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Home My WebLink AboutPermit Miscellaneous 1992-3-16 ... -~ . SPR_FIELD DEVELOPMENT SERVICES PUBUC WORKS METROPOUTAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield that vith the approval of the. attached manufactured homes viII be placed at Springfield, Oregon, City Job Number Development Code, I understand and P=f~~(r)~~~ ) ell( I ~ C-of . agree o Class A Manufactured Home. A manufactured home of not less than 24 ~eet in vidth and 16% (n6t less than 2:12) roof pitch, vith exterior dimensions enclosing a space of at least 960 square feet, vith roofing and siding materials that are commonly used or compatible vlth site built homes. . o Class B Manufactured Home. A manufactured home of not less than 12 'feet in vidth and 16% roof pitch, vith exterior dimensions enclosing a space of not less than 500 square feet, vith roofing and siding materials that are commonly used or compatible vith site built homes. I further state, by my signature belov, that I have been provided vith the folloving information: - Mobile home blocking - Sanitary sever. connection - Vater line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps C2 aiupLf) ignature L::~ /~ r<,~/,=- Y L Date 1'';1) .,#',. RESIDENTIAL PERMIT APPLICATION . Inspections: 726,3769 Office: 726-3759 LOCATION OF PROPOSED WORK: N/A :s>s ASSESSORS MAP: LOT: OWNER' ADDRESS: CITY' Lochaven Partners 1199 N. Terry St. Eugene DESCRIBE WORK' Mobile Home set UP NEW x REMODEL ADDITION CONTRACTOR'S NAME Ernie & Son's GENERAl' PLUMBING' Harrison Construction SPRINGFIELD BLOCK: ", \ STATF' OR JOB NUMBER q ~ 225 Flflh Slreel 3(;1 Springfield, Oregon 97477 'I ( 1JC{r?T . TAX LOT: -1!/ A - nCd1GJ SUBDIVISION' Lochaven PHON'" i!. 688-9123 W'<" ZIP' 97402 ,Y ~ DEMOtlSH1 ,- Concrete stringers - Accessorv Value $1710..... o Rough Mechanical - Prior to cover. o Site Inspection - To be made atter excavation, but prior to setting forms. ro2nderslab Plumbl~ctrlc:/ ~D Electrical Service -' Musl be -Mechanical - Prh,,J 'v \"ooVYl;:J. approved to obtain permanent ~ electrical power. - ooUng - After trenches are excavated. 0 Fireplace - Prior to facing materials and framing Insp. ; ,\ OTHER M.H. Value $ ADDRESS 87922 LaPorte Dr.. CONST. CONTRACTOR . EUI!. 41497 20-236PB 1441 N. Hwv. 99 7 EXPIRES 2/2/92 PHONE 484-6505 689-7762 484-6505 144-1500 MECHANICA' ' ELECTRICA' . Ernie & Son's 87922 LaPorte Dr.. EUI!. 41497 Heritage Electric 855 W. 24th .' 20-280C/63L17 2/2/92 \~N\O - OFFICE USE - OUAD AREA: LAND USE: \\~ FLOOD PLAIN' . OF BLDGS' \ . OF UNITS' \ ZONING CODE: --1.lY OCCY GROUP: ~~ CONSTR. TYP'" . OF BDRMS' -~ . OF STORIES: \ HEAT SOURCE: t'-Z-- SECONDARY HEAT: WATER HEATER: t :J RANGE: 'f..___ SQUARE FOOTAGE: To request an Inspection, you musl call 726.3769. This Is a 24 hour recording. AlllnspecUons requested belore 7:00 a.m. will be made the same working day, Inspections requesled after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground PlumbIng - Prior to filling trench, o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to deckl ng. I7-1'sanltary Sew~r - Prior to filling \ trench. r;z::pSlorm Sewer - Prior 10 IIIl1ng ~ trench. tnJ'water Line - Prior to IIIl1ng ~ trench. . o Rough. !'Iuo;blng.:.... Prior to . . cover. o Rough Electrical - Prior to cover. o Framing - Prior to cover. o Wail/Ceiling InsulaUon - Prior to' cover. o Drywall - Prior 10 taping. o Wood Stove - Alter Installation. o Insert - After fireplace approval and Installation of unit. . o Curbcut & Approach - Aller forms are erected but prior to placement of concrete. Sidewalk & .Drlveway - Aller excavation Is complete. forms .and sub-base material In place. Fence - When completed. o Street ll'ees ...;. When all required trees atErplanted. o Final Plumbing - When all plumbing work Is complete. D Final Electrlc'al - When ~1I electrical work Is complete.' o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS ~Cklng and Set.Up - When all \ blocking Is complele, ~Umblng Connections - When home has been connected 10 water and sewer. . ~Iectrlcal Conneclfon - When blocking, set,up, and plumbing Inspections have been approved and the home Is connected to the service panel. r:zt:Flnal - Aller all required ~ .Inspectlons are approved and. . porches. skirting, decks, and venting have been Installed, Lot Type. Setbacks Interior I P.L. HSE GAR ACC I IN 1 Corner Panhandlo S -- Cul.de.sac W IE ,I Lot (ac1s, Lot sq. Itg. Lot coverage Topography Total height . . '. BUILDING PERMIT ITEM sa, FT. X S/SO. FT. = VALUE 4SrQ/O ~I Main Garage Carport ...\. ., THE PROPOSED WORK IN THE 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes. Ihls application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on Ihe express condition thai the said construction shall, In all respects, conform to the Ordinance adopled by Ihe City of Sprlnglleld, Including the Development Code, regulating the construcllon and usa of buildings, and may be suspended or revoked at any time upon violation of any provisions 01 said ordlnnnccs. ..~~~ Plan Check Fee: Dale Paid: Total Value Receipt Number' Building Permit Fee ;:}),~ Received By: Stale Surcharge Total Fee (A) Plans Reviewed By Dale SYSTEMS DEVELOPMENT CHARGE (SDC) '. A-t4.:J5 ' (B) PLUMBING PERMIT ITEM \ FEE FI~tures . Residential Bath(s) Sanitary Sewer . N' FT. _~s '~.5 .Q~ Water FT. FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge 'IS. .5.~ () '6 .rlS Tolal Charge (C) MECHANICAL PERMIT Furnace Exhau,'.t Hood Vent Fan N' Wood Slove/lnsertl Fireplace Unit DrYIJr Vent Mechanical Per:nlt Issuance Slate Surcharge Total Permit (D) 0' ~q~ -, t;s.').$ ~.;p ~I,~~ MISCEl.LANEOUS PERMITS p Mobile Hume State Issuance . State Surch~e '" Sldewal< · 15 It Curbcut It Demolition Stale Surch..ge Totel Mlscel,anecus Permits (E) TOTAL AMOUNT DUE (excluding eleclrlcal) (A, B, C, D. a~d E Combined) ~~ Systems Development Charge 1,5 due on all undeveloped properties wlthl,n the City IImlls which are, being Improvod. . ADDITIONAL COMMENTS '.. ~ " .\ . By signature, I state and agree, that I have carefully examlnod the completed application and do hereby certlly that all Information hereon Is true and correct, and I fur~her certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield, and the Laws or the State of Oreg<?n pertaining to the work described herein, and that NO OCCUPANCY will be made 01 any structure without permission of the Building Safely Division. I lurlher certify thai only contractors and employees who are In compliance with ORS 701.055 will be used on this proJect. I further agree to ensure that all required Inspecllons are requesled at the proper time, that each address Is readable from the sireet, thai the permit card Is located at the front of Ihe properly, and Ihe approved set of plans will remain on the slle at a~ during construction. ' Slgnaturb'tr~u~ Dale/2-1fo-9c ~. L1J:YV'" RECEIPT NUMBER If ).) ) DATE PAID l~' I h .c-r:r;; :;:~~;DR:~~)'~ ~, - VALIDATION: , SllIIINGt:I~LO ..-.'IQ.....;r ".:fJ riG ",::/::1 Or~:':I ~ J..~,_ -, --li,a,.,') ~-."tCt ~ 225 FIITB STREET ..,...~'~:. " ""/Jotraq~~r~~~ltih_liIJ'QRICAL P'ERHIT APPLICATION SPRINGFIELD OREGON 97477 ,,'0'1!'~J.:::t C/anC1iii.""""t n f',...-, At2t\... '2Q INSPECTION REQUEST: 726-3jg1r-,Q:-llQ: City Job Number .......\ \t) r<t'Ul-/kJ I :~FI~:~T;~:5;N~~~'Vl:eld::ur~ ~ \~\. r 1 \ ,,~ \l' 1 t ~'-1 Ne 'dential-Single or I C/ 73 Multi-Faml per dwelling unlt \ ..!f~~~\~ (")l oQ ('f") Service Included: '. ~ ~;'~~:::~f~'",'" if work is not started within 180 days of issuance or if work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Heritaoe Elect Address 855 West 24th Avenue City Euqene Phone 344-1500 Supervisor License Number 9455 Expiration Date 10/1/ Constr Contr. Number 63137 Expiration Date 12/27/ Signature of Supervising Electrician ~ fAI ~ 9cfS-<; Ovners Name Address City Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~ATE: ---{~. 7To-~CjH RECEIPT .: C~:7ytP . J / RECEIVED BY /' Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling d Pi) Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm 40.00 40.00 20.00 36.00 not included) 5. $ $ $ $ PI) .rX) 4,00_ .-bl4 , Du SUBTOTAL OF ABOVE 5% State Surcharge TOTAL . . Fi:nure Unit Calculatio:1 Tabl€: ::uc,~~r cr r,e'.' fi:.:tures r.,ultiplied by \!:1it equivalents. NOTE: For H",od~ls, calcJ13te c.nly the ::ET aedi tional fi:.:t"res. Fhture Type of Unit F xtures Equivalents Fixture L'ni ts 3athtub.......,.......................... . Drinking fountain......................... Floor drain....,.......................... Interceptors for grease/oil/solics/etc.... Inteiceptors for sand/auto vash/e:c....... Laundry tub/clothes vasher................. Clothes ~asher (3 or more).... ........,... Mobile home park tiap' (I per H.~.)........ ~eceptor for refrig/vat;r static~ietc..... Receptor for Co~~er sink/dish~s~:/etc..... Shover, single stall.......... ............ Sho~er. gang (per head).... . .. .. . .. . .. . .. .. Sink, bar, commercial..,. ,... .......,..... Sink, commercial/industrial/etc.....,..... Urnial, stall/~all.....................,.. Vash.basin/lavatory, si~gle..,......."... Vater closet, public installatic~......... Vater closet, private... .................. l'Iiscellaneous: .......... 2 1 2 3 6 . .2 6 6 I , ~ 2 I 2 3 2 I 6- 4 .......... .......... Total Units: Total fixture units x $13.25 each = Total Charge: $ Credit Calculation Table: 3ased o~ total value of property at time of permit application. Year "l..nne:-:e.d to the Cit.v Credit per $1,000 2.ssessed va.l~e l"3 b4- 1979 1950 1981 1982 1983 19E~ 1985 1986 1987 1988 1989 1990 $2.66 $2.64' $2.53 $2.41 $2.19 $2.04 $1.69 $1. 35 $1.15 $0.92 $0.59 $0.23 Credit x S Ib,'3'U:> r.ssessed Vali.;e = s Rate Total Credit Metropolitan Wastewater . Managernent Commission . ( ,:.':'," ~ ~. " '. . - - - t,~ :....,.._r".,.,: ". ..:.,.... ......... ...... .. ..... S:f.i i:'~" ~'-fl ;i;: t :;! ;: :f!t-:,':,t ~::~::: ;~:.: 7.-~:' -.;',t': tc. ~:'::::"!'.~ ~..';: ~i.::..-~;-:.;'+: ~::': ::'::-, (~.'.: ..:C:.:!:.~.-l::.t c:::'.'~ ~.l-] =.t:,,:~~,,~:.:: .:t:~)' ::';;~!-~i:"( (.:'~'-,:,' c: - -.: ~ :': r I,:,,;.. \':l~::::,;-:~;r..~ lrl' :,~~'t~i:.:::.t F;rIH Ai-.;D A SlF.EE7S - Sr:;:.:~<G.F:::LD C!TY ~;'.LL - ~;:R:;"'Gr:ELD, Cr:,EGC!J '::7.:.77 TELEr-.:-:C:,;: i':C::) 7.:.7..;::: !'.iiMC COKNECTION CHARGE Building Address: /973 /}/!U-r;;VIS~ C<?J-(.L;;;t- Refere8umber: ./763 .?.... '7 1.3 . . Tax Lot Number: LJ 690-0 O\:ner: D0DO ,I), r {\ , i_ --\JQ AfJl.P i-S Address: \\C\C\ f\ '\~:m \: . Phone Number: lo~<6-Ct\23 City: f'A.')r~o JLL . State: (\)JW 1)~BY\, Zip: q f\4n'2- ~ Residential Fee ($222.00) sr0Q~ ~ Commercial Fee (new non-residential development/ - remodel) Total fixture unit charge (see reverse of this form) $ SUBTOTAL S <$ /J f) -45 > Credit Due (see reverse of this form) TOTAL MVMC CHARGE $1M,f)D Date Received: ~.ILo .q~ 4n7Y) Received BY~~~~ Building Job Number: q / () 71l!J 3? , Receipt Number: . . :r.'_:.....:~"'.:,. .' .' ~~~~~~~:~~?;,~~:Ii:f;jT:zJI;ll~;r:{i~]J!&:__.~A ~"'-ta~~l~~~:~~~;\~~~~f; PUBLIC WORKS l1li... Ii - SI'HINliIfL,IfJ UHY11 ;'; METROPOLITAN WASTEWATER MANAGEMENT' (,)03) 720'.lfo.3 March 17, 1992 Lochaven Partners 1199 N. Terry Street Eugene. Oregon 97402 ~ Dl:ar Ron: Yesterday, I issued you a permit for 1973 McTavish Court, Springfield, Oregoo, the job number that vas issued to you vas incorrect. Please change your permit job humber from 910740 to 910739. I have enclosed a nev card for you to post at the job si te. I apologize (Ol' any inconvenience this may have caused. I( you have any questions, please phone me at 726-3759. ~~ Lisa Hopper Building Services Representative Ih S"'IINCr-II~LD I 'Ii. following p,ojoct os submitted has thde following ti.. '. d d ot require Gpaclfic Ian use . - 225 FIITH STREET ~~;~o~a~.n, cos n ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ~~ INSPECTION REQUEST: 726-3769 Zoning , OFPICE: 726-3759 Dal.~bc:; b ~3. 1. LOCATION OF INSTALLATi~rtzod Signature Itl,-:::' JV\C0v;c::..-t:V A. LEGAL DESCRIPTION I J n-:J..T) I"), ob'1'()n JOB DESCRIPTION \ - rl^r-l J iJ. . Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor )-t.J}v',-I-c."I g. Address Q<..c::. \rJ. ~4.i-N 0 City~....._~ 0 o Supervisor License Phone '4-f L/ -I ~O 0 Number ~" s.- 'q" Itl:::.. Expiration Date Ci ty Job Number q J OJ ~q COMPLETE FEE, SCHEDULE BELOV ~ New Residential-Single or Multi-Family per dvelling unit. . Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: Cost Sum 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number .:Jo-.::l90c.., C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date ''1a I c;"). ~Signature of Supervising Electrician '~ ~~~. D Ovners Name L.or.k I U"", ~/lt:;,^ ~ . Address City Phone OVNER INSTALLATION The 'ins talla t ion is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~~~;~------~r;~-I~~------------------ RECEIPT II: t:;1-, t-. RECEIVED BY: ~ 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see nBn above New, Alteration or Extension Per Panel One Ci,rcu it Each Additional Circuit or with Service or Feeder Permi t $ 35.00 ?-s,.oO $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outlin~ Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm S 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ?'s.OO J J\= 'Jl..L. ~ , .~ . - INFORtATION NOTICE TO PROPERTY &ERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE:) . This Information Notice to Property Owners About Construction Responsibilities - ... - "- was dev~lopea by the Construction Contractors Board in accordance with ORS 701.055(5), '. _ pasSed'by the 19?9 Oregon Legislature. ,~.... \ ,- :..... ", -If ~o'U'ar~ acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and. areas of concern. ' ' EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting , ' in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an "employer" and the people you hire will be "employees", ~s the employer, you must comply with the following: . . . Oregon's Withholding Tax Law: As an employer, you mustwithh61d income taxes from employee wages at the time employees are paid. You will be liable for"the tax payments even if you don't actually withhold the tax from your employees. 'For more information, call the Oregon Department of Revenue at 378-3390. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees, For more information, call the Oregon Employm~nt Division DHR at 378-3224. '. ' . ~" -- - ...:.--<-" ''Vorkers' Compensation Insurance: As an, employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-7434. U,S, Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call , , - the Internal Revenue Service at 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: ' /J ~ode Compliance: As the permit holder for this project, you ar,e responsible for resolving any failure to meet .;ode requirements that may be brought to your. attention through inspections, Liability and Property Damage Insurance: Contact your irisurance,agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punc- tures, fire, or work that must be re-done, Time to Supervise Employees: ~.Make sure, you have, sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials at the appropriate times so. they can perform the required inspections. If you have additional questions, write to: Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 . 0244J 10/24/89