HomeMy WebLinkAboutPermit Building 2010-5-25
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00382
ISSUED: OS/25/2010
APPLIED: 03/30/2010
EXPIRES: 11/25/2010
VALUE: $ 22,500.00
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-376nnspection Line
SITE ADDRESS: 222 58TH ST
ASSESSOR'S PARCEL NO.: 1702334100204
PROJECT DESCRIPTION:
... ,. TYPE OF USE:
Manufactured home on private lot.with garage
SPRINGFIETYPE OF WORK: Manul Home w
Garage/Carport Private Lot
New Residential
Owner: BENSON VERN W
Address: 940 HWY 99 N
EUGENE OR 97402
Phone Number: 541-688-8897
I CONTRACTOR INFORMATION ~
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
".
BUlbDll;';G"INFORMATION ~
# of Units:
Primary Occupancy Group:'
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building,
I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,030
1,296
I
R-3
U
VB
456
n/a
I DEVELOPMENT INFORMATION ~
PUBLIC I
REQUIRED PARKING
2
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
5.00
28.00
10.75
2.50
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes.i."",,,
Storm water to catch b~~t~'-l~'
Notes:
Description
Type of Construction
NOTICE:
I' [-jiS PfRfv11i ~IRE
VaIUa1ii6-.n~~~13 PERMIT IS NOT
lp~pi1s~~CED OPslll.M.w.mg~ED FOR
oM.iltlJla.nAY PE~~d- Amount . Value
Date Calculated
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Page I of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Foundation Onlv
Garaee/Misc
Estimate
Use Bid Amount
U VB Utility
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Addressing Assignment
Fire SF fee - Residential
Garage/Carport
Manuf Home State Issuance
Mannfactured Home Placement
Plan Review Major - Planning
Plan Review Residential
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Storm - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
Willamalane Manuf Home Private
Total Amount Paid
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,1': '~:: .',';I.i,'~ .~~ .
" .H~,'-'\
~~\.e.~f . -... " .
$1.00
$1.00
$37.72
Total Value of Project
~
Amount Paid
$88.40 '
$79.17
$43.54
$38.00
$87.60
$262.75
$30.00
$397.00'
$211.00
$82.39.':'~I:
$507.07\';';:
$666.84 '
$10.00 '
$22.63
$1,044.54
$101.97
$132.26
$746.25
$211.21
$931.65 ,
$79.14
$2,858.00
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'Date Paid
CITY OF SPRINGFIELD
Building/Combination Permit.
PERMIT NO: COM2010-00382
ISSUED: OS/25/2010
APPLIED: 03/30/2010
EXPIRES: ll/25/2010
VALUE: $ 22,500.00
5,000.00
5,000.00
456.00
$5,000.00
$5,000.00
$17,200.32
$27,200.32
03/30/2010
03/30/2010
04/12/2010
$8,631.41
3/30/10
5/25/10
5/25/10
5/25/10
5/25/10
5/25/10
5/25/10
5/25/10
5/25/1 0
5/25/10
5/25/10
5/25/10
5/25/10
5/25/10
5/25/10
5/25/10
5/25/10
5/25/10
"5/25/10
5/25/1 0
5/25/1 0
5/25/10
Receipt Number
1201000000000000273
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551'
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
1201000000000000551
I Plan Reviews ,
Initial Review 04/05/2010 04/07/2010 APP LLH
Structu ral Review 04/07/2010 04/12/2010 APP CJC As noted on plans- standard review
letter
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Planninll Review 04/07/20 I 0 04/1912010 APP DDK
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Public Works Review 04/29/2010 05/03/2010 APP LKW
Storm water to catch basin
Paee 2 ~f 3 (
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2010-00382
ISSUED: OS/25/2010
APPLIED: 03/30/2010
EXPIRES: 11/25/2010
VALUE: $ 22,500.00
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.
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Re'nuired InsDecti.ll,wJ
Site Inspection: To he made after excavation hut prior to setting forms.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior ,to concrete,placement.
Manuf Home Set Up: When installation of all piers or stands is .complete.
Manuf Home Plumbing: After home has been connected to water and sewer.
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.
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.
Shear Wall Nailing: Before covering sheathing with finish materials.
:'t'\- \. .
Framing Inspection: Prior to cover and after al! rO,ugh in inspections have been approved.
{", .~,.
Final Building: After all required inspectio~s:'have been requested and approved and the building is complete.
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Erosion/Grading Inspection: Prior to groun:&;;-dist~rbance and after erosion measures are installed.
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 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested afthe proper time, that each address is readable from the
street, that the permit card is located at the front of the p"oper.ty, and the approved set of plans will rem aliI on the site at all
times during construction.
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S-;l,5- J \;)
Owner or Contractors Signature
Date
,
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.,i<'. Pa2e 3 of 3
2~ willamalane
t~ Park and Recreation District .
Job. No. ~ )\t) . 9-,?J2-.
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30, 2010
NAME: ~~. ~SDn PHONE: \r:l?Jb.B~q1...
ADDRESS: o...bfJ \\\.ol\C\Gtt..cITY ~STATE:~IP: 414tfL
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 2.. 0- 't ~B~ ~t-
\\ \ (\".
\
Plat Name:
Tax Lot Number:
\\O2.~3<\\ ct/2J>
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinqle-Family Detached
NO. OF UNITS \
X $2,858 per unit =
B. Sinqle-Family Attached
NO. OF UNITS
X $3,100 per unit =
C. Multi-Family Apartment
NO. OF UNITS
X $2,641 per unit =
D. Sinqle Room Occupancy
NO. OF UNITS
X $1,321 per unit =
E. Accessory Dwellinq 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
~ r~forcredit) ----s-
Development Services De a Date
City of Springfield
$ ?fF!f::>.cD
$
$
$
$
$2B~t>~
j25
$ 2JJ32l;U
$
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5
iCity 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:
U'l. SCZ+h .&t. Springfield, Oregon. City Job Number: c..ol\l\:l.OIO -OO?~2-
Manufactured Home: a structure constructed for movement on the public highways that has
sleeping, cooking and plumbing facilities, that is intended for human occupancy that is being used for
residential purposes and was constructed on or after June 15, 1976 in accordance with federal
safety standards regulations in effect at the time of construction. In addition, manufactured homes
sited within the jurisdictional boundaries of Springfield shall be of either Type I or Type II
classification and shall comply with the following standards: .
1. Type I Manufactured Home:
a. Multi-sectional configuration enclosing a minimum floor area of 1,000 square feet;
b. Siding and roofing materials similar to the materials used in residential dwellings
in the community or which are comparable to the predominant materials used on
surrounding dwellings;
c. Minimum roof pitch of 3 feet vertical in 12 feet of width;
d. Thermal efficiency equivalent to the Oregon One- and Two-Family Dwelling
Specialty Code excluding units built prior to the effective date 'of this Ordinance
(5-1-94). These units shall meet or exceed the HUD energy standards that were in
effect at the time of construction.
initials
2. Type II Manufactured Home:
a. Single-wide unit of not less than 12 feet wide enclosing a minimum floor area of
500 square feet;
b. Siding and roofing materials similar to the materials used in residential dwellings
in the community or which are comparable to the predominant materials used on
surrounding dwellings minimum roof pitch of 2 feet vertical in 12 feet of width;
c. Thermal efficiency equivalent to the Oregon One- and Two-Family Dwelling
Specialty Code excluding units built prior to May 1, 1994. These units shall meet
or exceed the HUD energy standards that were in effect at the time of
construction.
initials
Note: Multi-sectional units placed on lots/parcels eligible for Type II units shall comply with all of the
standards of a Type I manufactured home.
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
--
_,,'-:2 5-..1 0
Date
Manufactured Home Set"Up Agreement Revised g,09,09 ddk
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
RECEIPT #:
8:23:09AM
1201000000000000551'
Date: OS/25/2010
Job/Journal Number
COM2010-00382
COM2010-00382
COM2010-00382
COM20 I 0-00382
COM20 1 0-003 82
COM2010-00382
COM20 I 0-00382
COM20 I 0-00382
COM20 I 0-00382
COM2010-00382
COM20 I 0-003 82
COM20 I 0-00382
COM20 I 0-003 82
COM20 I 0-00382
COM20 1 0-00382
COM2010-00382
COM20 I 0-00382
COM20 1 0-00382
COM20 I 0-00382
COM20 I 0-00382
COM2010-00382
Payments:
Type of Payment
Check
cReceintl
Description
Manufactured Home Placement
ManufHome State Issuance ,,- ,'J .
Addressing Assignment
Willamalane ManufHome Private
Fire SF Fee - Residential
Plan Review Residential
Garage/Carport
+ 12% State Surcharge
Plan Review Major - Planning
SDC Storm - Improvement
Sanitary Sewer - Reimbursement
.:.,\ j
Sanitary Sewer - Improvemenl '
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transportation Admin
SDC MWMC Compliance Charge
+ 5% Technology Fee
"",'
Amount Due
397,00
30,00
38,00
2,858,00
87,60
82,39
262,75
79,17
211.00
746.25
666,84
507,07
211.21
931.65
101.97
1,044.54
10,00
132.26
79',14
22,63
43,54
$8,543.0 I
-:;;
Paid By
VERN BENSONBENSON
DEVELOPMENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
1226
In Person
$8,543,01
njm
Payment Total:
$8,543.01
,.." ,: .;1: . ,d
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5/25/20 J 0
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