HomeMy WebLinkAboutPermit Building 2006-4-24
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00355
ISSUED: 04/24/2006
APPLIED: 03/24/2006
EXPIRES: 10/24/2006
VALUE: $ 24,170.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 929 54th PI Springfi~ld _ ;TYPE OF WORK: Manuf Home w
ASSESSOR'S PARCEL NO.: 1702331201508 ,'."J ~,~ 00',\ ,<iT Sli^ll I=XPI-~altp'~lf\CEavI\P8Rffrivate Lot
THIS PEPIf'Y.PE UF USE: ~ew. IS NOT Residential
PROJECT DESCRIPTION: Manufactured Home and GarageAUTHORIZED UNDER THIS tRNlIT
COMMENCED OR IS ABANDONED FOR
ANY 180 LJ/W l-'tKIUU. Phone Number: 541-726-8274
Owner:
Address:
ROSELl REIS
39005 JASPER LOWELL RD
FALL CREEEK OR 97438
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Manuf Home Inst
Plumbing
Contractor
HARRISON JACOBSON INC
MAG ELECTRIC INC
HARRISON JACOBSON INC
HARRISON JACOBSON INC
License
66447
149834
66447
66447
Expiration Date
05/07/2007
12/1312009
05/07/2007
05/07/2007
Phone
541-689-7762
541-461-0387
54]-689-7762
541-689-7762
BUILDING INFORMA nON I
3
# of Stories: 1 Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: orced Air Electric \a\isqEfj~JI:d3FJmo'r10
TION' I:)ranon v. I 1 1~'rt,1
Water Type: ATTEN Electric b SH,FJil!l!S~ment:~"
, ~'00lr.n y 111~ OJ . ..\0-1
Range Type: folloW rules (E_I~~!.ri~., oc;~?Lftt~~r~geiCar.p,ort
Energy Path:1.lt"!I'ication Ge, Path 1 n .. SqJ<:f ,0ther.::-,2.-0a I-
I\!' ., . "'oth"O" i'JUn"-
Sprinkled B~VeJJI~:. C'::;2C~r.OIli:. ,..1}~;c_C~e'~itl!;~~d3S by
, ,-.., \ ,I '::' 1 ;.~l \.., I_I . .... '-
],188
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
400
I DEVELOPMENT INFORMATION' 1'"
,>' ("e",
, I
,,_.',' .'~ ,
'-18 -':',:":-: ...l
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
17.00
10.00
34.80
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Orive Rqd:
% of Lot Coverage:
. , .. ."c-
o \, RE'QuiREO PARKING
. ).
Total: 2
Handicapped:
Compact:
2
18.70
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Gravel
No
Sidewalk Type:
Downspouts/Drains: Drywell - Provide
Orywell Engineering
Notes: Need Drywell calcs., Improvement Agreement required notified Boyd Gooden-Harrison 3/30/2006 CAS
Pal!e ] of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00355
ISSUED: 04/24/2006
APPLIED: 03/24/2006
EXPIRES: 10/24/2006
VALUE: $ 24,170.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
$1.00
$26.00
$1.00
Square Footage
or Bid Amount
3,370.00
400.00
117,612.00
Value
Date Calculated
Total Value of Project
$3,370.00
$10,400.00
$117,612.00
$131,382.00
04/24/2006
03/24/2006
03/24/2006
Foundation Onlv Use Bid Amount
Garal!e Garal!e
ManufHome Manufactured Home
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $90.09 3/14/06 3200600000000000116
+ 10% Administrative Fee $67.04 4/24/06 1200600000000000536
+ 8% State Surcharge $53.63 4/24/06 1200600000000000536
Add, Alter, Extend Circ Ea Add $6.00 4/24/06 1200600000000000536
Addressing Assignment $31.00 4/24/06 1200600000000000536
Building Permit $224.40 4/24/06 1200600000000000536
Encroachment Permit $130.00 4/24/06 1200600000000000536
Manuf Home State Issuance $30.00 4/24/06 1200600000000000536
Manufactured Home Conn - Plmb $45.00 4/24/06 1200600000000000536
Manufactured Home Feeder $50.00 4/24/06 1200600000000000536
Manufactured Home Placement $160.00 4/24/06 1200600000000000536
Manufactured Home Service $50.00 4/24/06 1200600000000000536
Plan Review Major - Planning $150.00 4/24/06 1200600000000000536
Sanitary Sewer - 1st 50 Feet $45.00 4/24/06 1200600000000000536
Sanitary Sewer - Improvement $324.19 4/24/06 1200600000000000536
Sanitary Sewer - Reimbursement $426.19 4/24/06 1200600000000000536
SDC MWMC Administration $10.00 4/24/06 1200600000000000536
SDC MWMC Improvement $865.31 4/24/06 1200600000000000536
SDC MWMC Reimbursement $82.03 4/24/06 1200600000000000536
SDC Sanitary/Storm Admin $97.64 4/24/06 1200600000000000536
SDC Transpo Admin $69.29 4/24/06 1200600000000000536
SDC Transpo Improvement $805.70 4/24/06 1200600000000000536
SDC Transpo Reimbursement $182.69 4/24/06 1200600000000000536
Storm Drainage Impervious Area $642.45 4/24/06 1200600000000000536
Storm Sewer - 1st 50 Feet $45.00 4/24/06 1200600000000000536
Water Line - 1st 50 Feet $45.00 4/24/06 1200600000000000536
Willamalane Manuf Home Private $1,000.00 4/24/06 1200600000000000536
Total Amount Paid $5,727.65
I Plan Reviews I
Initial Review
Planninl! Review
03/16/2006
03/24/2006
03/23/2006
04/10/2006
APP LLH
APP T AJ
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00355
ISSUED: 04/24/2006
APPLIED: 03/24/2006
EXPIRES: 10124/2006
VALUE: $ 24,170.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
03/24/2006 04/20/2006 APP CAS IA filed with Lane County 4/20/06
CASDrywell calcs approved,
Improvement Agreement required
notified contractor 3/30/2006 CAS
03/24/2006 04/13/2006 OK RJB
Structural Review
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
~e(]uiredJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
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.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Manuf Home Plumbing: After home has been connected to water and sewer.
Final Plumbing: When all plumbing work is complete.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
MH Service: Approval required prior to utility company energizing service.
MH Pedestal: Approval required prior to utility company energizing service.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00355
ISSUED: 04/24/2006
APPLIED: 03/24/2006
EXPIRES: 10/24/2006
VALUE: $ 24,170.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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
timeSdu:const'1"/ . t(-,;).,-/-cJ /
-~~.h ~ Lp
Owner or Co';;ractoPS"Signature Date
Pal!e 4 of 4
LDlZ-
'.' proje~l.as subJi\llt~~llt!:l)t\9lI~wing
oes..noN~<afml~,~e
~~~~~iWg~~~:V PH:(S4I)nH7S3 'FAX:~~~6!8j!~:~~~\nj
J ~ ~ .-' .-......... ;:]'-
I. a~F~~~~ 3. [tcy~4E. Jl~~,,~:~,~v~%~
L'1L3~~\~ .. Service Included . ~::f~1!';~l1!f!f!gt;;'!Sl
JOB DESCRIPTION 1000 sq. ft. or less
Mh ~ I ..' "'-\ ","u'O..l r ;.' (") E~c~ additional 500 sq. ft. or
" ~.... \ 'l1(Jl\! . '\ '--= 1,1' ~. ~rtton thereof
P~rmits are no 1-~;;sCerable a;d expire iC wJrlt li~ PEl T ~m~{}&~~ 1fo;h~ 6r WO R K
not started wit~ 180 days oC issuance or if w~'dl is 0 R I ZED lMHdfiBr 1kUSlf6i IS~MkJ~rN 0 T
Suspended Cor 180 days. COMMENCED E~q~ ABANDONED FOR
2. ~~~~~t[~~~22r{t~![g~'{L ,0 l)/-\~.Pic' ~~ti!c:iil~'ir
/0
G
Phone !il.eLIJ3rL
() 1506
$106.00
$ 19.00
~
$50.00
\ DD }l?
-:~.~:~~~~'}Ti~~~::::-r~~-q-:t~~
. . tioilsor,Relocatioil:':S~
-;.~~~~f~~~~~~{\tt,:~S~~i.!U~J
Electrical Contractor
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/V olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00 - . .-
Address
City
~~
. ,
Supervisor License Number ^/7 'f~ 5
/()-I -07
. .
Constr. Contr. Number /19 i31'
c. ~Tgife~~~~~?~i~~f:~~~jI:1.';:~~~l~!~?~tr,i;~~'::;i".f?~~o!
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
Expiration Date --.I';; jJ.3,/1 09 Over 600 Amps or 1000 Volts see "B" above.
Signature of Supervising Electrician D. ri~~l€~~~,~j~~;i~~;~~~)~!~;fit~~:~~:}j
+- ~- ~ew AlteratiolBdt E~~~~l*nY~~I';\\p.anel
l./J A -- A' -r\,-,N: Vlti'-'\~'" . On Ul "'J
VV"- i ~ AllEN I 9ne'St5t}tl!d by tne ?reg p 8~ 'lorln . $ 43.00
Owne" NW,.. ~.... ~ ~'S ~~~~~ ~~~~~..~.l1?....~~.~~~~.I.~..:.::..r:.;~:~. "'"'~'~.".:.:.' ;,~P)
Address ~J..{ .Jll.D r.:' Ii' J( .~~ ~!~~~~~'edl?:riqiib~l~de~)~t~
CityotA ^ f\ 1.L Pho~e 1'1..\0 _~ cr4.'r'~~D~~~~~i.frli.iti8R ~~~i~27~~~~')\~;tf;tt0rv.,.~_.~.:~::
'"'IU..lY . -n\at V' . '_ 19.\H....-,)...,....
Sjgn10Utline Cignting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/CvulJuercial $ 45.00
Expiration Date
$ 50.00
. $ 69.00
$100.00
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Inspection Request: 726-3769
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
rtt:r~:-~<~~:~.,;fi.~r;~~~;'-hi";:<. ...;,,, I r;;'i-"ir""'~~:' ~':7': '77:~.~~~~~:t;?lQip -,)
4. ~,t?lf!1rT.o:r.ALpJj{?1P.()VE".~.;', . .,"" -::,.:~(": ,) {}J
.~--.4ttl"U~;"-~ ~.."",' rt'~f;;';' ,,'.. ~ '\:>-;/1 ,,~ l' 4 ,.. ^~r:.; (',' ,)f'ot',..,. . .
~ _>_Ie ..~ ->-.'u-'__ ,.--.... _ __,____-""""'...... ;:...~ _
e 'fio State Su;charge 8 ~
10% Administrative Fee \ l ) al20
\,'L-r;).N2'
TOTAL
Owners Signature:
Shared Drive(T:)lBuilding FormsfElectrical Pennit Application 1-03.doc
CITY OF ~1'~~INGFIELD SYSTEMS DEVELOPMErfJ....ORKSHEET
)OURNAL OR JOB NUMBER: COM2006-00355
NAME OR COMPANY: Roseli Reis
LOCATION: 929 54th Place
TAX LOT NUMBER: 1702331201508
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE.
NEW DWELLING UNITS I BUILDING SIZE (SF' 1804 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 925.00 $0.323. = I $298.78
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. I x I COST PER S.F. x DISCOUNT RATE
2128.00 I I $0.323 50%
DISCOUNT
$343.67
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 17
$642.45
COST PER DFU
$25.07
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 17
$19.07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=,
$750.38
3. TRANSPORTATION.
A. REIMBURSEMENT COST:
I ADT TRIP RATE . x
I 9.57
NUMBER OF UNITS x I
I I
COST PER TRIP
$19.09
I x I NEW TRIP FACTOR/.
I 1.00 =
B. IMPROVEMENT COST:
I ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP
I 9.57 I I I $84.19
ITEM 3 TOTAL - TRANSPORTATION SDC = , $988.39
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I I $82.03
B. IMPROVEMENT COST:
INUMBER OF FEU's x
I I
x INEW TRIP FACTOR
I 1.00
ICOST PER FEU
/ $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5. ADMINISTRATIVE FEE:
SUBTOTAL x I ADM.FEERATE
$3,338.56 '5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$957.34
$3,338.56
CHARGE
$166.93
8480
$642.45
$426.19
$324.19
$182.69
$805.70
=
$82.03
r/J
~
~
o
u
~
~
E-<
r/J
......
o
~
1070
1091
1092
1093
1094
1054
1055
1054
1056
;i
Cheryl Slaymaker
TOTAL SDC CHARGES
1079
1078
3/30/2006
PREPARED BY
DATE
=
$865.31
$0.00
$10.00
97.64
$69.29
=, $3,505.49
J
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 1 0 3 = 3
IDRlNKING FOUNTAIN 0 0 1 = 0
IFLOORDRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = .3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = -0
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
IURlNAL, STALL / WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = O.
ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 -
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 17. .
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFU's) set at 167 gallons per day
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
~
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$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
$0.05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGffiLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
(' . of Springfield Official Receipt
L _ ielopment Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-'726-3759 Phone
Job/Journal Number
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
COM2006-00355
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200600000000000536
Date: 04/24/2006
11:12:0IAM
Description
Addressing Assignment
Willamalane ManufHome Private
Manufactured Home Feeder
Manufactured Home Service
Add, Alter, Extend Circ Ea Add
Encroachment Permit
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/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Building Permit
Manufactured Home Placement
Manuf Home State Issuance
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Storm Sewer - 1 st 50 Feet
Manufactured Home Conn - Plmb
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
31.00
1,000.00
50.00
50.00
6.00
130.00
642.45
426.19
324.19
182.69
805.70
82.03
865.31
10.00
97.64
69.29
150.00
224.40
160.00
30.00
45.00
45.00
45.00
45.00
53.63
67.04
$5,637.56
Paid By
GOODEN HARRISON
CONSTRUCTION CO.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
ddk
9671
In Person
$5,637.56
Payment Total:
$5,637.56
Page 1 of 1
4/24/2006