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