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Home My WebLink AboutPermit Building 2003-11-20 ~~~~~J~~I'E!l~l2E':J.j ,,"'C-c'=- Status Issued ,"':-,CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-01089 ISSUED: 11/20/2003 APPLIED: 10/27/2003 EXPIRES: OS/20/2004 VALUE: $ 59,146.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2765 MAlA LP ASSESSOR'S PARCEL NO.: 1703251406400 Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured Home & Carport -' Owner: NONA GORDINEER Address: 5335 DAISY #80 SPRINGFIELD OR 97478 Phone Number: 726-5623 I CONTRACTOR INFORMATION. 'i:. Contractor Type General Electrical Plumbing Contractor HARR1S0N JACOBSON INC ROBS ELECTRIC INC HARR1S0N JACOBSON INC License 66447, 156678 66447 Expiration Date 05/07/2004 08/14/2005 05/07/2004 Phone 541-689-7762 541-686-5444 541-689-7762 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: 1 Height of Structure Type of Heat: Forced Air Elect Water Type: Electric Range Type: Electric Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 5,459 1,404 1 R-3 U-l VN 420 SETBACKS , ~,....\\ I DEVELOPMENT, ' . ~N. ~?\'(\~ ~\' ~O'2fo~:' ~\\ ~~~~v ~lV\J\\~~~~c\) fQ\\ \,~\S.'tli-~ lc\J 'U~\4) t~~\!es Rqd: 1 ~'U~\QQj\\~c,t.\) \J'd?A~~~~rive Rqd: Yes c,12W~t IJ \)~i ?t1ofLot Coverage: 33.40 ~~~0\'O REQUIRED PARKING Total: 2 Handicapped: Compact: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPR<f>VEMENTS . Sidewa1l\ ~y'p~:aqUlres you, t,o "-', ATTENTION:~regu....... ~.....o Or~gon Utility if les at!il9~~sPou,tsVDrams. e set fori Private infrastructure. follOW ru ' Those rules ar 0 \\otification cent~~1 0 through OAR 952-0 , In OAR 952-001-. .' copies of the rules, 0090. You may obtain Note: the telepho~e calling the center. ( Utility Notification f' the Oregon )' numberr.~,:"tol: i~ 1_800-332-2344 . Notes: ~ ~) ..'" Pa\?:e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01089 ISSUED: 11/20/2003 APPLIED: 10/27/2003 EXPIRES: OS/20/2004 VALUE: $ 59,146.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier $16.30 $1.00 $1.00 Square Footage or Bid Amount 420.00 2,300.00 50,000.00 Value Date Calculated Carport Carport Foundation Only Use Bid Amount Manuf Home Manufactured Home Total Value of Project $6,846.00 $2,300.00 $50,000.00 $59,146.00 10/2912003 10/2712003 10/2712003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $64.74 10/27/03 1200200000000002374 -Mechanical Issuance Fee- $10.00 11/20/03 1200200000000002498 + 10% Administrative Fee $59.54 11/20/03 1200200000000002498 + 7% State Surcharge $41.68 11/20/03 120020QOOOOOOO02498 Add, Alter, Extend Circ Ea Add $3.00 11/20/03 1200200000000002498 Addressing Assignment $8.00 11/20/03 1200200000000002498 Annexed 1979 or Before $-156.63 11/20/03 1200200000000002498 Building Permit $107.40 11/20/03 1200200000000002498 Heat Pump $15.00 11/20/03 1200200000000002498 Manuf Home State Issuance $30.00 11/20/03 1200200000000002498 Manufactured Home Connection $45.00 . 11/20/03 1200200000000002498 Manufactured Home Feeder $50.00 11/20/03 1200200000000002498 Manufactured Home Placement $160.00 11/20/03 1200200000000002498 MailUfactured Home Service $50.00 11120/03 1200200000000002498 Minimum/Adjustment Mechanical $30.00 11/20/03 1200200000000002498 Plan Review - Planning $'59.00 11/20/03 1200200000000002498 Sanitary Sewer - 1st 50 Feet $45.00 11/20/03 1200200000000002498 Sanitary Sewer - Improvement $344.20 11/20/03 1200200000000002498 Sanitary Sewer ~ Reimbursement $452.80 11/20/03 1200200000000002498 SDC MWMC Administration . $10.00 11/20/03 1200200000000002498 SDC MWMC Improvement $214.23 11/20/03 1200200000000002498 SDC MWMC Reimbursement $314.63 11/20/03 1200200000000002498 SDC Sanitary/Storm Admin $90.69 11120/03 1200200000000002498 SDC Transpo Admin. $51.54 11/20/03 1200200000000002498 SDC Transpo Improvement $727.42 11/20/03 1200200000000002498 SDC Transpo Reimbursement $165.89 11/20/03 1200200000000002498 Storm Drainage Impervious Area $773.14 11/20/03 1200200000000002498 Storm Sewer - 1st 50 Feet $45.00 11/20/03 1200200000000002498 Water Line - 1st 50 Feet $45.00 11/20/03 1200200000000002498 Willamalane Manuf Home Private $1,000.00 11/20/03 1200200000000002498 Total Amount Paid $4,856.27 Pae:e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01089 ISSUED: 11/20/2003 APPLIED: 10/27/2003 . EXPIRES: OS/20/2004 VALUE: $ 59,146.00 225 Fifth Street; Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planninl! Review Public Works Review Structural Review. 10/28/2003 10129/2003 1012912003 10129/2003 I Plan Reviews, 1012912003 APP 11/0712003 APP 11/03/2003 APP 11/05/2003 OK LLH TAJ VRJ TCM Needs over the counter LDAP Private infrastructure. 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. ~Reouired Insoections . 1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Foundation: After forms are erected but prior to concrete placement. 3 Framing Inspection: Prior to cover and after all rough in inspections have been appFoved. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Manuf Home Set Up: When installation of all piers or stands is complete. 6 Final ManufHome Set Up: After all requir~d inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. 7 Water Line: Prior to filling trench and including required testing. 8 Sanitary Sewer Line: Prior to filling trench and including required testing. 9 Storm Sewer Line: Prior to filling trench. 10 ManufHome Plumbing: After home has been connected to water and sewer. 11 MH Service: Approval required prior to utility company energizing service. 12 Rough Electric: Prior to Cover 13 Final Electric: When all electrical work is complete. 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 air required inspections are requested at the proper time, that each address is readable from the street, t~at he pe mi~ard i ocated at the front of the property, and the approved set of plans will remain on the site at.all times dur' cor u ti n. -- "i ll/v/a] Owner or Contractors Signature' Date Pal!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1089 COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1089 COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1 089 COM2003-01089 COM2003-01089 COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1 089 COM2003-01089 COM2003-0 1089 COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1 089 COM2003-0 1089 COM2003-0 1 089 COM2003-0 1 089 Payments: Type of Payment Check Receipt #: 1200200000000002498 Description Addressing Assignment Willamalane ManufHome Private Manufactured Home Feeder Manufactured Home Service Add, Alter, Extend Circ Ea Add 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 Annexed 1979 or Before Building Permit Manufactured Home Placement ManufHome State Issuance Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1st 50 Feet Manufactured Home Connection Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Plan Review - Planning Paid By GOODEN HARRISON Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/20/2003 9:57:17AM v Amount Paid Item Total: 8.00 1,000.00 50.00 50.00 3.00 773.14 452.80 344.20 165.89 727.42 314.63 214.23 10.00 90.69 51.54 (156.63) 107.40 160.00 30.00 45.00 45.00 45.00 45.00 15.00 30.00 10.00 41.68 59.54 59.00 $4,791.53 How Received In Person Payment Total: . Amount Paid $4,791.53 $4,791.53 . \'IC .,~\\O;,~'\9 . '\3.\\') 0'" . . \\'.; \ f\AI9. . ~ ~r~ -Willamalane V!.I.-~ '- ~ Park & Recreation District . Job. No. ~ 3.() I 0&11 ~. SYSTEM DEVELOPMENT CHARGE WORKSHEET . NAME: '(\ml\_ ~ \Jtmi.~..-GD~r) ftVf(PHONE: 11llo .51o~ . . ADDRESS:_5f)())~~\~f{) STATE: ~ZIP:JhtI6 '.LOCATION OF PROPOSED BU1LDtMG SITE: . .. .' . L. . . Street Address:. MliPl \..t{\Qtn I. tW? .. . . . Plat Name: ~\.l'\\tlrn "' ..' _ Tax Lot Number: .V10'h~t4 () (01{)0 1~ .'DEVELOPMENT TYPe (Check appropriate dwelling(s). soc. calculations and dwelling l yPe definitions are on t~e back.) ~. " . A lliDQIA-Fqfl1i1y OAtached Single Family home . NO. OF UNITS . \ Manufactured home noUn a park . . X $1.000 per unit. = .$" \ non. 00: , 8. Bingle-Family M9che.Q. NO. OF UNITS X .$924 per unit . =. $ C. Multi-Family A9artment NO. OF UNITS f/. X .$692 per unIt.- $. ." C? ManufacfI,JrA0 Home Parl:s. , .' . .NO.OF UNITS WILLAMALANE SDC X $699 per unit . = $ $ \000.00 0' . $ l noO.oU 2. SDC CREDIT (if applicable) SOG-payer must furnIsh proof of 'Nillamalane Credit approval. See sac Credit Worksheet. $ 3~ TOTAL WILLAMALANE NET SDC ASSESSED' ~~~ced {orcr~ Development Se ~~ gpartment City of Springfiel~ ' I( Date 76 O':} I L. I CITY OF'SPRINGFIELD SYSTEMS DEVELOPMENl~ORKSHEET JOURNAL OR JOB NUMBER: Com2003-01089 NAME OR COMPANY: Nona Gordineer LOCATION: 2765 Maia Loop TAX LOT NUMBER: 17032514t16400 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF: o LOT SIZE (SF): ' 5459 (/) f.I.1 Cl o U ~ f.I.1 E-< (/) I-< C gz I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 2666.00 I $0.290 = I $773.14 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x, COST PER S.F. x I DISCOUNT RATE DISCOUNT I '0.00 I $0.290 I. 50% $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x COST PER DFU 20 $22.64 B. IMPROVEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 20 $17.21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $797,00 $773.14 $773.14 1070 $452.80 1091 " $344.20 1092 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x I NUMBER OF UNITS 9.57 I 1 B. IMPROVEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS I 9.57 1 ITEM 3 TOTAL - TRANSPORTATION SDC r I x I COST PER TRIP x NEW TRIP FACTOR I $17.23 1.00 x I, COST PER TRIP I x NEW TRIP F ACTOR I , $76.01 1.00 = , $892.31 J ,..- $164.89 1093 $727.42 1094 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x ICOST PER FEU 1 '$314.63 B. IMPROVEMENT COST: INUMBER OF FEU's I x COST PER FEU , 1 , $214.23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SAN IT ARY SEWER SD< = $314.63 1054 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) 5. ADMINISTRATIVE FEE: SUBTOTAL I x I ADM. FEE RATE 1= $2,844.68 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $142.23 90.69 1079 - -. ---- -.- $51.54 1078 = I $2,986.91 I --_..~ - - ". Virginia Jurasevich PREPARED BY 11/3/2003 TOTAL SDC CHARGES DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS I BATHTUB 1 0 3 = 3 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 0 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINIDOUBLE LA V A TORY 1 0 2 = 2 SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INST ALLA TION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS , 20 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TE/$I ,000 ANNEXED ASSESSED VALUE BEFORE 1979 $5.04 1979 $5.04 1980 $4.95 1981 $4.88 1982 $4.75 1983 $4.58 1984 $4.41 1985 $4.20 1986 $3.88 1987 $3.50 r 1988 $3.07 I 1989 $2.60 1990 $2.14 1991 $1.71 1992 $1.52 1993 $\.38 1994 $1.19 1995 $1.03 1996 $0.87 1997 $0.68 1998 $0.46 1999 $0.27 2000 $0.09 (200~ $0.04 ......... ". IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No). IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 (Enter 1 for Yes, 2 for No) BASE YEAR 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $31.08 x $5.04 = , $156.63 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $5.04 = , 0 TOTAL MWMC CREDIT $156.63 = Supervisor License Number ___ L/7 W c. / I { / ~~t. ~\J\ Expiration Date '() - 0- () 7 Installation, Alterati~~~t1\il~~~ · I 200 {\mps or~t.~ ~CO ,?t.~ ~~ f{Q~ $ 50.00 Constr. Contr. Number \ S GG IR \\\)"\~i~t~ ~~\\~~~~~\J~ $ 69.00 . ----- ~\CW'f~~~~ m~ $100.00 Expiration Date ~- ~:r~ // -11../....6 .1\ '-.<f.\).\J~ (;l~(\' - - 15 . ~~r ~ s ~'&fjV 0118 see "B" above. Signature of Supervising Electrician nc; . V ~ rWw Alteration or Extension Per Panel /~ ~~ One Circuit _\O\).'\~It" $43.00 Each Additional Circuit or withe? ) \')'\\"i'.o':( ~\' :(\ Service or Feeder Pemlit .ecx' eC?>O -(>.\ -C$ 3.00 r),~ '\ _ 0" e "" r:z:'J \ 1. LEGAL DESCRIPTION l1ba15\L\ CX.tAcO JOB DESCRIPTION ~'IDfuL ~ onto ci ~j) AMfH- Permits are noJr~~:ferable and eXPi~ ;:,r~ not started witnm 180 days of issuance or if wQrk is Suspended for 180 days. 2. Electrical Contractor f? 0 D(S y; ler.):<- \ c ()h \ () ,S\- Phone Co'6Co-5444 Address J\~ v' -- City -6)O-P~- U City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 A. Service Included 1000 sq. ft. or less Each additionalSOO sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or . Feeder 'L $50.00 100 {:iJ B. 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 5125.00 5163.00 5375.00 $ 50.00 ~ .00 E. ,",n~' 0-J~~ "",o~ o-.>Ci c c\ ~:~"(j ~\O Pumfi '" Lffi~19n.:\. /'"\~" .r.\e~ n \10 ..,\\C~50.00 <'fY;'\ 0.(.) 1\''O......\J 0'" It",,- .....\u. .&rg(l!Q(ltllll~~Ji:lgh,iLli'g \~ C 1\.0' b..", \- ",.$ 50.00 r ..t'\'\'\ ,..,{\ ,,~'\ .",~0.. ~O . \\\".' n.l><~' ~gr~lt~9-\En~;:gylRe~t6el)..,1f~i... :(\ v Jl,?:';) $ 25.00 '\ .."",\'l.v PI~V' ..-!'2l,'1 .{"O'. (\0 (')~."'" iClirute(hEn~gy7Commeat~I:J ('10'" $ 45.00 ......^ Q\'"" ~O o,::\,e ,":",,0 ^.,<r- Minini'UII).,5l<1l'ectr.W'lPt:J;:Wrt. In~pection Fee is $45.00 + Surcharges ,:\1j':J ~\'\~, '\V ,p' to().d) '1 .'2. \ lO.M ( 1 o. ~ l 4. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)JBuilding Fonus/Electrical Permit Application 1-03.doc