 6 = MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = RECEPTOR FOR REFRlG / WATER STATION / ETC, 0 0 1 = RECEPTOR FOR COM, SINK / DISHWASHER / ETC 1 0 3 = SHOWER, SINGLE STALL 1 0 2 = SHOWER, GANG (NUMBER OF HEADSt 0 0 2 = SINK: COMMERClAURESIDENTIAL KITCI.JEN 1 1 3 = I SINK: COMMERCIAL BAR 0 0 2 = ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 2 1 = I URINAL, STALL / WALL 0 0 5 = ITOILET, PUBLIC INSTALLATION 0 0 6 = ITOILET, PRIVATE INSTALLATION 2 2 3 = MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE uNITS .*EDU (Equivalent Dwelling Unit) is a discharge eauivalent to a single raniilydwelling urnt (20 Oms) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE CREDIT RATE/$l,OOO ASSESSED VALUE 5' I YEAR ANNEXED 1 BEFORE 1979 I 1979 I 1980 I 1981 I 19&2 I 1983 1984 I 1985 I ]986 I ]987 I 1988 I 1989 I 1990 I 1991 I 1992 I 1993 i 1994 I 1995 I 1996 1 , 1997 I 199& I 1999 ,: 2{){){) 2001 IS LAND ELGlBLE FOR ANNEXA TIONCREDIT'? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT'? (Enter I for Yes, 2 for No) BASE YEAR , CREDIT FOR LAND (IF APPLICABLE) VALUE/IOOO CREDIT RATE $0,00 x $5,29 2 2 1979 ~ I $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/IOOO CREDIT RATE $0,00 x $5,29 ~ , 0 TOTAL MWMC CREDIT = $0,00 ,/' >', , , ,',- ',/ .",' .' -'" , "~~ " , ", ~;;;,~;;J!1." 'W!'~"i,~""",~ .' ",...~... I' -(i~@ ~ " ." ",~f~~:~~~\ _ . .' _';j"_~. ,_,_ . . .,. 'DEVELOPAiENT SERVICES DEPARTMEil/T '- ...., -.: . . .. .''' , ','" , ,'i25FIFTHSTREET '~SPRINGFIELD, OR 97477 " ,(541) 726.3753', FAX (541) 726-3689 ~w: C/. spri[lgfi~icj. or.ljs, < :. :. ~: ,,' .~... " \" -' 'M:"'NUF ACTURED HOME SET-UP AGREEMENT ,'. .;.... ',.. As required by the City of Springfield Developmertt Code; I understand and agree that with the apjJrova!-<;f ': the attached pennits; one of the following manufactured homes will be placed at ,2-q 4.;. '31 "'-::1 " , , Springfield, O~~gon, City Job Number ~ JEll';;: , t2...4 7' . . .-,'.' . ",,' .'.".. ," . ,> ,:' ,TY~UfaC~~ed 9 " c-" ,,' ", " " ,',,' , .A multi sectional (double wide or wider) unit with anbnclosed floor area of not less than 1,000 square feet,. , that has a nominal roof pitch of 3 feet in heightJor each 12 feet in width, that has no bare metal siding or roofing. and that has been cel11fied by the manufacturer to have an e~ieW'nor thermal envelope meetmg, performance standards whIch reduce heat loss to levels eqUIvalent to the onnance standards reqUIred , for smgle famil~,dwelli.ngS at the time of constructlO~,: ' .. ' ~', mmals (X ~\ , ' , ", 0" ,'" " \2- Type II Manufactured Home:' ,';.:\ A unit of not less,than 12 feet in width enclosing a"minimum.floor ar~a o{SOO square feet; that has a 'nominal roof pitch, of 2 feet in height for e~ch 12'feet i~ width, that,p'as'no bare metal siding or roofing, ~nd that has been'certified by the manufacturer to have an exterior thermal envelope meeting perfonnance standards which reduce heat loss to levels equivalent to the performance s,talldards required for single '\ " family dwellings at the time Of,cOlistnicti~n, ' ',initials , I further stite, by my signature below, that I'have beeirprovided with the .following infonnation: , , ' Manufactured Home Blocking, Water Line coimeciiori;Street Tree S'tandards, .Sanita'ry Sewer Connection, Electrical <;:onnection, and Minimum requjrements for pennanent 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 af the perimeter with stone, brick or ot)1er concrete ,or masonry materials'appi'ovedby.the ?uilding Official and,with,no more than24 inches of the enclosing material exposed ahove grade, ..' " ~ ./'-Signature / , ' , , "~~~ .j:.' '7-y~ D5.? Date /,' .' .iI.' . ~~ '. .. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phoue Job/Journal Number COM2008-0 1 047 COM2008-0 I 04 7 COM2008-0 I 047 COM2008-01047 COM2008-01047 COM2008,01047 COM2008-01047 COM2008-0 I 047 COM2008-01047 COM2008-01047 COM2008-0 I 047 COM2008-0 1 047 COM2008-01047 Payments: Type of Payment CreditCard cReceirtl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200800000000001336 I :39:58PM Date: 09/04/2008 Description Foundation Pennit Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement. SDC Sanitary/Stonn Admin Plan Review Minor - Planning Manufactured Home Feeder + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 75,74 160,00 30,00 50,00 248,30 (27,67) (21.04) 9,98 119,00 55,00 22,99 40,89 34,07 $797.26 Paid By GREAT WESTERN HOMES INC Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid DJB 067321 In Person $797,26 Payment Total: $797.26 ~ Page 1 of I 9/4/2008