HomeMy WebLinkAboutPermit Building 2001-5-1
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I Job# 01-00283-01 I
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Page 1 of 4
TRANS#:01-0005117
DATE:MAY 01 2001
ANT RECD:2 $ 2614.79
CHANGE:
CASHIER:003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00283-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4681 Jasper Rd Spr
Assessors Map#: 18020513
Lot: Block: Addition:
Tax Lot #: 03800
Subdivision:
~
Owner:
Address:
James J Getchell
37017 Goats Road
Phone Number: 541-747-8798
Scope Of Work: Manufactured Home on Private Lot
City/State/Zip:
New
Springfield, OR 97478
Value: $4,101
This is the address of the residence that was on the property several years ago. Need
Contractor Type
General Contr
Contractor
James J Getchell
37017 Goats Road, Springfield, OR
97478
Electrical Contr James J Getchell
37017 Goats Road, Springfield, OR
97478
Registration # Expiration Date
Phone
541-747-8798
I
541-747-8798
Manuf Home Install James J Getchell
37017 Goats Road, Springfield, OR
97478
Plumbing Contr James J Getchell
37017 Goats Road, Springfield, OR
97478
541-747-8798
541-747-8798
Quad Area: 5RSC
# Of Units:
Constr. Type: (VN) Wood Frame
Water Heater:
Office Use
Land Use:
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source:
Sq. Footage: 1920
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.
Foundation
Final Building
Required Inspections
I Building I
- 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
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Planner: Ruth Klein
Urban Growth Boundary?[?J
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: 1920 Accessory:192
Building Permit
Foundation Only
State Surcharge For Building Permit
MH Plumbing
Water Line
Storm Sewer Line
Line to Septic Tank
Final Plumbing
Street Improvement:
Curb Cut?D
San Sewer Depth (Ft):
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime:
Special Instructions:
Other Utilities:
Project Supervisor:
Fee
Residential Plan Check
Total Plan Check
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Page 2 of 4
I Job# 01-00283-01 I
Required Inspections
I PlumbinR I
- After home has been connected to water and sewer.
- Prior to filling trench,
- Prior to filling trench,
- Prior to filling trench.
- When all plumbing work is complete.
ACMat
Improvement Agr.?D
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
To Drywell-Provide Drywell En
D
San Sewer Tee (in):
00/00/00 00:00 AM Bond End DateTime: 00/00/00 00:00 AM
ALL ROOF DRAINS TO DRYWELL WITH OVERFLOW TO APPROVED
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 6
Land Use:
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: n/a
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:
Census Code: New Mfg Home
Total:2112
Paid On Receipt#
Plan Check
03/23/2001 4751
Value/Quantity
Fee Amount
4,100
$32.83
$32.83
BuildinR
05/01/2001 5117
05/01/2001 5117
05/01/2001 5117
4,100
$,00
$50,50
$3,54
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Job# 01-00283-01 Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
BuildinR
Building Administrative Fee 05/01/2001 5117 $1.52
Total Building $55.56
Electrical
Manufactured Home Service\Feeder 05/01/2001 5117 2 $80.00
State Surcharge - Electrical 05/01/2001 5117 $5.60
Administrative Fee - Electrical 05/01/2001 5117 $2.40
Total Electrical $88.00
PlumbinR
Minimum Plumbing Permit Fee 05/01/2001 5117 $.00
State Surcharge - Plumbing 05/01/2001 5117 $10.50
Water Service Footage 05/01/2001 5117 383 $85.00
Sanitary Sewer Footage 05/01/2001 5117 50 $25.00
San Sewer Line Footage w/Bath Permit 05/01/2001 5117 38 $.00
Storm Sewer Footage 05/01/2001 5117 50 $25.00
Storm Sewer Line w/Bath Permit 05/01/2001 5117 $.00
Manufactured Home Connection 05/01/2001 5117 1 $15.00
Administrative Fee - Plumbing 05/01/2001 5117 $4.50
Total Plumbing $165.00
Manufactured Home
Manufactured Home Setup Fee 05/01/2001 5117 1 $105.00
Manufactured Home State Issuance 05/01/2001 5117 1 $40.00
State Surcharge For Manufactured Hom, 05/01/2001 5117 $7.35
Manufactured Home Administrative Fee 05/01/2001 5117 $3,15
Total Manufactured Home $155.50
System Development
Residential - Single Family - Storm 05/01/2001 5117 2,108 $285.64
Residential Transportation 05/01/2001 5117 1 $656.02
SDC Administrative Fee 05/01/2001 5117 $54,80
Transportation SDC Reimbursement 05/01/2001 5117 1 $154.27
Total System Development $1,150.73
Willamalane SDC
S,F. Residence - Willamalane 05/01/2001 5117 1 $1,000.00
Total Willamalane SDC $1,000.00
Grand Total $2,647.62
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Bob Barnhart
03/26/2001
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Plan Check Type
Checked By
Engineering-Res
Steve Templin
Engineering-Res
Planning-Res
Pam Ownby
Ruth Klein
Planning-Res
Kay Bork
Structural-Res
Don Moore
Job# 01-00283-01 I
Date Completed
05/01/2001
05/01/2001
04/05/2001
05/01/2001
04/09/2001
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Page 4 of 4
Comment
'MUST OBTAIN PERMIT FROM ODOT TO
ACCESS STATE HIGHWAY PRIOR TO
ISSUING PERMIT, . MUST SIGN
IMPROVEMENT AGREEMENT AND PAY
$41.00 (CASH OR CHECK MADE OUT TO
"LANE COUNTY DEEDS AND RECORDS)
TO RECORD IMPROVEMENT AGREEMENT
PRIOR TO ISSUING BUILDING PERMIT, .
MUST DEDICATE 7' PUE ALONG
FRONTAGE OF JASPER ROAD AND PAY
$36,00 (CASH OR CHECK MADE OUT TO
"LANE COUNTY DEEDS AND RECORDS)
TO RECORD EASEMENT PRIOR TO
ISSUING BUILDING PERMIT
Needs to turn in copy of recorded and
notarized Improvement Agreement. Needs to
be recorded with the county, Gave him the
paperwork as well as Steve's paperwork on
4/5/01
per Don Moore, teh required improvement
agreement and easement were signed and
check made out to Lane county for recording
fees. OK
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety, I further
certify that only contractors and employees who are in compliance with ORS 701,055 will be used on
this project.
I further agree to ensure that all required inspections are requested at the proper time, that each
address is readable from the street, that the permit card is located at the front of the propery, and the
ZJ~~ at all times during construction.
tJrfgnaturez;7 - Date
, 10\\0",\09
\\tad nas Ine d use
. t as 5\.1'00'\ cine \aO
1he\0'\O"'\Odg~~~~~01 !eQui!e spe , CTRICAL PERMIT APPLICATION
9741'1,\Og, aO . ~
726l<~'l~~7.00\Og 1ty Job Number O/-ntJZf>!3 -0/'
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
nale
1. LOCATION OF INSTALLATIONzad SigoalUla
46~/ LlA:~.~<;'Ol\ ,A.
LEGAL DESCRIPTION
I~O-;Z O~ I 3 03,$C>D
JOB DESCRIPTIO~
A/6tJ MJ'4"'.A .,.
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
/
/
Address
City
Phone /
License NU~
Date /
Supervisor
Expiration
Expirati
Signature of Supervising Electrician
Owners Name .,JANll!!;S ~ 1, a".,.("~/-
Address ;?'7DI7 d~ R).
,
City ~tf/iifldJ Phone747~_1'~
OYNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
'/' ~-_Al/4-S?tl"~'r?P
/~~--~~----------------------------
DATE: '1- / -01
RECEIPT t!: -=n: (( 7 .
RECEIVED BY: /'~A'\M
v, -
PLETE FEE SCHEDULE BELOY
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
It ems Cost Sum
1000 sq.ft. or less $ 85.00
, Each addi tional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder "2- ,$ 40.00 $.0 "l!)
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
vol ts 'see "B" above
"
New, 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 vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 01-00283-0 I
NAME OR COMPANY: GETCHELL
LOCATION: 4681 JASPER ROAD
TAX LOT NUMBER: 18-02-05-13-03800
ANNEXA nON YEAR N/ A LANE COUNTY ASSESSED VALUE (LAND) $0
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
DWELLING UNITS: I BUILDING SIZE: SF ' LOT SIZE: SF
I !':TORMnRATNA(;F
I IMPERVIOUS S,F. 1.1 COST PER S.F,
2108.00 1 $0.271
lITEM I TOTAL - STORM DRAINAGE SDC
? !':ANTTARY!':F.MR-rrrv
A. REIMBURSEMENT COST:
I NUMBER OF DFU's 1,1 COST PER DFU
o 1 $21.25
B. IMPROVEMENT COST:
I NUMBER OF DFD's I, I COST PER DFU
o I I $16.15
[ITEM 2 TOTAL - CITY SANITARY SEWER SDC
1...I&\.N!':PORT A TION
A. REIMBURSEMENT COST:
I ADT TRIP RATE 1 ,I NUMBER OF UNITS I ' I COST PER TRIP
9.57 I 1 1 I $16.12
B. IMPROVEMENT COST: ~
I ADT TRIP RATE ] ,I NUMBER OF UNlTSJ ,I COST PER TRIP
I 9.57 1 l $68.55
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I ITEM 3 TOTAL - TRANSPORTATION SDC
4 SANITAllV "FWl'll_ MWMr
A, REIMBURSEMENT COST:
I NUMBER OF FEU's I 'I COST PER FEU
o $28591
B. IMPROVEMENT COST:
1 NUMBER OF FEU's I 'I COST PER FEU
1 0 $24.33
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
So? 7:>.c..r...../1 Ci"~.lf '2..~s.. c.,v.
=1 :%1:::1 1
-=1 -$571:27- l
28S.<...
=1 ' $0.00
~I $0,00 11
=1 $0.00 J I
,
,INEW TRIP FACTOR I' /071
1.00 =1 $154.27
...."
1..INEWTRlPFACTORI //711
1.00 1~L..J.656.02
=f
JI
_f
$810.29
~I $0,00
=1 $0,00
=1 $0,00
=1 $0,00 I,
=ISO.OO I
=r $1.381.56 ~ I
91.6<1 I
~I $~ll' I
TOTAL SDC CHARGES =1 $i;45O~,
11~().73
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
~ AT)MT1\Il"TllATTVF tEE:.
SUBTOTAL
$1.381.56
Stw<- ~
1,1 ADM, FEE RATE
5%
3/29/01
SDC COORDINATOR
DATE
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
II NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS r
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDlTlONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW # OLD ) x EO=ENT = FIXTURE
FIXTURE TYPE UNITS
BATHTUB ( ) x 3 0
DRINKING FOUNTAIN ( ) x t = 0
FLOOR DRAIN ( ) x 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( ) x 3 0
INTERCEPTORS FOR SAND I AUTO WASH I ETC. ( ) x 6 = 0
LAUNDRY TUB ( ) x 2 0
CLOTHESW ASHER I MOP SINK ( ) x 3 0
CLOTHESW ASHER - 3 OR MORE (EA) ( ) x 6 0
MOBILE HOME PARK TRAP (I PER TRAILER) ( ) x 12 0
II RECEPTOR FOR REFRIG I WATER STATION I ETC:, ( ) x 1 0
RECEPTOR FOR COM. SINK / DISHWASHER I ETC. ( ) x 3 0
SHOWER, SINGLE STALL ( ) x 2 0
SHOWER, GANG (NUMBER OF HEADS) ( ) x 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN ( ) x 3 0
SINK: COMMERCIAL BAR ( ) x 2 = 0
SINK: DOMESTIC BAR ( ) x I 0
WASH BASIN ( ) x 2 0
LAVATORY ( ) x I 0
URINAL, STALL/WALL ( ) x 5 0
TOILET, PUBLIC INSTALLATION ( ) x 6 0
TOILET, PRN A TE INST ALLA TION ( ) x 3 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
( ) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 0
"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 CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y
I YEAR CREDIT RATE PER SI,OOO II YEAR CREDITRATEPERSI,OOO
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
I
1
1979 OR BEFORE $4.74 1990 51.96
1980 $4.65 1991 SI.55
1981 $4,59 1992 . SI.36
1982 S4.46 1993 SI.23
1983 $4.30 1994 SI.05
1984 $4.14 1995 SO,90
1985 S3.93 1996 SO,75
1986 S3,63 1997 SO.57
1987 S3.26 1998 SO,35
1988 S2.85 1999 SO,15
1989 S2,40
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDITRATE
0.000 x SO.OO =1
0.000 x SO,OO =1
TOTAL MWMC CREDIT =1
SO,OO
SO,OO
so.oo
I
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p.~ Willamalane
, ..J '-. 1 Park & Recreation District Job. No. flr - Ai) i.~ 3 -0 (
~. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
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NAME:
~\ .-,-
~ ~~_\
GJ'-!vl.l_
PHONE:
7~f - 8'!1:1 <?'
ADDRESS:
310 If (.-oMS r?na d..' STATE: nil' ZIP: q74-7 'i(
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Lj (n)i i
,T ILl) r L. '-", (20,,-,,,-
Tax lot Number: \'":0.1-. O<:"-t"', ()'-3X1n1
Plat Name:
'1. DEVELOPf:,1ENT TYPI; (Check appropriate dwelling(s). sac calculations and dwelling I
ype delinltions are on lhll back.)
A. Sinolp.-F::Jmilv OAfactuW
Single Family home
/ Manufactured home not in a park
NO. OF UNITS
,X $1,000 per unit = $ ---1.l.J:1H). -,
B. SinoIA-F::Jmilt...All::Jr.Ilill!
NO. OF UNITS
',X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
,X $692 per unit = $
D. ,Manufacfl/rArl H.QmA P:;uk
NO. OF UNITS
WILLAMAlANE SDC
X $699 per unit '" $ ,
$
\lJe-'O.
-
2. SDC CREDIT (II applicable) SDC-payer musl lumlsh prool 01
Willamalane Crcdil approval. See sac Crodit Workshoot. $
-If:f
3. TOTAL WILLAMALANE NET SDC ASSESSED
(/I SDC reduced lor Credil) $
1m,'
KAL<L 1.uJ:.m-' ,0:::/ 0 I
. . D~veI6p~~nt Serv,i~:~, Dep,artmem"tl"il'\\';li '''''i,,'il~lei'''':'il~'
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