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Home My WebLink AboutPermit Building 2005-8-2 (2) . _~~fM.~~I~~f ., , , 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: COM2005-00955 ISSUED: 08/02/2005 APPLIED: 07/21/2005 EXPIRES: 02/02/2006 VALUE: $ 2,000.00 SITE ADDRESS: 5660 DAISY ST 82 ASSESSOR'S PARCEL NO.: 1702334401446 Springfield TYPE OF Manufactured Home on Private Lot Alteration Residential TYPE OF USE: PROJECT DESCRIPTION: Manufactured home relocated on same lot Owner: Address: RANDY ALLEN PO BOX 70491 EUGENE OR 97401 Phone Number: 541-484-1417 . - (. ~ '.: I . "!... ~ _, ,_.J ~ l w,,:,.. f I-~ f~ j.Jf: h ,\;lIT ~~!\I I ~"PIQ c: I c: Tl-Il: \^In D II IIi 11 :...nl<17Cn 1II\IilCR THIS PERMIT IS NOT I CONTRACTOR INFORMATION I - _....'.._..~-- ~,: :~ ABANDONED FOR Contractor /~NY 180 lEi~l~~IOD'Expiration Date Phone RALPH W BROWN 63137 02/15/2006 541-729-1500 MIKE WHEELER MH SET UP 91504 05/14/2007 541-979-8709 HARRISON JACOBSON INC 66447 05/0712007 541-689-7762 I BUILDING INFORMA nON, Contractor Type Electrical Manuf Home Inst Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: No SDC fees 1 R-3 VN 20.90 9.00 9.60 15.00 0.00 # of Stories: Lot Size: Height of Sq Ft 1st Floor: Type of Heat: Electric Sq Ft 2nd Floor: Water Type: Electric Sq Ft Basement: Range Type: Electric Sq Ft Garage/Carport Energy PathiTTENTION: Oregon la~R:.~L~ther: Sprinkled --"v rules adon/ad by t~Cl lpalfi~ ~~Jp .' /.Ht:: lIe reaon Utilitv I DEVELOPMENT~iNFORMA~I()'~~ I hose rules are set forth ._' ~throughOA~DPARKING '....". ):. You may obtain copies of the rul s b Overlay Dist:llllllg the center. (Note: the te'~'~~ y 2 # Street ~rees "nber for the Oregon Utility Not a~s"~apped: Paved Drive Rqd: Center is 1-800-332-2344) _ompa~t: % of Lot Coverage: 33.40' 3,620 1,180 IPUBLIC IMPROVEMENTS' Sidewalk Type: DownspoutslDrains Fullv Improved Yes Curb and Gutter 1 of 3 -~~,~~,9.~'~\~ '. _ ,., ~, \. . . . CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2005-00955 ISSUED: 08/02/2005 APPLIED: 07/21/2005 EXPIRES: 02/02/2006 VAL UE: $ 2,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier $1.0.0. Square Footage or Bid Amount 2,0.0.0..0.0. Value Date Calculated Foundation Onlv Use Bid Amount Total Value of Project $2,0.0.0..0.0. $2,0.0.0..0.0. 0.7/21/20.0.5 Fees Paid' Fee Description Plan Review Residential + 10.% Administrative Fee + 7% State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Storm Sewer - 1st 50. Feet Amount Paid Date Paid $29.25 $30..0.0. $21.0.0. $30..0.0. $45.00 , $50..0.0. $160..0.0. $45.0.0. 7/21/0.5 8/2/0.5 812/0.5 8/2/0.5 8/2/05 8/2/0.5 8/2/0.5 8/2/0.5 Receipt Number 120.0.50.0.0.0.0.0.0.0.0.0.10.55 120.0.50.0.0.0.0.0.0.0.0.0.1127 120.0.50.0.0.0.0.0.0.0.0.0.1127 120.0.50.0.0.0.0.0.0.0.0.0.1127 1200500000000001127 120.0.50.0.0.0.0.0.0.0.0.0.1127 120.0.50.0.0.0.0.0.0.0.0.0.1127 120.0.50.0.0.0.0.0.0.0.0.0.1127 . Total Amount $410..25 Initial Review Plan nine Review Public Works Review 0.7/22/20.0.5 0.7/22/20.0.5 0.7/22/20.0.5 I Plan Reviews I 0.7/22/20.0.5 APP 0.7/29/20.0.5 APP 0.7/22/20.0.5 APP SKG TAJ CAS No SDC fees; storm drainage piped to curb face 7/22/20.0.5 CAS Standard comments for M.H. installation Structural Review 0.7/22/20.0.5 0.7/27/20.0.5 APP DLM 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. . Foundation: After forms are erected but prior to concrete placement. Manuf Home Set Up: When installation of all piers or stands is complete. 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. ' 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. Storm Sewer Line: Prior to filling trench. 2 of 3 . -~"~~a~~. G, .- \ . . CITY OF SPRINGFIELD' Building/Combination Permit. PERMIT NO: COM2005-00955 ISSUED: 08/02/2005 APPLIED: 07/21/2005 EXPIRES: 02/02/2006 VALUE: $ 2,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InsPection Line , MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. ". ! 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 wiD 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 time ur~:.Jonsr:Q G ~ 1> ;. 2 -0 5 Owner r contractoC Signature Date . 3 of 3 . . , DEVELOPMENT SERVICESDEPARTMENT 225 FIFTH STREET SPRINGFIELD. OR 97477 (541) 726-37.53 FAX (541) 726-3689 MANUFACTURED HOME LAND USE AGREEMENT As required by the City of Springfield Development Code, I agree that with the approval of the attached penn its, one of the following manufactured homes will be placed at ~hf) DA15f #: e,2- Springfield, Oregon, City Job Number ~ ~ - OOtts: V-- 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 of3 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 thennal envelope meeting perfonnance standards which reduce heat loss to levels ,equivalent to the perfonnance standards required of single family dwellings constructed und,er the State Specialty Codes. Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor area of not less than 500 square feet, that has a nominal roof pitch of2 feet in height for each 12 feet in width and that has no bare metal siding or roofmg. The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6 percent slope within 10 feet of the perimeter enclosure. The perimeter foundation wall surrounding the home shall be constructed of stone, brick or othermasonry materials, and with no more than 24 inches of the enclosing material exposed above grade. ' I further agree to meet all land use and City Code requirements ofthe above mentioned parcel within 60 days of the date of issuance, of the manufactured home set up penn it. These requirements may include, but are not limited to the items listed below. Specific land use requirements regarding your parcel are noted on your approved set up plans and/or pennit and your partition approval if applicable: . Street Trees . Paving Driveway . Minimum 32 square foot storage structure . Completion of partition approval . Removal of any existing structures as noted on your partition approval . Signing and recording of any required partition, easement, improvelpent agreements, etc. . Fmallot grading' . City Sidewalk and curbcut installation . Any outside agency approval as required i.e., Division of State Land approval. x By my signature below, I agree to complete the above mentione~ land use requirements. ~... ~e~ , '~ - ?. -'0 5 Date If\, ;x. Contractor Signature Date , .~'O ~o~" ,r]. '00 ~0 oX> ":J~ ,,~ ~. ,\v ..' 1. I LOCATION OF INSTALLATION > 3. ~~0D fJ~ !J' -#-t3,2... LEGAL DESCRIPTION ( 1?a23'1 ~L{ OI''14b JOB DESCRIPTION 1 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof ' $106.00 J.4CU1u~tihmUWt<. Plm(~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $ 19.00 2. I CONTRACTOR INSTALLATION <?NLy./1 Electrical Contractor ~ ~ J' -7~.. '-P , loCf2- /~~ ~ Phone 72-9' -/~CO City Each Manufact'd Home or Modular Dwelling Service or Feeder> -,. ,.. , _ ." _~." ~_", ~. 'I. . . \ .: " I It. n:' f~;sifv,.'.'.''if~~,6f,'F~ed~1:~,,,,:j~'s, tailat.'i'on;Alterations or Relocation: i~t~"i:4~l;~~~J l't~utH 'if'h."} f ~L~H~a{;.." ~l~~ f'2-0'OPA~nIC~r.'Il OR IS AUAl'JUU'~t;y fYI' $ 63 00 \.l' '.n.mps or. ess . f\i0'1' Amps[MWoa~~~D. $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 I . $50.00 .sa" Q:) Address Supervisor License Number 7cf~-$ /0'/01 6rsr 2-- c)(p c. LTeDlPorarY,Services or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 , Over 600 Amf~d'b~~g~~\l.eS~o~~e. AlJ.t:f"B\-~Qrlil1r~iu.b\J tb.e Oreoon UtIlity Il . fo\low-ra\es-ad~f:) e "r . ..1 rA..~et fortn u) ~ Notifi~c1l\1Y:l^~'~n 01I1M€D~lOft~~r'f'lln~~001. . l!.~n,g~rtJM -001 0 through OAR 95 .,'. $ 43.00 · In O':E~'illJ\~m~~M&1\ll00i.'(Okwifi'lf the I ulo>:l uY ~ ,,\ ^} I _ 0090S.ervu;e orc~ndaf P~~te: the teleohone $ 3.00 Owners Name ~"'\. c~ 11 It:N calling me. I l '-lJ-til-it" ~loti1ir.ation _ / mb-I'}' tor tne VI t;y01'l "j-'-~ I Address '.....0 c3cx /o\.{ 7 / n~. Ei~MfBr~~l~~flJjs~!e{~ttqot included) -Each Installlltion City V'vLCr6'-t'".,-: 'Phone 2 -Z I - 2.J , E' Pump or inigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Elecfrician ~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 4. SUBTQTALOF ABOVE 7% State Surcharge 10% Administrative Fee . <;0 /'CiD 1. .so Inspection Request: 726-3769 TOTAL ,. r. <L- '.C~I(O Shared Drive(T:)/Building Forms/Electrical Permit Application I-03,doc 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 ..."..,.,.,......." ......."...."........,.., ,..."...,.----....."". ,..............",......."". ...,."., "."".",.". ........."".",....."""". d.""",...".,.""". .....,...".....".."..'" ,..". "" .,...... " , . .. . .".""",."""""... , ,""..".",..".,..., ....,.""..,-........",,,. """,.,.,--"..--."" ,."",......--.....,.... ;:;';,:'i:":":;'::::::::;:;::: ...."................. , ..',c,," ".;,', ;:';", :::::':.:; IS LAND ELGIBLE FOR ANNEXA nON CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 , =, CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = TOTAL MWMC CREDIT , = 2 2 1979 $0.00 o $0.00 225 F,itlh Street Scr1ngfield, Oregon 97477 541-726-3759 Phone . jjlty of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Number COM2005-00955 COM2005-00955 COM2005-00955 COM2005-00955 COM2005-00955 COM2005-00955 COM2005-00955 Payments: Type of Payment Check . .,' ')1. '! ! 0, J' ,\' 8/2/2005 RECEIPT #: 1200500000000001127 Date: 08/02/2005 8:31:58AM Description Manufactured Home Placement Manuf Home State Issuance Manufactured Home Feeder Manufactured Home Conn - Plmb Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Amount Due 160.00 30.00 50.00 45.00 45.00 21.00 30.00 $381.00 Paid By RANDOLPH A. ALLEN Item Total: t.:heck Number AuttJorization Received By Batch Number Number How Received ddk 530 In Person Payment Total: $381.00 $381.00 ' Amount Paid 1 of 1