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Home My WebLink AboutPermit Building 2004-4-1 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00704 ISSUED: 07/0112004 APPLIED: 06/15/2004 EXPIRES: 0110112005 VALUE: $ 27,310.00 i -~~,~l:~~!il!.~~i,.,... . ~ . . f; f'i. . Status Issued '.', ".'.:.. ," 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5660 DAISY ST 13 ASSESSOR'S PARCEL NO.: 1702334401414 Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: MH in MH subdivision Owner: ROBERT EVELYN LAURA GARCIA Address: 40115 LOG CREEK ROAD MARCOLA OR 97454 I CONTRACTOR INFORMATION. r ~', ',~ '. Contractor Type General Electrical ManufHome Inst Plumbing License 114990 63137 91504 91504 Contractor KEN MARQUARDT CONSTRUCTION INC RALPH W BROWN MIKE WHEELER MH SET UP MIKE WHEELER MH SET UP I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 # of Stories: 1 Height of Structure Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: nla VN 3 I DEVELOPMENT INFORMATION I l{',., "'I~\ Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 5.00 14.00 22.00 17.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: . I PUBLIC IMPROVEMENTS I Street Improvements: Phone Number: 541-933-2271 Expiration Date 07/03/2005 02115/2006 05/14/2005 05/14/2005 Phone 541-688-4611 541-729-1500 541-979-8709 541-979-8709 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,152 1 Yes 34.00 REQUIRED PARKING Total: 2 Handicapped: Compact: Sidewalk Type: Storm Sewer Available: Downspouts/Drains: Specialll!~tr!!:Gtjql};Dl\l.Urd?JLa,iP.~t.Q K~,&!!~g~PfiY\!!t.ejnfrastructure . . follow rules adopted by the Oregon Utility NOTICE. Notesf~otifjcation Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001 AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of Ule rules b) COMMENCED OR IS ABANDONED FOR calling the center. (Note:.t~e tel~~ho~e ANY 180 DAY PERIOD, number for the Oregon Utility NotifIcation Center is 1-800-332-2344). ' Paee 1 of 3 t:, .\ ~~~'J~~~IBLQ,r . I, t, ~. ~. I., . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00704 ISSUED: 07/02/2004 APPLIED: 06/15/2004 EXPIRES: 01/02/2005 VALUE: $ 27,310.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion .1 Description Type of Construction $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 2,000.00 25,310.00 Value Date Calculated Foundation Only Use Bid Amount Manuf Home Manufactured Home Total Value of Project $2,000.00 $25,310.00 $27,310.00 06/15/2004 06/16/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $29.25 6/15/04 1200400000000000902 -Mechanical Issuance Fee- $10.00 7/1/04 2200400000000000883 + 10% Administrative Fee $30.00 7/1/04 2200400000000000883 + 7% State Surcharge $21.00 7/1/04 2200400000000000883 Heat Pump $12.00 7/1/04 2200400000000000883 ManufHome State Issuance $30.00 7/1/04 2200400000000000883 Manufactured Home Conn - Plmb $45.00 7/1/04 2200400000000000883 Manufactured Home Feeder $50.00 7/1/04 2200400000000000883 Manufactured Home Placement $160.00 7/1/04 2200400000000000883 Minimum! Adjustment Mechanical $33.00 7/1/04 2200400000000000883 Plan Review - Planning $71.00 7/1/04 2200400000000000883 Total Amount Paid $491.25 I Plan Reviews I Initial Review 06/16/2004 06/16/2004 APP LLH Plan nine Review 06/16/2004 WI EMM Not sure if lot is 1415 or 1414. Lisa Hopper will have Steve Graham check in field tomorrow. Plannine Review 06/29/2004 06/29/2004 APP EMM Public Works Review 06/16/2004 06/18/2004 APP MS Drainage to existing private infrastructure Structural Review 06/16/2004 06/18/2004 APP DLM Standard plan review comments for M.H. only. 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. 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. Paee 2 of3 .. -~'l!~~S!i.t~!& ",...._ ~ " I '- . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00704 ISSUED: 07/01/2004 APPLIED: 06/15/2004 EXPIRES: 01/01/2005 VALUE: $ 27,310.00 Status Issued 225 Fifth Street, Springfield, OR. 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '1$ p " 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. Q &J/lA' ,-P c!i,/lbA Owner ~ Contractors Signature ~ate 7;)N'I " \./1, , ~... ~;J Paee 3 of3 225 Pifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00704 COM2004-00704 COM2004-00704 COM2004-00704 COM2004-00704 COM2004-00704 '~: COM2004-00704 COM2004-00704 COM2004-00704 COM2004-00704 Payments: Type of Payment Check 7/1/2004 . Jijjy of Springfield Official Receipt -"elopment Services Department Public Works Department RECEIPT #: 2200400000000000883 Date: 07/01/2004 10:00:26AM Description Plan Review - Planning Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Manufactured Home Feeder + 7% State Surcharge + 10% Administrative Fee Amount Due 71.00 160.00 30.00 45.00 12.00 33.00 10.00 50.00 21.00 30.00 $462.00 Paid By EVELYN GARCIA Item Total: Check Number Authorization Received By Batch Number Number How Received LKW 250 In Person Payment Total: $462.00 $462.00 Amount Paid Page I of 1 . . . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAlNAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 2 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESWASHER / MOP SINK 1 1 3 = 0 CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER., SINGLE STALL 0 0 2 = 0 SHOWER., GANG (NUMBER OF HEADS) , 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 1 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 I SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 2 1 = 0 IURINAL, STALL / WALL 0 0 5 = 0 ITOfLET, PUBLIC INSTALLATION 0 0 6 = 0 ITOfLET, PRIVATE INSTALLATION 2 2 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 ' = 0 TOTAL DRAINAGE FIXTURE UNITS , 0 "EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 , 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 , 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5,04 $5,04 , $4.95 $4.88 $4.75 $4.58 $4.41 $4.20 $3,88 $3.50 $3,07 $2.60 $2,14 $1.71 $1.52 $1.38 $1.19 $1.03 $0.87 $0,68 $0.46 $0.27 $0,09 $0,04 IS LAND ELGffiLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR ' o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / ] 000 CREDIT RATE $0.00 x $5.04 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 . x $5.04 - , o o TOTAL MWMC CREDIT = , $0.00 ELECTRIC City Job Number ~~.W~'i~'t..~ . .y"...:_~t:;l1;i~':;:~~.:;~;~P:~~1.1;1~~~f*~V!,(~.\~:'~"':::<<' ,1. ~'EOCA170N'()RXINSTjH~F!If..1.1QN~'" ~\~)~"~~~~t~~~{~<~Ji~t~, - -- Lt~~Ej,~R' ~ \ V/,..~ \.J 0\4\4 JOB DESCRIPTION~I r '~~=ir~f~ not started within 180 days of issuance or if work is Suspended for 180 days. . ~,;:l~.,e.~,'''14f>1..-Wi,:'7K,d:l!,W'''~Iii\'~",:Vt,v;,'J!'f.::ilf.i\>>'.:Ir.,,~,~.~,~~.. ';j~~.~ H(gQN:'l:RA€X(i)RtINSTAE1!tf.T10Nt,ONBi)i~~ 2. b'ft~M;.~:i;t;~~~';;~~.'!4h".;.'_~~"'r..,:~t.l';l,~~~i':>(tK-<,.'~ ','I.';.;.';;s.l~;~i-..{<'.:"\f-r;:f; .:....";:"1'.....-.,.,~~~'~~7;:,'?i..:-""'..\Hr'"",,,,,,'~. ''',,:..~~,',) \It_~fii\W<<'tt.~~~:kR:J:~~~...'~~-,'l"~~~'''''..'''',o,.-'')\m,'','io><,:<~'''''f. Electrical Contractor ' i:;;;:i:i:;; , fd~ (/ (OLl'1, 1~ ~ Address City ~-J2.- Phone_7 1,' -/~ dO 9'-15- s /0 / / / 0 ~f I ' b "b r;;L, -l./~/C- 10 / I I (J (/ I . I Signature of Supervising Electrician Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date ~L- U) , "1,l Ob~~ , Owners Name' (;~ Address ~\\~ ~(r{ ~,,~ City l\lt\. ~'D- Phone lt~ 2~ 1 t ,. ~ . --..... " " 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 3; Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00. ~f).m \ Hfj3:'A'Xl';\'1;?"M~~:~"~" -- _,~.~.~~~~~~~"'(-:~~~~>"t!t,t\:;~~6,j,.,!.i!_';::V"~"1':t;'Xf'-"l:(;'-"_l' ''-'';'i,;!~~' '~: B ""',S' ,;l'i!e..,;.;~"" 'F." ";'''d' r""'\'~~T,??"t""'''I'';';'I''''''''' 't""~' ~'4'I't' ""'''t...t.':'''if'''''' 'R"" 'I~M,t)';t,.!'rt...""'t', ,,', . 'g,'e17,Vlces'or"ee ers1"'"".I:uS a a 10n-:f:', era ~lons..or; e oca IOn:it.''' "'j"'P"<~"M".\Ii;;,"M"{\'!i&\.'lEt1~;~"*,-""",,,,,,,,,,\;,,,,,,,,:'..11"~'"ihc" "r. ., ,,' s;,""""""'''''",,''''M' ,i, ~~6);;.~~w.;.<:,,\,...-;.~.^'i~"t:'.,.' '.........\i',..~~~~,li,~~ii_1A~.::U.U3.(W-A ' , ..~~.~~ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. ~mYiifJlJ;rln~tgf~~~"lf!S:E~'" ers, d~~~~tO;;~~~~~~""~~" . ':.""\\t;~(~'~~,}1JR1" ',' , ;i:l>:~'l'j\i' , . ~f:i'~ ..~jo....," Installation, Alteration or Relocation ,200 Amps or less ' 20 I Amps to 400 Amps 40 I Amps to 600 Amps' Oye! ?,oq ~n:Ps ()r 1000 Volts see "B" above. ~wZ~:;~,d~~+~:~~~Y~11;,~~ D. ~~~.~JI~,~Wts: . ! New Alteration or Extension Per Panel One Circuit E.ach Additional Circuit or with Service or Feeder Permit $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 ~\l!~%Wh"\!~"li'~\11lk""'il"!'1"..~~~~l'ttf"l&j;'Sft~~1f'-~~"~r~:1<1l<$-:i"~'ll;,~~"\Jl"l~, E '~''''~1i' "'"',fl.I.,'Wr%-i'~\\'."'''=('. S}),..iW,"""",Z"" >;,,,;::,,,,,,,.4.'j,,':-'3it">':lUI "d' ",.... ,!;J"E''''' '~l' 'I':?l~t'"rll"'I'\"'ti'*'''' . . ~l'" sce aneous" 'envlce ,leeuer,:nOlmlC u eUj!;: "ac Ii ns a a OIl<, tt~':.),~:::~i;~A~~~~:;/.tC,!.o:l~"r~:H~:sE1'i~b'':.\~~~.~~*t~\~~'''''~.<i'.tb:~A''''R''';Y''D$~M Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 50rD ~ .'CO ~ .CjO ~9,~ , '''_,''',_,,' ~.,.<"lir'W,'l!1b"". .. ~,~1""~' \..~. w:.'.:!'1:,",,~jl~:U~8 !)(~~~..>~ft(~t(lW~''''l'...l;:<'\j1 4.' STJBTOTA1/;~(JE/'JU3,O,,. ~~~~~~t~j~1~~~ , 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application I,03.doc