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Home My WebLink AboutPermit Building 2006-3-21 ~~ ", ,i' 'Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ..) 541-726-3676 Fax i ; 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00213 ISSUED: 03/21/2006 APPLIED: 02/23/2006 EXPIRES: 09/21/2006 VALUE: $ 13,246.00 } SITE ADDRESS: 2665 MAlA LP , ASSESSOR'S PARCEL NO.: 1703251407000 Springfield TYPE OF Manuf Home w Garage/Carport Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured home with carport Owner: GARY JURGENSEN Address: 2665 MAlA LP SPRINGFIELD OR 97477 I ,I :( Contractor Type General . ~{ Electrical " ~ii Manuf Home Inst ,~ Plumbing :c .~ }' # of Units: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: '. .'! ,f : ~ Front yard SetbaCk: '.. Side 1 Setback: '\ Side 2 Setback: \ Rearyard Setback: ... Solar Setbacks: Street Storm Sewer Available: Special Instruction: 20.00 5.00 6.00 26.00 0.00 Phone Number: 541-747-3099 1 R-3 U VN 3 I Dll{Jl~NT INFORMATION. fill.) RMIT S ' AUTHQfjJ1~ I:fA.LL EXPIRE IF T COMMfj~lf~~R THIS PERM/~E WOI\K ANY 18VatJm,J i~4i-ANDONED FO'S NAI % of t Qn-,age: ~0.20 Phone 541-689-7762 541-729-1500 541-463-2022 541-689-7762 5,663 1,620 REQUIRED PARKING Total: 2 . Handicapped: . Compact: IPUBLIC IMPROVEMENTS I FullV Improved Yes Sidewalk Type: . DownspoutslDrains Notes: Storm drainage piped to curb face at weep hole 2/27/2006 CAS I CONTRACTOR INFORMAl'ION I . L.1C' ad' < .~vv requir f:i..UI1":~" of21t3d bv th e~ YO~Jto Contractor in 0 '~u.llon Cent~l(~ense e CExPlljatIon Date HARRISON JACOBSON Irtc09;R 952-001_0~6d4n7I)se rules a~;o5~o.~Jfo07 RALPH W BROWN c /; You may ob63d9rough OAR 02.d~zdlJ8 EMERALD LIFE STYLE H<?~smtle cente';6'-/siPPies of the M/Jl~do7 HARRISON JACOBSON INCumbe~for the ort~!~f;e:. the teleo9;,~P,~liff07 I BUILDING INF6~'FIMt3;~~~~~~~ifiCatio~ # of Stories: 1 Lot Size: Height of Sq Ft 1st Floor: Type of Heat: Electric Sq Ft 2nd Floor: Water Type: Electric Sq Ft Basement: Range Type: Electric Sq Ft .,'H:.... t. , Energy Path: Sq Ft Other: Sprinkled n/a Occupant Load: 1 of 3 Curb and Gutter CITY OF SPRING~l~LD . Building/Combination Permit PERMIT NO: COM2006-00213 ISSUED: 03/21/2006 APPLIED: 02/23/2006 EXPIRES: 09/21/2006 VAL UE: $ 13,246.00 ': Status: Issued . ."' 225 Fifth Street, Springfield, OR ,;:-541-726-3753 Phone : 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Type of Construction $PerSqFt or multiplier $19.00 $1.00 Square Footage or Bid Amount 434.00 5,000.00 Value Date Calculated Carport Carport Foundation Only Use Bid Amount Total Value of Project $8,246.00 $5,000.00 $13,246.00 02/23/2006 02/23/2006 ,.,.~. , ~ . J . I ,'" Fee Description Amount Paid Date Paid Receipt Number t Plan Review Residential $90.09 2/23/06 . 1200600000000000190 Addressing Assignment $31.00 3/21/06 1200600000000000324 Foundation Permit $68.40 3/21/06 1200600000000000324 Garage/Carport $99.60 3/21/06 1200600000000000324 Manuf Home State Issuance $30.00 3/21/06 1200600000000000324 Manufactured Home Conn - Plmb $45.00 3/21/06 1200600000000000324 Manufactured Home Placement $160.00 3/21/06 1200600000000000324 Plan Review Major - Planning $150.00 3/21/06 1200600000000000324 Sanitary Sewer -1st 50 Feet. $45.00 3/21/06 1200600000000000324 :{ Sanitary Sewer - Improvement $438.61 3/21/06 1200600000000000324 I .; Sanitary Sewer - Reimbursement $576.61 3/21/06 1200600000000000324 SDC MWMC Administration $10.00 3/21/06 1200600000000000324 SDC MWMC Improvement $865.31 3/21/06 1200600000000000324 SDC MWMC Reimbursement $82.03 3/21/06 1200600000000000324 'i SDC Sanitary/Storm Admin $130.80 3/21/06 1200600000000000324 , SDC Transpo Admin $65.37 3/21/06 1200600000000000324 .: SDC Transpo Improvement $805.70 3/21/06 1200600000000000324 .: SDC Transpo Reimbursement $182.69 3/21/06 1200600000000000324 ,it Storm Drainage Impervious Area $962.54 3/21/06 1200600000000000324 Storm Sewer - 1st 50 Feet $45.00 3/21/06 1200600000000000324 Water Line -1st 50 Feet $45.00 3/21/06 1200600000000000324 Willamalane ManuC Home Private $1,000.00 3/21/06 1200600000000000324 Total Amount $5,928.75 ~ Initial Review Plannine Review . Public Works Review Structural Review ..(~~. .: ~~J ::.t,. '"'j 2 of 3 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: COM2006-00213 ISSUED: 03/21/2006 APPLIED: 02/23/2006 EXPIRES: 09/21/2006 VALUE: $ 13,246.00 :.. 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. '.- ':Vi 'f -- , Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. 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. 'l\:IH Service: Approval required prior to utility company energizing service. .' ,. I 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 wiD 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 '. 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 wiD remain on the site at all ti2}es d,ri~g construction. ;'~ fd.-A .~AA' . \ 3 - Z/ - 6C. Owner or Contractors Signature Date 3 of 3 / ( ..:. CITY OF Sl-n.lNGFIELD SYSTEMS DEVELOPMEN'ity'R>RKSHEET . ...~. JOURNAL OR JOB NUMBER: COM2006-00213 (I NAME OR COMPANY: Giuy Jurgensen [5/ LOCATION: 2665 Maia Loop Q TAX LOT NUMBER: 1703251407000 0 U DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE ~ NEW DWELLING UNITS I BUILDING SIZE (SF: 1700 LOT SIZE (SF): 5643 P-1 E-< 1. STORM DRAINAGE ifJ ...... 0 DIRECT RUNOFF TO CITY STORM SYSTEM ~ IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 2980.00 I $0.323 = $962.54 RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE I DISCOUNT 1 0.00 1 $0.323 1 50% =1 $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC $962.54 $962.54 1070 2. SANITARY SEWER c CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x COST PER DFU I 23 $25.07 1 $576.61 1091 B. IMPROVEMENT COST: NUMBER OF DFU's x I 23 $19.07 $438.61 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = 1 $1,015.22 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x NUMBER OF UNITS' x I COST PER TRIP I x NEW TRlPF ACTORI I 9.57 I 1 I $19.09 I 1.00 I $182.69 1093 B. IMPROVEMENT COST: ' ADT TRlP RATE x I NUMBER OF UNITS x COST PER,'fRIP x NEW TRIP FACTOR 9.57 1 1 $84.19 1.00 $805.70 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = 1 $988.39 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I x COST PER FEU 1 I $82.03 = , $82.03 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x ICOST PER FEU 1 1 I $865.31 = $865.31 111055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $957.34 SUBTOTAL (ADD ITEMS!, 2, 3, & 4) = , $3,923.49 -- :! 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE CHARGE $3,923.49 , 5% $196.17 TOTAL SANITARY ADMTNISTRATION FEE: 130.80 1079 TOTAL TRANSPORTATION ADMTNISTRATION FEE: $65.37 1078 Cheryl Slaymaker i. 2/27/2006 TOTAL SDC CHARGES =, $4,119.66 PREPARED BY DATE ... , DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 ELGffiLE FOR ANNEXATION CREDIT? (Enter] for Yes, 2 for No) ]S IMPROVEMENT ELGffiLE FOR ANNEX. CREDIT? (Enter] for Yes, 2 for No) BASE YEAR 2 2 ]979 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 = 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 , www.ci.springfield.or.us 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 Qf the following manufactured homes will be placed at '2 ~ b,"" VV\2{ ~ ( -'"""' r ,Springfield, Oregon, City Job Number _ C.r" . - 00 "2-/~ ""'t~ , Type I Manufactured Home: A multi sectional (double wide or wider) unit with an enclosed floor area of not less than I ,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 therm,al envelope meeting perfOlmance standards which reduce heat loss to levels equivalent to tg,eHrformance standards required for single family dwellings at the time of construction. t...utY'1ij- initials " ~^ A unit 0 not less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a nominal r of pitch of2feet in height for each 12 feet in width, that has no bare metal siding or roofing, , ' and that ha een certified by the manufacturer to have an exterior thermal envelope meeting performance standards whic 1 e heat loss to levels equivalent to the performance standards required for single family dwelliilgs at the time of construction. initials I further state, by my signature below, tJlat 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 forpennanent 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 g:ade. Ul/~ 3-,z-t...o~ Date Signature 225 Fifth Street ' I SpHngfield;Oregon 97477 'SiZil-726-3759 Phone J~/Journal Number COM2006-00213 COM2006-00213 COM2006-00213 CpM2006-00213 CbM2006-00213 COM2006-00213 COM2006-00213 COM2006-00213 COM2006-00213 CpM2006-00213 , CbM2006-00213 CbM2006-00213 COM2006-00213 COM2006-00213 COM2006-00213 t.oM2006-00213 GOM2006-00213 d3M2006-00213 CbM2006-00213 ',' COM2006-00213 COM2006-00213 Payments: Type of Payment CreditCard :~ ~I ~,I <( I. ;." '( :f~.; ,\~) <f :\ c1 I' " i :r ~ ;i 'Ii"' :(; ..r" :( 3/21/2006 RECEIPT #: r'ity of Springfield Official Receipt ;velopment Services Department Public Works Department' . .~. 1200600000000000324 Date: 03/21/2006 Description Manufactured Home Placement ManufHome State Issuance Addressing Assignment WiIlamalane Manuf Home Private 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 , Garage/Carport Foundation Permit Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1st 50 Feet Manufactured Home Conn - Plmb Paid By WILLIAM HARRISON Item Total: LheCI< Number Authonzatlon Received By Batch Number Number How Received djb 056014 In Person Payment Total: 1 of 1 2:09:36PM Amount Due 160.00 30.00 . 31.00 1,000.00 962.54 576.61 438.61 182.69 805.70 82.03 865.31 10.00 130.80 ' ! !!,. I 65.37 ~ : 150.00 ' 99.60 68.40 45.00 45.00 ' 45.00 45.00 $5,838.66 Amount Paid $5,838.66 , $5,838.66 ~, t