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Home My WebLink AboutMiscellaneous Building 2008-9-12 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Foundation Onlv Use Bid Amount ManuI' Home Manufactured Home Fee Deser-jlllion + 100/0 Administrntivc Fee + 12% State Surcharge + 5% Technology Fee Addressing Assignment Fire SF Fee - Residential Foundation Permit Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement Plan Review Major - Planning Plan Review Residential Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Storm Drainage Impervious Area Storm Sewer Each Addtll00' Willamalane ManDt" Home Private Total Amonnt Paid Amount Paid $47.41 $45.42 $29,47 $37,00 $95,60 $149.46 $30.00 $52,00 $160,00 $211.00 $97,15 $525.91 $691.63 $10.00 $1,009.17 $97.90 $128,93 $888,98 $201.54 $75,08 $654,99 $17.00 $2,513.00 $7,768.64 $1.00 $1.00 6,000.00 58,000.00 Total Value of Project FpP~ P'-li'LJ Date Paid 9/12/08 9/12108 9/12108 9/12/08 9/12108 9/12/08 9/12/08 9/12/08 9/12108 9/12108 9/12108 9112/08 9/12/08 9/12/08 9/12/08 9/12/08 9/12/08 9/12/08 9/12108 9/12108 9/12108 9112/08 9112/08 Paee 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01304 ISSUED: 09/12/2008 APPLIED: 08/29/2008 EXPIRES: 03/12/2009 VALUE: $ 70,762.00 $6,000.00 $58,000.00 $64,000.00 09/04/2008 09/04/2008 Receipt Number 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 , 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 2200800000000001379 ' 2200800000000001379 , 2200800000000001379 2200800000000001379 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2008-01304 ISSUED: 09/12/2008 APPLIED: 08/29/2008 EXPIRES: 03/12/2009 VALUE: $ 70,762.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line To Request an inspection call the 24 hour recording at 726-3769. All 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. I Reouired Insn~ction~ I 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. 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. Storm Sewer Line: Prior to filling trench, Sanitary Sewer Line: Prior to filling trench and including required testing. Water Line: Prior to filling trench and including required testing, MH Service: Approval required prior to utility company energizing service, MH Electric: When blocking, setup and plumbing inspections have been approved 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 trne 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 strncture withont 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. ,-,JL, ~~D1/fL ~ I-I) - D?: :v~ tlJ'act~;s Sign-ature Date Page 3 of 3 . 225 FIFTH STREET SPRINGFIELD, OR 97477 '(541) 726,3753 FAX (541) 726-3689' www:ci.springfield,or.us MANUF ACliJRED HOME SET -UP AGREEMENT As required by the City of Springfield Development Code,' I understand and agree that with the approval of the attached permits, one of the following manufactured homes will be placed at 1:42- s, 7{)-1-f, :;;1-, , , ' Springfield, Oregon, City Job Number C1Jn1200?{~ 0 I =3IJ'f 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 ;"'idth, 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,!!lJ!le performance standards required for single family dwellings at the time of construction. IK .\ , initials Type II Manufactured Hoine: 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 of2 feet mheight for each 12 feet in width, that has no bare metal siding or roofmg, 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 1 further state, by my signature below, that [ have been provided with the following information: ManufacNred Home Blocking,~e Connection, Street Tree Standards, Sanitary Sewer Connection, Electrical Connection, and Minim~Il1' r;qJ'rements for permanent steps, , . , ' [ 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 or other concrete or masonry materials approved by the Building Official and with no more than 24 inches of the enclosing material exposed above grade. ' &-br~UJ~ Date b~ Willamalane t"W Park & Recreation District, Job. No. ~J"'\~ SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: Rns\et\ ::5a.\J~'<J:> PHONE: 5'1D...R1~ ADDRESS:1fi:A. ~n ~ITY ?U\en€..tSTATE:~IP: a.1.4~ LOCATION OF PROPOSED BUILDING SITE: Street Address: )JA.:h $. \(J'"'^ 'b't- Plat Name: ~ \~ - Tax L~t Number: \ "10'1. ~'3~ Ct::ADt 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type defirittions are on the back.) A Sinale-Familv Detached NO. OF UNITS \ X $2,513 per unit = $ '1.~\~rv B. Sinale-Familv Attached NO, OF UNITS X $2,726 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $2,323 per unit = $ D, Sinale Room Occuoancv _, NO..OF UNITS X $1,162 per unit = n $ .__ E. Accessorv Dwellina Unit NO. OF UNITS X $1,257 per unit = '$ $ 2.5\3~ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approvaL) 'rz;' $ Q.5\ g .w $ 3. TOTAL WILLAMALANE NET SDC ASSESSED 1ci:DJc:~~:~r:7~) Development se~i~~~ent City of Springfield , ' 7 I /2 I 2~5 Date 5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: _l.9CATION:, TAX LOT-NUMBER: DEVELOPMENT TYPE: NEW'DWELLlNG UNITS I. STORM DRAINAGE COM2008-0 1304 Kristen Jaycobs 242 S. 70th Street 1702353305904 Single Family Residence I BUILDING SIZE (SF: 1812 LOT SIZE (SF): DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S,F, CHARGE I I 1836.00 I $0.357 I = I $654.99 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, 1 x 1 COST PER S,F. I x I DISCOUNT RATE I I I 0.00 I I, $0.357 1 I 50% = I ITEM I TOTAL - STORM DRAINAGE SDC $654.99 2, SANITARY SEWER - r.rry A. REIMBURSEMENT COST: I NUMBER OF DFU's 1 x I 25 1 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 25, 1 COST PER DFU $27.67 ' COST PER DFU $21.04 3. TRANSPORTATION ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I A. REIMBURSEMENT COST: 1 ADTTRIPRATE I 'x 1 9,57 I B. IMPROVEMENT COST: I ADT TRIP RATE 1 I 9.57 I 1 NUMBER OF UNITS I x I 1 I I I x 1 NUMBER OF UNITS 1 x I 1 I 1 I = , ITEM 3 TOTAL - TRANSPORTATION SDC . 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I I B. IMPROVEMENT COST: ' INUMBER OF FEU's I I ,I I $1,217.54 COST PER TRIP 21.06 COST PER TRIP $92,89 $1,090,52 ICOST PER FEU I $97.90 x ICOST PER FEU $1,009, I 7 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC '" I $1,117,07 DISCOUNT $0.00 ~- -',- ..-_:'.:.~ .',. / II I~ IP ,18 loe: I~ '", (3 ;:j 8276 $654,99 ,! 1070 1 x INEWTRIPFACTORI I 1.00 1 I ,x INEW TRIP FACTORI 1 1.00 I TOTAL SDC CHARGES $691.63 I 1091 I $525.91 11092 I -I $201.54 1093 I $888.98 11094 I = $97,90 1054 = $1,009.17 $0,00 $10,00 11055 I 1054 1056 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , 5. ADMINISTRATIVE FEE: I SUBTOTAL x 1 ADM, FEE RATE 1= I $4,080.12 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $4,080.12 CHARGE $204,01 128,93 $75,08 II 11079 11078 Kaye Wilson PREPARED BY 9/412008 DATE $4,284.13 225 Fifth St,reet Springfie'ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-01304 COM2008-0 1304 COM2008-01.J04 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 COM2008-0 1304 Payments: Type of Payment Check cReccintl RECEIPT #: 2200800000000001379 Description Plan Review Residential Foundation Permit Addressing Assignment Willamalane Mannf l'lome Private Fire SF Fee - Residential Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC Transportation Admin Manufactured Home Placement ManufHome State Issuance Slorm Sewer Each Addtl 100' Manufactured Home Conn - Plmb Plan Review Major - Planning + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/12/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By EVERGREEN LAND TITLE CO djb Page 1 of 1 16002 In Person Payment Total: 8:33:06AM Amount Due 97.15 149.46 37,00 2,513,00 95,60 654.99 691.63 525,91 201.54 888,98 97,90 1,009,17 10.00 128,93 75.08 160.00 30.00 17,00 52,00 211.00 29.47 45.42 47.41 $7,768.64 Amount Paid $7,768.64 $7,768.64 9112/2008