HomeMy WebLinkAboutPermit Building 2007-7-12
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01027
ISSUED: 07/12/2007
APPLIED: 07/12/2007
EXPIRES: 01112/2008
VALUE: $ 62,769.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1176 39TH ST
ASSESSOR'S PARCEL NO.: 1702304304600
Springfield
TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Manufactured Home Placement
Owner: LEONA DAVIS
Address: 1176 39TH STREET
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Plumbing
Contractor
HARRISON JACOBSON INC
MAG ELECTRIC INC
HARRISON JACOBSON INC
License
66447
149834
66447
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories: 1
Height of Structure:
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path:
Sprinkled Building: n/a
VB
3
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
41.00
17.00
36.00
10.00
36.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 515-0666
Expiration Date
05/07/2008
12/13/2009
05/07/2008
Phone
541-689-7762
541-461-0387
541-689-7762
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,819
REQUIRED PARKING
2
No
20.00
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS.
Street I'!!!p'rovem~pts.; . ow, tn SIdewalk Type.
ATIENTION: uregon law reqUIres Y ~r:avel '.
StorrM~t~Ni~bpted by the Oregon UtlhWes uOTICE Downspouts/Drains:
SpecHb~~Vir!lsti<@~nter. Those rules are set fortli 1\1 :
In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
NoteOO90StVOOJmay.w.trWiitij)~QttfM~eenbN.e SoutitUiWrdRPtlipHlj\JDER THIS PERMIT IS NOT
calling the center. (Note:.the t e&cd':n COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Not ANY 180 DAY PERIOD
Center Is 1-800-332-2344). .
Pa2e 1 of 3
Status
Issued
CITY OF SPRINlj,tIELD I
Building/Combination Permit
PERMIT NO: COM2007-01027
ISSUED: 07/12/2007
APPLIED: 07/12/2007
EXPIRES: 01112/2008
VALUE: $ 62,769.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
2,769.00
60,000.00
Value
Date Calculated
Foundation Onlv Use Bid Amount
Manuf Home Manufactured Home
Total Value of Project
$2,769.00
$60,000.00
$62,769.00
07/12/2007
07/12/2007
~
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews I
Planninf! Review
07/12/2007
07/11/2007
APP EMM
Needs 10" setback for rearyard. (2)
9 X 18 parking spaces
Demolishing existing manufactured
home and replacing it with new.
Stormwater to go to existing ditch
on the south side of property. BC
Public Works Review
07/12/2007
07/12/2007
APP BRC
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~eouiredJnsnections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
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.
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.
MH Service: Approval required prior to utility company energizing service.
Paf!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01027
ISSUED: 07/12/2007
APPLIED: 07/12/2007
EXPIRES: 01112/2008
VALUE: $ 62,769.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 ofthe property, and the approved set of plans will remain on the site at all
nmes-=:;;i~ 7-1;;-07
- " ~
Owner or Contractors Signature Date
Pal!:e 3 of 3
: -~, ctr,\:'-'ol- S'PR1NCiF"1 E.I~D. OR.8C;ON " "
4~"" -'I .....~..")11' ~" .-, ' ~.
m FlFJJJ STREET . SPRINGnu.o, OR "'477 · fH:(S41)'1Z6-3753 . FAX: (S41)12f-3Ci119
ELE....IKlCAL PERAf.f{ ~~qt;4110N
City Job Number C,,, \ · \U')! 1
02/82/2007 08'41
72&3&7&
:11.1: "
J. $::~
LEGAL DESCRIPTION:
\ ..., o""A 1:>0 4-- ~ D 40 CJ"
'~ION' )t()i)\9J
Perm;t.~ are non~ } S1ferable and expire if work is
not S~llJted withi:!1:o dAYS of issuance or Jr work is
Suspended for J80 days,
Electrical Contractor (~
Address:I{\:J l1f1a n ~I-J.I\. J \r~ C
City h ACjj~ Phone /3// if/r;(~t15g7
Supervisor License Number ~'1i r95
!r) / I 1 /) 7
I I
Conm. Contr. Number /~9x.. '1^1
~3 ,I ()9
~li-
Expiration Date
Ellt':...~:on Date
Owners Name
.u YJl){~
A~~~ ::JC\.~ E
COy ~.~. Ph-fiS.MJ,o
OWNER IN~LA1l0N
The installlltion is being made on ...~..._ ~y I own which
is IJOt intended for sale, lease or renL
Owners Signature:
#1' j'~)~~~goN'ra;t~equlre8 you to
'follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
In OAR 952.001-0010 through OAR 952-001-
0090. You may obtain copies ofthe rules by
calling the center. (Note: the telephone
number for the Oregon Utility NotifioatIoft
Center Is 1-800-332-2344).
la I Y UI-
Date
......,.. . ~,~
INITIALS f-J "^
DATE -1--n...,...o~1
SOURCE I1V{>~
'-1 /' /,).- 0'-'
3.
A.
l'V:~I~: ~t P ')~}:'_#J ~f~, i~lIL\~~I\i1fJ:
Service Included
1000 sq. fl. or less
Each additional SOO sq, ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
S 19.00
~aJ ({)
yo~ 5tzJ.
200 Amps or less
201 AmPs to 400 Amps
401 Amps to 600 Amps
601. Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375,00
$ 50.00
c.
Installatloo, Alteration or ReIocatioQ
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see '"B" above.
D.
$ SO.OO
.$ 69.00
SI00.oo
~~; ~fJ.i:;\ ~~.i~';~J~-.i'~'!~-~~;4~;~~~~~~~t~.;~:j~:~:\;~~::t;~~.~~!l~~i '1'~~~~l ~,i~*1.{~;-~::~r~.:~~~~;~~:~:~<i~~ ::,: ':~~ ;,;~
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Savice or Feeder Permit
$ 43.00
. $ 3.00
c:,.o;,,:\ ' .',' l"j....l..' ;,r,. h, I!.\',;:' :\~... ~ ,;.:.... ;~~f:~..-J.. ~ . II. "'rtJ11 ;l,r:" I..~ ~:Ol""~'':''''~!'' ,I",:"'.' , l 1'.", . '.' . '. ~ '."'~
~'~t(/:,~~~ ~ 'J,~ .~i~~t:f;i~\rl1\1H..:~,:~~\~-:t~\ti~l/ftl~\~~~iJ;, .~!~r:i~' ~t.h.~~~I~~%~W:-).;;t~t~:~
Pump or irrigation $ 50.00
Sign/OutJine Lighting $ 50.00
Limited Eoa'gylResidentiaJ $ 25.00
Limited Energy/Commercial $ 45,00
M:amam ElecarIc PmnilllllSpeetlOD Fee Is $45.00 + snr~fj,ca)
8% State Surcharge ~~~
10% Administrative Fee )5.
::;-VFu JJ.(q~
Sllared Drive(T:)/BuildilllJ F'ormaIElecllical Permit AppJiClllion ;-06.dOC
;,~~;~.. : :'/, r: '''~:.~~:V''~~~~;~:~ft;f~:Th'~~!-fj~!~::~lf:n~J1~fr.'I:~~~;{;t;~~~
NonCE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
. CITY OF SPRINGFIELD SYSTEN,lS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 912.00 $0.346. = I $315.57
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S,F. x I DISCOUNT RATE I
0.00 $0.346 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$315.57 .
COM2007-01027 -- demo old & construct new
Leona Davis - Gooden Harrison Const.
1176 39th Street
Single Family Residence
I BUILDING SIZE (SF:
o
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 4
B. IMPROVEMENT COST:
NUMBER OF DFU's x
4
COST PER DFU
$26.83
$107.33
109]
COST PER DFU
$20.40
$81.62
1]092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
$188.95
I
3. TRANSPORTATION
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNlTS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 1 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRYTUB 0 0 2 = 0
CLOTHES WASHER / MOP SINK 1 1 3 = 0
CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
ISHOWER, SINGLE STALL 0 1 2 = -2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 1 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
I SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 2 1 = 0
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 2 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 4
OEDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 D~2~.;_C:, at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$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
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
2
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
JS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
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
=
$0.00
TOTAL MWMC CREDIT
22~ Fiftli Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007 -01027
COM2007-0l027
CO M2007 -01027
COM2007-0l027
COM2007-0 I 027
COM2007-01027
COM2007 -0 I 027
COM2007-01027
COM2007-0l027
COM2007-0l027
COM2007-0l027
COM2007-0 1 027
COM2007-01027
COM2007-0l027
COM2007-01027
COM2007-01027
COM2007-0l027
COM2007-01027
COM2007-01027
COM2007-0 I 027
COM2007-0 1 027
COM2007-0l027
COM2007-01027
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000001116
Date: 07/12/2007
Description
Foundation Permit
Plan Review Residential
Manufactured Home Placement
Manuf Home State Issuance
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Storm Sewer - 1 st 50 Feet
Manufactured Home Feeder
Sanitary Sewer - 1st 50 Feet
Plan Review Major - 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
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
GOODEN-HARRISON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 9903 In Person
Payment Total:
Page 1 of I
IO:39:4IAM
Amount Due
58.58
38.08
160.00
30.00
50.00
16.00
50.00
55.00
50.00
205.00
315.57
107.33
81.62
195.48
862.25
91.61
961.52
10.00
42.39
88.88
32.23
35.17
43.96
$3,580.67
Amount Paid
$3,580.67
$3,580.67
7/12/2007