HomeMy WebLinkAboutPermit Building 2006-6-28
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: COM2006-00744
ISSUED: 06/28/2006
APPLIED: 06/15/2006
EXPIRES: 12/28/2006
VALUE: $ 27,440.00
SITE ADDRESS: 1262 39th St
ASSESSOR'S PARCEL NO.: BUCK JONES PARCEL 2
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: MFH on private lot
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: \\\t. ~\it~'t . 2
.~ Street Trees Rqd: '/-.'\Iii,W W\\\ \6~mcapped:
"faved Driv~R~<. ~~\..\.. 't: u\ .~t~ t~pact:
%. of L<\\Q~~t~'S\\\ S ~'0t.f(.. \n. C)~t.'0
\\\\~ ~(\\\\lt~ \) (\\\ \S ~~~
8~1;\S J f(..\IJ\....
I PUBLIC IMPR ~~~~''\6CZ't,{ '\It:
P t. II I d I\~"{ Sidewalk Type:
ar la y mprove t"
No
Owner: JONES FAMILY TRUST
Address: 6022 THURSTON RD
SPRINGFIELD OR 97478
Contractor Type
Contractor
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
1
_" \0
r.' ;iSes 'j- ,\\\\~
CONTRACTOR INE9RMAXI~.N \. \or\'(\
.. (>:'0' I tJ X 0'\'
. <'.,'-:' r,;'~\'~r\OV'~'~~)ose ~'Ei'~6~$e9S~-~~"iration Date Phone
.' ,\ "'~ \" n v. \),e-:t"
I, . \. "';~ '. ...,v r.e0\eX ~ A (\ 'n~o\).9 ~ n\ \\\e ~r(\f\e
~i ,BUILDIN~iINFOEMXTioM~ ~~\\\\ca.\\O~
\01.)1"" ''\00. {{\o.) fI\eC ~-l.- \)\\\\\.~ A\.
009('#:~~~teI:res-:e O~e9ofl-'83?.-t?JA'1 Lot Size:
cH~~g'6~ q.t)\S'fi'~ctu,\,ooOO Sq Ft 1st Floor:
fl1)9P~~fdV:M:~ \';;) orced Air Electric Sq Ft 2nd Floor:
Water Type: Electric Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
1,540
3
Downspouts/Drains:
Drywell - Provide
Drywell Engineering
Notes: Storm drainage piped to drywe1l6/27/2006 SB
. Description
Type of Construction
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Foundation Onlv Use Bid Amount
Manuf Home Manufactured Home
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Addressing Assignment
Encroachment Permit
Fire SF Fee - Residential
Fixture
Foundation Permit
Heat Pump
ManufHome State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Feeder
Manufactured Home Placement
Manufactured Home Service
Minimum/Adjustment Mechanical
Not Covered Plumbing
Plan Review Major - Planning
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
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
Water Line - 1st 50 Feet
Willamalane Manuf Home Private
Total Amount Paid
Initial Review
06/21/2006
Amount Paid
$59:67
$10.00
$68.18
$48.38
$31.00
$130.00
$77.00
$14.00
$91.80
$12.00
$30.00
$45.00
$50.00
$160.00
$50.00
$33.00
$14.00
$198.00
$45.00
$419.54
$551.54
$10.00
$865.31
$82.03
$94.01
$69.82
$805.70
$182.69
$359.79
$45.00
$45.00
$1,000.00
$5,697.46
$1.00
$1.00
7,440.00
20,000.00
Total Value of Project
~
I Plan Reviews I
06/23/2006
Date Paid
6/15/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
APP LLH
Pa2e 2 of 4
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00744
ISSUED: 06/28/2006
APPLIED: 06/15/2006
EXPIRES: 12/28/2006
VALUE: $ 27,440.00
$7,440.00
$20,000.00
$27,440.00
06/15/2006
06/15/2006
Receipt Number
1200600000000000874
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
1200600000000000987
Building/Combination Permit
PERMIT NO: COM2006-00744
ISSUED: 06/28/2006
APPLIED: 06/15/2006
EXPIRES: 12/28/2006
VALUE: $ 27,440.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Planninl! Review
06/23/2006
06/27/2006
APP TAJ
Public Works Review
06/23/2006
06/23/2006
WE SB
Public Works Review
06/27/2006
06/27/2006
APP SB
Structural Review
06/28/2006
06/28/2006
APP DLM
CITY OF SPRINGFIELD'
Needs to provide at least 32 sf of
outside storage. Paved parking
must be able to accommodate 2 cars.
Must maintain at least minimum
setbacks: 10' on the front and rear,
5' on the sides, measured from the
property line.
Requested drywell design sizing
from Mr Jones 6/23/06.
An encroachment permit applicatioll
is required prior to the sanitary
sewer connection. Received drywell
sizing information. Drywell
requried to be hooked to gutters
before final inspection. Two street
trees required before final.
Applicant must sign Improvement
Agreement for 39th St.
Standard Plan review comments for
M.H. only installation.
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.
~eouiredJnsnections I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
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.
Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file.
Manuf Home Plumbing: After home has been connected to water and sewer.
Final Mechanical: When all mechanical work is complete.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel. '
MH Service: Approval required prior to utility company energizing service.
Pal!e 3 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-00744
ISSUED: 06/28/2006
APPLIED: 06/15/2006
EXPIRES: 12/28/2006
VALUE: $ 27,440.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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
nmeL~ \l-~ 2,)- /TWdAG
Owner or Contractors Signa~ A Date
Pa2e 4 of 4
~ .
225 FIFTH STREET
. SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
www.ci.springfield.or.us
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, I understand and agree that with the approval,gt
the attached permits, one of the following manufactured homes will be placed at -11- ~ 1. . ~ ...
, Splingfield, Oregon, City Job Number -.L&J- ~.~_J!1:/=l if 41 .
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 of 3 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
perfOImance standards which reduce heat loss to levels equivalent to the performance standards required
for single family dwellings at the time of constructi~n. initials
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 of 2 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 perfOIma;l1e Jrlf1l\ards required for single
family dwelliligs at the time of construction. ../f1/j{' ~ initials .
~. ' rV
I further state, by my signature below, tl,1a,t I have been provided with the following inform'ation:
Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, and Minimum requirements for penn anent 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, eilclosed at the perimeter with
stone, brick or other concrete or masonry materials approved by the Building Official and with no more
than 24 inches of the enclosing material exposed above grade. '
~t
i%gnature' ' .
f) (l~ u.II'7:4
Dater -': I
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 $0.323 = $0.00 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F, x COSTPER S,F. x I DISCOUNT RATE I
I 2227.80 $0,323 I 50% I
ITEM 1 TOTAL - STORM DRAINAGE SDC 1 $359.79 ,
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 22
B. IMPROVEMENT COST:
NUMBER OF DFU's x
22
CITY OF S~~GFIELD SYSTEMS DEVELOPMEN'
JRKSHEET
C0M2006-00744
Buck Jones
1262 39th St
17023043 04000
SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF~
7251,53
if.)
~
CI
o
u
~
~
if.)
......
o
ga
1580
LOT SIZE (SF):
DISCOUNT
$359,79
$359.79
,: 1070
!:
COST PER DFU
$25.07
$551.54
1091
$19.07
$419.54
1092
=1
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3, TRANSPORTATION
A REIMBURSEMENT COST:
I 'ADT TRIP RATE x
.1 9.57
$971.08
NUMBER OF UNITS I x I COST PER TRIP
1 I I $19,09
x NEW TRIP FACTOR
1.00
$182.69
1093
B. IMPROVEMENT COST:
I ADTTRIPRATE . x NUMBER OF UNITS x
I 9,57 1
COST PER TRIP
$84,19
$988.39
x INEWTRIPFACTOR
I 1.00
I
I
1094
$805.70
ITEM 3 TOTAL - TRANSPORTATION SDC
= 1
4, SANITARY SEWER - MWMC
A REIMBURSEMENT COST: .
NUMBER OF FEU's x COST PER FEU
1 $82.03
=
$82.03
1054
B. IMPROVEMENT COST:
NUMBER OF FEU's x COST PER FEU
1 $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATNE FEE
ITEM4TOTAL-~CSANITARYSEWERSDC
Steoe 't5etU<<6uf ~
6/23/2006
= $865.31 1055
$0.00 1054
$10.00 1056
= 1 $957.34
-.
=1 $3,276.60
"" -,..-
CHARGE
$163,83
94.01 1079
$69.82 i 1078
. ..
TOTAL SDC CHARGES =1 $3,440.43
...".- --;;~___I
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
,5, ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE
I $3,276.60 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
iCLOTHESWASHER/MOP SINK 1 0 3 = 3
I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
iRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIALlRESIDENTlAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
I SINK: SINGLE LAVATORY /RESIDENTIAL BAR 2 0 1 = 2
IURINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRlV ATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 22
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO III
ASSESSED V AL~
$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
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIDLE FOR ANNEX, CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
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
l
$0.00
TOTAL MWMC CREDIT
=
225 Fifth Street
Spr1ngfiel,d1 Oregon 97477
541-726-3759 Phone
("'~T of Springfield Official Receipt
.... . elopment Services Department
Public Works Department
Job/Journal Number
COM2006-00744
COM2006-00744
COM2006-00744
COM2006-00744
COM2006-00744
COM2006-00744
CO M2006-007 44
COM2006-00744
COM2006-00744
COM2006-00744
CO M2006-007 44
CO M2006-007 44
COM2006-00744
COM2006-00744
CO M2006-007 44
CO M2006-007 44
COM2006-00744
COM2006-00744
CO M2006-007 44
CO M2006-007 44
COM2006-00744
COM2006-00744
COM2006-00744
COM2006-00744
CO M2006-007 44
CO M2006-007 44
COM2006-00744
COM2006-00744
COM2006-00744
COM2006-00744
COM2006-00744
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200600000000000987
Date: 06/28/2006
Description
Addressing Assignment
Willamalane Manuf Home Private
Manufactured Home Feeder
Manufactured Home Service
Fire SF Fee - Residential
Foundation Permit
Manufactured Home Placement
ManufHome State Issuance
Fixture
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Storm Sewer - 1 st 50 Feet
Manufactured Home Conn - Plmb
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Not Covered Plumbing
+ 8% State Surcharge
+ 10% Administrative Fee
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
Encroachment Permit
Plan Review Major - Planning
Paid By
BRONELL JONES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 8233 In Person
Payment Total:
Page 1 of 1
11:05:37AM
Amount Due
31.00
1,000.00
50.00
50.00
77.00
91.80
160.00
30.00
14.00
45,00
45,00
45.00
45,00
12.00
33.00
10,00
14.00
48.38
68.18
359.79
551.54
419.54
182.69
805.70
82.03
865.31
10.00
94.01
69.82
130.00
198.00
$5,637.79
Amount Paid
$5,637.79
$5,637.79
6/28/2006
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number U. 7 Lf <J
I
1. LOCATION OF INSTALLATION
I :2.(, 2.
~,~
LEGAL DESCRIPTION
\ 1 0'2. '30 4'?
JOB DESCRIPTION
() c+oo 0
~~n
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Address
Po
Rax
Supervisor License Number 2170 - ..s'"
/o~ t)J- U ?
Constr. Contr. Number I .5 9.5 3 7
'/-/5-tJg
Expiration Date
Expiration Date
s;~;;;;;r;9~Z
I
Owners Name ~~
Address 1002.."2.- ~ ~ ~
City H-~ Phone Ncrrt4"t;J
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
~ /Zf 10 (,
I
Date
3. COJUPLETE FEE SCHEDULE BELOlV
ZON
INITIALS
DATE
SOURCE
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
"2-
$106.00
$ 19.00
$50.00 JO"D.-
B. Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/V olts
Reconnect Only
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 V o11s see "B" above,
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 63.00
$ 75,00
$125,00
$163,00
$375,00
$ 50.00
$ 50.00
$ 69.00
$100,00
$ 43,00
$ 3,00
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50,00
$ 25.00
$ 45.00
4. SlIBTOTAL OF ABOVE
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
8% State Surcharge
10% Administrative Fee
TOTAL
~. -
~. -
'0. -
II ct. "..--
Shared Dnve(T:)/Building Fonns/Electncal Pennit Application I-06.doc