HomeMy WebLinkAboutPermit Building 2006-4-7
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Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.CITY OF SPRINGFIELD
Buildi~g/Combination Permit
PERMIT NO: COM2006-00483
ISSUED: 07/07/2006
APPLIED: 04/24/2006
EXPIRES: 01/07/2007
VALUE: $ 75,862.00
SITE ADDRESS: 5660 DAISY ST 84
ASSESSOR'S PARCEL NO.: 1702334401445
Springfield
TYPE OF WORK: Manufactured Home on
Private Lot
Addition
TYPE OF USE:
PROJECT DESCRIPTION: Manufactured Home Replacement on a lot.
NrlTlr.I='
THIS PERMIT SHALL EXPIRE IF P~~n~r4~ll)l),er:
AUTHORIZED UNDER THIS PERMIT IS NO I
COMMENCED OR IS ABANDONED FOR
ANY ltjU UAY t"tt'\IUlI.
I CQNTRACTOR INFORMATION I
Contractor License
RALPH W BROWN 63137
MICHAEL A WHEELERS MOBILE HOME S 91504
HARRISON JACOBSON INC 66447
BUILDING INFORMATION I
Owner:
Address:
RANDOLPH ALLEN
PO BOX 70491
EUGENE OR 97401
Contractor Type
. .
Electrical
Manuf Home Inst
Plumbing
. # of Units:
Primary Occupancy Group: .
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
VB
Frontyard Setback:
Side 1. Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
16.00
8.00
10.00
11.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
541-484-1417
Expiration Date
02/15/2008
05/14/2007
05/07/2007
Phone
541-729-1500
541-928-0995
541-689-7762
# of Stories: 1 Lot Size:
Height of Structure Sq Ft Ist Floor:
Type of Heat: orced Air Electric S~ Ffr~g~glPW:
Water Typ~: ION: GIf~gt.riclaW rS'~,~~)}arff!}tm~
Range Type1TTENT adElectr.ic)\1 tll Sa~Ft' eParagel.CIIJPort
lee; UjJ'~ - 1 .i _ "rp S",l ,vr.
Energy Path:\lOW ru ' Those SqfFt 'Other: '001-
. ,... ...,.ion Center. h f"'IllR \,;,l~2-
Sprmkledt~!Iddmg: O~ On/\a.) tllfolQccupant I;oad:b\l
, ,....,,,oar;?-O '" U _:_...f'\ttherUle::> 1
I DEVELOPMENT~INEORMATION:i.\lI(N;~~~' t~le tel~:~~~~~
Ca'\'nC lllv "'" I Itiny N rREQtJIIUD PARKING
, ~ _ ,~' ':) ~r30C!l v.l I
~nb' I \i)f .\1, ' " ,r,.' '-2.344\.
. Overlay Dist:nu. - .....,1'" 'Ie. 1-\3\Jl.. v'::'' Total:' 2 '
\ ' \ ,I ...
# Street Trees Rqd: ' . 1 Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: 35.80
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Fully Improved
Yes
Curb and Gutter
Notes: Storm drainage ipiped to curb face on Daisy St
Paee 1 of 3
_~;'.~Jlr:l~~I,~L~)
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I
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.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00483
ISSUED: 07/07/2006
APPLIED: 04/24/2006
EXPIRES: . 01/07/2007
VALUE: $ 75,862.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriRtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
2,000.00
73,862.00
Value
Date Calculated
Total Value of Project.
$2,000.00
$73,862.00
$75,862.00
04/24/2006
05/17/2006
Foundation Only Use Bid Amount
Manuf Home Manufactured Home
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $29.25 4/24/06 1200600000000000537
+ 10% Administrative Fee $30.00 7/7/06 3200600000000000363
+ 8% State Surcharge $24.00 7/7/06 3200600000000000363
Encroachment Permit $130.00 7/7/06 3200600000000000363
Foundation Permit $45.00 7/7/06 3200600000000000363
Manuf Home State Issuance $30.00 7/7/06 3200600000000000363
Manufactured Home Conn - Plmb $45.00 7/7/06 3200600000000000363
Manufactured Home Feeder $50.00 7/7/06 3200600000000000363
Manufactured Home Placement $160.00 7/7/06 3200600000000000363
Plan Review Minor - Planning $112.00 7/7/06 3200600000000000363
SDC Sanitary/Storm Admin $1.03 7/7/06 3200600000000000363
Storm Drainage Impervious Area $20.67 7/7/06 3200600000000000363
Total Amount Paid $676.95
I Plan Reviews I
Initial Review 04/25/2006 04/25/2006 APP LLH
Plannine Review 04/25/2006 05/16/2006 APP TAJ one street tree is required on Daisy
Street, unless there already is one
there.
Randy Allen agreed to shift the MH
2'to east in order to maintain 10'
street side setback. tara 5/17/06
Public Works Review 04/25/2006 05/04/2006 APP CAS Storm drainage piped to curb face
5/4/06 CAS Need floor plan to do
review-old and new
Structural Review 04/25/2006 05/17/2006 APP DLM Submitted revised Site Plan 5/4/06
dIm. Standard Plan review
comments for M.H. only
Paee 2 of 3
_~MIi.~A"I~j!'1 .
~ I
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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: COM2006-00483
ISSUED: 07/07/2006
APPLIED: 04/24/2006
EXPIRES: 01/07/2007
VALUE: $ 75,862.00
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.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
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 oJ:,anrstructurewitho~ permission of the Community Services Division, Building Safety.
I further certify that only c ntli,actoryand employees who a'}iin compliance with ORS 701.005 will be used on this project.
I further agree to ensure at ~il req Jired inspections a~equested at the proper time, that each address is readable from the
street, that the permit ca <!)s'locate( at the front of tjae property, and the ap~roved set of plans will remain on the site at all
times during 'nn~ n. /.---0-
_~ J /t?-./
. ,...,- ~,
Own.e.r..or-€ontract
Pae:e 3 of 3
-j--z- t1(p
Date
. . 0" 1 ", 0 , . .,' , , . ';~'f ". . ;-1 ,(.. .' . .
~ITY OF'SPRINGFIELD, OREGON':,,' ,\ ,J' , ' :'
,\ ' . 0 . . 0'
A. t~~~,~;1i'~~i~~~J{~I:L;.,~i'ngl~';o.r'i\1~,lti:Fa~il);.per 'dweiling'~llit: .' , j
Service Included
106!b'sq:fu imleSAvlegon iaw rQDUlros yo $106.00
. H~dhi;$U!l a(.)O"'..mElli ' ...., u to
( M!mjR-nah~rPt 'UVJ:"l <Riy the .Oregon Ut~i~~.oo
........, . I8ni~r. TnO$@ ov,~o ~Hf ~et font oJ
Permits are non- a sferable and expire if work is Ir'EQ~~pt'arga~'fH~e.~roLlgh OA~ 852-001
not started withi 0 days of issuance or if work is JMffu.l.a~w.elli.1Jg~~R~ ~,topl@$ 09 ~~ rlAl~~OO !:J).
Suspended for 180 days. F~~flg. th@ oomla1U'. (Note: ~Vl<a i~I~~tllII .
2. lC9~!Mi;:!'o~iN~,r#~~~Q~,~~~~; B. I :~;t~~r f~~:m'_~;~~~~!tj.~tlit\01lN,P>~ Reiocati,on: ',I
ElectricalContractor ,l'b1~L ~ 200Ampsorless $63.00
, ,c/' .- - ~-.l_ 'T: . t"\ 201 Amps to 400 Amps $ 75.00
Address (e) (2- /..,.V"~ ~ 401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
1. ['.LOi::AT~P1fb.F'WStAiIjf~,ti~N}":
5\.al,(J ~ :H-~..
LE\-1(-fl:~?A, Ol45\
JOB DESCRIPTION
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.~~
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3. 11r(jQ'MfJ~,ll{iE~'f~~;$e1:i!{piJti .B!ilJOW':
SPRINGFIELD'
~.~
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PFJ?#IT M~CATION
City Job Number ~lo ""tV Date
I"
I
"^, ' ",I
.. ..""...
City
Phone 7Zr -15dC>
Expiration Date
~C;:.b ~ S
(d/I/07
I f
63 fs 7
;Z/ I /O~
f I
Signature of Supervising Electrician
Supervisor License Number
<N Mi~f~.~Y'$eiJi~e~>ol::fecder.~';'
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'.j' '
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I, ".1
Owners N~e
Address V [) .
w.
~\\Eh
\ 0~ \()~1
Phone ~.~ l'
~.
T I~Q~~I~aM~ 1\8HA.~Qn LO~ 1R!cf(Q'dtlo"Y-i E W 0 R K
A~QQ1{)tl):I~QI(Je~DER THIS PERMIT IS ~aGi.OO
C &NI ~~rro~ ~OB ~rmsA BAN D 0 Mffi..EO.B $ 69.00
AMI ~11~fq900PJb. $100.00
Over 600 Amps or 1000 Volts see "B" above.
D. t;';!~r~~'~I!,:QJ~~!!i~:/;,,:.:~ ,":,,,,1""< .": '"
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
"'. .
.1
Expiration Date
Constr. Contr. Number
$ 43.00
$ 3.00
E. r'~Mi~~elli~~.b~~ (1;e~lv,ic:e/f.~eder.,~ot,inchjd~d) -Ea~ti ,Installation ,'I
City
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Mini~~~,~,~~~r~~ ~~~:~t I~~pectionF~~is $45.00 +~ Surcharges aJ
4. I iS1ffBTOTAiL,OF:ABOVEn,' ".'. ; , " ..
r.,..",..;;",,'..' .',J;~,"..... c. ':" .', '> ,'," · W-
8% State Surcharge · .A-
10% Administrative Fee W
. - DO
~~.
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
TOTAL
Shared Drive(T:)/Building FonnsIElectrical Permit Application I-06.doc
. , . '
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENloRKSHEET
JOURNAL OR JOB NUMBER:, C0M2006-00483
NAME OR COMPANY: Randy Allen
LOCATION: 5660 Daisy #84
TAX LOT NUMBER: 1702334401445
DEVELOPMENT TYPE: SINGLE FAMILY llliSIDENCE
NEW.DWELLING UNlTS 0 BUILDING SIZE (SF: 1296 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 64.00 I $0.323 = I $20.67
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE I DISCOUNT
'0.00 I $0.323 I 50% = I $0.00
ITEM I TOTAL - STORM DRAINAGE SDC I $20.67
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's I, x
o l
COST PER DFU
$25.07
B. IMPROVEMENT COST:
NUMBER OF DFU's I x
o ,
$19.07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
so.oo
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS x
9.57 0
B. IMPROVEMENT COST:
ADT TRIP RATE x NUMBER OF UNlTS x
9.57 0
COST PER TRIP
$19.09
~,
x NEW TRIP FACTOR
1.00 = ,
x NEW TRIP FACTOR'
1.00 = ,
COST PER TRIP
$84.19
SO.OO
I
ITEM 3 TOTAL - TRANSPORTATION SDC '
= I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I 0
B. IMPROVEMENT COST:
INUMBER OF FEU's' x
, 0
ICOST PER FEU
I $82.03'
ICOST PER FEU
I $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
, I SUBTOTAL x ADM. FEE RATE
I $20.67 5%
TOTAL SANITARY ADMlNISTRATIONFEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
PREPARED BY
5/3/2006
DATE
= I
3520
S20.67
so.oo
so.oo
so.oo
$0.00
so.oo
Cf.l
w
Q
o
u
~
~
Cf.l
, ......
o
~
1070
I
1091 .
1092
1093
1094
1054
.
.
,
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW ' OLD EQUIVALENT UNITS
IBATHTUB 2' 2 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS I ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 1 3, = 0
1 CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER I ETC. 0 0 3 = 0
SHOWER., SINGLE STALL 0 0 2 = 0
SHOWER., GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 1 3 = 0
, SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
'I SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 2 1 = 0
IURINAL, STALL! WALL 0 0 5 = 0
TOILET. PUBLIC INSTALLATION 0 0' 6 = 0
TOILET, PRIVATE INSTALLATION 2 2 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 , 0
TOTAL DRAINAGE FIXTURE UNITS' I 0
oEDU (EQuivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED VALUE
, $5.29 '
" $5.29 ·
., $5.19
.$5.12 '.',' '
$4.98
, $4.80..
,,',,' $4.63
" $4.40,"
$4;07
$3.67,
$3.22
$2.73', ' ,
$2.25 '
$1.80
,'. $1.5,9
'$1045 '
, $1.25
$1.09
$0.92 '
$0.72
$0.48 "
$0.28" '.
, $0.09 '
.. ..
$0.05 '
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE I 1000 CREDIT RATE
$0.00 x $5.29
=!
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE I 1000 CREDIT RATE
$0.00 x $5.29 = ,
o
, TOTAL MWMC CREDIT
$0.00
,
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SpAF,lELD "
',.
225 FIFTH STREET
SPRINGFIELD. OR 97477
(541) 726-3753
FAX (541) 726-3689
www.ci.springfield.or.us
DEVELOPMENTSER~CESDEPARTMENT
.
MANUFACTURED HOME SET-UP AGREEMENT
"
As required by the City of Springfield Development Code; I understand and agree that with the U;~ of ~
the attached permits, one of the following manufactured homes will be placed at ~C . lbt ~<"I
, ' , Springfield, Oregon, City Job Number C "'-4';;' 6\::l4 ~'1 '
E,nufa:iured H~ . .
. ~
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 in height for each 12' feet in width, that has no bare metal siding or
roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting
performance standards which reduce heat loss to levels equivalent to the peIformance standards required
for single family dwellings at the time of construction. T g initials "
, "
Type I Manufactured Home:
A unit of t less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a
nominal roo itch of 2 feet in height for each 12 feet in width, that has no bare metal siding or roofing,
and that has b ncertified by the manufacturer to have an exterior thermal envelope meeting performance
standards which duce heat loss to levels equivalent to the performance standards required for single
family dwellings at e time of constmction. a:t S initials
I further state, by my signature below, rpat I have been provided with the following information:
Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, and Minimum requirements for permanent 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 en ing materi~p0S\;;u abo e grade. '
~
"
7- ,- 6t
Date
-~
225 Fifth Str~et
Spr,in'gfleld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00483
COM2006-00483
COM2006-00483
COM2006"00483
COM2006-00483
CO M2006-00483
COM2006-00483
COM2006-00483
COM2006-00483
COM2006-00483
COM2006-00483
Payments:
Type of Payment
Check
cReceint I
.
~ of Springfield Official Receipt
_elopment Services Department
Public Works Department
RECEIPT #:
3200600000000000363
Date: 07/07/2006
2:57:27PM
Description
Manufactured Home Feeder
Stonn Drainage Impervious Area
SDC Sanitary/Stonn Admin
Encroachment Penn it
Plan Review Minor - Planning
Foundation Penn it
Manufactured Home Placement
Manuf Home State Issuance
Manufactured Home Conn - Plmb
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
50.00
20.67
1.03
130.00
112.00
45.00
160.00
30.00
45.00
24.00
30.00
$647.70
Paid By
THE HOUSE DOCTOR
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 4527 In Person
Payment Total:
$647.70
$647.70
Amount Paid
Page 1 of 1
7/7/2006