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Home My WebLink AboutPermit Building 2004-11-5 (2) " ~~~~l~,@f!I~~.;"" \ Ii , . .,c CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01289 ISSUED: 11/05/2004 APPLIED: 10/19/2004 EXPIRES: 05/05/2005 VALUE: $ 63,331.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5268 DAISY ST ASSESSOR'S PARCEL NO.: 1702333404610 Springfield TYPE OF WORK: Manuf Home w Garage/Carport Private No~ Residential TYPE OF USE: PROJECT DESCRIPTION: MH with garage replacement of existing mh Owner: GENEVA TAYLOR Address: PO BOX 1462 SPRINGFIELD OR 97478 Phone Number: 541-954-8608 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor HARiUSONJACOBSONINC ROBS ELECTRIC INC HARiUSONJACOBSONINC License 66447 156678 66447 Expiration Date 05/07/2005 08/14/2005 05/07/2005 Phone 541-689-7762 541-686-5444 541-689-7762 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 384 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 44.00 5.00 11.00 49.00 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 21.80 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Curbside 5' Curb and Gutter Downspouts/Drains: Notes: Pae:e 1 of3 . 2.. ~>>~.I1lta~I~,,~$!~ , \ , . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01289 ISSUED: 11/05/2004 APPLIED: 10/19/2004 EXPIRES: 05/05/2005 VALUE: $ 63,331.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Foundation Onlv Garal!e Manuf Home Use Bid Amount Garal!e Manufactured Home $ Per Sq Ft or multiplier $1.00 $24.30 $1.00 Square Footage or Bid Amount 4,000.00 384.00 50,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $4,000.00 $9,331.20 ~50,000.00 $63,331.20 10/19/2004 10/19/2004 11/05/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $90.09 10/19/04 1200400000000001486 + 10% Administrative Fee $50.46 11/5/04 1200400000000001577 + 7% State Surcharge $35.32 11/5/04 1200400000000001577 Add, Alter, Extend Circ Ea Add $3.00 11/5/04 1200400000000001577 Building Permit $138.60 11/5/04 1200400000000001577 Manuf Home State Issuance $30.00 11/5/04 1200400000000001577 Manufactured Home Conn - Plmb $45.00 11/5/04 1200400000000001577 Manufactured Home Feeder $50.00 11/5/04 1200400000000001577 Manufactured Home Placement $160.00 11/5/04 1200400000000001577 Perm ServlFdr 200 amps or less $63.00 11/5/04 1200400000000001577 Plan Review Major - Planning $103.00 11/5/04 1200400000000001577 Sanitary Sewer - Improvement $36.56 11/5/04 1200400000000001577 Sanitary Sewer - Reimbursement $48.08 11/5/04 1200400000000001577 SDC Sanitary/Storm Admin $9.44 11/5/04 1200400000000001577 Storm Drainage Impervious Area $104.16 11/5/04 1200400000000001577 Storm Sewer - 1st 50 Feet $45.00 11/5/04 1200400000000001577 Total Amount Paid $1,011.71 I Plan Reviews I Initial Review 10/21/2004 10/21/2004 APP SKG Plan nine Review 10/21/2004 10/29/2004 APP TAJ 2 street trees are only required if there are no trees now. Public Works Review 10/21/2004 10/22/2004 APP CAS Structural Review 10/21/2004 Structural Review 11/03/2004 11/03/2004 APP TCM 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. Paee 2 of 3 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01289 ISSUED: 11/05/2004 APPLIED: 10/19/2004 EXPIRES: 05/05/2005 VALUE: $ 63,331.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reauired Insnections-t 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. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Manuf Home Set Up: When installation of all piers or stands is complete. Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Drain: Prior to cover or placement of concrete. 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. MH Service: Approval required prior to utility company energizing service. 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 e permit ard is located at the front of the property, and the approved set of plans will remain on the site at all times duro g 01 S ruc I In. -v '-^"~ Owner or Contractors Signature'- .J u - s- 01' Date Pal!e 3 of 3 J . . \ 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 I BATHTUB 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 1 1 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK i DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 2 2 = -4 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 1 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 2 2 1 = 0 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRlVATE INSTALLATION 2 2 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 2 "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,'i :>:'::,'i"" , :'....'$529 $5.1 " $5.1 ,$4 98 .".,'.$480 . ',: "$4.63 . ;$4.40 , ':'""""",$4,:01' ,....'..:',',",;;" /..':$3:67.:....,.:,'::.",,;.:;'.. ; ,.,..;.;:,$322:;",';:;" , '. .$2.,7~:: . . . > $2.25 .: $1.80 , $1.59 $'145 $1:25.'.- ;;;',$1.99' ,..",;' " i'i, $0.92 " .", ,,', $0.72::,.;;' $0.48. '.' ,,'.. $0.28' :;::,b':';('.~~:~::; '. IS LAND ELGffiLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGffiLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 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 :\: .' . 4,' . 225FIFJH 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 pennits, one of the following manufactured homes will be placed at ~ ~ . . ,'f)~ ~~ . ) Spring,field, Oregon,City Job Number ~ 2.C\:ld~ ol"~ 21tt . . Type I Manufactured Home: . A multi sectional (double wide or wider) unit with an enClosed floor area of not less, than 1,000 square feet, that has a nominal roof pitch of 3 feet iri height for each 12 feet in width, that has no bare metal siding or roofmg, and that has been certified by the manufacturer to have an exterior thennal envelope meeting. perfonnance standards which reduce heat loss to levels equivalent to.l!!.e perfonnance standards required f~r single family dwellings at the time of construction. . ~ initials . Typ II Manufactured Home: A unit not less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a nominal r fpitch of2 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has en'certified by the manufacturer to have an exterior thennal envelope meeting perfonnance standards whicn duce heat loss to levels equivalent to the perfonnance standards required for single family dwellings at e time of construction. initials I further state, by my signature below, that I have been provided with the following infonnation: Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection, . Electrical Connection, and Minimum requirements for pennanent 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 grade. ' -.-.. ((-r~(Jy S. ~ Ignature ------.J Date 226 Fifth'Street , Springfield, Oregon 97477 541-726-3759 Phone . JIiY of Springfield Official Receipt "elopment Services Department Public Works Department ;;/jJob/Journal Number ~.1<. l "( COM2004-01289 COM2004-01289 COM2004-0 1289 COM2004-01289 COM2004-01289 COM2004-0 1289 COM2004-0 1289 COM2004-01289 COM2004-01289 COM2004-0 1289 COM2004-0 1289 COM2004-0 1289 COM2004-0 1289 COM2004-01289 COM2004-01289 ~Payments: ,~ Type of Payment CreditCard :~" loUt '.. ~t. , -;:~. .""., - . " 11/5/2004 RECEIPT #: 1200400000000001577 Date: 11/05/2004 lO:24:37AM Description Manufactured Home Placement Manuf Home State Issuance Storm Sewer - 1st 50 Feet Manufactured Home Conn - Plmb Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Major - Planning Building Permit Manufactured Home Feeder Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Amount Due 160.00 30.00 45.00 45.00 104.16 48.08 36.56 9.44 103.00 138.60 50.00 3.00 63.00 35.32 50.46 $921.62 Paid By WILLIAM B HARRISON Item Total: Check Number Authorization Received By Batch Number Number How Received dim . 072236 In Person Payment Total: $921.62 $921.62 Amount Paid Page 1 ofl . 'I . , Sep-30-04 03:14P P.02 . .;~. . . ,.... ~ ' ~\ . '!.' . t~, ..:. . , . , : ,: CITy'Qt--:SPRINGflELD'OREGON~":" ~ " . ...." . : .q.. ..1 '. \:'. .,;:. , , ..... '.'. ... '. . . .' . . .. .-, ....-~. '\. . "".3.~Ir.."...~.a.""D " . ". ..1 '. . t:.',.j ..' . ~ .','., 22S FIFTH STREET. SI'Rl,'IIGFIELD, OR 97477 · PH:(S41)726-J753 · FAX~:n)726-3689 , ::,,\i~:",::,'" .'~ ',:{i: ELElaKlCAL PER/HIT APPLICATION ~.:o"J/,,'O~o ' ,.\,..' ,',,:;,..: ~V1 >, City Job Number OI-DJ 21/1,1 Dale ~,()/;::"Jd~L IYfi"h.:f ' o ~ ,U!/CJ 1. '::l.09.ATIONOFTNSTALI.ATlOIV"::;'::,':" 3. :CO~P~l~ :EEerJ:iE~~:~f."'LOW". . .. , , ",. . ' " . r-1' . '":""l-i. ,l.I1OF -s-'" ' >U~ Da./')lJ ';, ..;:,O~~~h. ,.~, ,..-6190~~/itElO' .', ':', ". LEGAL DESCRIPTION ( A. ,;~,e~R~~t~~nti~~~ln .~ or UItl.FlI/i(.y~~~-1dW~lIinll unit' t1-oz.~) >t.I 0'-/'-(0 Service Included t.-"-El /.1 ~/C'I.?/':'o~ , ." 0' t..3J:1,., JOB DESCRIPTION 1000 sq. ft, or less f-:. S IOIWt!iJ7-,>~ / .-l Each additional 500 sq, ft, or "f (., ~ , _ MfJJW.Jw.JvreJ. ^~ }l~uPMUJ'7'f<<t~ portion thereof ~~.... ~oo Permits arc non-transfera'ble and expire if work is Ench 1Y.llfiUfllct'd ~ome ;>r ~~ ,,- not started within 180 da)'~ of i!isuance or if work i~ Modular Dwelling Service or I "'" $~O.OO )5, aD Suspeoded for 180 days.' , F:::eder . r":;t . .; ',. ::::::';. ~'i:, .. .. ":;'.'; .. c. :~',T.ellll-'<irary S~nic~' or FeederS ~, .'" w. '.. _ .. . ';"".' , .. . ... _ . ~ : :'... t '.:( .<.;~~~~~<(~~:.i:Y~~ . ,:...~ ...: '. ~:. . .. :;.~~ ~~ Illlitallarioll, .-\l[eration or Relocation 200 Amps or less 20 I Amps 10400 Amps 401 Amps \0 600 Amps _,___ Over 600 Amps or 1000 Volts see "a" above. ........-'.. .... ..,1 . .. ..... . . D; :~:Bhln'ch 'ciii'cuiu .. i,:\. ' ,,' , ....h ;". .. . I.. ;~,. ",;,..,. ;" ...' , ..,.:; New Alteration or Extension Per Panel Que Circuil Each Additional Circuit or with Service or Feeder Permit $ 50,00 $ 69.00 $100.00 Expiration Date _ Si~arure of 5t:pervising E~~uiciaI!.-., ~: :; ;:1.. '..'..... ....~...:., ': .. j . ..-..:,._i;,.-......... .,.. .. Owners Name C~ /;.rt'~IA_ \ A.-Lk..... Addres.~ '::> t:b r ~l ~y .5 ;- City ~-=?I;::;~ Phone c; i-<t - 8tP ~ S 43.00 $ 3.00 .3 i ~,~:,:~...".' '.;;~. ..~.d:-.'...,,~..::,.;: :: . .H. o. :....,.. : . " ,,' ....::.~M.:.. '. ..1 " . E. .)t1is~eJ1,ap~qlls.<~enif~f~dtr not lncludeil) -EacblnstaUatlon " ........ ......__..J... ..... ...... ., OWNER L"'STALLATIO~ Pump or inigation S 50.00 , . Sign,~{!Jlir\e)!!ghtillg l r.X.p.h~E. IF ltS'Q,ob'Oh" Limited\~ernfF2.' ~l~ilie~~~l D 11\\C D~R~$,Ii%.~ NU \ , ,. II \ _~'~rn \\f\\IJr.n \0 ~' _ ~.cD I Lunlt~dEnelr.~y/IQbnlmerl:'lal ,\,.. ^ ",n!lN~'JS-:lJJen /'-\U" _ r:Q !Iii \S I"U''''-- Minimum F0~'ctlit:!P..J'r!fuii Insp,ectioltfee i!i $45.00 + Surchllr::es ,", '~~,'~:':rPlOD~'( Pf::K\U," ,.. '. 4. ,St.~.17~,r1t:Hf~9~~;, ',' , -:;3- I/~; . l-:'{., . .Ca ,/2 7% Stale Surcharge - 0 10% Administrative Fe:: "5'~ J I ~ 6Z6l1_((: - TOTAL ~ Sha."1:d Drive(T:)/Iluilding Fomu/EICl:II;CAI P~r:llil '''pplie;liun ! -O),doc I} 5:72 The installation is heing made or. property I own which is nor intended for sale, leas.: or rent. Owners Signature: ATTENTION: Oregon law requires you, ~o - . I J --,.~... ""y-the Or~g,nn 1111hty TOIlOW ru \:1::1 Cl v",.QtT1;I Notification Center. Those rules are set forth "'~ftiRc@~~fDj~jftr9>ugh OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the tel~~ho~e number for the Oregon Utility NotifIcation Center is 1-800-332-2344).