HomeMy WebLinkAboutPermit Building 2003-5-5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 89 Shady Loop
ASSESSOR'S PARCEL NO.: 1703262300411
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2003-00165
ISSUED: 05/05/2003
APPLIED: 03/13/2003
EXPIRES: 11/05/2003
VALUE: $ 7,417.40
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: MH on private lot
Owner: BRASHNYK GREG JR
Address: 1424 T ST SPRINGFIELD OR 97477
Contractor License EXg[ation Date Phone
MELS BUDGET HOMES 66954 ~t. 'ti~,~(\~/31/2003 541-747-9585
BRASHNYK GREG JR , 'r.r \Y" :\ \~ \'\\)
BUILD .G INF .. ~ t.~\f~ ~\)\\
\\~f~~'\ ~ ~\'\\);CO ~~~\)\)~ 1 Lot Size:
"\ ~~~ ~Q~~O~. 15.00 Sq Ft 1st Floor:
~\D.: ~ ~~ed Air Elect Sq Ft 2nd Floor:
~ ~e. ,'" Electric Sq Ft Basement:
R~\ Type: Electric Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Impervious Surface Area:
I DEVELOPMENT INFORMATION I
, {eS ~BIRED PARKING
\N {e~U\ \ \\~~W
Overlay Dist: . 'Otegon \a: OtegO\T(Jt\1ort\ 2
# Street Tr",~~qiJ,:\ON'dO?\ed b'l \~ \eS a.{aB~il!O~ed:
Paved Drwe t{~l\:U\eS a. { 1"OS~ tU k O~fCl>~actb)
w\\O . cen\e. n{9~gl' e'iU'f8-S
% ofLO~'dtM\,!:~\9.n 00"\-00'\0\'-7'80.\es 0\ \n nOne
\'l ~~ 952- b\a.\n C \J ne \e\e? . {\
\n 0 ",..,1 roa.'1 0 \.,\, I}\\o\e'. ~ '\ fo.\n\\\\ca.\\O
I PUBLIC IMPR~F;.~, . -qs Sf ,~ c~~'o~egon_U~;_i344).
~t '( '\ _ROO 3
Fully Improved {\U~ Ce{\\e~fdewalk Type:
No Downspouts/Drains:
Contractor Type
Manuf Home Inst
Owner
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
55.00
5.00
40.00
10.00
5.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR INFORMATION I
1
R-3
7,841
1,015
VN
3
Curbside 5'
Curb and Gutter
I Valuation Description I
$ Per Sq Ft
Square Footal!e
Value
Date Calculated
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Dwellines V Wood Frame
Foundation Only Use Bid Amount
ManufHome Manufactured Home
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Annexed 1979 or Before
Building Permit
Manuf Home State Issuance
Manufactured Home Connection
Manufactured Home Placement
Plan Review - Planning
Plan Review Residential
Plan ReviewIResidential Hourly
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Willamalane Manuf Home Private
Total Amount Paid
Initial Review
03/17/2003
$74.60
$1.00
$1.00
19.00
6,000.00
13,000.00
Total Value of Project
~
Amount Paid
$49.53
$45.82
$32.07
$8.00
$-54.57
$76.20
$30.00
$45.00
$160.00
$59.00
$10.14
$45.00
$45.00
$335.80
$441.80
$14.00
$10.00
$34.83
$332.86
$64.94
$50.61
$709.81
$160.87
$339.53
$45.00
$14.00
$45.00
$14.00
$1,000.00
$4,164.24
I Plan Reviews I
03/17/2003
Date Pai
3/13/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
5/5/03
APP LLH
Paee 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00165
ISSUED: 05/05/2003
APPLIED: 03/1312003
EXPIRES: 11/05/2003
VALUE: $ 7,417.40
$1,417.40
$6,000.00
$13,000.00
$20,417.40
04/16/2003
03/13/2003
03/17/2003
Receipt Number
1200200000000000823
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
1200200000000001130
., ~~.~f!,t,!':\I~"ff,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
Plannine Review
03/17/2003
Public Works Review
Revised Plan Review - Pia
03/17/2003
04/16/2003
04/24/2003
04/17/2003
Revised Plan Review - Str
Revised Plans Received/Ro
Structural Review
Structural Review
04/16/2003
03/17/2003
04/16/2003
04/16/2003
03/26/2003
04/16/2003
Structural Review
04/14/2003
04/17/2003
ecITY OF SPRI~(j~lELD -
Building/Combination Permit
PERMIT NO: COM2003-00165
ISSUED: 05/05/2003
APPLIED: 03/13/2003
EXPIRES: 11/05/2003
VALUE: $ 7,417.40
APP EMM
APP
APP
DJW
EMM
Waiting for information from
applicant regarding the size of
manufactured home. Applicant
submitted engineering for additional
9 X 3 bay area meeting
manufactured home size
requirement. Needs to sign
Manufactured home set-up
agreement. Driveway width
minimum is 12 feet, paved for the
first 18' from street.
calcs for bay window. See plan
review comments above. Needs to
sign Manufactured Home set-up
agreement.
cales for bay window
Received cales for bay window
Engineered bay not designed to
current requirements. Talked with
engr. and he will submit revised
plan.
Added M.H. extension to qualify for
min. 1000 s.f. for M.H. on lot.
Engineering by Mortier for
extension - OK. dim
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.
APP
OK
NOK
LLH
TCM
TCM
1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
2 Footing: After trenches are excavated.
3 Manuf Home Set Up: When installation of all piers or stands is complete.
4 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.
5 Final Building: After all required inspections have been requested and approved and the building is complete.
6 Water Line: Prior to filling trench and including required testing.
7 Sanitary Sewer Line: Prior to filling trench and including required testing.
8 Storm Sewer Line: Prior to filling trench.
9 ManufHome Plumbing: After home has been connected to water and sewer.
10 MH Service: Approval required prior to utility company energizing service.
11 Foundation: After forms are erected but prior to concrete placement.
12 Post and Beam: Prior to floor insulation or decking.
13 Floor Insulation: Prior to decking.
14 Shear Wall Nailing: Before covering sheathing with finish materials.
Paee 3 of 4
APP
DLM
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: cOM2003-00165
ISSUED: 05/05/2003
APPLIED: 03/13/2003
EXPIRES: 11/05/2003
VALUE: $ 7,417.40
15 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
16 Wall Insulation: Prior to cover.
17 Ceiling Insulation: Prior to cover.
18 Drywall: Prior to taping.
19 Rough Electric: Prior to Cover
20 Fin~1 Electric:~ When all-electrical work is complete.
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.
d -_.-,/h - ~/0A
o:n: :r~ntr#tors Signature c3
Paee 4 of 4
~/5/~J
Dat( /
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00 165
COM2003-00165
COM2003-00 165
COM2003-00 165
COM2003-00 165
COM2003-00165
COM2003-00 165
COM2003-00165
COM2003-00165
COM2003-00165
COM2003-00165
COM2003-00 165
COM2003-00 165
COM2003-00 165
COM2003-00 165
COM2003-00 165
COM2003-00 165
COM2003-00 165
COM2003-00165
COM2003-00165
COM2003-00 165
COM2003-00 165
COM2003-00 165
COM2003-00 165
COM2003-00 165
COM2003-00165
COM2003-00 165
COM2003-00 165
Payments:
Type of Payment
Check
5/5/2003
City of Springfield '
Development Services Department .
Public Works Department
Official Receipt ·
.;
Receipt #: 1200200000000001130
Description
WiUamalane ManufHome Private
Addressing Assignment
Building Permit
Manufactured Home Placement
ManufHome State Issuance
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtl100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Manufactured Home Connection
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Residential
Plan ReviewIResidential Hourly
Plan Review - 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
Annexed 1979 or Before
Paid By
GREG BRASHNYK
2:49:30PM
Received By
djb
Date: 05/05/2003
Amount Paid
Item Total:
1,000.00
8.00
76.20
160.00
30.00
45.00
14.00
45.00
14.00
45.00
14.00
45.00
32.07
45.82
10.14
45.00
59.00
339.53
441.80
335.80
160.87
709.81
332.86
34.83
10.00
64.94
50.61
(54.57)
$4,114.71
Check Number Contlrm No
Amount Paid
How Received
In Person
Payment Total:
4,114.71
$4,114.71
Page I of I
cReceipl.rpl
CITY OF SPRII\IGFIELD SYSTEMS DEVELOPMENT'"J~.RKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 1204.00 $0.282 = $339.53
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.P. x COST PER S.F. x I DISCOUNT RATE DISCOUNT
0.00 $0.282 1 50% $0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC '$339.53
Com2003-00 165
Gre~ Brashnyk
89 Shady Loop
17032623TL00411
~'
~
o
o
U
0::
~
r-<
CI')
-
o
~
BUILDING SIZE (SF)
o
LOT SIZE (SF):
7841
$339.53
1070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
20
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
,I 20
COST PER DFU
$22.09
$441.80
1091
COST PER DFU
$16.79
$335.80
]092
ITEM 2 TOTAL. CITY SANITARY SEWER SDC = ,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
. ADT TRIP RATE 'x . NUMBER OF UNITS' x
9.57 1
B. IMPROVEMENT COST:
I ADT TRIP RATE . x NUMBER OF UNITS x
I 9.57 1
$777.60
COST PER TRIP
$16.81
x NEW TRIP FACTOR
1.00
$160.87
r 1093
ITEM 3 TOTAL - TRANSPORTATION SDC
COST PER TRIP
$74.17
$870.68
x 'NEW TRIP FACTOR I
I 1.00
$709.81
1094
= ,
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER 01. F FEU's l x COST PER FEU
$332.86
=
$332.86
1054
B. IMPROVEMENT COST:
NUMBER OF FEU's
1
x' ICOST PER FEU
, $34.83
DATE
= $34.83 1055
= ($54.57) 1054
$10.00 1056
= , $323.12
= , $2,310.93
CHARGE
$115.55
64.94 1079
I
$50.61 1078
TOTAL SDC CHARGES = , $2,426.48
-:J
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:
SUBTOTAL l x ADM. FEE RATE
$2,310.93 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
D. Wright
PREPARED BY
4/24/2003
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS I
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FlXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER I MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK I DISHWASHER I ETC. I 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2' = 0
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL I WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S,
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
*EDU (Equiva]ent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DAJ's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
]982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RA TE/$ 1,000 .,
ASSESSED VALUE
$4,92
$4,92
$4,83
$4,77
$4,64
$4.47
$4.30
$4.09
$3.78
$3.41
$2,98
$2.52
$2.06
$1.64
$ 1.45
$1.31
$1.13
$0.97
$0.82
$0.63
$0.41
$0.22
$0.04
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
, (Enter 1 for Yes, 2 for No)
BASE YEAR
o
1979
CREDIT FOR LAND (IF APPLICABLE)
V ALUE I 1000 CREDIT RATE
$11.09 x $4.92
= I
$54.57
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
V ALUE I 1000 CREDIT RATE
$0.00 x $~92
o
TOTAL MWMC CREDIT
$54.57
=
MANUFACTURED HOME SET-UP AGREEMENT
225FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
, www.ci.springfield. ows
As required by the City of Springfield Development Code, I understand and agree that with the approval of
, the attached permits, one of the following manufactured homes will be placed at .
, Springfield, Oregon, City Job Number
A multi sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet,
that has i!- nominal roofpitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or
roofing, and that has been celtified by the manufacturel: to have an exterior thermal envelope meeting
performance standards which reduce heat loss to levels equivalent to the..,perf&tpance standards required
or single family dwellings at the"time of construction. , . ..HAl) LJ11 initials
, ,/v
-- ' '
Type II Manufactured Home:
A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a
nominal roof pitch of2 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 performance standards required for single
family dwellings at the time of constlllction. initials '
I further state, by my signature below, that 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 Buil<iing Official and with no more
than 24 inches of the enclosing material exposed above grade.' ,
Q.
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Date / I
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