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Home My WebLink AboutPermit Building 2001-4-13 . . I Job# 00-01814-01 I Page 1 of4 TRANS#:01-0004939 DATE:APR 13 2001 AMT RECD:2 $ 152.16 CHANGE: CASHIER: 061 SPRINGFIBLD ~ 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01814-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5960 Ml. Vernon Rd Spr Assessors Map#: 18020323 Lot: 6 Block: Addition: Owner: Address: Tax Lot #: 08300 Subdivision:Tanya Terrace George Travess 5024 Main Street Phone Number: 541-726-2171 City/State/Zip: New Springfield, OR 97478 Value: $50,000 Scope Of Work: Manufactured Home on Private Lot Contractor Type General Contr Electrical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Adding carport application to original permit 3/21/01 (submitted revised Site Plan). Contractor Travess Construction Lie 2492 N 19Th St, Springfield, OR 97477 Heritage Electric 1042 Horn Lane. Eugene, OR 97404 Travess Construction Lie 2492 N 19Th St, Springfield, OR 97477 Registration # 138060 Expiration Date 11/1/01 Phone 541-746-6399 541-729-1500 138060 11/1/01 541-746-6399 3RSC 1 (VN) Wood Frame Electric ___....-.?~~<?:. ,. ._,11,,,0',( \j\,\.""'U<J~'''''' I r"......'~ It' \1,..... ,- Office Use l1_\\SPEf\\\!1'T f" 'I.': ," Ri\I~rT\SNO'\ Land Use: Mfg HomAJ_{l!~',i~,2r:>arl # Of Build~~~.~iu~:O(\ Zoning Code: LDR ,,-t::~\~' ,Occupancy Group: Dwelling CONllv',,-"'" Bedrooms: 3 I D," , . ,H.e!lt Source: Forced Air Electric Range: Electric ANY180 Sq, Footage: 1350 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 working day. Site Verify Ground Rod Footing Foundation Framing Final Building MH Electrical Pedestal MH Service '.'. t:l . ,..,~I~h' Required Inspections- .".... _ _1.l.L,t-.". ~ "J '~h I B 'Id' 1 ,... '-:1\ ~r. UI m(l illll l,.' I '-2-1)0'1- - To be made after excavation but prior'~"lJietling'forms., : ,il. ), \f'l 05 i..s by -Install ground rod at footing, and call for,iQ.sj:iection in conjuction with footi~Ql~~a/o.!i foundation i -After trenches are excavated. '0090, 'fe) .' \.:\.3'p.nul~ n -After forms are erected but prior to concrete;j:ilacemenl. ' '. . ,':>\dlca\IO -Prior to cover. 1'\-0'."... ," ,~...W). -When all required inspections have been approved and'the building is complete, I Electrical . _ I - When blocking, setup, and plumbing inspections have been approved and the home is connect - Prior to cover. Final Electrical Underfloor Drain MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Final Plumbing MH Set Up MH Final Sidewalk SW-Curbside Project Supervisor: . . I Job# 00-01814-01 I Required Inspections I Electrical -When all electrical work is complete. i Plumbin(l - Prior to cover or placement of concrete. -After home has been connected to water and sewer. -Prior to filling trench. -Prior to filling trench. -Prior to filling trench. -After gravel and filter cloth is installed, but prior to backfill. Page 2 of 4 -When all plumbing work is complete. r- Manufactured Home - When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house numbel I Public Works '-I -After forms are erected but prior to placement of concrete Sidewalk Type: Additional ROW? 00100100 00:00 AM NO CURB CUT PERMITTED Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Street Improvement: Fully Improved Curb Cut?D Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req,: Security Required: Bond Begin DateTime: Special Instructions: Other Utilities: Curbside - 5' o 8 To Curb and Gutter 6 00100100 00:00 AM Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: Overlay District: # of Street Trees: 2 3: Planner: Liz Miller Urban Growth Boundary?D Glenwood Area? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Additional Requirements: Required Attachments: Source Locn: Material: Land Use: Mfg Home - Not in a Park Pave Driveway? 0 Flood Plain FEMA: Panel 1166 of 2975 . Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 iArea (Sq. Feet) I Main: 1350 Accessory~OO Fee Residential Plan Check Residential Plan Check Total Plan Check Building Permit Building Permit State Surcharge For Building Permit State Surcharge For Building Permit Building Administrative Fee Building Administrative Fee Total Building Manufactured Home Service\Feeder State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee State Surcharge - Plumbing State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Storm Sewer Footage Manufactured Home Connection Administrative Fee - Plumbing Administrative Fee - Plumbing Total Plumbing Manufactured Home Setup Fee Manufactured Home State Issuance State Surcharge For Manufactured Homo Manufactured Home Administrative Fee Total Manufactured Home New Sidewalk New Curbcut Total Public Works Job# 00-01814-01 I . Page 3 of 4 Accessory Structure # Of Stories: 1 Height (feet): 15 Current Units:O Proposed Units:1 Census Code: New Mfg Home Total:1750 Paid On Receipt# Plan Check 12/19/2000 4084 03/21/2001 4732 Buildin(l 01/16/2001 4256 04/13/2001 4939 01/16/2001 4256 04/13/2001 4939 01/16/2001 4256 04/13/2001 4939 Electrical 01/16/2001 4256 01/16/2001 4256 01/16/2001 4256 Plumbin(l 01/16/2001 4256 04/13/2001 4939 01/16/2001 4256 04/13/2001 4939 01/16/2001 4256 01/16/2001 4256 01/16/2001 4256 04/13/2001 4939 01/16/2001 4256 01/16/2001 4256 04/13/2001 4939 Manufactured Home 01/16/2001 4256 01/16/2001 4256 01/16/2001 4256 01/16/2001 4256 Public Works 01/16/2001 4256 01/16/2001 4256 ValuelQuantity Fee Amount 4,000 6,000 $28,93 $36,73 $65.66 4,000 6,000 $44.50 $56.50 $3.12 $3.96 $1,34 $1,70 $111.12 2 $80.00 $5.60 $2.40 $88,00 50 50 50 20 1 $.00 $.00 $6.30 $1.75 $25.00 $25.00 $25.00 $25.00 $15.00 $2.70 $.75 $126,50 40,000 1 $105.00 $40.00 $7,35 $3.15 $155.50 50 1 $60.00 $60.00 $120.00 . . Job# 00-01814-01 I Paid On Receipt# System Development 01/16/2001 4256 04/13/2001 4939 01/16/2001 4256 01/16/2001 4256 01/16/2001 4256 01/16/2001 4256 01/16/2001 4256 01/16/2001 4256 04/13/2001 4939 01/16/2001 4256 Page 4 of 4 . Fee Value/Quantity Residential- Single Family - Storm Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee SDC Administrative Fee Property Annexed 1979 or Before Total System Development 2,098 248 20 1 1 1 1 24 Manufactured Home - Willamalane Total Willamalane SDC Willamalane SDC 01/16/2001 4256 1 Photocopy Fees Total Deposit/Copies/Mis Grand Total Plan Check Type Deposit/Copies/Mis 03/21/2001 4732 1 Checked By Date Completed Comment Initial Review-Res Wendy Stanley Initial Review-Res Lisa Hopper Engineering-Res Steve Templin Engineering-Res Steve Templin Planning-Res Liz Miller Planning-Res Ruth Klein Structural-Res Don Moore Structural-Res Don Moore 12/20/2000 This review is for the carport only 03/22/2001 12/26/2000 03/23/2001 12/28/2000 03/27/2001 12/22/2000 04/13/2001 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 701.055 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 propery, and the approved set of plans will remain on the site at all times during construction. Fee Amount $568,56 $59,52 $748.00 $810.29 $285.91 $24.33 $10.00 $116.74 $2.98 $-112,26 $2,514,07 $1,000,00 $1,000,00 $1.25 $1,25 $4,182.10 ~ Signature ......._, 5/-/'3-0/ Date I . Job# 00-01814-01 . Page 1 of4 I RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01814-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5960 Mt. Vernon Rd Spr Assessors Map#: 18020323 Lot: 6 Block: Addition: Tax Lot #: 08300 Subdivision:Tanya Terrace Owner: George T ravess Phone Number: 541-726-2171 Address: 5024 Main Street City/State/Zip: Springfield, OR 97478 Scope Of Work: Manufactured Home on Private Lot New Value: $44,000 r(..f.. ,.,0 . "-,,,\'(;0' ~'U' \~\", :\\S\~ .<)\~<(.. ('1tl~ !G Contractor Type Contractor \..~Registfation,#O Expiration Date Phone General Contr Travess Construction L1CI\\\.J\!;:' .~SY.I>-\.Jrl<:5138t60Ji~'-=-v 11/1/01 541-746-6399 \. (( '1\ ~ ....~\\'\ .....\\.) ~\,...'~. 2492 N 19Th St, Spiingfield:'i.OR_9!~7-7' .~" I'" -<'>(10."::>' ",,\I--'C- ,0'<' n Electrical Contr Heritage Electric \ ',-<y.0'\' ,,-~,;.\l, ,pv' 541-729-1500 1042 Horn Lane, Eugen~ OR,97404,~' "I;> e-" . ~,V' Plumbing Contr Travess Construction Lie "c:\ \V 138060 11/1/01 541-746-6399 2492 N 19Th St, Springfield:'OR 97477 " Office Use. " .r \ ,~\,. .\' Land Use: Mfg Home'- Not in aParl,,# Of Buildtngs:. ,,1 I~\' "I" \ \. )> Zoning Code: l:DR '. "" ,.' 'III" Occupancy.Group: Dwelling r' N.. -;.;~, ,,\ Bedrooms: 3\o\\~\", .\"'\, ,.\\11 ~",;" .Heat Source: Forced Air Electric Range: ~lf;l.c~rlf,\ \: 1,,\ ,I .Ii' Sq. Footage: 1404 \\""'\'~I" \' To request an inspection call the 24 hour recording at 726-3769,1 AI)iihs'i:>.ections requested before 7:00 a.m. will be made the same working day, inspections requested a't!~(.-7:00~a.m, will be made the following working day. ~ " Quad Area: # Of Units: Constr, Type: Water Heater: 3RSC 1 (VN) Wood Frame Electric Site Verify Ground Rod Foundation Final Building Required Inspections I Buildin(l' I - To be made after excavation but prior to setting forms. -Install ground rod at footing, and call for inspection in conjuction with footing andlor foundation i -After forms are erected but prior to concrete placement. - When all required inspections have been approved and the building is complete, Electrical Pedestal MH Service Final Electrical - Prior to cover. Underfloor Drain -When all electrical work is complete. I Plumbin(l - Prior to cover or placement of concrete. ~ MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Final Plumbing MH Set Up MH Final SW-Curbside . I Job# 00-01814-01 I . Page 2 of4 Required Inspections I Plumbin(l '1 -After home has been connected to water and sewer. - Prior to filling trench. -Prior to filling trench. - Prior to filling trench. -After gravel and filter cloth is installed, but prior to backfill. -When all plumbing work is complete. I Manufactured Home - When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house numbel I Public Works I - After forms are erected but prior to placement of concrete Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: Street Improvement: Fully Improved Curb Cut?O Improvement Agr.?O San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Sidewalk Type: Curbside - 5' Additional ROW? 0 Size Of Line (in): 8 Downspouts/Drains: To Curb and Gutter Enchroachment Permit: Bond Begin DateTime: Special Instructions: Other Utilities: Project Supervisor: San Sewer Tee (in): Bond End DateTime: 6 00100100 00:00 AM 00100/00 00:00 AM NO CURB CUT PERMITTED Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 iArea (Sq. Feet) I Main: 1404 Accessory: Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 2 Land Use: Mfg Home - Not in a Park Pave Driveway? 0 3: Additional Requirements: Required Attachments: Source Locn: Material: Planner: Liz Miller Urban Growth Boundary?O Glenwood Area? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Flood Plain FEMA: Panel 1166 of 2975 # Of Stories: 1 Height (feet): 15 Current Units: 0 Proposed Units:1 Census Code: New Mfg Home Total:1404 .. . . Job# 00-01814-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check I Residential Plan Check 12/19/2000 4084 4,000 $28.93 Total Plan Check $28,93 Buildin(l Building Permit 01/16/2001 :~ 4,000 $44,50 State Surcharge For Building Permit 01/16/2001 f-t ;).. 5 (; $3.12 Building Administrative Fee 01/16/2001 $1.34 Total Building $48.96 Electrical Manufactured Home ServicelFeeder 01/16/2001 ~ Lf;)5t; 2 $80.00 State Surcharge - Electrical 01/16/2001 $5.60 Administrative Fee - Electrical 01/16/2001 $2.40 Total Electrical $88.00 Plumbin(l I Minimum Plumbing Permit Fee 01/16/2001 4 I) $,00 State Surcharge - Plumbing 01/16/2001 $6.30 Water Service Footage 01/16/2001 50 $25.00 Sanitary Sewer Footage 01/16/2001 50 $25.00 Storm Sewer Footage 01/16/2001 50 $25,00 Manufactured Home Connection 01/16/2001 1 $15.00 Administrative Fee - Plumbing 01/16/2001 $2,70 Total Plumbing $99.00 Manufactured Home Manufactured Home Setup Fee 01/16/2001 ~ II 40,000 $105,00 Manufactured Home State Issuance 01/16/2001 1 $40.00 State Surcharge For Manufactured Hom. 01/16/2001 $7.35 Manufactured Home Administrative Fee 01/16/2001 $3.15 Total Manufactured Home $155.50 Public Works I New Sidewalk 01/16/2001 ~ I.l 50 $60,00 New Curbcut 01/16/2001 1 $60,00 Total Public Works $120.00 System Development Residential - Single Family - Storm 01/16/2001 4 ~ I \ 2,098 $568,56 Sanitary Sewer 01/16/2001 42 3 20 $748.00 Residential Transportation 01/16/2001 1 $810.29 Residential Sanitary MWMC 01/16/2001 1 $285,91 Residential Improvement MWMC 01/16/2001 1 $24.33 MWMC Administrative Fee 01/16/2001 1 $10.00 SDC Administrative Fee 01/16/2001 $116.74 Property Annexed 1979 or Before 01/16/2001 24 $-112.26 Total System Development $2,451,57 Willamalaneflc Manufactured Home - Willamalane 01/16/2001 'S3-- 1 $1,000,00 Total Willamalane SDC $1,000.00 Grand Total $3,991,96 .' . . Job# 00-01814-01 I Page 4 of 4 Plan Check Type Checked By Date Completed Comment Initial Review-Res Wendy Stanley 12/20/2000 Engineering-Res Steve Templin 12/26/2000 Planning-Res Liz Miller 12/28/2000 Structural-Res Don Moore 12/22/2000 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 701.055 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 propery, and the appro~,set of plans will remain on the site at all times during construction. ,g;~ ~-Z;;~A#>>A Slgnatur(l - Date . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER: 00-01814-01 NAME OR COMPANY: TRA VESS LOCATION: 5960 MT VERNON ROAD TAX LOT NUMBER: 18-02-03-23-08300 ANNEXATION YEAR 1978 LANE COUNTY ASSESSED VALUE (LAND) $23.684 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: I BUILDING SIZE: 1404 SF LOT SIZE: 5002 SF .1 <;T()RM OR ..INAGE II IMPERVIOUS S,F. I" COST PER S.F. I 2098.00 I $0,271 I ITEM I TOTAL - STORM DRAINAGE SDC 2 SANITARY <;PWPR .(:1T'(, A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 20 I $21.25 B. IMPROVEMENT COST: I NUMBER OF DFU's I I COST PER DFU x I 20 I I $16.15 I ITEM 2 TOTAL - CITY SANITARY SEWER SDC II' TI>A",,,prwT1.I.IQH. - A. REIMBURSEMENT COST: I ADTTRIP RATE I..INUMBEROF UNITS 1 xl COST PER TRIP I..INEWTRIP FACTOR I I 9.57 I 1 I $16.12 . 1.00 =1 $154.27 B. IMPROVEMENT COST: 1 ADTTRIP RATE I x 1 NUMBER OF UNITS I.' COST PER TRIP I..INEW TRIP FACTOR I 1 9.57 1 1 I 1 $68.55 1.00 ~I $656.02 I I ITEM3TOT~RANSPORTATIONSDC =1 $810.29 il 4 SANITARY SPWPR - MWMr. =1 $568.56 =1 $568.56 =1 $425.00 =1 $323.00 I =1 $748.00 II '1 A. REIMBURSEMENT COST: 1 NUMBER OF FEU's 1.1 COST PER FEU 1 1 $285,91 B. IMPROVEMENT COST: 1 NUMBER OF FEU's 1..1 COST PER FEU 1 1 I $24,33 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC I SUBTOTAL (ADD ITEMS 1,2,3,&4) 'i ADMINISTRATIVE FEE- =1 $285.91 =1 =1 =1 =1 =1 1 1 I. $207.98 _l 1 $24.33 ($112.26) $10,00 $2.334,83 SUBTOTAL $2.334.83 1..1 ADM.FEERATE 5% =1 $116.74 TOTAL SDC CHARGES =r-;2,451.57 II sr-~ 12/26/00 SDC COORDINATOR DATE l , I. 1,1 t . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE I NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE ( # NEW # OLD ) UNIT FIXTURE FIXTURE TYPE x EOUIV ALENT = UNITS BA THTIJB ( 2 ) x 3 6 DRINKING FOUNTAIN ( ) x 1 0 FLOOR DRAIN ( ) x 3 - 0 INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC, ( ) x 3 0 INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. ( ) x 6 0 LAUNDRY TUB ( ) x 2 0 CLOTHESW ASHER 1 MOP SINK ( ) x 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) ( ) x 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) ( ) x 12 0 RECEPTOR FOR REFRlG 1 WATER STATION I ETC. ( ) x 1 = 0 RECEPTOR FOR COM. SINK 1 DISHWASHER I ETC. ( ) x 3 0 SHOWER, SINGLE STALL ( ) x 2 0 SHOWER, GANG (NUMBER OF HEADS) ( ) x 2 0 SINK: COMMERClAURESIDENTIAL KITCHEN ( ) x 3 3 SINK: COMMERCIAL BAR ( ) x 2 0 SINK: DOMESTIC BAR ( ) x I 0 WASH BASIN ( ) x 2 0 LAVATORY ( 2 ) x I 2 URINAL, STALL! WALL ( ) x 5 0 TOILET, PUBLIC INSTALLATION ( ) x 6 0 TOILET, PRN ATE INST ALLA TION ( 2 ) x 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU's. ( ) x 20 = 0 TOTAL DRAINAGE FIXTURE UNITS =1 20 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y 11 YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 OR BEFORE $4.74 1990 $1.96 1980 $4.65 1991 SI.55 1981 $4.59 1992 S1.36 1982 $4.46 1993 SI.23 1983 $4.30 1994 SI.05 1984 $4.14 1995 SO.90 1985 S3.93 1996 SO.75 1986 S3.63 1997 S0.57 1987 S3.26 1998 S0.35 1988 S2.85 1999 SO.15 1989 S2.40 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE 23.684 x $4.74 =1 0.000 x $4.74 =1 TOTAL MWMC CREDIT =1 $112,26 $0.00 $112.26 . 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 MANUFACTURED HOME LAND USE AGREEMENT As required by the City of Springfield Development Code, I agree that with the approval of the attached penn its, one of the following manufactured homes will be placed at 5'''}6D Mr. \//"JIVVfLI) JQ) Springfield, Oregon, City Job Number _/}(') - n/~/4 -f)/ ' ) ~ Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed 1100r area of not less than 1,000 square fee~ 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 thennal envelope meeting perfonnance standards which reduce heat loss to levels equivalent to the perfonnance standards required of single family dwellings constructed under the State Specialty Codes. _ Type II Manufaclured Home. A unit of not less than 12 feet in width with an enclosed 1100r area of not less than 500 square feet, that has a nominal roof pitch of2 feet in height for each 12 feet in width and that has no bare metal siding or roofing. The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6 percent slope within 10 feet of the perimeter enclosure, The perimeter foundation wall surrounding the home shall be constructed of stone, brick or other masonry materials, and with no more than 24 inches of the enclosing material exposed above grade. I further agree to meet all land use and City Code requirements of the above mentioned parcel within 60 days of the date of issuance of the manufactured home set up penn it. These requirements may include, but are not limited to the items listed below. Specific land use requirements regarding your parcel are noted on your approved set up plans and/or penn it and your partition approval if applicable:. . Street Trees . Paving Driveway . Minimum 32 square foot storage structure . Completion of partition approval . Removal of any existing structures as noted on your partition approval . Signing and recording of any required partition, easement, improvement agreements, etc, . Fiiiallot grading . City Sidewalk and curbcut installation . Any outside agency approval as required i.e., Division of State Land approval. By my signature below, I agree to complete Ihe above mentioned land use requirements. Owner Signature Date Contractor Signature Date fI\~ .. "''''Willamalane ~,,,,,!, Park & Recreation District. . Job. No. /}()-(JL81L/-()/ fW . SYSTEM DEVELOPMENT CHARGE . WORKSHEET (ywrae... T T l'a.1JeQ<; ~ ADDRESS: lL{q5 C~,J,.S+.~ . NAME: . , . PHONE: 1-47-q Q40 STATE: OR ZIP: Q7-L{7-=t LOCATION OF PROPOSED BUILDING SITE: Street Address: SqbO M+ U~1(~ Plat Name: _l1<02f)~ Tax Lot Number: O~.300 1. DEVELPPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype delinllions are on the back,) A. Sinolp.-Fl3milv Dp.,~ Single Family home NO. OF UNITS } B. Sinalp.-Fl3milv Attl3c:h~ NO. OF UNITS C. Multi-Familv A!Jartment NO. OF UNITS D. Manufactl1r~rf Hamil Pnrk NO. OF UNITS WILLAMALANE SDC ~anufactured home not in a park (){1 X $1,000 per unit = $ _' ()()(j, X $924 per unit = $ X $692 per unit = $ X $699 per unit r: $ $ 2. SDC CREDIT (If applicable) SOG-payer must furnish proof of Willamala'ne Credit approval. See SDC Credit Workshoet. $ 3. TOTAU\VII!.LAMAI!.ANE NET SDC ASSESSED . . (If SDC reduced for Credit) 'u)JlJ , Development Zervices Department City of Springfield $ / ():Ylf2' {').., I d..6 I a0 Date