HomeMy WebLinkAboutPermit Building 2007-3-7
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Job# 02-00218-01
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Page '1' of 4
TRANS#:Ol-0008246
DATE; t'lAF: 07 2002
AMT RECD;2 $ 4375.38
CHANGE:
CASHIER:061
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division'
Building Safety
Job Number: 02-00218-01
, 225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4551 Camellia St Spr
Assessors Map#: 17023243
Lot: 2 Block: Addition:
Tax Lot #: 04405
Subdivision:
OWner:
Address:
Scott Lohman
24212 Warthen
Phone Number: 541-935-1945
Scope Of Work: Manufactured Home on Private Lot
City/State/Zip:
New
Elmira, OR 97437
Value: $18,000
MH on private lot - correct address needs assigned
Contractor Type
General Contr
Registration # Exp.iration Date
. ~<;;, '20 :.,~..:.!
Scott Lohman 'i.,,'"'''' ';""/"-';'::/-i..j"\~c;,\ i,.JV"~:'~i\"
24212 Warthen, Elmira, OR 97437 , .".l\"~!:'~00~'?-~\e'3e\ "~~t,~
..' 'Y; ,'"C,' "l)\j '\:,. \es "', ,~,\~.rl:'v ",.
Scott Lohman Ie .;r:\t..j~'< o\.')"eo. ose;\) O~~ ~j u\es1:j,
24212 Warthen, Elmira, OR SY4~t:\~\e5 :~\/':t;::\\,,\~,t\\O\.\~~- eft \r.e ~~\~ne '"
" . ( ",\' .. V \, .e,o \e~\ . 0,"
\ -'.\v" " .~;\ ..) ,;; '\ (~i,) ""iV'v "'(2: \'0' ~ c~\~
Mechanical Contr Scott Lohman v;,(<\C.'2-....\~~"lJJ\) .. ......(}\\"'\ \~~e''''.\' ~~c\\ \
24212 Warthen, Elmira, OR~9i@i7.-;; ~ ~'{~~'i o;~~o\. \'\'( '~, \j'~~\'!i~ti~~'
,\\ Q '{A \ '" ce, ('1',-:.,0.0 ,,,,'!'..,~.
Manuf Home Install Father & Sons Of Oregon Inc Oc.g ~\\\'(,iJ \:.v~ Q.8il?_6~.?i,~f.j,;j,)"" 6/29/2003 '
28426 Royal, Ave, Eugene, OR 9~~~Oe\ 680\8';' \';,
Scott Lohman
24212 Warthen, Elmira, OR 97437
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before~('~~O'ff.
a,m, will be made the same working day, inspections requested after 7:00 a,m. will be ma~~~~:)\~{\~~01
working day. ~\CfC:. \.lr..\..\..'C.~ ?'C.~~' 0.
~O' "1\~S'pl'" P'\\-\\S \~QfOn
Required Inspection~\S r:"~ D \.)\'l-;)~ \>.~\JO"
I Building \~~~O~\'l.e DO~\S\>.~
-Install ground rod at footing, and call for i~6~M~~~~iNith footing and/or foundation i
-After trenches are excavated. a ,\~()Q~
-After forms are erected ~ut prior to concret~~1acement.
Contractor
Phone
541-935-1945
Electrical Contr
541-935-1945
541-935-1945
541-689-5090
Plumbing Contr
, 541'-935-1945
Verify Ground Rod
Footing
Foundation
Electrical
MH Service
Underfloor Drain
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
I Plumbing
- Prior to cover or placement of concrete,
- Prior to filling trench,
- Prior to filling trench,
- Prior to filling trench.
- When all plumbing work is complete.
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Job# 02-00218-01 I
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Page 2 of 4
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MH Set Up
MH Final
Required Inspections
I Manufactured Home. I
- When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house numbel
I Public Works I
-After forms are erected but prior to placement of concrete
CC-Standard
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? D
Special Req.:,
Security Required:
Bond Begin DateTime: 00/00/000000:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Setback - 5'
D
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LDR ,
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Planner: Sam Gollah
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: 1162 of 2975
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
-Area (Sq. Feet)
Main: 1620 Accessory:
# Of Stories: 1 Height (feet): 16
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:1620
Fee
Paid On Receipt#
Plan Check
02/26/2002 8132
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
3,000
$34.32
$34.32
Foundation Only
State Surcharge For Building Permit
Building
03/07/2002 8246
03/07/2002 8246
3,000
$52.80
$3,70
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Job# 02-00218-01 Page 3 of 4
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Fee Paid On Receipt# Value/Quantity Fee Amount
I Building
8% Building Administrative Fee 03/07/2002 8246 $4.22
Total Building $60.72
Electrical
Minimum Electrical Permit Fee 03/07/2002 8246 $.00
Manufactured Home Service\Feeder 03/07/2002 8246 2 $100.00
State Surcharge - Electrical 03/07/2002 8246 $7.00
8% Admin Fee - Electrical 03/07/2002 8246 $8.00
Total Electrical $115.00
Plumbing
Minimum Plumbing Permit Fee 03/07/2002 8246 $,00
State Surcharge - Plumbing 03/07/2002 8246 $13.58
Water Service Footage 03/07/2002 8246 50 $45.00
. Sanitary Sewer Footage 03/07/2002 8246 50 $45.00
Storm Sewer Footage 03/07/2002 8246 100 $59.00
Manufactured Home Connection 03/07/2002 8246 1 $45.00
8% Administrative Fee - Plumbing 03/07/2002 8246 $15,52
Total Plumbing $223.10
Manufactured Home
Manufactured Home Setup Fee 03/07/2002 8246 15,000 $160.00
Manufactured Home State Issuance 03/07/2002 8246 1 $30.00
State Surcharge For Manufactured Hom 03/07/2002 8246 $11.20
Manufactured Home Administrative Fee 03/07/2002 8246 $12.80
Total Manufactured Home $214.00
Public Works
New Curbcut 03/07/2002 8246 $75.00
Total Public Works $75.00
System Development
Residential- Single Family - Storm 03/07/2002 8246 2,320 $633.36
Residential Improvement MWMC 03/07/2002 8246 1 $34.83
MWMC Administrative Fee 03/07/2002 8246 1 $10.00
SDC Administrative Fee 03/07/2002 8246 $125.22
Property Annexed 1979 or Before 03/07/2002 8246 15 $-73.80
Residential Sanitary MWMC 03/07/2002 8246 1 $332.86
Residential - Improvement 03/07/2002 8246 1 $659,76
Residential - Reimbursement 03/07/2002 8246 1 $155.13
Sanitary Sewer SDC Reimbursement 03/07/2002 8246 20 $427.40
Sanitary Sewer SDC Improvement 03/07/2002 8246 20 $324,80
Total System Development $2,629.56
Willamalane SDC
Manufactured Home - Willamalane 03/07/2002 8246 $1,000.00
Total Willamalane SDC $1,000.00
Planning
Planning Plan Review 03/07/2002 8246 $50.00
Total Planning $50,00
Job# 02-00218-01 I
Paid On Receipt#
I. _ Permits w/o Srchg
03/07/2002 8246
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Page 4 of 4
Value/Quantity
Fee Amount
$8.00
$8.00
$4,409.70
Date Completed
Comment
02/28/2002
03/06/2002
03/05/2002
03/05/2002
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 req\Jested 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~lans will rel}lain on the site at all times during construction.
~.a1 U_ , '~-;- 6')
Signatur~ Date
225 FlFT/-I STfiEET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726.3689
www.ci.springfield.or.us
March 8, 2002
Scott Lohman
24212 Warthen Road
Elmira, Oregon 97437
Enclosed is a copy of the electrical permit for 4551 Camellia Street, Springfield, Oregon.
When you obtained your permits, we neglected to properly validate it. I am enclosing a
copy of the permit for you to keep for your records,
Thank you, and if you have any questions, please feel free to phone me at 726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor
cc: David Bowlsby
Encl
nFIUH"STREET ~:,~
PRINGFIELb, OREGON 97477,
FFSPEC)'ION6R3 7ES' UES1(,,~7
I ' 2 ,- 'i~o\\
__-,:c':',' :~'~:'. _ ~!...~::
1. L~~\Ntr~
Items Cost
1.e~
\~\o\\
LEGAL DESC~!1pN ~
\lO~?~ -
~~~
Permits are non~ansferable and expire
if work is not started within 180 days
of issuance work is suspended for
180 days.
1000 sq.ft, or less
. Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$106.00
$ 19.00
B. Services or Feeders
Installation, Altera,
Relocation:
Minimum Elecc Permit Inspection Fee is $45.00 + Surcharges
TOTAL
IO().OY
A'%
{ 15.00
4. SUBTOTALOFABOVE
7% State Surcharge
8% Adrninistrative.Fee
I . . ...
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 02-00218-01
NAME OR COMPANY: SCOTT LOHMAN
LOCATION: 4551 CAMELLIA ST.
TAX LOT NUMBER: 17-02-32-43 TL: 4405
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 1680 SF LOT SIZE:
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S,F, COST PER S.F.
x
2320,00 $0.273
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S,F. I x. DISCOUNT RATE
0.00 $0,273 50%
I ITEM 1 TOTAL - STORM DRAINAGE SDC
2, SANITARY SEWER - CITY
A, REIMBURSEMENT COST:
NUMBER OF DFU's I x COST PER DFU
20 $21.37
B,IMPROVEMENT COST:
NUMBER OF DFU's I x COST PER DFU
20 ,$16.24
[ ITEM2TC>TAL - CITY SANITARY ~,~.~~!.SD~,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE NUMBER OF UNITS I
x x
9,57 1
B. IMPROVEMENT COST:
I. ADT TRIP RATE I x NUMBER OF UNITS x COST PER TRIP x
I 9,57 I $68.94
r ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's COST PER FEU
x
1 $332.86
B. IMPROVEMENT COST:
NUMBER OF FEU's ' COST PER FEU
x
1 $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL ADM. FEE RATE
x
$2,504.34 5%
J
~T~
3/5/2002
SDC COORDINATOR
DATE
4680
=1
$633,36
=,
=1
$0.00
$633.36
=1
$427.40
SF
C/j
~
Cl
o
U
~
~
~
C/j
.~
t;
~
l /
ll1070
. 1091./
/"
= I $324,80 l 1092~
=r $752.20~ ,
=, $332.86
=, $34.83 I
=1 ($73.80) l 1055'/
=1 $293.89 l
=1 $10.00 , 1056
=1 $303.89 II
-
=1 $2,504.34 II
COST PER TRIP
, $16.21
x
NEW TRIP FACTOR
1.00 =1
$155.13
NEW TRIP FACTOR
1.00 =1
=1
$659.76
$814.89
=1
$125.22
TOTAL SDC CHARGES = $2,629.56
1093-' /'
l 1094"/'
I ,
1073
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
( # NEW - # OLD ) UNIT FIXTURE
FIXTURE TYPE x EQUIVALENT = UNITS
BATHTUB ( 2 0 ) x 3 = 6
DRINKING FOUNTAIN ( 0 0 ) x 1 = 0
FLOOR DRAIN ( 0 0 ) x 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 = 0
LAUNDRY TUB ( 0 0 ) x 2 = 0
CLOTHESW ASHER /MOP SINK ( 1 0 ) x 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) ( 0 0 ) x 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC, ( 0 0 ) x I = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. .,.
( 0 0 ) x 3 = 0
SHOWER, SINGLE STALL ( 0 0 ) x 2 = 0
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( 1 0 ) x 3 = 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0
SINK: DOMESTIC BAR ( 0 0 .) x 1 = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 2 0 ) x 1 = 2
URINAL, STALL / WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0
TOILET, PRIVATE INSTALLATION ( 2 0 ) x 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
( 0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =, 20
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
-."
1979 OR BEFORE $4,92 1990 $2.06
1980 $4,83 1991 $1.64
1981 $4.77 1992 $1.45
1982 $4.64 1993 $L31
1983 $4.47 1994 $Ll3
1984 $4.30 1995 $0,97
1985 $4,09 1996 $0.82
1986 $3.78 1997 $0.63
1987 $3.41 1998 $0.41
1988 $2.98 1999 $0.22
1989 $2.52 2000 $0.04
VALUE /1000 CREDIT RATE
15.000 X $4,92 =1
0,000 X $4,92 =1
TOTAL MWMC CREDIT =1
$73,80
$0,00
$73.80