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Home My WebLink AboutPermit Building 2000-3-21 . .. . 225 North Fifth Street Springfield, OR 97477 . . Page 1 of 4 TRANS#:01-0000990 DATE:MAR 21 2000 AMT RECD:2 $ 285.44 CHANGE: CASHIER: 003 I Job# 99-01629-01 I CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01629-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5780 FORSYTHIA ST Spr Assessors Map#: 18020411 Lot: 2 Block: Addition: Replat Owner: Address: Tax Lot#: 00119 Subdivision:Spring Oak Margaret Burdge 365 52nd Place Phone Number: 541-746-2377 City/State/Zip: New Springfield, OR 97478 Value: $79,268 Scope Of Work: Manufactured Home on Private Lot Contractor Type General Contr Electrical Contr First unit of two required units on this lot G;:m:lnp. np.rmit i~!=;Ilp.rl ::iftp.r M.H. np.rmit. Contractor Heirloom Construction Inc 1705 Minda Dr, Eugene, OR 97401 Margaret Burdge 365 52nd Place, Springfield, OR 97478 Registration # 104911 Expiration Date 3/7/01 Phone 541-343-5033 541-746-2377 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 Slab Shear Wall Nailing Framing Final Building MH Electrical Electrical Service Pedestal MH Service MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Required Inspections I Building I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated, - After forms are erected but prior to concrete placement. - To be made after all inslab building service equipment, conduit piping, and other equipment iter - Before covering sheathing with finish materials, - Prior to cover. - When all required inspections have been approved and the building is compiete, I Electrical I - When blocking, setup, and plumbing inspections have been approved and the home is connect - Must be approved to obtain permanent power, -Prior to cover, I ~ Plumbing -I - After home has been connected to water and sewer. - Prior to filling trench, - Prior to filling trench, - Prior to filling trench, . I Job# 99-01629-01 I . Page 2 of 4 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 ereceted but prior to placement of concrete, Curbcut Sidewalk Street Improvement: Curb Cut?O Improvement Agr.?O San Sewer Depth (Ft): Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/00 00:00 AM Special Instructions: Other Utilities: Project Supervisor: Sidewalk Type: Additional ROW? 0 Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: 00/00/00 00:00 AM Types Of Warning Devices Reqd. Zoning: MDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 99-06-163 2: Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? 0 3: Comments:private access easement recorded 1/10/2000 Planner: AI Ward Urban Growth Boundary?O Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Flood Plain FEMA: n/a Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? D iArea (Sq. Feet) I Main: 1179 Accessory: # Of Stories: 1 Current Units: Census Code: Does not apply Height (feet): 17 Proposed Units:1 Total:1179 Fee Paid On Receipt# BuildinQ 01/19/2000 298 03/02/2000 798 03/21/2000 99 / 01/19/2000 298 03/02/2000 798 03/21/2000 99 Value/Quantity Fee Amount Building Permit Building Permit Garage/Carport State Surcharge For Building Permit State Surcharge For Buiiding Permit State Surcharge For Building Permit 5,500 11,884 11,884 $56,50 $92,50 $92,50 , $3.96 $6.48 ,$6.48 , . Job# 99-01629-01 . Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Buildin!l [ Building Administrative Fee 01/19/2000 298 $1,70 Building Administrative Fee 03/02/2000 798 $2,78 Building Administrative Fee 03/21/2000 99 l $2,78 Total Building $265,68 Electrical Manufactured Home ServicelFeeder 01/19/2000 298 2 $80,00 State Surcharge For Electrical Permit 01/19/2000 298 $5,60 Electric Administrative Fee 01/19/2000 298 $2.40 Total Electrical $88.00 Plumbin!l Minimum Plumbing Permit Fee 01/19/2000 298 $,00 State Surcharge For Plumbing Permit 01/19/2000 298 $7,35 Water Service Footage 01/19/2000 298 50 $25,00 Sanitary Sewer Footage 01/19/2000 298 20 $25,00 Storm Sewer Footage 01/19/2000 298 70 $40,00 Manufactured Home Connection 01/19/2000 298 1 $15,00 Plumbing Administrative Fee 01/19/2000 298 $3,15 Total Plumbing $115.50 Manufactured Home Manufactured Home Setup Fee 01/19/2000 298 50,000 $105,00 Manufactured Home State Issuance 01/19/2000 298 1 $30,00 State Surcharge For Manufactured Ham 01/19/2000 298 $7,35 Manufactured Home Administrative Fee 01/19/2000 298 $3,15 Total Manufactured Home $145.50 Public Works New Sidewalk 01/19/2000 298 65 $60,00 New Curbcut 01/19/2000 298 1 $60,00 Total Public Works $120,00 System Development Residential - Single Family - Storm 03/21/2000 99 754 ,$174,93' Manufactured Home - Storm 01/19/2000 298 3,036 $704,35 Sanitary Sewer 01/19/2000 298 20 $965.40 Residential Transportation 01/19/2000 298 1 $491 ,60 Residential Sanitary MWMC 01/19/2000 298 1 $242,76 Residential Improvement MWMC 01/19/2000 298 1 $22.05 MWMC Administrative Fee 01/19/2000 298 1 $10,00 SDC Administrative Fee 01/19/2000 298 $117,20 SDC Administrative Fee ,03/21/2000 99 $8,75' Property Annexed 1979 or Before 01/19/2000 298 21 $-92,23 Total System Development $2,644,81 Willamalane SDC Manufactured Home - Willamalane 01/19/2000 298 1 $1,000,00 Total Willamalane SDC $1,000.00 Deposit/Copies/Mis Deposit 03/02/2000 798 1,620 $1,620,00 Total Deposit/Copies/Mis $1,620.00 Grand Total $5,999.49 . . Page40f4 Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res I Job# 99-01629-01 I Checked By Date Completed Bob Barnhart 02/28/2000 Steve Tempiin 03/14/2000 AI Ward 03/20/2000 Don Moore 03/21/2000 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 compiiance 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 ,~:;I~iii::;~~:e site at all times during construction, J -2) _ 00 ~~, ~ . ---. " " , DUPLICATE RECEIPT DUPLICATE RECEIPT ====================================~ CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541)726-3753 --- --- ----.------------------.------ ------- ---.-------- ----- ------ ---------------- --- WELCOME TO OEUELOPMENT SERVICES AND PUBLIC WORKS -------- ---- -------- ------- -------------- ---------------------------------------- REG-RECEIPT:Ol-0000990 C:MAR 21 2000 CASHIER 10:003 1:56 pm A:MAR 21 2000 -- ---------- ---------.----- -- -------- .---.. - -- ---- ----- ------ ----- --..----.--- - ------ 1002 BUILOING PERMlT JOB#:89-01629-01 1099 SlATE SURCHARGE(7X) JOB#:99-01829-01 109B ADMIN FEE(3X) JOB#:99-01629-01 1070 SDC/STORM JOB#:99-01529-01 1073 SDC/ADMIN JOB#:99-01629-01 $92,50 $6,48 $2,7B $174,93 $8,75 ----------------- TOTAL DUE I RECEIVED FROM: MARGARET BURDGE $285,44 CHECK: $285,44 -.----------..----- TOTAL TENDERED $285,44 --------.--------- CHANGE DUE $0,00 ---- --------- ---- -,- ------- ------- - - - - --- ---------------------------------------- .Pay Name :MARGARET 8URDGE .Mail Addr :5729 MAIN STREET 80X 303 'Cty/St/Z :SPRINGFIELO OR 97478 tSite Addr :5780 FORSYTHiA -._- ---- - - -.------ -- ----- --- -- ------------ --- ----- --- - ---.--- - ----- - - - ..----.---- ---- - - - -- --- - ----- - -- -- - ---- - -- -----------.- -- -------------------....- ------------- ----- I ======================================== I ..... THANK YOU!!!!!! ~-~--~ ._-..--. -'--- -.-- ..--------. ._-.-..._~.,-------- .. .1 ... . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 99-01629-01 NAME OR COMPANY: JAMES BURDGE LOCA TION: 5780 FORSYTHIA TAX LOT NUMBER 18-02-04-11-00119 DEVELOPMENT TYPE: GARAGE ONLY DWELLING UNITS: BUILDING SIZE: LOT SIZE: I, STORM DRAINAGE IMPERVIOUS SQ, FT, $0.232 PER SQ, FT, 754,00 x 2, SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) $48.27 PER PFU o x 3, TRANSPORTATION NUMBER OF TRIPS x TRJP RATE x COST PER PM PEAK HOUR TRIP o I, I x x 1.01 x $486,73 PER TRIP x $486.73 PER TRIP TOTAL TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's $242,76 PER FEU o x B. IMPROVEMENT COST: NUMBER OF FEU's $22,05 o PER FEU x MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x' 0,05 $8.75l ----- S~~~;o'Rf;~6R .-/ TOTAL SDC CHARGES I "",In f~co _ 1JA1fE $174,93l $0,00 I $0,00 I $0,00 I $0,00 I $0,00 I $0.00 I $0.00 I $0.00 I $0,00 I $174.931 $183.68 I . . PLUMBING FIXTURE UNIT (PFU) CALCULA TION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS !NOTE: FOR REMODELS, CALClJLA TE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLlDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOTHESW ASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK! DISHWASHER/ETC, SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, ST ALLfW ALL WASH BASINILAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: ~ ,'. -~ FIXTURES UNIT NEW OLD EQUIVALENT 2 I 2 3 6 2 6 6 I 3 2 I 2 2 I 6 4 PLUMBING FIXTURE UNITS o o o o o o o o o o o o o o o o o o o o TOTAL PLUMBING FIXTURE UNITS~I 0 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 RATE PER $1,000 ASSESSED VALUE $4.47 $4,38 $4.32 $4,20 $4,03 $3,88 $3.68 $3.38 $3,03 $2,62 YEAR ANNEXED 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $1,000 ASSESSED VALUE $2.18 $1.75 $ 1.35 $ 1.17 $1.03 $0.86 $0.71 $0.57 $0.39 $0,18 , ,x x I ,$0,00 , I $0,00 CREDIT TOTAL $0,00