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Home My WebLink AboutPermit Building 2000-7-7 (2) ,. t. ..' . . " I Job# 00-00852-01 I Page 1 of 3 TRANS#:01-0002485 OATE:JUL 07 2000 AMT RECD:2 $ 3736.97 CHANGE: CASHIER: 061 ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00852-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1616 Dotie Dr Spr Assessors Map#: 17033422 Lot: 18 Block: Addition: Tax Lot #: 01000 Subdivision: Oakbreeze Owner: Fred Hample 3426 Brookview Dr Phone Number: 541-484-7076 Address: Scope Of Work: Manufactured Home on Private Lot City/State/Zip: New Eugene, OR 97401 Value: $47,336 Contractor Type Contractor Registration # Expiration Date Phone General Gontr Harrison Jacobson Inc 66447 5/7/2000 541-689-7762 1441 Hwy 99N, Eugene, OR 97402 Electrical Gontr Heritage Investors Inc Of Eugene 63137 12/27/2000 541-688-1600 1042 Horn Ln, Eugene, OR 97404-2923 Plumbing Gontr Harrison Jacobson Inc 66447 5/7/2000 541-689-7762 1441 Hwy 99N, Eugene, OR 97402 Office Use Land Use: Mfg Home - in a Park # Of Buildings: 2 Zoning Code: LDR NOTICEC?ccupancy Group: Dwelling Bedrooms: 3 \il1'F-! 5Rare1;?lRorCEi(jljfrr\EQg~c Range: Electric THIS PER~Sg. '~otage'HIc.'l P~M\T IS NOT . ._. ,......n'7c:ll 11NI )t::1 \ I OJ - _ "'"u , , ,..;, r.__ ONEU run To request an inspection call the 24 hour recording at 726-3769. All inspe.sl!.qns1feiiuest~~&W'f:80 a.m. will be made the same working day, inspections requested after 7:00 am. .rtHI B'i\I'\lI!!~,lIJelfollowing working day. AN~ I Quad Area: # Of Units: Constr. Type: Water Heater: 1RNW 1 (VN) Wood Frame Electric SW..curbside CC-5tandard Required Inspections I Public Works I -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete . . '~c \.lIld~ jj" : . '. .. 'J- . ...d" ~ I lJt'\'! " t. \\ 'I'._"'~.,,", .:!. 'nr~C10r 1\' ., ~ d \ (lh\l\nFJ" t Ilow rL,Ip'<" (1) P . .' '.' lOco o '-_,-:\~ . 1'~ . 0)_11:",' , '; - ~ lnrf!~' tll .1--",' . 'I' ,,~).~'.'; ".I~.OO I O '.1\.1:-'.,.'1' t." r ',:1"'5 b' .\ 1-\...."... . CO". 1(0 Oi..1 ,u.. . 'o"l\?,r ". .l090 Yo' 11("" ...... .\]< : .:. :.,one . cl"~'Y"" \,.,.1 t' " cai\lr"~ :0<- .... -... '. ut'\',l', ~!o\;\ica 10 'h~ a e00,1 I . 'lumber lOr! ~. : ,.;-;",\ '...,~..?1,14). rn,...t,c,.-:-- . . ~ . .. Street Improvement: Fully Improved Curb Cut?0 Improvement Agr,?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 0010010000 00:00 AM Special Instructions: Other Utilities: . I ~ Project Supervisor: Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: -'" . I Job# 00-00852-01 I Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: Page 2 of3 Curbside - 5' o 8 To Curb and Gutter San Sewer Tee (in): Bond End OateTime: 4 0010010000 00:00 AM Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 1 Land Use: Mfg Home - in a Park Pave Driveway? 0 3: Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Planner: AI Ward Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 2 # Of Bedrooms: 3 Handicap Access? 0 ,Area (Sq. r, ~l) I Main: 1026 AccessoryllOO Fee Residential Plan Check Total Plan Check Garage/Carport State Surcharge For Building Permit Building Administrative Fee Total Building Manufactured Home ServicelFeeder State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee Flood Plain FEMA: n/a Accessory Structure # Of Stories: 1 Height (feet): 15 Current Units: Proposed Units:1 Census Code: New Mfg Home Total:1426 Paid On Receipt# I Plan Check 06/01/2000 1982 Value/Quantity I Fee Amount 8,336 $48.43 $48.43 Buildinll 07107/2000 2485 07107/2000 2485 07/07/2000 2485 7,336 $68.50 $4.80 $2.06 $75,36 Electrical 07/07/2000 2485 07107/2000 2485 07107/2000 2485 2 $80.00 $5.60 $2.40 $88.00 Plumbinll 07107/2000 2485 $.00 <~ . . . . Job# 00-00852-01 Page 3 of 3 . Fee Paid On Receipt# Value/Quantity Fee Amount Plumbinll I State Surcharge For Plumbing Permit 07107/2000 2485 $6.30 Water Service Footage 07107/2000 2485 34 $25.00 Sanitary Sewer Footage 07107/2000 2485 34 $25.00 Storm Sewer Footage 07107/2000 2485 34 $25.00 Manufactured Home Connection 07107/2000 2485 1 $15.00 Plumbing Administrative Fee 07107/2000 2485 $2.70 Total Plumbing $99.00 Manufactured Home Manufactured Home Setup Fee 07107/2000 2485 40,000 $105.00 Manufactured Home State Issuance 07107/2000 2485 1 $30.00 State Surcharge For Manufactured Horn, 07107/2000 2485 $7.35 Manufactured Home Administrative Fee 07107/2000 2485 $3.15 Total Manufactured Home $145.50 Public Works New Sidewalk 07107/2000 2485 46 $60.00 New Curbcut 07107/2000 2485 1 $60.00 Total Public Works $120.00 System Development Residential - Single Family - Storm 07107/2000 2485 2,020 $468.64 Sanitary Sewer 07107/2000 2485 18 $868.86 Residential Transportation 07/07/2000 2485 1 $491.60 Residential Sanitary MWMC 07107/2000 2485 1 $242.76 Residential Improvement MWMC 07107/2000 2485 1 $22.05 MWMC Administrative Fee 07107/2000 2485 1 $10.00 SDC Administrative Fee 07107/2000 2485 $105.20 Total System Development $2,209.11 Willamalane SDC Manufactured Home - Willamalane 07107/2000 2485 1 $1,000.00 Total Willamalane SDC $1,000.00 Grand Total $3,785.40 Plan Check Type Checked By Date Completed Comment Initial Review-Res Engineering-Res Planning-Res Lisa Hopper Steve Templin AI Ward 06/07/2000 06/14/2000 06/27/2000 Structural-Res Wendy Stanley 06/29/2000 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 701.055 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 propery, and the approved set of plans will remain on the site at all times during construction. ~1I~ '1-7-0(1 - . . . p'", Willamalane ' t,-"1' Park & Recreation District Job. No.a) .D()~~.o l ,.., SYSTEM DEVELOPMENT CIiARGE I O. . WORKSHEET NAME: \:::1I'LQ/t PHONE: ~4. tQl ( {? ADDRESS: 9:Afu ~ ;) STATE:lCWl ,~IP: Q-Ko( LOCATION OF PROPOSED BUILDING SITE: Street Address: \ \.Q~lo \)o\\e. \Jh\.1€'" Pial Name: lL-._ Tax Lot Number: l!lD~2A?~ _ O\CJJ....) 1. DEVELOPMENT TYPE (Check appropriate dwelting(s). SDC calculations and dwelling t ype definitions are on the back.) . A. ,SinoIA-FRmilv DAtRr.hArI Single Family home NO. OF UNITS I Manufactured home not in a park X $1,000 per unit = $ I (y-f). 00 B. ~inoIA.FRmilv AffRr.hArI NO. OF UNITS X $924 per unit = $ C. Multi-FRmilv AoRrtment NO. OF UNITS X $692 per unit = $ D. Manufacturerl Home PRrk NO. OF UNITS WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDc-payer must furnish proof of WiUamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED. . ~C~d_''';:;; De~~fupment~~epan~t City of Springfield I I Date '\ . ~ I I i , , .. ! 1 ~o 1SI?; ~ "0: o~ :0,0: ~ o~ o '..... ~ ..~/ ~"h'~ 0.. ' v~"'" "'9. ~ Yo 9:.; "0 ~ ~4' 60.... 225 FIFTH STREET O.,,,"~ . "0/...... SPRINGFIELD, OREGON 97477 "''''.' ~"'9,,~6~, INSPECTION REQUEST.: 726-37~., """'.. ~'" OFFICE: 726-3759. ' 6>-<." "'''',,1.... "'~ 3. ~b ~PLETE FEE SCHEDULE BELaI/ 1. LOCATION ~ I~S~ALLA,UQN' 6>.,,,, ot, \ \ () \ 'u> \.. Y"\\ \.JU ~ Xl. De: Ne~", ~ iden t ial-Single or ~ ~ Multi-Family per dwelling unit. \ cl{'~~~'l!i-N D\.~J, '", rvice Included: Items Cost .......Y"\." ~l,B DE1Slj~qO!l__ f'\ ~ ~(\\~ 1000 sq.ft. or less, $ 85.00 , A \~ .~l,~ 'k Each additional 500 sq. ft or portion Permits are n -transferable an expire thereof $ 15.00 if work is not started within 180 days Each Manuf'd Home. or of issuance 01: if WOI'k is suspended for Modular,'Dwelling 180 days. Service or Feeder . 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor ~~ ~ Address /(7,/2- ~,~ n - . City ~~ {7 Supervisor License Number Phone 7,;2 Y -/500 '1'fc;-.s /l./ 0/ Constr Contro NumbeL' b ~/~7 f5j;~ 42j/S,k-t Signature of Supervisin~ Electrician ,,'&/1111 4J ~ -~ -, - })lIners Name~tj W~\Q. _ D. Address.1f\L.ln ~r:dl')\O. U City~rQ.....- Phone"\~4 .lcr\lo ~STALLATION Expiration Date Expiration Date The installation is being made on property I own which is not intended for sale, lease 'or rent. Owners Signature: DATE: RECEIPT II: RECEIVED BY: ELECTRICAL PERMIT APPLICATION Ci ty Job Number{)O. CXY6 -W -.oL r-1J Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconned'Only Su . $ 40.00 86 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' .01: less 201 amps to 400 amps Over ~01 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above Nell, Alteration or Extension Per Panel " One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. ~BTOTAL OF ABOVE 7 . State Surcharge Yo Administrative Fee TOTAL $ 35.00 $ 2.00 ,;.~ no t include, $ $ $ $ ~.(X) _ ~~;tt r.ttrde- 40.00 40.00 20.00 36.00 . S_CFI"LD'~' , DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 MANurACTURED I'IOME LAND USE AGREEMENT As required by Ihe City of Springfield Developll1ent Code, I 3gree th3t ~ill\11e 3pprov31 of the 3113ehed pennils, one of the following 1ll3nuf3elnred homes will pl3eed 31 \ \ (J , Springfield, Oregon, Cily Job Nufnber . ~ Type I M~nuf~etured '.Iome. A lI1ulti-section~1 (double wide or wider) unil wilh ~n enclosed /loor ~re~ of not less Ih~n 1,000 squ~re feet, th~1 h~s ~ nomin~1 roof pileh of 3 feet in height for e3ch 12 feet in widlh, th~t has no b3re lI1el31 siding or roofing, 3nd Ih31 h3s been eenified by the m3nufaeturer to have 3n exlerior Ihermal envelope meeling performance slandards which reduce heal loss 10 levels equiv31cIllIO Ihe performanee slandards required of single family dwellings conslmeled under the St31e Speci3lty Codes. Type II MMufaetured 1.loll1e, A unil of no I less thm1 12 feel in widlh wilh 311 enelosed /looi' are3 of not less limn 500 square feel, Ihat Ims 3 nOlllin31 roof piteh of2 feel in heighl for eaeh 12 feet in widlh and Ih3t h3s no b3re mel31 siding or roofillg. 111e m3nuf~clured home sh311 be pl3eed all 311 exe3v31ed and back-filled foulldalion nol to exceed 6 percell I slope within 10 feet oflhe perimeter enelosure, 111e perimeter foundation w311 surrounding Ihe home shall be eonstmeted of stone, brick or olher masonry m3terials, and wilh no more limn 24 illchcs of, the ellclosing 1I131eri31 exposed above grnde, I funher 3gree to meet all land use and City Code requirements oflhe above mentioned pareel within 60 days oflhe date of issuance oflhe manuf~ctured home set up permit, TIlese requirements may include, but arc not limited to the items listed below. Specific I~nd use requirements regarding your parcel arc noted on your approved sel up plans ~ndlor permit ~nd your panilion approval ifapplieable: . Slreel Trees . Paving Driveway . Minimull1 32 square foot stornge strueture . Completioll ofpanition approval . Remov31 of any existing stmctures ~s noted on your partilion approval . Signing nod recording ornny required partition~ ~ascmcnl, improvement agreements, etc. . rinal 101 grnding . Cily Sidewalk and eurbeuI installation . Any oUlside ageney approv31 as required i.e., Divisioll of Slale Land approval. Oy my sigowlure below, I agree 10 eomplete the above mentioned land use requirements. , ~~a,~\~arJ:2 "\ O\Vllcr Signature , ftJ1I~ Contrnclor Signature rp - ,. 00 DilfC 0-1-00 Date