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Home My WebLink AboutPermit Building 2003-1-23 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2002-01421 ISSUED: 01/23/2003 APPLIED: 12/31/2002 EXPIRES: 07/23/2003 VALUE: $ 15,349.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2753 MAlA LP ASSESSOR'S PARCEL NO.: 1703251406500 Springfield TYPE OF Manufactured Home w Garage/Carport on Private TYPE OF USE: Net\' Residential PROJECT DESCRIPTION: MH with garage Owner: GAYLORD KAMPA Address: 2753 MAlA LP SPRINGFIELD OR 97477 Contractor Type General Electrical Manuf Home Inst Owner Plumbing # of Buildings: Primary Occupancy Group: Secondary Occupancy P"rimary Construction Type Secondary Construction # of Bedrooms: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Phone Number: 541-747-5217 Phone Number: 541-747-5217 I CONTRAcrOR INFORMATION' Contractor License ROY HAROLD HAUGLAND 138110 RALPH W BROWN 63137 EMERALD LIFE STYLE HOMES INC 0 66750 GAYLORD KAMPA~O\)\!.~..., ROY HAROLD HAUGLAND.on\),~eS,,(\ \)\~~~{\J:38110 ~.o<~~~!~~~ _~\\O 6.0~~ ~yt.<6f~~"e~ \X\e ~\) O{\e Lot Size: p- \ \ t:.: ~~s ~ e{\\e~' :\tJ\'iiiOO~ 0' \e\0?~ ~\,O{\ Sq Ft 1st Floor: \O\\~~!\~~ G ~/\,.()r;:j ~~~ ~'<1!~ ~O\\'\C Sq Ft 2nd Floor: ~o\~~~ 'a.~ O~~.~ Ut~\\~ ~f>c~' Sq Ft Basement: . O~ -.{O\) '((\ Ce~ ~~'2: Sq Ft Garage/Carport \~\::pJJ'~\,~ \X\~~\X\e. I\,1.$y>\Path: Sq Ft Other: C'lJ. ~e~'O {\\e'<. ,S Impervious Surface Area: _I'~ r,e ~~ " I DEVELOPMENT INFORMATION. \~~ ~ ~\J\ ~~ ~ ..\\\ ,S (',lREQUlRED PARKING c.i-\>'\ <(..~\'" ~\J~ Overlay Dist: ~\.. '" ~\S \> ~~~ Total: 2 # Street 'l\r.;~. ~ S~~ ~~ '\ tr-.~~~' Handicapped: pav~~~.N~~'ili~\) \)~~ \S ~<Q Yes Compact: % of lSP,t~~~t\.\) ~ ~~~\) '33.00 ~~0~~~\'\ \)~ \> IPUBLIC IMPRO~\vffiNTSI Expiration Date 10/1812003 02/15/2004 05/18/2003 Phone 541-343-9030 541-729-1500 541-463-2022 541-747-5217 541-343-9030 10/18/2003 10.00 16,00 5.00 10.00 0.00 Storm Sewer Available: Special Instruction: Street and sewer private. Sidewalk Type: Downspouts/Drains Notes: 1 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: COM2002-01421 ISSUED: 01/23/2003 APPLIED: 12/31/2002 EXPIRES: 07/23/2003 VALUE: $ 15,349.00 I Valuation Description I Description Type of Construction Foundation Onlv Use Bid Amount Garae:e Garae:e Manuf Home Manufactured Home $ Per Sq Ft $1.00 $19,60 $1.00 Square Footae:e 5,000.00 528,00 60,000.00 Value $5,000.00 $10,348.80 $60,000,00 $75,348.80 Date Calculated 01/0312003 12/31/2002 01/03/2003 Total Value of Project I Fees Paid-.J Fee Description Amount Paid Date Receipt Number Plan Review Residential $100.23 12/31/02 1200200000000000479 + 10% Administrative Fee $59.72 1/23/03 1200200000000000590 + 7% State Surcharge $41.80 1/23/03 1200200000000000590 Add, Alter, Extend Circ Ea Add $3,00 1/23/03 1200200000000000590 Addressing Assignment $8.00 1/23/03 1200200000000000590 Annexed 1979 or Before $-151.81 1/23/03 1200200000000000590 Building Permit $154.20 1/23/03 1200200000000000590 Manuf Home State Issuance $30.00 1/23/03 1200200000000000590 Manufactured Home Connection $45.00 1/23/03 1200200000000000590 Manufactured Home Feeder $50.00 1/23/03 1200200000000000590 Manufactured Home Placement $160.00 1/23/03 1200200000000000590 Manufactured Home Service $50.00 1/23/03 1200200000000000590 Plan Review - Planning $59.00 1/23/03 1200200000000000590 Sanitary Sewer - 1st 50 Feet $45.00 1/23/03 1200200000000000590 Sanitary Sewer - Improvement $335,80 1/23/03 1200200000000000590 Sanitary Sewer - Reimbursement $441.80 1/23/03 1200200000000000590 SDC MWMC Administration $10.00 1/23/03 1200200000000000590 SDC MWMC Improvement $34,83 1/23/03 1200200000000000590 SDC MWMC Reimbursement $332.86 1/23/03 1200200000000000590 SDC Sanitary/Storm Admin $99.94 1/23/03 1200200000000000590 SDC Transpo Admin $47.15 1/23/03 1200200000000000590 SDC Transpo Improvement $709.81 1/23/03 1200200000000000590 SDC Transpo Reimbursement $160.87 1/23/03 1200200000000000590 Storm Drainage Impervious Area $1,067.65 1/23/03 1200200000000000590 Storm Sewer - 1st 50 Feet $45,00 1/23/03 1200200000000000590 Water Line - 1st 50 Feet $45.00 1/23/03 1200200000000000590 WilIamalane Manuf Home Private $1,000.00 1/23/03 1200200000000000590 Total Amount $4,984.85 I Plan Reviews I Initial Review 01/02/2003 01/03/2003 APP LLH 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 SPRING~lELD . Building/Combination Permit PERMIT NO: COM2002-01421 ISSUED: 01/23/2003 APPLIED: 12/31/2002 EXPIRES: 07/23/2003 VALUE: $ 15,349.00 Plannine: Review 01103/2003 01114/2003 APP AID Called applicant 1-7-03 to request a revised plot plan w/ conforming setbacks. 01103/2003 01120/2003 APP VRJ All building footings and roof overhangs must not encroach into an easement. Maia Park infrastructure(street and sewer) is private. SDC's calulated, 01/03/2003 01117/2003 APP RJB Public Works Review 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. L Reouired Insoections . 1 Erosion/Grading Inspection: After all erosion measures are in place. 2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 3 Footing: After trenches are excavated. 4 Foundation: After forms are erected but prior to concrete placement. 5 Shear Wall Nailing: Before covering sheathing with finish materials. 6 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 7 Firewall: Located and constructed according to plans. 8 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 9 Manuf Home Set Up: When installation of all piers or stands is complete. 10 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. 11 Final Building: After all required inspections have been requested and approved and the building is complete. 12 Manuf Home Plumbing: After home has been connected to water and sewer. 13 MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. 14 MH Service: Approval required prior to utility company energizing service. 15 Sanitary Sewer Line: Prior to filling trench and including required testing. 16 Water Line: Prior to filling trench and including required testing. 17 Storm Sewer Line: Prior to filling trench. 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 ~h eard is Ioeated at the front of the property, and the approved set of Pia. ns will remain on the site at all. durin struction. . .~.~_ J-~~"'-C)3> (' /1...... - __L I wner or Con'tractors Siy..ture Date 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-01421 COM2002-0 1421 COM2002-01421 COM2002-01421 COM2002-0 1421 COM2002-0 1421 COM2002-01421 COM2002-01421 COM2002-0 1421 COM2002-0 1421 COM2002-01421 COM2002-0 1421 COM2002-0 1421 COM2002-01421 COM2002-01421 1/23/2003 8:53:28AM City of Springfield Development Services Depa. t...ent Public Works Department Official Receipt Receipt #: 1200200000000000590 Date: 01123/2003 .. Amount Paid 8.00 1,000.00 50.00 50.00 3.00 160.00 45.00 45.00 45.00 30.00 59.00 1,067.65 441.80 335.80 160.87 Description Addressing Assignment Willamalane ManufHome Private Manufactured Home Feeder Manufactured Home Service Add, Alter, Extend Circ Ea Add Manufactured Home Placement Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1st 50 Feet ManufHome State Issuance Plan Review - Planning Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement Page 1 of2 cReceipl.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone COM2002-01421 COM2002-0 142 I COM2002-01421 COM2002-01421 COM2002-01421 COM2002-0 1421 COM2002-01421 COM2002-0142I COM2002-01421 COM2002-0I421 COM2002-0 142 I Payments: Type of Payment Check Paid By Receipt #: 1200200000000000590 Date: 01123/2003 SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Annexed 1979 or Before Building Permit Manufactured Home Connection + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No HAUGLAND AND SONS CONSTR djb Page 2 of2 1/23/2003 8:53:28AM . City of Springfield Development Services Department Public Works Department ()fficialJleceipt 709.81 332.86 34.83 10.00 99.94 47.15 (151.81) 154.20 45.00 41.80 59.72 Line Item Total: $4,884.62 How Received Amount Paid In Person 4,884.62 $4,884.62 Payment Total: I cReceipt.rpt ..4' ~ :.~ -' CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN I lIVORKSHEET JOURNAL OR JOB NUMBER: COM2002-01421 NAME OR COMPANY: Gay]ard Kampa LOCATION: 2753 Maia Loop TAX LOT NUMBER: I7032514tl6500 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 2148 LOT SIZE (SF): 6526 r:n ~ Cl o U 0::: ~ t-< r:n ....., o ~ 0::: I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x I COST PER S.F. CHARGE 3786.00 I $0.282 $1,067.65 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE I DISCOUNT 0.00 I $0.282 50% = I $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC $1,067.65 $1,067.65 11070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x COST PER DFU 20 $22.09 $441.80 1091 B. IMPROVEMENT COST: i; NUMBER OF DFU's x I COST PER DFU 20 I $16.79 $335.80 1'1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $777.60 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP x NEW TRIP FACTOR I 9.57 .1 I $16.81 1.00 $160.87 1093 B. IMPROVEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x I;" ' COST PER TRIP x INEW TRIP FACTOR I 9.57 I I I $74.17 I 1.00 $709.81 1094 ITEM 3 TOTAL - TRANSPORT A TION SDC = , $870.68 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x COST PER FEU I 1 I $332.86 = $332.86 I 1054 B. IMPROVEMENT COST: NUMBER OF FEU's x ICOST PER FEU I I $34.83 $34.83 lOSS MWMC CREDIT IF APPLICABLE (SEE REVERSE) ($151.81) 1054 MWMC ADMINISTRATIVE FEE . $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , $225.88 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $2,941.81 I 5. ADMINISTRA TTVE FEE: Is UBTOT AL x I ADM. FEE RATE CHARGE I $2,941.81 I 5% $]47.09 TOTAL SANITARY ADMINISTRATION FEE: 99.94 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $47.15 1078 Steve Templin 1/20/2003 TOTAL SDC CHARGES $3,088.90 PREPARED BY DATE ~: .... ~'.. ,; DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONL Y THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS I BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL I SOLIDS I ETC. 0 0 3 0 INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (J PER TRAILER) 0 0 12 = '0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 ,3 I 0 SHOWER, SINGLE STALL 1 0 2 = I 2 I. I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = I ,0 ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 - I 3 ISINK: COMMERCIAL BAR 0 0 '2 = I' 0 ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ( ISINK: SINGLE LA VATORY/RESIDENTIAL BAR 1 0 1 = 1 I URINAL, STALL / WALL 0 0 .5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 ' - 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOT AL DRAINAGE FIXTURE UNITS 20 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RATE/$I,OOO ASSESSED VALUE $4.92 $4.92 $4.83 $4.77 $4.64 $4.4 7 $4.30 $4.09 $3.78 $3.41 $2.98 $2.52 $2.06 $ /.64 $1.45 $ I.3 I. $/. 13 $0.97 $0.82 $0.63 $0.41 $0.22 $0.04 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for N9) BASE YEAR o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $30.86 x $4.92 = I $15/.81 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/JOOO CREDIT RATE .. $0.00 x $4.92 = I o TOTAL MWMC CREDIT = $15/.81 . . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQlJEST: 726-3769 OFFICE: 726-3759 EL UCAL PERMIT APPLICATION . . City Job Number . ~oali[)llA)\4f21 200 amps or less 20 I amps to.~,~~.aI~pS 40 1 anwatlo;'l5'QQ~R~ ~q!)~h~ \~tf'l.bQ~l'{filW .1/:"'. ~r~~ i~'r'\'~" . ,'l,)i\ v9,lt~f' '" ."Amp~ .Ypl~; . " ,,';~;''''' .'. v'~~~cO'l}weetqni~;:;'" .... ..,~J~$'~;i~)\1\~~~j;"~(Y';:,:.2'~~ \\~;!~r'~;, . ,.,,}\\fJ . \,.' ': ;'~~,;p :~'I~'~\~ltlP.6)'ai"i:~Wi~~ F,~~I'S Constr Contr. Number 6$l?'7-<~$'I' ~;~-:~.\,.1,.)n.sJllH:llio,!i..,A,~r:ilt~'\()tRelocation .'~:),~i\';::~';~~,.r(:~';\ , ;>,1:',.:', '. ,~:,/5::;~ ~~;~~}~~'~:I;:.t?t, ' . ., ::~ p,,' , .... ..,,~;:}t:\1)J,~'W:ress \, v,', "\I.', 'I .,,''< '1'. hl.~. 400 \,,\:)\.J '..,.J'I ",,, \'C ~,\,,\;o;, LV ~.~.r4IPS to amps <,:,~....' ~,\\\'\."-:r "'f~,, ~."y Signature of Supervising Electrician. r:;',':"7)'{'.\n:r{\S,"{,'0ver 401 to 600 amps .\~~, \ ~ f;o'i Over 600 amps or 1000 volts see . fu/i.J--- W. ~Zt/b J' "B" above I II r. ~ V Ii ~ I~ D. Branch Circuits -,\~ Owners N ame ~ ~./ New Alteratiol\ ~ ~\~~ii(n Per Panel ".., t..Q . \. 'D ,~'\:"": ,\ ~ Address z.. \ ~ }-O \J) )0\ One,,~j~~S\\~\\\ ~~~\ %rJ~ "1!.- nn '-1 \, <i(:.,' . ~ '( v .~$" City~\U "- Phone " ~. ~o ,'\ <:;.\~~~tl\A1i4~~~~irCl1it or ,,,ith Service 4. (() , . ~~\\\-i~ _\ \)~\}fl~e,tl~'Permit l $ 3.00 t::J.. OWNER INSTALLATION ~:.,,(~'{':\,,:~{,.~ \~~~~~ \\). The installation is being made on \ '\ \ :)\\,\\J ';,~\)i\<'\\Su:.?~~~OUS (Service/feeder not included) property I O'VTI which is not intended I~.\'.~\~~';:\\ ~~ -Each in~ta.llat~on "_ for sale, lease or rent. ''';v~{ \ v Pump or IrngatIon $)0.00 ~\ Sign/Outline Lighting $50.00 Limited Energy/Res $25.00 Limited Energy/Comm $..J.5.00 , 1. !fr1~~Nff1iti)~~Z~. LEGAL D.x~<;B[P}ION. ~ ') Se~e Included: \ -, () j'L.~ ()\QJ1J o~o 0 0"1. \>'0 ~ ~o JOB DESCRlP~,IO~ r . 00'<''3:~~O sq.ft. less ~,_ I. l _ C\t l1Q.A... ~i'~ ",,<l.i Each a ltio.' '50? \ \ "" ""-So..~,,,0 sq. or IOn ../ Permits are ncin-t~sferable and expire O\0G':\. ,,0 ~ {l/ le if work is not started within 180 days ~<0 ~"00'" <:' lI.\J'/O of issuance or if work is suspended for ~o~~~c?S / ,0 ~ 180 days. ,,<,0 ,,,<0' ~. ;..,,,0; / ~ ,,\ -'10'- 1,0 <\,,0 V ~0 ~y ~-s 2. CONTRACTOR INST ALLA TIOi'fONL Y ~"?Services or Feeders -11 ~_. ~/J 0\.0'7:: ,1,..l> Installation, Alterations or Electrical Contractor /tR.M-r.;"SL- f:.J( oQ ~/(fwf-<- Relocation: r .-f \" Address It! t.f:J---- 1~~ ~J.-"" ~) . 7Z.:iI {5'"0<' City Ce~.lZ~ Phone 7 - . . ,1 t~?1 /I.'. c." Supervisor License Number 77,5 .- '..... lid( 3. COfv1PLETE FEE SCHEDULE BELOW A. New Residential-Single or Multi-Family per dwelling unit. Items Cost Sm:n $106.00 $ 19.00 '2. $ 50.00 1oQ.cO $ 63.00 $ 75.00 $125.00 . $163.00 $375.00 $ 50.00 Expiration Date Expiration Date I ()/dq. . I $50.00 $69.00 $100.00 $43.00 Owners Signature: Minimum Electric Permit InsJlection Fee is 5-15.00 + Surcharges \O~.ocJ "."2l. l D.::\() \Q.O .s \ 4. SUBTOTAL OF ABOVE 7% State Surcharge \1% Administrative Fce TOTAL