HomeMy WebLinkAboutPermit Building 2002-2-4
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I Job# 02-00057-01 I
SPRINGPIELD
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225 Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
'on
Page 1 of4
TRANS#:01-0007939
DATE:FEB 04 2002
AMT RECD:2 $ 4842.62
CHANGE:
CASHIER: 005
Job Number: 02-00057-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2438 Maia Lp Spr
Assessors Map#: 17032514
Lot: 19 Block: Addition:
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
1<
Tax Lot #: 04200
Subdivision: Maia Park
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Phone
541-689-7762
541-729-1500
541-689-7762
541-689-7762
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.
Owner: John & Phyllis Myers Phone Number: 541-746-5671
Address: P.O. Box 70344 City/State/Zip: Eugene, OR 97401
Scope Of Work: Manufactured HOfl)!l.Q,'fC'e!e Lot New iHEWORI< Value: $61,956
NU ALL EXPIRE IF
~"'c o1=I'\M\1 51-1 . _ _.-n.~'T I!'; 1'101
~11-10R\ZED UND\~~;~~ONED FOR
Contractor COMMENCED OR 100 Registration # Expiration Date
. _,,,",,,, -<Qr\nIW PER .. fl/
Gooden Harnso'l-"'>UnSITUCl1on 66447 5 2002
1441 hwy 99n, Eugene, OR 97402 \(~s'1oU \~
. #1~ ,equ UII\I\'I
Heritage Electric . \ON'.v("'.JU(~'(,'\WOte90~ sel ?!~5/2004
1042 Horn Lane, EUgE;ne~O~~l4(!>4l?le~\'IJsetU\esa~95Z-001.
(oi\O'W tU Genlet.. .,.It:.\'IOJl( \__ tN
Mechanical Contr Gooden Harrison Conslt;uctioon . OO~O 66.il''l''f' o'l\'Ie tU 51712002
NO""V-- -')-'\0 ,. nles" \1one
1441 hwy 99n, Eugene~R 9'1''10%'' oblaln co.. .. 1\16 lele?, \Ion
'" ~"ou {fI, t ~Note.... No\l\lca
Gooden Harrison CorlSi jb~t\'leCente. ~ 1\lItV nAA) 5f712002
<>2!\\1I '\'Ie Ote ,," 2;"'-' .
1441 hwy99n, Eugene, tlK,g 021\ .. ~_e()()-3v~-'
nUn. _ _....onS
Site
Footing
Foundation
Siab
Shear Wall Nailing
Framing
Hold Downs Installed
Final Building
Verify Ground Rod
MH Electrical
MH Service
Final Electrical
Required Inspections
I Buildinll I
- To be made after excavation but prior to setting forms..
- 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 complete.
I Electricai I
-Install ground rod at footing, and call for inspection in conjuction with footing andlor foundation i
-When blocking, setup, and plumbing inspections have been approved and the home is connect
-When all electrical work is complete.
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MH Set Up
MH Final
I Job# 02-00057-01 I
Required Inspections
I Plumbinll 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.
I Manufactured Home
- When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house numbel
Page 2 of 4
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees: 3
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Planner: Sam Gollah
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 2
# Of Bedrooms: 3
Handicap Access? 0
iArea (Sq. Feet)
I Main: 1458 Accessory520
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Flood Piain FEMA: 1161 of 2975
Private Garage/CarplStor
# Of Stories: 1 Height (feet): 16
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:1978
Fee
Paid On Receipt#
Plan Check
01/16/2002 7789
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
12,956
$85.02
$85.02
Garage/Carport
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Buildinll
02/04/2002 7939
02/04/2002 7939
02/04/2002 7939
12,956
$130.80
$9.16
$10.46
$150.42
Electrical
02/04/2002 7939
0210412002 7939
02/04/2002 7939
02/04/2002 7939
2
1
$100.00
$3..00
$7.21
$8.24
$118.45
Manufactured Home ServicelFeeder
Branch Circuits With Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
State Surcharge - Plumbing
Plumbinll
02/04/2002 7939
$15.54
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Fee
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Manufactured Home Connection
8% Administrative Fee - Plumbing
Total Plumbing
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufactured Horn,
Manufactured Home Administrative Fee
Total Manufactured Home
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
Manufactured Home - Willamalane
Total Willamalane SDC
Planning Plan Review
Total Planning
Address Assignment
Total Permits wlo Srchg
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Steve Templin
Sam Gollah
Engineering-Res
Planning-Res
Structural-Res
Bob Barnhart
Date Compieted
01/17/2002
02/04/2002
01/29/2002
01/29/2002
Comment
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I Job# 02-00057 -01 I Page 4 of 4
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 a~ge to ns~that II required inspe, ctions are requested at the proper time, that each
address is ea I f 0 th treet, that the permit card is located at the front of the propery, and the
approved et Ins, w I rain on the site atall times during construction.
~-_! a.. . l-'1-(}L
Signature
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Date
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 02-00057-01
NAME OR COMPANY: John & Ph,>:llis Myers
LOCATION: 2438 Maia Lp..
TAX LOT NUMBER: 17032514 Tl: 4200
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 2281 SF LOT SIZE: 6700
1. STORM DRAlNAGE
I DIRECT RUNOFF TO CITY STORM SYSTEM
I, IMPERVIOUS S..F. I ,I COST PER S.F.. 1
1 2952.98 $0..273
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.E I xl COST PER S..E I xl DISCOUNT RATE I
1 0.00' $0.273 --.J 50%
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rITEM 1 TOTAL. STORM DRAINAGE SDC
, 2. SANITARY SFWER - CITY
A.. REIMBURSEMENT COST:
I NUMBER OF DFU's I ,I COST PER DFU
24 $2L37
B. IMPROVEMENT COST:
'llNUMBER OF DFU's 1,1 COSTPERDFU
24 $16..24
LITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A.. REIMBURSEMENT COST:
I ADTTRl9.5P7RATE I xlNUMBERIOF UNITS I xl COST PER TRIP IxlNEWTRlPFACTORI
, $16..21 1.00 1=1
B. IMPROVEMENT COST:
, ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP
I 9..57 I 1 $68..94
I ITEM 3 TOTAL. TRANSPORTATION SDC
~4. SANITARY SEWER - MWMG
A. REIMBURSEMENT COST:
1 NUMBER OF FEU's I " I COST PER FEU
I I $332.86
B. IMPROVEMENT COST:
I NUMBER OF FEU's 1..1 COST PER FEU
1 $34..83
I MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMlNISTRATIVE FEE
lITEM 4 TOTAL - MWMC SANITARY SEWER SDC
II SUBTOTAL (ADD ITEMS 1,2,3, & 4)
~. ADMlNISTRA TlVE FEE:
, '" SUBTOTAL Ixl ADM..FEERATE
1 $2,90L38 I I 5%
I Stwt- ~ 2/412002
SDC COORDINATOR DATE
=1
$806..16
=1
$0.00
$806.16
=1
=1
$512..88
=L1389.76
= I $902.64
$155..13
I xl NEW TRlP FACTOR I
L-.. 1.00 =1
=1
$659..76
$814.89
=1
$332..86
=, $34.83
=, $0.00
=1 $367..69
=1 $10..00
=[$377.69
=1 $2,90L38
SF
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W
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II ~
1070
, 1091
I ,1092
I I
~~
1093
I
I 1094
L
I I
I
I
I 1055
_L 1056
-LI
J ,
=1
$ 145..Q7
TOTAL SDc CHARGES = $3,046.45
, 11073
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DRAINAGE FIXTURE l!NIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( #NEW # OLD ) x EQ=ENT = FIXTURE
FIXTURE TYPE UNITS
BATHTUB ( 2 0 ) x 3 = .6
DRINKING FOUNTAIN ( 0 0 ) x 1 = 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
CLOTHESW ASHER I MOP SINK ( 2 0 ) x 3 = 6
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 REFRlG I WATER STATION I ETC. ( 0 0 ) x I = 0
RECEPTOR FOR COM.. SINK I DlSHW ASHER I 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: COMMERCIAURESIDENTlAL KITCHEN ( 1 0 ) x 3 = 3
SINK: COMMERClAL BAR ( 0 0 ) x 2 = 0
SINK: DOMESTIC BAR ( 0 0 ) x I = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 3 0 ) x 1 = 3
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 24
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family d~e~.~~g unit (20 OFU's) set at 167 gallons per day
MWMc CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
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lF IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE, CALCULATE CREDIT SEPARA TEL Y
I YEAR CREDIT RATE PER $1,000 YEAR CREDITRATEPER$I,OOO I
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
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$4.92
$4.83
$4.77
$4.64
$4.47
$4.30
$4.09
$3.78
$3.41
$2,98
$2.52
1979 OR BEFORE
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
$2.06
$1..64
$1..45
SUI
$Ll3
$0.97
SO.82
$0.63
S0.41
$0.22
$0.04
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDlT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE/1000 CREDITRATE
0..000 X $0..00 =1 $0..00
0.000 X $0.00 =1 $0.00
TOTAL MWMC CREDIT =L- 50.00
gOO:
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LEGAL DESCRIPTION
, \ 1 (")'~..&S t~ -O,\~OO'
esidentia m
Multi-Family per dw~lIing Unit.'
SerVice Included: '
, Items. Cost
','JQ!J,DESCRlPTION '.1 ",'. '. ' '1000sq.ft.orless
," ~.r~ ~ ~~, Each"additio:m1500
"'.. *'. .'. ",(jc _P~sq..ftorporl1on
, . Pemuts are non-transferable and'expire ' thereof
if work is no'tlstarted'within 180 days NOrlCE: Each Manufd Home or
ofissuanc~lwork is suspended for THIS PERMIT Modular Dwelling
180 days. _ AUTHO SHALS<t.rriF7A'ErF~~
b . ("'I" RIZEDUNDERTH ~ IHEWQ
2. CO .,- ORISTALLATION ONLry:MENCi!l.:>S~mHs or/flimsllTIS
. '1(' A Af)!.YA18OA.w" v. "~~iinlfoll@;J
Electrical" Uaeto' ~ ~ERIOikelocation:
,,~:L :'-'f, _Ii,
~.~
tX)
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TOTAL
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Job. No.
rJL .tID5~()1
SYSTEM DEVELOPMENT CHARGE
. ' WORKSHEET
NAME: ~\\f\ Thl\\ ~r':>. '
ADDRESS:\)\\~ ~
,
PHONE: "\4ln'S\o\\
STATE: ~ZIP~.L
, ,
LOCATION OF PROPOSED BUILDING SITE:
Street Address: j}\?~ \'\\(\ let .~ ' "
Plat Name:L~ \I) \~ Tax Lot Number: _ \\[)~~~~
1. DEVELOPMENT TYPE (Check appropriale dwelling(s). SDC calculallons and dwelfirig 1
ype definitions are on the back.)
A. Si.Iwle.Fl'Imilv Detl'lchen
Single Family home
NO. OF UNITS \
\ Manufactured home riot in a park' ,
X $1.000 per unit = $ \\fO ~
B.. ,Sinole.Fl'Imilv Atfl'lcheQ.
NO. OF UNITS
X $924 per unit
$
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Mamtfl'lctlJrAcf HomA Pari<,
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $ _
$ UY")() CD
2. SDC CREDIT (II applicable) SOc-payer must furnish proof of
Willamalane Credil approval. See sac Credit Worlcsheet.
$
(i
$ \C'fY) 00
,n9-..
3~ TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for 11)________
gOO:tJ3IH8\7::1 llffi ) \ (. ') 6Z , <4
: 39N\!H:J Development S Date
39'3\18\1 $ 3:Q@i!Y .9,f;jSpringfield
3003 \10 83j:31\;Q
6~6LOOO-lO:#8N\;tJl