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HomeMy WebLinkAboutPermit Building 2003-5-15 ~' CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: cOM2003-00323 ISSUED: 05/15/2003 APPLIED: 05/0112003 EXPIRES: 11/15/2003 VALUE: $ 12,272.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2428 MAlA LP ASSESSOR'S PARCEL NO.: 1703251404000 Springfield TYPE OF WORK: Manufactured Home w Garage/Carport on Private TYPE OF USE: New Residential PROJECT DESCRIPT~ON: MH on private lot with garage Owner: MARY ANN KEMP Address: 2428 MAlA LP SPRINGFIELD OR 97477 Phone Number: 541-747-7504 I CONTRACTOR INFORMATION I Contractor Type General Electrical Owner Contractor ROY HAUGLAND RALPH W BROWN MARY ANN KEMP License Expiration Date Phone 343-9030 02/15/2004 541-729-1500 541-747-7504 63137 I BUILDING INFORMATION I # of Buildings: 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: 6,294 1,404 1 R-3 V-I VN 620 I DEVELOPMENT INFORMATION. SETBACKS ,0 REQUIRED PARKING Frontyard Setback: .fi~~~ x.'<.. Overlay Dist: Total: 2 ~ . '-'~ 'O'~ . Side 1 Setback: #0 b(1..0~' ~().... # Street Trees Rqd: 2 ~a dicapped: Side 2 Setback: ,0<s. ~0($ 9:j)<"O (Dr'/; ~'Q"J Paved Drive Rqd: act: ~ 0 a., ~ 0:. ~ .s.0 0 Y es <~ R) Rearyard Setback: ~\.'O- -($:'0 .s.0~~OU 0 ~ o~. O~/o of Lot Coverage: 32.00 ~~'Y ~ ~ Solar Setbacks: 00;0 o'Q~ 0 ~ ~r..5.0~ ~0<f. v1f a..<V ~ ~'\ t;;:)~ "~ 'P' f'l"::i -,~ r- 0 ~e; i~ ~\~ -(.~ ~ ~ . ,p~:"'oo~~, ~ '() ~~d:<''l(J: ~~~ ~li~BLIC IMPROVEMENTS I ~\,\, "(, ><~S ~~'V~'(; ~ ~v ~ ~~.~ 0,0 ~ \~ e..~':~" ~~'V Street I}11p~o~1iiet!.~: ~(j ~,qp ~ ~..;s ~f'I;f}; ~~. ..*-"\ ~. \~;V~'Type: ~," _~ ~ ~ O~ ~() 0 0" ~o ~ t'\'\~ <.~' ~ v ~~. . StormT.Se~~r ,~v~~~61f\~ ~ 0,0 ~<.) , "" S ~v ~~ ~~~~~lfuts/Drams: Specialfns!.r~c~~6.,) ~ ~0 ~~~astl\li~ture is private. '\~ ~~'V~ ~\,J~ ~ ~~ ~O O~ ~ ~~ o'~ i'C;; ~-.s ~~ ~~ , Notes: .~ ~o.P $'~ ~i"~r0~ \,J<0~1 \'O~ (j v ~'O v ~~'" <:-\Y . Pa\?:e 1 of 4, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Foundation Onlv Use Bid Amount Gara\?:e Gara\?:e Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Annexed 1979 or Before Building Permit Manuf Home State Issuance Manufactured Home Connection Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Plan Review - Planning Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Water Line - 1st 50 Feet Willamalane Manuf Home Private Total Amount Paid Initial Review Plannin\?: Review 05/02/2003 05/02/2003 I Valuation DescriDtion I $ Per Sq Ft $1.00 $19.60 Square Foota\?:e 6,000.00 320.00 Total Value of Project ~ Amount Paid Date Paid $85.02 $57.38 $40.17 $3.00 $8.00 $-149.40 $130.80 $30.00 $45.00 $50.00 $160.00 $50.00 $59.00 $45.00 $352.59 $463.89 $10.00 $34.83 $332.86 $84.88 $47.64 $709.81 $160.87 $734.89 $45.00 $45.00 $1,000.00 5/1/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 5/15/03 $4,636.23 I Plan Reviews I 05/02/2003 05/09/2003. APP' LLH APP AID Pa\?:e 2 of 4 ' CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00323 ISSUED: 05/15/2003 APPLIED: 05/0112003 EXPIRES: 11/1512003 VALUE: $ 12,272.00 Value $6,000.00 $6,272.00 $12,272.00 Date Calculated 05/01/2003 05/01/2003 Receipt Number 1200200000000001108 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 1200200000000001217 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2003-00323 ISSUED: 05/15/2003 APPLIED: 05/01/2003 EXPIRES: 11/15/2003 VALUE: $ 12,272.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 05/09/2003 05/13/2003 APP VRJ SDC's only. Infrastructure is private. Site plan shows building very close to an easement area: INTRUSION OF FOOTINGS, EAVES, OR ANY OTHER PORTION OF THE PROPOSED STRUCTURE INTO EASEMENT AREA IS PROHIBITED. 05/0212003 05/14/2003 APP 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. 1 Footing: After trenches are excavated. 2 Foundation: After forms are erected but prior to concrete placement. 3 Shear Wall Nailing: Before covering sheathing with finish materials. 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Firewall: Located and constructed according to plans. 6 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 7 Manuf Home Set Up: When installation of all piers or stands is complete. 8 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. 9 Final Building: After all required inspections have been requested and approved and the building is complete. 10 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 11 Water Line: Prior to filling trench and including required testing. 12 Storm Sewer Line: Prior to filling trench. 13 Manuf Home Plumbing: After home has been connected to water and sewer. 14 Sanitary Sewer Line: Prior to filling trench and including required testing. 15 Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or foundation inspection. 16 MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. 17 MH Service: Approval required prior to utility company energizing service. Pa\?:e 3 of 4 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: cOM2003-00323 ISSUED: 05/15/2003 APPLIED: 05/0112003 EXPIRES: 11/15/2003 VALUE: $ 12,272.00 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. ......----/' , ~t~- , (1/' .# Owner or Contractots Signature Pa\?:e 4 of 4 5 --- / j- --- 0 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield. Development Services Department. Public Works Department Official Receipt' Receipt #: 1200200000000001217 Date: 05/15/2003 Job/Journal Number COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 COM2003-00323 Item Total: Amount Paid 8.00 1,000.00 50.00 50.00 3.00 59.00 734.89 463.89 352.59 160.87 709.81 332.86 34.83 10.00 84.88 47.64 (149.40) 130.80 160.00 30.00 45.00 45.00 45.00 45.00 40.17 57.38 $4,551.21 Description Addressing Assignment Willama1ane ManufHome Private Manufactured Home Feeder Manufactured Home Service Add, Alter, Extend Circ Ea Add Plan Review - Planning 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 + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Check Paid By HAUGLAND AND SONS Received By djb Check Number Confirm No How Received In Person Payment Total: Amount Paid 4,551.21 $4,551.21 5/15/2003 8:06:59AM Page 1 of I cRcccipl.rpt CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN'I WORKSHEET JOURNAL OR JOB NUMBER: Com2003-00323 NAME OR COMPANY: Mary Ann Kemp LOCATION: 2428 Maia Loop TAX LOT NUMBER: 170325 14 tI 4000 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF 0 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 2606.00 '$0.282, = $734.89 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F, x COST PER S,F. l x DISCOUNT RATE I' DISCOUNT I 0.00 $0.282 50% = I $0.00 6294 CZl ~ Q o u ~ ~ t-< CZl >-< CJ ~ DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (J PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER~ GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2 SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INST ALLA TION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 T.OTAL DRAINAGE FIXTURE UNITS , 21 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set arI67 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 , 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RA TE/$I ,000 ASSESSED VALUE $4.92 $4,92 $4.83 $4.77 $4.64 $4.47 $4.30 $4.09 $3,78 ' $3.41 .$2,98 $2,52 $2.06 $1. 64 $1.45 $1.31 $J.J3 $0.97 $0.82 $0.63 $0.41 $0.22 $0.04 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $30.37 x $4.92 = , $149.40 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) , V A!--UE / 1000 CREDIT RATE $0.00 x $4.92 = I o I TOTAL MWMC CREDIT , $149.40 = ~.O1;7 Cit'JobE:~m:~ffi3ffi313 .;.. ~'~3. COMPLETE FEE SCHEDULE BELOW 1. ",g<;+~ON ~I~SD\LLATHRN' . \Y ~D (,' tll t() ) r=t\trrp . LEGALDES~JIO~A ~_ tl D30l0ft- lJ'""\11_ In One Circuit E' 1 Add" '~~)N't~'1 S . ac 1 ItlO;l \~Ct{\,,>J'\I\'lt 1 erVlce or Fe~~~:~~~t'}~\\~~ \S~ l $ 3.00 . 't)~(~, 'It,'f.''~~' lQi, , ~;'" ~~\~, ~~{1~'i1\\~~~~~~feeder not includcd) " ,s;.(\~\\~\ \\~\)~~c\\t~l.ITat~on , _ ,.,.:\~:; {v.;)\):.)" n 0~\i1Mp ~,1fngatlOn $)0.00 \'\' "\.'" ....".)"'c.,..\\.\\))' L'I' $-() 00 '.'S\\C;;.\>#.\,..~\;O', s~~nt me Igltlllg ) _' \-~. <~i,;,-!S,)i \J~ tlIlllted Energy/Res $2).00 \;\;~. \'0\) Limited Energy/Comm $-l5,OO ~~\ . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 A. Ncw Rcsidcntial-Single or . Multi-Family per dwclling unit. SCl'vicc Included: \\o\NinQ, \'i'\e\O , JOB DESCRIPTI~ , _ _ _ , ' :o~i\\e~OO~c~1'W 'df~ess \ fM J\, i' roro~ t1 f"\~' S s~li\te s~<Eh additio,nal 5 ,0 - . I." ,n9 \ te ft __\,\~\o\N 0 doeS sq, 0 on 0 Permits are non-transferable and e.\.l~~g, an .(l.-:-::: ereof ~ if \:'ork is Jlot~tarted \:ithin 180 daYs.9?tO\la\ "Z.oni{\~, _ _~ -j,?~1rflV1,;: alnn:~,~ or of Issuance or If work IS suspended for ?'.- ~~\velhng 180 days. '{Ii; ._ \Ilte ~rvlce or Feeder 030 Signa , tlt.eci 2. CONTRACTOR INST ALLA nON 0~Y B. SCl'viccs or Feedcrs Installation, Alterations or Rclocation: Electrical' Contractor ~~ ~~~ , Address !tttfZ ~~ ~~ 200 amps or less c€' -?? ~,.' -/~ ~JlJ 201 amps to 400 amps City U~~t~ Phone / ? 'I -( 401 amps to 600 amps,. ':/ 0,/ c S 601 amps to 1000 arnps Supervisor License Number / 7'vJ"> " Over 1000 af\lpslvolts ..;./.. . d ReconDc;<;t'Qrtly ~ , Expiration Date /1-41" , ' " I /-2' 7' .J-r Lf~ c. TcmpDrarySel"yices or Feeders, Constr Contr. Number V' .7/ 3 " '-0"'-" ,i<:.;., Instalhltion, Alteration orReloc~tion . . l-' " Expiration Date /104- Signature of Supervising Elcctrician 200 amps or leSs ' '.' 20l ::imps to ,400 amps ' , " " Over 401 to 600 amps \~ '.'.', ,.r Over 600 ampS or 1000 volts see "Bh, abo\"e ' /led- t,,< ~~wv-.;> ~~'\VO~ D. Addrcs& ~P::> \<,_0 , c;~~~ooe\ \'1SCYf OWNER INSTALi~TION The installation is being made on property I O\-Vll which is not intended for sa Ie, lease or rent. Owners N Branch Circuits New Alteration or Extension Per Panel Owncrs Sign:itUl'c: Items Cost SUDl $106.00 $ 19.00 A $ 50.00 \t)O~ $ 63.00 ,$ 75.00 $125.00 , $163.00 $375.00 $ 50.00 $50.00 $69.00 $100.00 $43.00 c ~.c:V MinimuIlI Electric Permit Inspection Fcc i~ 545.00 + Surcharges ln~ .eI> ~61b IJJ().~ 4. SUBTOTALOFABOVE 7% Statc Surcharge 8% Administrative Fce TOTAL