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Home My WebLink AboutPermit Building 2010-12-23 . " , www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00381 IVR Number: 811000053566 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/23/2010 ISSUED: APPLIED: 12/23/2010 03/30/2010 EXPIRES: VALUE: 06/21/2011 $5,000.00 SITE ADDRESS: 5712 A St, Springfield ASSESOR'S PARCEL NO: 1702334104400 SCOPE: MFG" WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: OWNER: ADDRESS: Manufactured home on private lot Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION I Lic Type Lie No Lic Exp Phone Construction Type Occupancy Type Occupancy Comments VB R-3 BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: 6163 Sq Ft 1 st Floor: 1232 . Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupa,ncy load: # of Units: # of Bedrooms: , Sprinkled Building: Fire Alarms: Energy Path: 3 Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notilication Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344), NOTICE: ,- ,-,.<..t'< THIS PERMIT SHAll EXPIRE IF THE WORK. AUTHORIZEO UNDER THIS PERMIT IS NOT " COMMENCED ORIS ABANDONED FOR <.; . ANY 180 DAY PERIOD, Springfield Building Permit, 12/23/201 11;15:43AM. Page 1 of 5 .. www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00381 IVR Number: 811000053566 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield,or.us SITE ADDRESS: 5712 A St, Springfield ASSESOR'S PARCEL NO: 1702334104400 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: \ EXPIRES! VALUE: I I MFG I NEW RES .06/21/2011 $5,000.00 PROJECT STATUS: STATUS DATE: ' Issued 12/23/2010 ISSUED: APPLIED: 12/23/2010 03/30/2010 PROJECT DESCRIPTION: Manufactured home on private lot DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: .20.50 8.00 13.00 10.00 Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: Yes 21.00 REQUIRED PARKING Total: 2 Han~icapped: I Compact: 0.00 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: FI Sidewalk Type: Yes Downspout/Drains: Valuation Description ~ Descriotion TVDe of Construction Unit Amount Unit Tvoe Unit Cost Value Springfield Building Permit 12/23/201 11:15:43AM Page 2 of 5 .. S~L.:~:;:~ ~~,~ ~OReGON W~.ci,5prjngfield,or,us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00381 IVR Number: 811000053566 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541"726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 12/23/2010 03/30/2010 EXPIRES: VALUE: 06/21/2011 $5,000.00 12/23/2010 SITE ADDRESS: 5712 A St, Springfield ASSESOR'S PARCEL NO: 1702334104400 SCOPE: MFG WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Manufactured home on private lot FEES PAID I Amount Paid $56.71 $38.00 $211.00 $30.00 $47.64 $931.65 $80.93 $22.63 $515.94 .~-~- $666.84 $1,044.54 $10.00 --------- $507.07 $101.97 $119.66 $30.40 $61.60 $397.00 $2,858.00 $211,21 Total Amount Paid $7,942.79 Date Paid Recio! # 03/30/2010 1201000000000000274 ..--.-..'----.-------- 12/23/2010 2010001140 12/23/2010 2010001140 12/23/2010 2010001140 12/23/2010 2010001140 12/23/2010 2010001140 12/23/2010 2010001140 12/23/2010 2010001140 12/23/2010 2010001140 12/2:i72010-' 2010001140 ...._-~.-~. 12/23/2010 2010001140 ._----- 12/23/2010 2010001140 -- .--- 12/23/2010 2010001140 12/23/2010 "-2010'001140 12/23/2010 2010001140 12/23/2010 2010001140- 12/23/2010 2010001140 12/23/2010 2010001140 12/23/2010 2010001140 12/23/2010 2010001140 Descriotion Plan Review Residential -~._._- Addressing Assignment Plan!i-eview Major - Planning Manuf Home State Issuance :!: 12% State Surcharge SDC Trans Improvement-Resident SDC Transportation Admin SDC MWMC Compliance Charge ~_~~~~.,.:. Improvem~.~,~_~__,_ Sanitary Sewe:...: Reimburs_emenJ SD,f MWMC Improvement SDC MWMC Administration Sanitary Se,,:,:er - Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin + 5% Technolo~y Fee Fire SF Fee - Residential Manufactured Home Placement WilJamalane Manuf Home Private SDC Tran Reimburs-Residential Springfield Building Permit 12/23/201 11:15:43AM Page 3 of 5 .~ , ,-;" . sP~~t~.~.~ ~k'~ .:.~,::w '"M.",',","' OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00381 IVR Number: 811000053566 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 12/23/2010 03/30/2010 12/23/2010 SITE ADDRESS: 5712 A St, Springfield ASSESOR'S PARCEL NO: 1702334104400 EXPIRES: VALUE: 06/21/2011 $5,000.00 SCOPE: MFG WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Manufactured home on private lot Plan Review I DeDartment Initial Review Received Due Date Comoleted 04/06/2010 Result APP Reviewer LLH Planning Review 04/19/2010 WE DDK Comments: Orientation of structure is required to calculate setbacks. Off street parking not shown on plot plan. Left Message for Public Works Review 04/29/2010 Comments: Requested fixture count from Vern Benson 10 --y- - - -- ..-...... .' ~. -.,'. ',' _~__._,t LKW Application Acceptance 08/09/2010 08/09/2010 Over the Counter Chris Carpenter Comments: See workflow history Ilriitfal Review: '>" >c~ , ': "-08/09/201 0;, '08/09/2010,,08/09/201 D'-',; Over ttieCouriiiii~'-' ". Chris-Carpen~' . . ': ' k:~~;~~~.2i;:-~>})~~~t~~;9~~~t8"~~l(: ","~,~,,;,.' ..~~~~"::~~~=~~~~..-~;:.~'~'r"'~~:&~::;:~i:,:tI.~,,_'y:~~~..,__:::'~:. Planning Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter Chris Carpenter Comments: Over the counter permit Public Works Review 08/09/2010 08/09/2010 Over the Counter Comments: Over the counter permit permit,lssuance': :':\;:<~i~~.. ,,,' ;,;>08/09/20'16'~$08/.o91-?010/':1212312010::7:Z _lssuedl,:{,;"~:~,;Jii; 1.7'~}:;;, '<~~- ~,:,.. ~~ 04; ;t ,-~_.:~~~ ~>J_"' ~w_:"~?','"' <:,'!':i~- ;;,'~,!ij_:>'. ':' '1r.~fJ1 :~:":~. ,-, >:"i~' 'i,~;~' :;,,"f; ,,"..: - ... ~. -'C""" " . ::.... ':g-"..:;..'" ~.~ 'm~: '" >':" ...., ..u _-......._.__ .__. Chris Carpenter ~>. _ f '. . '" ", " ,..; s.,' Qavid"Bowlsby..... . ;. :'r~" _21/tJ'H-"~S ~r;:~, ,-cotC: ';:i~ "'1' J ,'':'' -' - -.~.,,, INSPECTIONS REQUIRED I Inspections Springfield Building Permit 12/23/201 11:15:43AM . Page4of5 S~~~N~~ ~,~ ~OREGOH www.cj.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00381 IVR Number: 811000053566 225 Fifth Sf Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 12/23/2010 03/30/2010 EXPIRES: VALUE: 06/21/2011 $5,000.00 12/23/2010 SITE ADDRESS: 5712 A St, Springfield ASSESOR'S PARCEL NO: 1702334104400 SCOPE: MFG WORK INVOLVED: NEW lYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Manufactured home on private lot By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who an~ in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~ r_~ J 2.f"Z 3 . ) 1) Owner or Contractor Signature Date Springfield Building Permit 12/23/201 11:15:43AM Page 5 of 5 ,. '~ . . . . . ~ . ~ <:ITY OKSP}UNGFIELD, OIU:GON: 225 Fifth Street. Sorin2field. OR 97477 . PHI5411726-3753 . FAXI5411n6-3689 Manufactured DwellingfRecreational-Park Trailer Placement Permit Application ~~~ i:S:D~!'~I'iT.MENtV$(QNL:Yt. Pennitno'~CID -D03$ J "- OateJ- 30' /0 .s.\t) This permit is issued under OARs 918-500-0105 and 918-525-0370. Permits expire if work is not started within 180 days of 11.L issuauce or if work is suspended for 180 days. . . . . '. '0"'" ,"LQCAL,..(jOV.ERNM ENTjAF>p'rto'YA.LS;;j;:~}\i, --E:rYes. D No D YesQ-No Sanitation approval verified: es D No . CATEGORY OFCONSTROctli:jr:f.:::' . "'-. ""> -.' ".....,. ....,.. .,'- . ."...... D Government D Commercial '. JpSSITE INFORMA TI()NANR;LdcATION ... Jobsiteaddress:~ >7/2.. . ~+-. . County: L v\ ;.., .-< City: ~ State: D .'Z., ZIP: Subdivision: Space/lot uo.: Reference: 1/02. 3. S 4 \ Taxlot: 0 l{'fDO , DESCRIPTIONOFWORI(. "1,-\-1 I Year Manufactured: \ q ~ -, # Bedrooms:.:3 Sq. FIg: I J.3 2.. Value: I C) Cl\:l <.l . .. . "PROPERTY OWN~R Name: " \?-. N . W \3 E. . Address: 0, '-\ = \\ '-'-..> "'\ a" c0 <:.) City: E ." ~ ZIP:q, '-I C Phone:Y'JI-L,\,y, hUCf)<c E-mail: IT\ -.e.>(.s @ 1\ '-' L. . C '" ..,... This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-515-0010. S. '-- Go ~ ~ Ignature: . CONTRACTOR INSTALLATION Business name: \3 l'. '" ~ .-..) Cl ~ \.l C 0 Address: "l L; <;:, ~\ '""- 0, 9.' A:;, 0 City: E. _~. State: O'l.. ZIP: '1 ' 'i ~ Phone;SL}\- (.,. 8'15 . '!? 1s"11 Fax:.~ 41 b n-. <\ :)0'-\ E-mail: M s-e..>c ': G 1\. c,\., C~ . CCB license no.: MDllicense no.: Print name: "'-,~ ," W ..,., \~~ ......./i.-or-:,J Signature: '-- ~ .....;,'t,............::;";.. ..:F,gE.' 'S9l:iE[)l,JI.;Ei'\;'.X;!2'i.!:-,io'n;.:;.lLl;':!; Description Total (1) Manufactured dwelling (a) Placement (includes placemen~ electrical feeder, water/sewer connectio'n): $397.00 $. (b) Reinspection (nn. ofhrs. x fee per hr.): $58.00 $' Placement permit can only be oQtained by homeowner or Oregon- . . licerised manufactured dwelling installer. (2) Recreational-pa~k'trailer. (a) Installation (includes stand and lot preparation: support blocking; 'anchoring; temporary steps; plumbing, mechanical, and electrical): $397.00 $ (b) Reinspeclion (no. ofhrs. x fee po; hr.): $58.00 $ (c) Each additional inspection: (I) $58.00 $ Electrical service permit to be obtained only f!y homeawner performing work or signing supervisor a/Oregon-licensed electrical contractor performing work. ','" ......'-. .... ,"FI;ESCI-IEbli~E':.' (3) Surcharge, 12% (.12 x tntal, equal to 1 or 2): $ (4) State administrative fee for manufactured dwelling (item I) $30.00 $30.00 . only, OAR 918-500-0105(5): (5) Technology Fee, 5% $ TOTAL fees and surcharges (3 + 4+5): $ ~t~ 1!.- r\Jt^- 17 b ~~ willamalane t'W Park and Recreation District Job. No. 0,\0 .~~\ SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-June 30, 2010 NAME:~~ffi ~~O\\ PHONE: \Qe6-~ ADDRESS: C\~ \\uu.~atN ~TATE:~P:~~ LOCATION OF PROPOSED BUILDING SITE: Street Address: ~ l \ f) - A ~~-\te:et Plat Name: f\ l ~ Tax Lot Number: \:t D'1..1...;n4. t 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. SinQle-Family Detached \ NO. OF UNITS X $2,858 per unit = $ 'l.tf:;'S5. ctJ B. SinQle-Family Attached NO. OF UNITS X $3,100 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $2,641 per unit = $ D. SinQle Room Occupancy NO. OF UNITS X $1,321 per unit = $ E. Accessory DwellinQ Unit NO. OF UNITS X $1,550 per unit = $ WILLAMALANE SDC $ ~~~CD $kJ $ 'L~izg~ 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) . 3. TOTAL WILLAMAlANE NET SDC ASSESSED (if SDC reduced for Credit) t..- ~271 Date Ie:::. Development Services Depa City of Springfield //~/? // c...;u 5 . . ,-.. www.ci.springfield.or.us TRANSACTION RECEIPT COM2010-00381 5712 A St CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@cLspringfield,or.us RECORD NO, COM2010.00J81 DAn;, 12/23/2010 .,:,~\t C>'s',: ,,',-';.'. ",' ., .) .,:: ',C'A'C"CO-U'NTC"O'O"E"; ',0i:Y' >.:.'A'MOU'NT"OUEC', '. :.,. T>: ..... J *~__.___..___.~., .-.. ...,,'....... "',---~"'T-~~___~_ ---. '--'--.--. -___~ . 224-00000-425602 $38.00 100-00000-425002 $211.00 821-00000-215009 $30.00 821-00000-215004 $47.64 447-00000-448027 $931.65 719-00000-426604 $80.93 444.00000-426607 $22.63 ~--"'-"""--"-"'~-""'--'-"-""- .-.--.-.-"'.--,,---- 440-00000-448029 $515.94 442-00000-448024 $666.84 445-00000-448025 $1,044.54 -~-- 611-00000-426604 $10.00 443-00000-448025 $507.07 ._,"-'-'~----,"~---'~"- 444.00000-448024 $101.97 ."T._____.__._... 719-00000-426604 $119.66 ~_~'_'''''_''___''r__....._H'H_'.''____''''''____ 100-00000.425605 $30.40 100-00000-424005 $61.60 224-00000-425602 $397.00 ~ ~-----_..- 821-00000-215023 $2,858.00 446-00000-448026 $211.21 TOTAL OUE: $7,886.08 Ie 'PA'(I..ILE~Nj...J'YPE"~*'-(p1Sr~'-l3t";f-cAsHiER,DB6VvLsi3Y, j![<;.QMIII1E:R(s;;;'~i' >:,,;.; :..:;:i~~:;;J:AM~tUNtMf[)"'c ~fi'2.;;;' .. '1 RECEIPT NO, 2010001140 lQg~<::'RlP-.!1Q~;;::';;;,:,,;,'";' .':" Addressing Assignment Plan Review Major - Planning Manuf Home State Issuance + 12% State Surcharge SDC Trans Improvement~Resident SDC Transportation Admin SDC M,WMC Compliance Charge SDC Storm - Improvement Sanitary Sewer - Reimbursement ~DC MWMC Improvement SDC MWMC Administration Sanitary Sewer - Improvement SDC MWMC Reimbursement .SDC ~n!!ary/S~.Admin + 5% Technology Fee Fire SF Fee ~ Residential Manufactured Home Placement Willamalane Manuf Home Private SDC Tran Reimburs-Residential Check 1345 BENSON DEVELOPMENT CO LLC $7,886.08 $7,886.08 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "f'''I~O.....F:'.~ ji.... ~'-'l - '. ..... . .. ......~,^,"'"..."'. '. " --,";' , .. . ,; City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000274 Date: 03/30/2010 8:52:10AM Job/Journal Number COM2010-00381 Payments: Type of Payment Check cRcceintl Description Plan Review Residential Paid By BENSON DEV CO LLC Amount Due 56.71 $56.71 Item Total: Check Number Authoriz<ltion Received By Batch Number Number How Received djb :'... ~',.. .,..~.0:.. )'I\,lii: !;'1 '. , ....,'.' , .a.L 'i',C I' 'Hl, Page 1 of 1 Amount Paid 1176 $56.71 $56.71 In Person Payment Total: 3/30/2010