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Home My WebLink AboutPermit Building 2004-6-18 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00520 ISSUED: 06/18/2004 APPLIED: 05/05/2004 EXPIRES: 12/18/2004 VALUE: $ 2,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspec!ion Line SITE ADDRESS: 2235 Clear Vue Lane Springfield TYPE OF WORK: Manufactured HomE! on ASSESSOR'S PARCEL NO.: CLEAR VUE ESTATES S Private Lot TYPE OF USE: New Residential REQUIRED PARKING Overlay Dist: Total: 2 # Street Trees Rqd: 1 :t. ~~dicapped: Paved Drive Rqd: ~~ \~ \~ ~pact: % of Lot Coverage: ~\. 't.i-~~c.~~~\\ Q~ ~\\~\\'.~9W\~ ~~~"\\ \\\~\,,\)"t.\) ~ I PUBLIC Il\ffl\~M~~~I~ \~ ~ p..~~~t; \J~~ ~t.~~idewalk Type: t\~'( '\ ~Q Downspouts/Drains: storm sewer weep hole, curb cut, sidewalk, and driveway paving to be done at the time on Public Improvement construction of P30408. PROJECT DESCRIPTION: Manufactured Home on Private Lot. Owner: RICHARD ARCHIBALD Address: 2295 CLEAR VUE LANE SPRINGFIELD OR 97477 .1 CONTRACTOR INFORMATION I . ; uta Contractor, ,~: ". e~u\te9 'l~\\\\W License SHELLEY REl'pft t~.Otegot' ~ \Q{\~ 6217 BA~\0~ ~~~u\e9 ate &:?.()Q~=15191l S~H~f\i~ 0 . ,nOse n O~~ 9 ei ~2039 ~~~~~~'\o\ntO~~c:. 0\\n9 f_~Afii 31366 '::~~~ gS'l:;~ 0 ~- I.'~ <9" ,..",~.. . -fuN \" D 'fOu ". (\. \ . # of Units: Q~a\\\t'g ~et ~~e Qt~~~6~~~)' Primary Occupancy Group: (\Ut1\~\O ~et \S '\*~Ight of Structure Secondary Occupancy Group: ceO Type of Heat: Forced Air Elect Primary 'Construction Type VN Water Type: Electric Secondary Construction Type: Range Type: Electric # of Bedrooms: 4 Energy Path: , Sprinkled Building: Contractor Type General Electrical Manuf Home Inst Plumbing n/a I DEVELOPMENT INFORMATION I Front yard Setback: . Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 20.00 5.00 16.00 20.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal.!e 1. of 5 Phone Number: 541-746-2235 Expiration Date 02/18/2006 06/21/2004 04/28/2006 12/19/2004 Phone 541-746-2235 541-995-4757 541-344-8833 541-933-1020 1 Lot Size: Sq Ft 1st Floor: 1,782 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ; Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00520 ISSUED: 06/18/2004 APPLIED: 05/05/2004 EXPIRES: 12/18/2004 VALUE: $ 2,500.00 225 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 $1.00 Square Footage or Bid Amount 2,500.00 43,930.00 Value Date Calculated Foundation Onlv Use Bid Amount Manuf Home Manufactured Home Total Value of Project $2,500.00 $43,930.00 $46,430.00 05/05/2004 05/05/2004 ~ Fee Description Amount Paid Date Paid Receipt Number , Plan Review Residential $34.32 4/30/04 '2200400000000000452 + 10% Administrative Fee $5.00 6/9/04 1200400000000000876 + 7% State Surcharge $3.50 6/9/04 1200400000000000876 Manufactured Home Service $50.00 6/9/04 1200400000000000876 + 10% Administrative Fee $47.08 6/18/04 1200400000000000937 + 7% State Surcharge $32.96 6/18/04 1200400000000000937 Addressing Assignment $31.00 6/18/04 1200400000000000937 Encroachment Permit $120.00 6/18/04 1200400000000000937 Foundation Permit $52.80 6/18/04 1200400000000000937 Manuf Home State Issuance $30.00 6/18/04 1200400000000000937 Manufactured Home Connection $45.00 6/18/04 1200400000000000937 Manufactured Home Feeder $50.00 6/18/04 1200400000000000937 Manufactured Home Placement $160.00 6/18/04 1200400000000000937 Plan Review - Planning $71.00 6/18/04 1200400000000000937 Sanitary Sewer - 1st 50 Feet $45.00 6/18/04 1200400000000000937 Sanitary Sewer - Improvement $395.83 6/18/04 1200400000000000937 Sanitary Sewer - Reimbursement $520.72 6/18/04 1200400000000000937 Sanitary Sewer Each Addtll00' $28.00 6/18/04 1200400000000000937 SDC MWMC Administration $10.00 6/18/04 1200400000000000937 SDC MWMC Improvement $214.23 6/18/04 1200400000000000937 SDC MWMC Reimbursement $314.63 .6/18/04 1200400000000000937 SDC Sanitary/Storm Admin $98.48 6/18/04 1200400000000000937 SDC Transpo Admin $54.18 6/18/04 1200400000000000937 SDC Transpo Improvement $727.42 6/18/04 1200400000000000937 SDC Transpo Reimbursement . $164.89 6/18/04 1200400000000000937 Storm Drainage Impervious Area $705.43 6/18/04 1200400000000000937 Storm Sewer - 1st 50 Feet $45.00 6/18/04 1200400000000000937 Water Line -1st 50 Feet $45.00 6/18/04 1200400000000000937 Willamalane Manuf Home Private $1,000.00 6/18/04 1200400000000000937 Total Amount Paid $5,101.47 Pal.!e 2 of5 , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Pal.!e 3 of5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00520 ISSUED: . 06/18/2004 APPLIED: 05/05/2004 EXPIRES: 12/18/2004 VALUE: $ 2,500.00 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. Erosion/Grading Inspection: After all erosion measures are in place. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. ' Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to, concrete. Manuf Home Set Up: When installation of all piers or stands is complete. Final ManufHome 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. 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 4 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00520 ISSUED: 06/18/2004 APPLIED: 05/05/2004 EXPIRES: 12/18/2004 VALUE: $ 2,500.00 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 times during construction. r;d~/! /htJ/k/ Owner or ~ntractors SignatureV Pal.!e 5 of5 C?6/ If? j;y ~ 1(/ Date 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004~00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004"00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 COM2004-00520 Payments: Type of Payment Check 6/18/2004 r:(y of Springfield Official Receipt velopment Services Department , Public Works Department, RECEIPT #: 1200400000000000937 Date: 06/18/2004 2:30:50PM Description Addressing Assignment Manufactured Home Placement Manuf Home State Issuance Manufactured Home Connection Manufactured Home Feeder Willamalane Manuf Home Private Foundation Permit Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Encroachment Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin SDC MWMC Improvement + 7% State Surcharge + 10% Administrative Fee Plan Review - Planning Amount Due 31.00 160.00 30.00 45.00 50.00 1,000.00 52.80 45.00 45.00 45.00 28.00 120.00 705.43 520.72 395.83 164.89 727.42 314.63 .10.00 98.48 54.18 214.23 32.96 , 47.08 71.00 $5,008.65 Paid By SHELLEY REAL ESTATE Item Total: Check Number Authorization Batch Number Number, How Receiv~d Amount Paid Received By djb 347 In Person Payment Total: $5,008.65 $5,008.65 Page 1 of 1 ),,~v.&,V ' 0v 0' ~~ <:>~1\ 225 FIFTFl: STREET <-:- <:>~ .~0 ... i' SPRlNGFIELD, OREGON 97477?;'b' ~,,0 INSPECTION REQUEST: 72~S~.i90 V OFFICE: 726-3759 ,o~~\:? . 7 /. ,(f' ~<' "'~~ ,/ / 3, 1. LOCATION OF ~~tA;rtoy ~e, 2-2- '2.. ., r ~ VUL ., A. ~ , EL IUCAL PERMIT APPLICATION :' .. City Joh Number ~~ -d!I}$:20 CONWLETEFEESCHEDULEBELOW LEGAL DESCRIPTION <:l c--'EM VV6 ,G$lftjfEf'-\ lbr:~ New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sm:n JOB DESc;:(:TION Nt, UJNftlrqi Il~) 1000 sq,ft. or less Each additional 500 sq, ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106.00 Permits me non-transferable and expire if work is not started within 1 SO days of issuance or if work is suspended for 1 SO days. $ 19.00 ---1- $ 50.00 50.0'0 2. CONTRACTOR INSTALLATION ONLY B. Sen'ices or Feeders _ \..._ _ ~ ,^ r\ L ~ \. Installation, Alter:itions or Electrical' Contractor ~Lt\UY\!.U \ c.. e.c,y ,CU'L. Relocation: Address \OS\ \.\W<.ax-{- ~U <'NJ90~(l~~W? ~r less . A~9Jll~lh'1~(fh'!ii\\l~ 400 amps City Ham sbLtYQp1WJR .,;meB11ft~ :,Ji~~h'l!tt~;~~(,JOO amps J . Those tu;eSi6[f.:hfhpsit?Thoo amps Supervisor License Numb, ,JOt" 1-b010 ttm:.:l!J9h~]A~\l~'!ttlr1>s/volts . . ' . ~90' io;.;J~rnaY. obta.in eopies oFtiCUrfMwOt)ly EXpHatlOn Date_/ (/ -~r l~l ~1i;&mter" {Note: the GalliLy I, he Orego~ l:.f~11,~mrJr)i,~es or Feeders Constr Contr. Number \Cj)\l~'~:~~ ,~aOo..s~~~~~all\t}2n, Alteration or Relocation Expiration Date If) -ll-'..)y 200 amps or less ''C, 201 amps to 400 amps Signature of Su')tC.Qi~ng ~le<:!~ician _.' / Over 401 to 600 amps /'i---- Over 600 amps or 1000 volts see // . '., "B"aboye_ ~---fA.P<<~ \ b/, I) !?,j/////~: ~~ ~ AI J A D. Branch Circuits Owners Name R I~ /1('f#~ New Alteration or Extension Per Panel Address~ 9."i'"' d.~ tiLe LAt One Circuit $ 63,00 ,$ 75.00 $125.00 $163.00 $375.00 $ 50.00 $50.00 $69.00 $100.00 $43.00 City :).#,M . .". - Phone-$-22~ Each Additional Circuit or \"ith Service or Feeder Permit $ 3.00 f1 fR,cy,3\": r:'-0fS0 . " ~1iJ ~v:;;,}r:: 1-\:'\\ 'uJ\.'D,c.,o .. . ,- 1 J.., \f."l?J(~)if It ~ 11ln ., ,. 1~5 ~ffi!Wrd~~~~ctf~:~~~~~Mllti~~W~d) <)i:,.t;-:}rrJ\~c:!l!'Xn)ttNaHcl!f ,'''~':\',;:'S~ ~~t\ A~ \ '^~~:,r.'\'J?iv.\tp~f~~~g}\tltm}~!'#{"d~.....J · ~$ $50.00 C{,.J' t~ll~:~~~I'''~Q!tHtnet':liahtina $50,00 <1, (c,p[ ~:;-;J;.~ '!(,~'t,v~~ b $4:'M'i Gzg~lJrim eo tnergyfRes $25.00 Limited Energy/Comm $~5.00 OWNER INSTALLATION The installation is being made on property I o\vn which is not intended for sale, lease or rent. Owners Signatnre: Minimum Electric Pumit InsJlcction Fec is S~5.nn + Surcharges TOTAL "-0 ,eN) ~. s~ rIG c., ~.r ~~~~ ----- ~ 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Adminis~rati\'e Fce 'h.,~\~::;~::.:.~:~ " t~;'{~,:' ':s..~,:~ .~'~ '~:) ;..,..;,...,9"~::" ~ ........ ..' . . ...... -.. '...*\ ~~ .~ '::.. ~-~~i~l "-':1 '_. ... \.......1 .\..~: ::~ \.. ~:-~_...~ ...~l~... ,.-;t- r'" , " " ... . ....,~... .~ ~~..... f....... .....'. ,~ ''t''~~'''.. 1:~:;._::~,~:..J. 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" 'z,i ..~( Ii: L'ot \ ...... ......~ i, 1', I ..,:'\- ~ '~"\/\.. ^. , t; ~~~~~~"'J ;', \,,' . .-':v.-.'<{....~~ DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www.ci.springfield.or.us MANUFACTURED HOME SET-UP AGREEMENT As re. quired by the City of Springfield Development Code, I understand and agree t:Wt~ith W~ al'pro};:al of the a~ched .permi7 o~ ~ the, follow~g manufactured ho~es will be placyp at~ol-.:Y S l ( .~({r' V f.J.L ~/ (YVjff-TfIt.X -! 7Q3:l /6 LfJpJ)JJ Spnngfield, Oregon, City Job NumberLOf'Y'J.-ODl/ - (Jt5S)- 0 -- - 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 pe ormance standards required for single family dwellings at the time of construction. I 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 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 cons~ction. 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 the enclosing material exposed above grade. e~~ ~tfJ 1)/5 /;R 10 1 Date ' l - x ~ r: MANUFACTURED HOME LAND USE AGREEMENT 225 FIFTH STREET SPRINGFIELD, OR 97471 (541) 726-3753 FAX (541) 726-3689 As required by the City of Springfield Development Code, I agree that with the approval of the attached permits, one of the following manufactured homes will be placed at "2.2- 3S- cI..~ I/lIe LN. Springfield, Oregon, City Job Number f.AH12bDf-bl1fj:LO V 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 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 Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor 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 roofmg. 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 pennit. 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 pennit 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. . Fmallot 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 the above mentioned land use requirements. Owner Signature D~te_I_/;f ~