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Home My WebLink AboutPermit Building 2009-1-20 .'!. Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 5716 A St A~SESSOR'S PARCEL NO.: 1702334104300 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0I2I9 ISSUED: 01/20/2009 APPLIED: 08/15/2008 EXPIRES: 07/20/2009 VALUE: $ 15,000.00 Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured home Owner: Address: BENSON VERN W 940 HWY 99 N EUGENE OR 97402 Contractor Type Genera] Electrical Manuf Home Inst Plumbing I CONTRACTOR INFORMATION I Contractor . BENSON DEVELOPMENT ROBS ELECTRIC INC BENSON DEVELOPMENT CO TOMS PLUMBING SERVICE INC License ]43021 156678 143021 159425 Frontyard Setback: 11.50 Overlay Dist: Side 1/~e~~~c!<:.:)N: Oregon law reqsi003 ynu t.o # Street Trees Rqd: Side ?-3?'St!:!a.c.k:~s adopted by the 18fooJn Utility Paved Drive Rqd: Rea~y~r,d.lS_etbac({:Jnter. Those rullg.9~3 set forth % of Lot Coverage: Solarr-.S~(b"acks~-001-001 0 through '0;00 952-001- ",,.......,, \.1_., .-."''' t"'\ht-:ain ('''niDs of the rules bV --;~Iiing the c'entor. (Nole:the tel:phiiiJ>>L1C IMPROVEMENTS' number for the Oregon Utility Nc."fIC,., . , Street Impro~ements:s 1-800-332-2~4Id[l.I d Sidewalk Type: C ' vt;lll~' I . rU V mprove urbslde 5' Storm Sewer Available: Yes NOTICE: Downspoutsmrains: To S.t.9rm Sewer Special Instruction: THIS PERMIT SHALL EXPIRE IF THE WORI\ AUTHORIZED UNDER THIS PERMIT IS NOT . COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB 3 Notes: Storm water to tie into storm pipe BUILDING INFORMATION I # of Stories: 1 Height of Structure Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: n/a I DEVELOPMENT INFORMATION ,I ~~ ~~~ . ~'<P Paee 1 of 4 Expiration Date 05/] 5/2010 08/14/2011 05/15/2010 05/12/2010 Phone 541-688-8897 541-686-5444 541-688-8897 541-607-8879 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 4,500 1,848 3,000 REQUIRED PARKING Yes 40.00 Total: Handicapped: Compact: 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax. 541-726-3769 Inspection Line Description Tvpe of Construction Foundation Only Use Bid Amount Manuf Home . Manufactured Home Fee Descriotion Plan Review Residential *** SDC ANNEXATION CREDIT ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Addressing Assignment Curocut Permit Fire SF Fee - Residential Foundation Permit Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Manufactured Home Senrice 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 Sidewalk Permit Storm Drainage Impervious Area Storm Sewer Each Addtl100' WilIamalane Manuf Home Private -Total Amount Paid Initial Review 08/22/2008 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0I219 ISSUED: 01120/2009 APPLIED: 08/15/2008 EXPIRES: 07/20/2009 VALUE: $ 15,000.00 I Valuation Oescriotion I $ Per Sq Ft or multiplier $1.00 . $1.00 Square Footage or Bid Amount 3,000.00 12,000.00 Value Date Calculated $3,000.00 $12,000.00 $15,000.00 08/1512008 08/25/2008 Total Value of projeCi . F~l'" r~iIU Amount Paid $39.56 $-204.33 $44.61 $47.98 $28.79 $37.00 $88.00 $46.20 $60.86 $30.00 $52.00 $55.00 $160.00 $55.00 $483.84 $636.30 $10.00 $1,009.17 $97.90 $132.95 $888.98 $201.54 $70.31 $88.00 . $941.81 $17.00 $2,513.00 $7;631.47 Date Paid Receipt Number 8/15/08 1/20/09 1/20/09 1/20/09 1/20/09 1/20/09 1/20/09 1/20/09 '. 1/20/09 1/20/09 1/20/09 1/20/09 1/20/09 1/20/09 1/20/09 . 1/20/09 1/20/09 1120/09 1/20/09 1/20/09 1/20/09 1/20/09 1/20/09 1/20/09 1/20/09 1/20/09 1/20/09 3200800000000000568 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 1200900000000000020 ]200900000000000020 08i22/2008 I Plan Reviews I APP NJM Paee 2 of 4 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. Page 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit . Status Issued PERMIT NO: COM2008-01219. ISSUED: 01/20/2009 APPLIED: 08/1512008 EXPIRES: 07/2012009 VALUE: $ 15,000.00 225 Fifth Street, Spriugfield, OR 541-726-3753 Phone 541-726"3676 Fax 541-726-3769 Inspection Line I. ~,~9ujred Insn~ctions.. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footiug and/or foundation inspection. Foundation: After forms are erected but prior to concrete placement. Manuf Home Set Up: Wheu 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. Manuf Home Plumbing: After home has been connected to water and sewer. Storm Se,wer Line: Prior to filling tr.ench. Water. Line: Prior to filling trench and including required testing. Sauitary Sewer Liue: Prior to filling treuch and including required testing. MH Electric: When blockiug, setup and plumbiug inspections have been approved aud the home is connected to the pauel. MH Service: Approva] required prior to utility company energizing service. Final Building: After all required inspections have been requested aud approved and the building is complete. By signature, I"state aud agree, that I have carefully examined the completed application aud do hereby certify that all information hereon is true and correct, and I further certify that any an_d all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaiuing 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 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 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. --.<:::. ~ ) ~:/ U-<::.J ! Owner or Coutractors Signature Date Paee 4 of 4 , City of Springfield Development Services Department 225 Fifth Street Springfield, OR 97477 Manufactured 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: 5'//1f! R &f. Springfield, Oregon, City Job Number: C(J'rY1200/5- {)/Q./Cj 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 levels equivalent to the performance 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 enclosing a minimum floor area of 500 square feet, that has a nominal roof pitch of 2 feet in height for ~very 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 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 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 or other concrete or masonry materials approved by the Building Official and with no more than 24 inches of enclosing material exposed above grade. ' ~,- :::-. Signature J-;2c)-O~. Date Manufactured Home Set-Up Agreement 9.0S.08 ;--.. ,.........- ~'..... r" _CITY OF ,SPRINGFI~D SYSTEMS DEVELOPMENT WORKSHEET' JOURNAL OR JOB NUMBER: COM2008-01219 NAME OR COMPANY: Benson LOCATION: 5716 A Street TAX LOT NUMBER: 1702334104300 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS I BUILDING SIZE (SF: 1848 LOT SIZE (SF): 1. STORM DRAINAGE 4356 l~ ~ >:Ll 1-< 15 iti DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS SF ,I COST PER S.F. I I CHARGE I 2640.00 I $0.357, I = $941.81 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS liMPER VIOUS S.F. I ' I COST PER S.F. I, I DISCOUNT RATE 1 I 0.00 I SO.357 I I 50% 1 ~ I ITEM 1 TOTAL - STORM DRAINAGE SDC '$941.81 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: 1 NUMBER OF DFU'sl ' 1 23 I DISCOUNT $0.00 $941.81 I 1070 " B. IMPROVEMENT COST: I NUMBER OF DFU's I , I 23 I COST PER DFU $21.04 $483.84 I 1 1091 I 1 1092 I COST PER DFU $27.67 , $636.30 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ , $1,120.14 J. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I ' I 9.57 I B. IMPROVEMENT COST: , ADT TRIP RA TE I I 9.57. I NUMBER OF UNITS I x I I I I COST PER TRIP 21.06 x INEWTRlPFACTORI I' 1.00 $201.54 1093 , I NUMBER OF UNITS I x I 1 I I i ~ , COST PER TRIP I., INEW TRIP FACTORI S9289 I 1 1.00 1 $1,090.52 I $888.98 I , 1 1094 j ITEM 3 TOTAL - TRANSPORTATioN SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: 'INUMBER OF FEU's I x I 1 .1 1 COST PER FEU 1 $97.90 = $97.90 1054 B. IMPROVEMENT COST:' INUMBER OF FEU's I , ICOST PER FEU I I I $1.009.17 = $1,009,17 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ($204.33) 10541 , MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I $912.74 ~ I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $4,065.21 I "-.--- 5. ADMINISTRATIVE FEE: .;~ I SUBTOTAL x 1 ADM. FEE RATE J~ CHARGE I $4,065.21 1 5% $203.26 TOTAL SANITARY ADMINISTRATION FEE: 132.95 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: 570.31 J 1078 I<aye Wilson 12/18/2009 TOTAL SDC CHARGES =, $4,268.47 PREPARED BY DATE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 ]983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 ]996 1997 1998 1999 2000 2001 CREDIT RA TE/$I ,000 ASSESSED VALUE $5.29 $5,29 $5d9 $5,12 $~:~8 ,. $4:8'0 $4.63 $4.40' , $4'.07 $3.67 $3.22 $2:73' $2:25 $1.80 $1.59 $1.45. $1.25 $,1.09. $0:92 ' $0,72 $0,48 , '. $0:28' $0,09 .. _ _$9-.9,5,_,~_,_ , i .. ; I IS LAND ELGlBLE FOR ANNEXATION CREDIT? , . (Enter I far Yes. 2 forNa) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I far Yes, 2 for No) BASE YEAR , , CREDIT FOR LAND (IF APPLICABLE) VALUE/IOOO CREDIT RATE $38.63 x $5.29 I ',' ! CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE. $0.00 x $5.29 TOTAL MWMC CREDIT = " 1979 $204.33 o $204.33 " ~ Willamal~~e Park & Recreation D/stnct Job. No. ~.. WJq . . \ fYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: . \j~.~.~ 'PHONE: ADDRESS:OA\).t\t~ qqcl"fy' WC\. STATE~IP: LOCATION OF PROPOSED BUILDING SITE: StreetAddres.s:.' 01\ loA I..~+rp& -Plat Name: Tax Lot Number: ~~ II D13 ~ "\ ffiC:f;D 1. DEVELOPMENT TYPE (Check appropriate dweliing(s). Dwelling type definitions are on the back.) $ $~ol~ ~ $'y $ A'O\~.,a7 .l /tl /(11 Date A. Sinale-Familv Detached NO. OF UNITS .~ l x~perunit= B. Sinale-Familv Attached NO. OF UNITS X $3,100 per unit = C, MulticFamilv Apartment NO. OF UNITS . X $2,641 per unit = . D~Sinale-Room-Occupanc" . NO: OF UNITS X $1 ;321 per unit = E. Acces.s.cirv Dwellina Unit NO, OF UNITS X $1 ,550 per unit = WILLAMALANE SDC . . 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane'Credit approval.) 3. TOTAL WILLAMALANE NET SDC ASSESSED \\~C~l;i' ~. Development Services Dep'i(~ City of Springfield. . -, . 1:-1\W\~ ~.U\ . taB . $~~~'cxJ .r $' $ $ 5 ZON LOtz- INITIALS \ ;t\ DATE \.'Z..\.c:;q- SOURCE tJ'..~t~ I - 20 - 0 1 __' 'Jilin _ .... .~.,,~,~ ~ "'~" "....:!'-',~,f ~ . "~ilI'~>.,~. 'i!O '<1. '" :1;,- ';~,\.:: '! ;'':'' f ~t~IrX~~];~S~ajf~~Q;L,<?,~~(O~~ ::~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number C- g-- - / Z t ~ ' Date 1. "iJO€AjffONIOE./iNs"~i!li\T:~#!!I?#'i!'iJ;lt ~."~i1;":;riw<",~_..,."Xi:~"",","',c,,,,,:,-"""""-;;;'---"--i~",,---~~i1I 57/b A- ~+- LEGAL DESCRIPTION: I/02~S4\ 0(.(300 JOB DESCRIPTION: jY/ANU.p- flrv1 St2-V0oCL , 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. ElectricalContractorAl9hiS i:-leLfY'1 ~ Ene. Address f. c) fJ,oO x 2'? 2- i City EV/7 ent- Phone (ie/I) ~ 9( n1iY Supervisor License Number V 7 '-/1/ S Expiration Date / {J - 0 I - 20/ {) Constr. Contr. Number is-Ct. 7'8 Expiration Date <j -Ie( - 2-01/ Signature of Supervising Electrician /?Z /&--. Z- Owners Name Address City / Pbone / / . ,. . OWNER INSTp.LLATION Tberinstallatwo is being made on property I own which isn~~~~h~E\~fT"S'R~IT'f'X~E IF THE WORK OwlleJ:i;lSignlltilreD UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Inspection Request: 726-3769 3. 'lOO'MPi5EfiE.IFEEJSei-iEi5iJJi1EmEJJoW:~iill.~1*3llf:";i M"""","'WJIo.=",,,,",,,,,,,,.ir'~"'m_t=~,,,'W,,,,,~,,-.@,,,,&-,,,,~"_"""""'''''"'.,~i'i~"V@~~' """" A. ~B~JJ!;tjJ~1~L2~MW,f~~!i~j)1JP~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion.thereof $117_00 $21.00 Each Manufact' d Home or Modular Dwelling Service or. Feeder Z $55.00 ';/0 B. , 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70_00 $ 83 _00 ~138.00 $180_00 $413_00 $ 55_00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55_00 $ 76_00 $110_00 Over 600 Amps or 1000 Volts see "B" above. 1:=--0~Ii~Z!lB "0'0~iilliliLii\jmlW=9G'-~"~ l10U D. ;Bra~,"~..:;~r;c,l!!!S~?V:~~~,~mit~3 , ,,"-,., New!~]ter3'tih';il(j~ 'ilh2n~jo;;':;e; P;~e;~n utility On fro':~"'trlj\93 aOl>p'"'' '" ..' u'~s a're sPt$fC}r~ho e ,"ITCUl . . ,t ' Those r ,~ "" :0 . , i.l \\Ji'"';:~:hnp. r~ll p:". .- :~2-0v - Eac~~dg~~IPg~~_S8'~u.!V~r~viIth)u.gn Uf\n <.J...! , ~~ h\L . Servic~or Feeder Eenmt-ain copies at the ru$'''':UU ~4~:;,~,~,~~~~,~c,;tf~tt;;i~,~:;;~~e~~~ .... "'W"',_m,_ E. mlN,iS,$~l~~&~~~ ',~~'!)~~~'1!!milimM: Pomp or irrigation $ 55.00 Sign/Outline Lighting $ 55_00 . Limited Energy/ResidentiaI $ 28_00 Limited Energy/Commercial $ 50,00 , . Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4 (~SiJliJroTJrJ?OE-!X1l(iVE:p.'l"'f!jf!lllilillJttll!lll!lP \ . ~:wtu.~%W~2lm:w"Aw.w'Hw!~"!!!lIllili!lillll / t u \ ~ State Surcharge / 5 1.0 I O%Administrative Fee II" b 5% Tecbnology Fee ,"S""" 1"3> ? ?:: TOTAL Shar'ed Drive(T: )/Building Fonns/Electrical Permit Application 7-07 .doc City of Springfield OffiCial Receipt' Development Services' Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0l219 COM2008-012l9 COM2008-01219 COM2008-0l219 COM2008-0l2l9 COM2008-01219 COM2008-0 1219 COM2008-0l219 COM2008-0l219 COM2008-0 1219 COM2008-0l219 COM2008-0l219 COM2008-0l219 _COM2008-0l219 COM2008-0l219 C0M2008-01219 COM2008-0 1219 COM2008-01219 COM2008-0 1219 COM2008-0 1219 COM2008-012l9 COM2008-01219 COM2008-0l219 COM2008"012l9 COM2008-0l219 COM2008-0l2l9 Payments: Type of Payment Check cReceintl RECEIPT #: 8:1I:27AM 1200900000000000020 Date: 01/20/2009 Description Willamalane Manuf Home Private Manufactured Home Conn - Plmb Stonn Sewer Each Addtl 100' Sidewalk Pennit Curbcut Permit Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC' Improvement ... SDC ANNEXA nON CREDIT ... SDC-MWMC Administration Stonn Drainage Impervious Area SDC Sanitary/Stonn Admin SDC Transportation Admin . Manufactured Home Feeder Manufactured Home Service + 5% Technology Fee + 12% State Surcharge ***+ 10% Administrative Fee*** Fire SF Fee - Residential , Foundation Pennit Manufactured Home Placement Manuf Home State Issuance Addressing Assignment . Amount Due 2,513.00 52.00 17.00 88.00 88.00 636.30 483.84 201.54 888,98 97.90 1.009.17 (204.33) 10.00 .941.8] 132.95 70,31 55.00 55.00 28.79 47_98 44.61 46.20 60.86 160.00 30.00 37.00 $7,591.91 Paid By BENSON DEVELOPMENT Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid njm In Person Payment Total: $7,591.91 $7,591.91 577 Page 1 of 1 1/20/2009