HomeMy WebLinkAboutPermit Building 2001-10-23
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SPRINGFIELD
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225 North Fifth Street
Springfield, OR 97477
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I Job# 01-01012-01 I
Page 1 of 4
TRANS#:01-0007051
DATE:OCT 23 2001
AMT RECD:2 $ 4668.55
CHANGE:
CASHIER: 061
,
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01012-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2322 Maia Lp Spr
Assessors Map#: 17032500
Lot: 7 Block: Addition:
Tax Lot #: 00204
Subdivision:Maia Park
Owner:
Address:
Ben Kisor
427 Sherwood Lp
Phone Number: 541-895-4307
City/State/Zip:
New
Florence, OR 97438
Value: $61.826
Scope Of Work: Manufactured Home on Private Lot
Contractor Type
General Contr
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
MH with garage on private lot
,0
Registration # Expiration Date Phone
79496 2/19t26(h0:~;"o~~" 541-895-4307
,<,'II \00\0'l>~0 ~<:,7f" ~ '0'\
~' ",,0 ,~~.~ .s.0
Able Electric 92506 {'~o .>. \")~ 7/J 6/2003','(\0 \ ~0~~5~,1-726-6701
. ') .<>" 0'" ~' !o.' R'" ~u
1300 Anderson Ln, Spnngfield, OR 97478 O~". ot' ~~ ~o~. ~o 'I.0\0.'i.'v'l>
..(~ ....u i. It'('\ -.,0 _0. ,..\.\
';'\" 2.'" ~,. ~,~ vv' '. ,. '~".
Office Use",: . ,:' c,0 ".Cl ~~~ _,o'l.~,~v..,\~
r~,'D";'\ '0<:"- ('\<:) ~'O ~...... ~v i"\~'"
Land Use: Mfg,Hi:lme'\~bt'in;a Parl\~.O.f Buildings:
'\; .~,- ";I..... ~,.... 0'~ .,.ci"'J ~...
Zoning Code: LDR,~O~O\>-~ ~O-,) ~0v 0CO,ccupancy Group: Dwelling
Bedrooms: '>S' r;)<1J<;)' ~,~~ ~.i~',.:,""l'teat Source: Forced Air Electric
Range: Electric<:S v'l> ......'00 (IO~ Sq, Footage: 1386
,\\"
Contractor
Hardacker & Oleary Developmentlnc
83278 N 6Th St, Creswell, OR 97426
2RNW
(VN) Wood Frame
Electric
,.
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Verify Ground Rod
Footing
Foundation
Shear Wall Nailing
Framing
Final Building
MH Electrical
Rough Electrical
MH Service
Final Electrical
Required Inspections
I t II did t f t' BUildidn!l II f . I t" . t' . h f .~t~O~~d~ f d' .
- ns a groun ro a 00 mg, an ca or mspec Ion In conJuc Ion Wit '!;l.o Ing.a.nj/or oun atlon I
-After trenches are excavated. x.. ~ ~'\ \~ 9-
-After forms are erected but prior to concrete placement. ~f${{I <?~<(:I. ~ "<,0'
-Before covering sheathing with finish materials.G. ,!?-"" ,\~CO r~if;
-Prior to cover. -<\V"" (\ COy;. ~~~ '!?-~<:)
- When all required inspections have been,a"proved~~nc!,thE)lbuildi~g is complete.
~" ov ~-'v - a'V
~CO' ,.,,\l.-"" 0" ,,~.
I Electrical 'l~ '(-.0" rX:.-\:l ~~:..)
- When blocking, setup. and plumbing inspectici~ haviti'eeri~~proved and the home is connect
-Prior to cover. . c,0~\",,'O~ \)r
'r~.J...
- When all electrical work is complete.
I Job# 01.01012-01 I
Required Inspections
I Plumbing
- Prior to cover or placement of concrete.
-After home has been connected to water and sewer.
- Prior to filling trench.
-Prior to filling trench.
-Prior to filling trench.
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Underfloor Drain
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Rough Mechanical
Final Mechanical
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Page 2 of 4
Mechanical
- Prior to cover.
-When all mechanical work is complete.
I Manufactured Home
- When all blocking is complete.
-After all required inspections are approved and porches. skirting, decks, venting. house numbel
Planner:
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Construction Types:(VN) Wood Frame
Occupancy Groups:Owelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: 1386 Accessory284
MH Set Up
MH Final
Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1 :
Comments:
2:
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Manufactured Home ServicelFeeder
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Overlay District:
# of Street Trees:
Land Use: Mfg Home - Not in a Park
Pave Driveway? 0
3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: New Mfg Home
TotaI:1770
Paid On Receipt#
Plan Check
09/18/2001 6720
Value/Quantity
Fee Amount
9,826
$69.81
$69.81
Building
10/23/2001 7051
10/23/2001 7051
10/23/2001 7051
9,826
$107.40
$7.52
$8.59
$123.51
Electrical
10/23/2001 7051
10/23/2001 7051
10/23/2001 7051
10/23/2001 7051
2
1
$.00
$100.00
$3.00
$7.21
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Job# 01-01012-01 Page 30f4
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Administrative Fee - Electrical 10/23/2001 7051 $8.24
Total Electrical $118.45
Plumbing
Minimum Plumbing Permit Fee 10/23/2001 7051 $.00
State Surcharge - Plumbing 10/23/2001 7051 $10.43
Water Service Footage 10/23/2001 7051 40 $45.00
Sanitary Sewer Footage 10/23/2001 7051 40 $45.00
Storm Sewer Footage 10/23/2001 7051 80 $59.00
Manufactured Home Connection 10/23/2001 7051 $.00
Administrative Fee - Plumbing 10/23/2001 7051 $11.92
Total Plumbing $171.35
Mechanical
Minimum Mechanical Permit 10/23/2001 7051 $36.00
Administrative Fee - Mechanical 10/23/2001 7051 $3.60
Equipment Not Itemized on Permit 10/23/2001 7051 1 $9.00
Mechanical Issuance 10/23/2001 7051 $10.00
State Surcharge - Mechanical 10/23/2001 7051 $3.15
Total Mechanical $61.75
Manufactured Home
Manufactured Home Setup Fee 10/23/2001 7051 52.000 $160.00
Manufactured Home State Issuance 10/23/2001 7051 1 $30.00
State Surcharge For Manufactured Hom 10/23/2001 7051 $11.20
Manufactured Home Administrative Fee 10/23/2001 7051 $12.80
Total Manufactured Home $214.00
System Development
Residential - Single Family - Storm 10/23/2001 7051 2,967 $809.99
Residential Improvement MWMC 10/23/2001 7051 1 $34.83
MWMC Administrative Fee 10/23/2001 7051 1 $10.00
SDC Administrative Fee 10/23/2001 7051 $141.50
Residential Sanitary MWMC 10/23/2001 7051 1 $332.86
Residential - Improvement 10/23/2001 7051 1 $659.76
Residential - Reimbursement 10/23/2001 7051 1 $155.13
Sanitary Sewer SDC Reimbursement 10/23/2001 7051 22 $470.14
Sanitary Sewer SDC Improvement 10/23/2001 7051 22 $357.28
Total System Development $2,971.49
WilIamaIane SDC
Manufactured Home - Willamalane 10/23/2001 7051 1 $1.000.00
Total WilIamalane SDC $1,000.00
Permits w/o Srchg
Address Assignment 10/23/2001 7051 1 $8.00
Total Permits w/o Srchg $8.00
Grand Total $4,738.36
Plan Check Type Checked By Date Completed Comment
Initial Review-Res Bob Barnhart 09/19/2001
Engineering-Res Sieve Templin 09/26/2001
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Job# 01.01012.01 I Page 4 of 4
Plan Check Type Checked By Date Completed Comment
Planning-Res Liz Miller 10/10/2001
Structural-Res Tom Marx 1 0/02/2001
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
a~d :l..f tJWi~~.~ the Si: at all times during construction. ItI- 2. 3-& )
Signatu~ Date
JOB DESCRJr U~l} n ,jl'Ile following project as submitted hasl~\\lll~.gr less
vYJ4+ VI I CL..{:::'''n....inn-Pnri rinA!; not require speclfl~additional SOO
. approval: L'V{L.... sq.ftorportion
Permits are non-transferable and explZIlning ..,,~
if worl< is not started ~~~ r^ I 'l."J1..~-,\ Each.Mmm1'd Home or
of issuaru:e or if wmk is a tor ....,-,- -l4JJModuIar DweI1ing
180 days. Authorized Signature ,,,a,,,,,", or reeder
.
225 FIFrH STREET
SPRlNGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
. 2-32-7 w111-114 L~ue
LEGAL DESCRIPTION
170:3.2--., u......
a?::> z.o <{
2. CONfRA.croRINSTALLATIONONLY
I
Electrical Conttactm: r::\ ~ {J. <(j rJ ,+r, L
Address \(\O{')"C.VltC ~,t';::;()n l1l .
City'2:0 1=-U;) PhOncr"):Jw -(o'i(J(
SupeIVisor License Number ~S
Expirntion Date je /0 /
Constr Contr. Number dO L(&r; L
a-..;''';:onDate Io/Z? d.
Signature of:O..........:sing Electrician
~ ..:-: -J ::?
Owners Name j;' bY t::Lc O~
Address Z. ~ Z -z..
jIJ1'4( A- L p
. City SY'r{J Phone
OWNER-INSTALLATION
The ;n"",o..nnn is being made on
,,'V!"-'J 1 own which is not nn""fIM
for sa1e, lease or rent.
Owners Signature:
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ELECI'RlCAL PERMIT APPLICATION
CityJobNumberO/-O/O/Z-O J
3. COMPLETE FEE SCHEDULE BELOW
A New F..,;t!""Ii.l-8ingle or
Mnlti-Family per dwelling unit.
Service Tnclml..n:
Items Cost Smn
$106.00
$ 19.00
o
...2.. $ 50.00 E
B. Services or Feeders
In<f.n..non, Alterations or
~titm.
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 ampsfvolts
R......._0nly
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. T ........-J Services or Feeders
Tn....n..nnn, Altem1:im1 or Relocation
200 amps or less
201 amps to 400 amps
Ov.:r 401 to 600 amps
Ov.:r 600 amps or 1000 volts see
"B" above
'_ $50.00 _
$69.00
$100.00
D. Bnmch Ciicui.1S
New Alteratian or F.TfP.nann Per Panel
One CiIcuit
$43.00
Each ).t!tlilinnol CiIcuit or with Service
or Feeder Permit ~ 5 3.00 )
E. WsmL . ~~ (ServiceIfeeder not included)
-Each j~dAnA11on
Pump or iTrigllfion
SigD/Outl:ine T .igltli1\g
limi1l:d EnergyIRes
T ;nri1P.t! Ene:rgy/Comm
550.00
$50.00
$25.00
$45.00
M":.,'"""" Electric Permit 4~:':[lJl Fee Is 54S.00 + Snrcharges
5. SlJ.tHv,ALOFABOVE
7% State Sun:barge
SOlO A.dIninL....~.'" Fee
10 J.
7Z'
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CITY OF SPRINGFIt8 SYSTEMS DEVELOPMENT CH.E WORKSHEET
JOURNAL OR JOB NUMBER: 01-01012-01
NAME OR COMPANY: ~SOR
LOCATION: 2322 MAJA LOOP
TAX LOT NUMBER: 17-03-25-00-00204
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: I BUILDING SIZE: 0 SF LOT SIZE: 0 SF
1 !':TORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. I x I COST PER S.F. I
I 2967.00 $0.273 I =1 $809.99
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
II IMPERVIOUS S.F'I, I COST PER S.F. 1..1 DISCOUNT RATE II __I
0.00 $0.273 50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC =1 $809.99
2 SANITARY SFWFR - rJIY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's 1..1 COST PER DFU
22 $21.37
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1..1 COST PER DFU
22 $16.24 I
lITEM 2 TOTAL - CITY SANITARY SEWER SDC
3 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE I, INUMBEROFUNITSI.I
9.57 1 1
B. IMPROVEMENT COST:
I ADTTRIPRATE 1,INUMBEROFUNITSlxl
957 I 1
lITEM 3 TOTAL - TRANSPORTATION SDC
4 !':ANlTARY SFWFII - MWMr
r/)
~
Ci
o
U
~
~
E-<
r./)
......
o
~
I
l 1070./
=1 $470.14 109).......
=1 $357.28 1092'''''''''-
= ,
=1 $827.42
=1 $34.83 I
=1 $0.00 I /
=1 $367.69 I 1055'
=1 $10.00 I 1056
=1 $377.69 U
=1 $2,829.99 U
COST PER TRIP 1..1 NEW TRIP FACTOR I
$16.21 1.00 =1
$155.13
COST PER TRIP 1..1 NEW TRIP FACTOR I
$68.94 1.00 =1
$659.76
=1
$814.89
A. REIMBURSEMENT COST:
I NUMBER OF FEU's 1..1 COST PER FEU
I $332.86
B. IMPROVEMENT COST:
I NUMBER OF FEU's I 'I COST PER FEU
I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
lITEM 4 TOTAL - MWM~ANIT ARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3,&4)
5 ADMINI!':TRATTVF FFF;
=1 $332.86
109Y/
II 1094;/
I-I
I SUBTOTAL II ADM. FEE RATE
$2,829.99 5% =1 $141.50 1073
I S:t-1~ 9/26/2001 TOTAL SDC CHARGES =1 $2,971.49
SDC COORDINATOR DATE
DRAINAGE FeURE UNIT (DFU) CALCULATIO.ABL~ . - .
I NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDlTtONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW UNIT FIXTURE
FIXTURE TYPE # OLD ) x EQUIVALENT = UNITS
BAlliTUB ( 2 0 ) x 3 6
DRINKING FOUNTAIN ( 0 0 ) x I 0
FLOOR DRAIN ( 0 0 ) x 3 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. ( 0 0 ) x 3 0
INTERCEPTORS FOR SAND I AUTO WASH I ETC. ( 0 0 ) x 6 0
LAUNDRY TUB ( 0 0 ) x 2 0
CLOlliESW ASHER I MOP SINK ( 1 0 ) x 3 3
CLOlliESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 0
MOBILE HOME PARK TRAP (I PER TRAILER) ( 0 0 ) x 12 0
RECEPTOR FOR REFRIG I WATER STATION I ETC. ( 0 0 ) x 1 0
RECEPTOR FOR COM. SINK I DISHWASHER I ETC. ( 0 0 ) x 3 0
SHOWER, SINGLE STALL ( 1 0 ) x 2 2
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 0
SINK: COMMERCIAURESIDENTIAL KITCHEN ( 1 0 ) x 3 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 0
SINK: DOMESTIC BAR ( 0 0 ) x I 0
WASH BASIN ( 0 0 ) x 2 0
LAVATORY ( 2 0 ) x I 2
URINAL, STALL I 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 =1 22
.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 CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y
YEAR CREDIT RATE PER $1,000 II YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4.92 II 1990 S2.06
1980 $4.83 I 1991 SI.64
1981 S4.77 1992 SI.45
1982 S4.64 1993 SI.3I
1983 $4.47 t994 SI.I3
1984 S4.30 I 1995 SO.97
1985 S4.09 1996 SO.82
1986 S3.78 I 1997 SO.63
1987 Sl.41 I 1998 SO.41
1988 S2.98 I 1999 SO.22
1989 S2.52 I 2000 SO.04
VALUE 11000 CREDIT RATE
0.000 X $0.00 =1
0.000 X $0.00 =L
TOTAL MWMC CREDIT =1
$0.00
$0.00
50.00
II
II
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