HomeMy WebLinkAboutPermit Building 2001-6-13
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I Job# 01-00498-01 I
Page 1 of 3
TRANS#=Ol-0005804
DATE:JUN n 2001
AMT RECD:2 $ 830,00
1 $ L 00
CHANGE:$ 0.04
CASHIER: 003
I
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00498-01
:225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Llocation Of Proposed Site: 5295 Cynthia Ct Spr
Assessors Map#: 17023334
Lot: 1702 Block: Addition:
Tax Lot #: 00107
Subdivision: Danielle
Owner:
Address:
Gordon Schade
5295 Cynthia Ct
Phone Number: 541-747-1771
Sc:ope Of Work: Manufactured Home on Private Lot
City/State/Zip:
New
Springfield, OR 97478
Value: $32,000
Cc)ntractor Type
G(~neral Contr
Electrical Contr
Contractor
Mels Budget Homes
3980 Main St, Springfield, OR
Gordon Schade
5295 Cynthia Ct, Springfield, OR 97478
Emerald Lifestyles Homes
575 S. A. Street, Springfield, OR 97477
Registration # Expiration Date
Phone
541-747-9585
541-747-1771
Manuf Home Install
541-747-4008
Ctuad Area: 3RSC
# Of Units:
Constr. Type: (VN) Wood Frame
Water Heater:
Office Use
Land Use:
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Dwelling
Heat Source:
Sq. Footage: 1795
To request an inspection call the 24 hour recording at 726-3769. All inspections 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
working day.
Footing
Foundation
Final Building
Required Inspections
I Building
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-When all required inspections have been approved and the building is complete.
I Electrical I
-When blocking, setup, and plumbing inspections have been approved and the home is connect
MH Electrical
MH Service
MH Plumbing
Water Line
Sanitary Sewer Line
I Plumbing I
-After home has been connected to water and sewer.
-Prior to filling trench.
- Prior to filling trench.
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M." Set Up
M." Final
I Job# 01-00498-01 I
Required Inspections
I Plumbing
- Prior to filling trench.
I Manufactured Home
- When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house numbel
Page 2 of 3
St,)rm Sewer Line
Ze1ning: LOR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:
Land Use:
Pave Driveway? D
3:
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Flc)odway FEMA: Zone X White
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: Panel 1166 of 2975
Co.nstruction Types:(VN) Wood Frame
Oc:cupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: 1795 Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:1795
Fee
Paid On Receipt#
Plan Check
05/16/2001 5389
Value/Quantity
Fee Amount
RHsidential Plan Check
Teltal Plan Check
4,000
$28.93
$28.93
Foundation Only
State Surcharge For Building Permit
Building Administrative Fee
TOltal Building
Building
06/13/2001 5804
06/13/2001 5804
06/13/2001 5804
4,000
$44.50
$3.12
$1.34
$48.96
Manufactured Home Service\Feeder
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Electrical
06/13/2001 5804
06/13/2001 5804
06/13/2001 5804
2
$80.00
$5.60
$2.40
$88.00
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Mcilnufactured Home Connection
Plumbing
06/13/2001 5804
06/13/2001 5804
06/13/2001 5804
06/13/2001 5804
06/13/2001 5804
06/13/2001 5804
50
50
80
1
$.00
$7.35
$25.00
$25.00
$40.00
$15.00
....
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Fee
Job# 01-00498-01 I
Paid On Receipt#
Plumbing
06/13/2001 5804
Page 3 of 3
Value/Quantity Fee Amount
Administrative Fee - Plumbing
Total Plumbing
$3.15
$115.50
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufactured Hom
Manufactured Home Administrative Fee
TI:>tal Manufactured Home
Manufactured Home
06/13/2001 5804
06/13/2001 5804
06/13/2001 5804
06/13/2001 5804
28,000
1
$105.00
$40.00
$7.35
$3.15
$155.50
I
System Development
06/13/2001 5804
06/13/2001 5804
06/13/2001 5804
06/13/2001 5804
521
7
7
$141.06
$113.05
$148.75
$20.14
$423.00
$859.89
Residential - Single Family - Storm
Sanitary Sewer
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Tellal System Development
Glrand Total
Plan Check Type Checked By Date Completed Comment
Initial Review-Res Bob Barnhart OS/21/2001
Engineering-Res Steve Templin 05/31/2001
Planning-Res Liz Miller 06/05/2001
Slructural-Res Bob Barnhart 06/05/2001
By signature, I state and agree, that I have carefully examined the completed application and do
he1reby certify that all information hereon is true and correct, and I further certify that any and all work
pe!rformed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
thl~ 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 0 Plan~emain n t ite at all times during construction.
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Date
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SilJnature
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.... I DRAINA"IXTURE UNIT (DFU) CALCULA.N 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 - UNIT FIXTURE
# OLD ) x EQUIVALENT =
FIXTURE TYPE UNITS
BATHTUB ( 2 1 ) x 3 - 3
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 1 ) x 3 - 0
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 1 - 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: COMMERCIALIRESIDENTIAL KITCHEN ( 1 1 ) x 3 - 0
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 1 ) x 1 - 1
URINAL, STALL / WALL ( 0 0 ) x 5 - 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 - 0
TOILET, PRIVATE INSTALLATION ( 2 1 ) x 3 - 3
MISCELLANEOUS DFU TYPE NUMBER OF EDD's*
( 0 0 ) x 20 - 0
TOTAL DRAINAGE FIXTURE UNITS =1 7
*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
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DA TE, CALCULATE CREDIT SEP ARA TEL Y
YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4.74 1990 $1.96
1980 $4.65 1991 $1.55
1981 $4.59 1992 $1.36
1982 $4.46 1993 $1.23
1983 $4.30 1994 $1.05
1984 $4.14 1995 $0.90
1985 $3.93 1996 $0.75
1986 $3.63 1997 $0.57
1987 $3.26 1998 $0.35
1988 $2.85 1999 $0.15
1989 $2.40
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
0.000 X $0.00 =1
0.000 X $0.00 =1
TOTAL MWMC CREDIT =1
$0.00
$0.00
$0.00
CITY OF SPRINGFIELD aTEMS DEVELOPMENT CHARAORKSHEET
JOURNAL OR JOB NUMBER: 01-00498-01
NAME OR COMPANY: SCHADE
LOCATION: 5295 CYNTHIA COURT
TAX LOT NUMBER: 17-02-33-34-00107
DEVELOPMENT TYPE: MAN HOME (REPLACEMENT)
NEW DWELLING UNITS: 0 BUILDING SIZE: 0 SF LOT SIZE: 0 SF
4
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.1 STORM D.B.A.INAG.E
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. COST PER S.F.
x
520.50 $0.271 =1 $141.06
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. COST PER S.F. I DISCOUNT RATE
x x
0.00 $0.271 I 50% =1 $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC =L $141.06
~RY SEWER - r.qy
A. REIMBURSEMENT COST:
I NUMBER OF DFU's COST PER DFU
I 7 x $21.25
B. IMPROVEMENT COST:
NUMBER OF DFU's COST PER DFU
x
7 $16.15
1070
=1
$148.75
1091
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
.3......IRANS PORT A:llilli
A. REIMBURSEMENT COST:
ADT TRIP RATE NUMBER OF UNITS
x
9.57 0
B. IMPROVEMENT COST:
ADT TRIP RATE NUMBER OF UNITS
x
9.57 0
=1
=1
1092
$113.05
I
II
$261.80
x
COST PER TRIP
$16.12
x
NEW TRIP FACTOR
1.00 =1
$0.00
1093
x
COST PER TRIP
$68.55
x
NEW TRIP FACTOR
1.00 =1
=1
$0.00
$0.00
1094
ITEM 3 TOTAL - TRANSPORTATION SDC
~NTTAB...Y SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's COST PER FEU
x
o $285.91
B. IMPROVEMENT COST:
NUMBER OF FEU's COST PER FEU
x
o $24.33
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
=1
$0.00
=1 $0.00 l
=1 $0.00 I
=1 $0.00 l 1055
=, $0.00 I 1056
=1 $0.00 I
=1 $402.86 II
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
,LADM
SUBTOTAL
$402.86
ADM. FEE RATE
x
5%
=1
$20.14
1073
~T~
5/31/01
TOTAL SDC CHARGES = $423.00
SDC COORDINATOR DATE
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225 FIFTH STREET ~ o~,(\~~~. ~,{'.
SPRINGFIELD, OREGON 9747 f 'lJ.~~\0 1,0
INSPECTION REQUEST: 726-3769. (\
OFFICE: 726-3759 ~~e . eO~~
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1. L~AW ~ST~& A.
LEGil!- ...P~CRIP;~ ^
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JOB DESCRIP~f~N ('\___ ...
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Permits are ~-transferable and expire
if work is not 'started wi thin 180 days
of issuance or if work is suspended for
180 days.
2." CONTRACTOR INSTALLATION ONLY
Contractor
Address
/
Phon(
/
umber
City
~
Supervisor
Expiration Date /
Constr conrumber
Expiratio Date
~
~
of Supervising
Owne~rs Nameb.~.~ 0 )
Address ~ qe ~(\"-t~G ~t
~rl . ~
Ci ty ,--\~\l1, Phone 141 ~ \"l\ \_
OVNER INSTALLATION
D.
The installation is being made on E.
property I O\o1n which is not intended
.
for sale, lease or rent.
9J!!1e.rs Signature, ;J /:l
0z ) #~~""-Jl?0~ ./
~L.____._.:.________ ----------------_~ 5.
DATE::
RECEJ:~
RECEIVED BY:
S.GFIELD
,
ELECTRICAL PERMIT APPLICATION
City Job NumberD( .n()4..C\<l.>o
COMPLETE FEE SCHEDULE BELO~
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular "Dvelling
Service or Feeder \.$ 40.00
.B.
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
Reconnect Only
C.
4f)
$ 50.00
. $ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
,
,.
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$ 36.00
~. a;
.. .
It) _. 9(0
4..4-~eo
40.00
40.00
20.00