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Home My WebLink AboutPermit Building 2000-9-5 I . . I Job# 00-01119-01 I Page 1 of4 TRANS#:01-0003115 DATE:SEP 05 2000 AMT RECD:2 $ 3777.61 CHANGE: CASHIER: 061 SPRINGFIELD ~ 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01119-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1607 Dotie Dr Spr Assessors Map#: 17033422 Lot: 22 Block: Addition: Owner: Address: Tax Lot #: 07200 Subdivision: oakbreeze Fred Hample 3426 Brookview Dr Phone Number: 541-484-7076 City/State/Zip: Eugene, OR 97401 New Value: $49,871 Scope Of Work: Manufactured Home on Private Lot Contractor Type General Contr Electrical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Gooden-Harrison Construction 1441 hwy 99n, EUgene, OR 97402 Heritage Investors Inc Of Eugene 1042 Horn Ln, Eugene, OR 97404-2923 Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Office Use NU U 1(;1::: -- Land Use: Single Family oweIl1~ISPi~f113u'iI'clfri&s"fX2IREIFTHEWORK Zoning Code: LOR AUTHIo1!irITpa'~~YlG7oupS IDWellingS NOT Bedrooms: 3 COMMHeaf'SouR:ii1A66tc~dJ~l!::9\es\1ic Range: Electric ANY lt~q?,IfPP~g~D. 1026 Registration # Expiration Date Phone 541-689-7762 63137 12/27/2000 541-688-1600 541-689-7762 1RNW 1 (VN) Wood Frame Electric 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. Verify Ground Rod Footing Foundation Framing Firewall Final Building MH Electrical MH Service Final Electrical Required Inspections I Buildinll I ATTENTfON:Oregonlawrequiresyouto follow rules adQP.!Ad.h\{ttJa,OrAnon Ilt~ih -Install ground rod at footing, and call for inspecti.~illbaWC!H~gPtlgl~lfhO'o ~ruTeC7o"otrn adQn i -After trenches are excavated. "OAR952-001- . ose u esareset ortr, -After forms are erected but prior to concrete plaJ~~Ou m 001~thro~ghOAR952-o01' _ Prior to cover . ay obtam copies of the rules b}' -Located and ~onstructed according to plans. call~g}hecenter. (Note: the telephone - When all required inspections have been approv~d~nd !hj~~~~~~~~~~ml~ficatiOn I Electrical ..J - When blocking, selup, and plumbing inspections have been approved and the home is connect -When all electrical work is complete. Required Inspections I Plumbing - After home has been connected to water and sewer. -When all plumbing work is complete. 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 -After forms are erected but prior to placement of concrete 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: DO/DO/DODO 00:00 AM Special Instructions: Other Utilities: Project Supervisor: . . MH Plumbing Final Plumbing MH Set Up MH Final SW-Curbside CC-Standard Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: Planner: AI Ward Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a I Job# 00-01119-01 I . Page 2 of4 Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' D 8 To Curb and Gutter 6 DO/DO/DODO 00:00 AM Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 1 Land Use: Single Family Dwelling Pave Driveway? 0 3: Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 2 # Of Bedrooms: 3 Handicap Access? D [Area (Sq. Feet) _ Main: 1026 AccessoryaOO Flood Plain FEMA: n/a Accessory Structure # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code: New Mfg Home Tolal:1426 . . . . Job# 00-01119-01 I Page 3 of 4 Fee Paid On Receipl# Value/Quantity Fee Amount Plan Check Residential Plan Check 07/18/2000 2610 9,871 $52.33 Total Plan Check $52.33 Building Building Permit 09/05/2000 3115 9,871 $80.50 State Surcharge For Building Permit 09/05/2000 3115 $5.64 Building Administrative Fee 09/05/2000 3115 $2.42 Total Building $88.56 Electrical Manufactured Home ServicelFeeder 09/05/2000 3115 2 $80.00 State Surcharge For Electrical Permit 09/05/2000 3115 $5.60 Electric Administrative Fee 09/05/2000 3115 $2.40 Total Electrical $88.00 Plumbin!l Minimum Plumbing Permit Fee 09/05/2000 3115 $.00 State Surcharge For Plumbing Permit 09/05/2000 3115 $6.30 Water Service Footage 09/05/2000 3115 39 $25.00 Sanitary Sewer Footage 09/05/2000 3115 39 $25.00 Storm Sewer Footage 09/05/2000 3115 39 $25.00 Manufactured Home Connection 09/05/2000 3115 1 $15.00 Plumbing Administrative Fee 09/05/2000 3115 $2.70 Total Plumbing $99.00 Manufactured Home Manufactured Home Setup Fee 09/05/2000 3115 40,000 $105.00 Manufactured Home State Issuance 09/05/2000 3115 1 $30.00 State Surcharge For Manufactured Hoffi' 09/05/2000 3115 $7.35 Manufactured Home Administrative Fee 09/05/2000 3115 $3.15 Total Manufactured Home $145.50 Public Works New Sidewalk 09/05/2000 3115 47 $60.00 New Curbcut 09/05/2000 3115 1 $60.00 Total Public Works $120.00 System Development Manufactured Home - Storm 09/05/2000 3115 1,940 $465.60 Sanitary Sewer 09/05/2000 3115 18 $897.48 Residential Transportation 09/05/2000 3115 1 $507.82 Residential Sanitary MWMC 09/05/2000 3115 1 $242.76 Residential Improvement MWMC 09/05/2000 3115 1 $22.05 MWMC Administrative Fee 09/05/2000 3115 1 $10.00 SDC Administrative Fee 09/05/2000 3115 $106.50 Property Annexed 1997 09/05/2000 3115 27 $-15.66 Total System Development $2,236.55 Willamalane SDC Manufactured Home - Willamalane 09/05/2000 3115 1 $1,000.00 Total Willamalane SDC $1,000.00 Grand Total $3,829.94 . . . . Job# 00-01119-01 I Page 4 of 4 Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper 07/19/2000 Engineering-Res Steve Templin 07/24/2000 Planning-Res AW 07/27/2000 Structural-Res Wendy Stanley 07/24/2000 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 a9ree 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 ap53ved set 0: ~Ians will.remain on the site at all times during construction. ~J ftCU_ij~ 9 -5 /00 Signature Date . . f\Ati. . .. ~r"'Wdlamalane ~, "1' Park & Recreation District Job. No. r{j.(j\ \ q .0 l ;0' SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:~~G\ ~~ PHONE: ~'lD\\..Q ADDRESS: Ef\'Lu ~\:)\:.J'(STATEJ1td. ZIP:ctJ4.0\ LOCATION OF PROPOSED BUILDING SITE: {[,gO'7 ()6t\~o! 00 \JJ) _, _ Tax Lot Number: \'\(Y~?Af2JLOl2.CD Street Addres : Plat Name: 1. DEVELOPMENT TYPE. (Check appropriate dwelling(s). SDC calculations and dwelling t ype delinitions are on the back.) A. Sj,nale-Fl'Imilv Detl'lched Single Family home NO. OF UNITS l ( Manufactured home not in a park X $1,000 per unit = $ JQC() . ex) B. Sj,nole-Fl'lmilv Attl'lched NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aom1ment NO. OF UNITS X $692 per unit = $ D. ManufA.QjurAd Home Pm1\ NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ 10m ~ 0(;) . 2. SDC CREDIT (II applicable) SDc-payer must furnish proof of Willamalane Credit approval. See sac Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Credit) ~.~~~(),Q?K21 City of Springf~~ $ lmo.<XJ I I Date . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-01119-01 NAME OR COMPANY: HAMPLE LOCATION: 1607 DOTIE DRIVE TAX LOT NUMBER 17-03-34-22-07200 (OAK BREEZE ESTATES LOT 22) DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: BUILDING SIZE: 1426 LOT SIZE: 4500 . I. STORM DRAINAGE IMPERVIOUS SQ. FT. 1940.00 x $0.240 PER SQ. FT. $465.60 I 2 SANITAQV SFWFQ_r.TTV NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $49.86 PER PFU J...IReNSPOQT~ NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP x X 1.01 x $502.79 PER TRIP X $502.79 PER TRIP TOTAL TRANSPORTATIONSDC 4 SANITARY SEWER - MWM!; A. REIMBURSEMENT COST: NUMBER OF FEU's $242.76 PER FEU X B. IMPROVEMENT COST: NUMBER OF FEU's $22.05 PER FEU X MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3,&4) r .2..1:\OMINISTRATIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) X 0.05 $897.48 I $507.821 $0.00 $507.82 I $242.76 1 $22.05 1 ($15.66)1 $10.00 1 $259.15 I $2,130.051 $106.50 I ~T~ 'SIJC CUUKlJINAIUK 07/24/2000 IJAIE TOTAL SDC CHARGES I $2,236.551 . . PLUMBING FIXTURE UNIT (PFU) CALCULA TION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT ~ PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) TOTAL PLUMBING FIXTURE UNITS~I CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEl YEAR RATE PER $1,000 YEAR 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 PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO W ASH/ETC. LAUNDRY TUB/CLOTHESW ASHER/MOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER ST A TIONIETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URlNAL,STALLAWALL WASH BASINILA V A TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD 2 UNIT EQUIVALENT 2 I 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 2 2 $0.57 x 27.469 x PLUMBING FIXTURE UNITS 4 o o o o 2 o o o o o o 2 o 2 o 8 o o o 18 $15.66 $0.00 CREDIT TOTAL $15.66 ~ . . - S.NCFIELO- ~~ . DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRlNGF/ELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 MANUfACTURED I-IOME LAND USE AGREEMENT As required by the City of Springfield Developmenl Code, I agree that Wilh~'pP..tevaMlhe 'l.ll:'~!led permils, one of the rollowing manufactured homes will be placed at-.l1Rm \ YJllD _ \.lX Springfield, Oregon, Cily Job Nulnber _n().()\\\Q .1""'11 _' V Type J Manufactured I.lome. A multi-sectional (double wide or wider) unit with an enclosed floor area of nOlless than 1,000 square feel, thaI has a nominal roof pitch of 3 feel in height ror each 12 feet in widlh, that has no bare metal siding or roofing, and that has been cenified by the manufacturer to have an exterior thennal envelope meeting perfonnanee slandards which reduce heal Joss 10 levels equivalent to the perronnanee slandards required or single family dwellings constmeted under the Slale Specialty Codes. Type" Manufactured I'/ome. A unil of no I less than 12 feel in widlh with an enclosed 1100i- area or not less Ihan 500 square feel, that has a nominal roar pitch of2 feel in heighl for each 12 feel in widlh and Ihal has no bare metal siding or roofing. TI.e manu faetured home shall be placed on an excavated and back-filled foundalion not to exceed 6 percenl slope wilhin 10 feet oflhe perimeter enclosure. TIle perimeter foundalion wall surrounding Ihe home shall be constmcled or stone, brick or other masonry malerials, and wilh no more Ihan 24 inches of, Ihe enclosing material exposed above gmde. I funher agree 10 meet all land use and City Code requirements of the above mentioned parcel wilhin 60 days oflhe date of issuance of the manufactured home set up pemli!. TIlese requirements may include, but arc not limiled 10 the items Iisled below. Specific land use requiremenls regarding your parcel are 110led 011 your approved set up plans and/or penn it and your panilion approval ir applicable: . Slrcc( Trees . Paving Driveway . Minimum 32 square foot slorage stmclure . Complelion orpanition approval . Removal or any existing slmclures as nOled on your panilion approval . Sisnins and recordins of any required panition, easemenl, improvemenl agreements, elc. . final 101 smdinS . Cily Sidewalk nnd.curbcut inSinUation . Any oUlside aseney approval as required i.e., Division of State Land approval. Dy my sisnature below, I agree 10 complele Ihe above menlioned land use requirements. , ~~e.AJ a :\ ~n Q Owner ign01turc. " ." ~A.u-~ Conlrnctor Signature 1- 18 -00 Dale -, - /8-o(J Dale ~.o '(1)0. OJs..i :0"0 . q; "0 vC1/ 'lJ0' .0"0' . 0'06 7l$lCt ~ ~, 1)0.88 ',.. "6 $9".""~ "1'6 &" ~,()$C',Z~~t~ ELECTRICAL PERMIT APPLICATION "c 6.r ~ 'o~ . f1 "0' v~~"'i,Q Ci ty Job Number pO 'O\\\"'I'{) I OMPLETE FEE SCHEDULE BELOV O~t$ "/V/~ 0" 225 FIITH STREET <'>$0' ~. SPRINGFIELD, OREGON 97477 :9"61" INSPECTION REQUEST.: 72.6-3769 '$ OFFICE: 726-3759, 1. LOCATION OF INSTALLATION \\'lOl ~r. LEGAL DESCRIPTION ~ "0 \""\ n??A1.lL mLlJ ew Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Su IONn C'\O~ Permits ar non-transfera~ and e~ire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1000 sq. ft. or les:;, Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. 'Dwelling Service or Feeder $ 85.00 i '\ $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor ~~ ~ Address /tJr2- ~ ,;r; 0_ . Ci ty f!~ ? Supervisor License Number 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Phone 7;2 9 - /5:00 ?'f5-S /'IO{ Constr Contr. Numbel- b $/~7 ISE- Expiration Date .i U5I /J<f S' f S !. {I .. Ignat~r~vls~clan ))wners Na~~\ 0 "Address'2A"?lo ~. Ci ty f~l..ruu Phone c:\ ~4 ."10\10 OIINER INSTALLATION Expiration Date Temporary Services or Feeders Installation, Alteration or Relocation C. 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above '. ! Branch Circuits D. " New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not include, -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 The installation is being made on property I own which is not intended for sale, lease'or rent. Owners Signature: 5. SYBTOTAL OF ABOVE 7?% State Surcharge 3% Administrative Fee TOTAL DATE: ~vGJ.rl If: RECEIVED BY: