HomeMy WebLinkAboutPermit Building 2002-4-25
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I Job# 02-00412-01 I
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfieid
Community Services Division
Building Safety
Page 1 of 3
TRANS#:01--0008728
DATE: APR 25 2002
AMT RECD:2 $ 4350.17
CHANGE:
CASHIER:061
Job Number: 02-00412-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
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;).T>ax Lot'#;\O 08600
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Addition: .' />"'<\0~~.!:1!!i!I1!.!..on:~!!lil Park
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~hon~'NumtiGr~~54 \-7.46;75,1"7 ~
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Address: 3255 Gateway Street #17 ~'C- ~J.CiWLStaWZ..iP\:.o\>~$erlng~~laPOR 97477
~o'll M\~ v f:)VIJ ~'IP~ .\0\0' "N~'o\ \ . 11.\..
Scope Of Work: Manufactured Home on PrivateL:ot~ ..~\c:Newt'c:J 1\ 0'0 ~ ~ ~ \)\~~ Value: $58,208
~O\\ ,?-0- 9'0 ~'3' 0~\0 "I?,'v,o !O'O~..
.. ~ 0 -l0-'> \(10 c; 0 O~ !Q()()-
MH on private lot with garage \ (\()9f:J~\\\~Q, .\O~~~(\~ V
Contractor ~\)~'O~ R~:~;tration # Expiration Date
Harrison Jacobson Inc 66447 5/7/2002
1441 H'(JY 99N, Eugene, OR 97402
Heritage Electric
1042 Horn Lane, Eugene, OR 97404
2/15/2004
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Manuf Home Install Harrison Jacobson Inc 66447 '\~'\
1441 HWY99N, Eugene, OR 97402 ~<v~ ~'\;~~
Harrison Jacobson Inc 66447 <v~~::, ~<V~~~02
1441 HWY 99N, Eugene, OR 9740~. e.~~\'~_~.5~b.~(;)'\S .
To request an inspection call the 24 hour recordin~'l&}r':;'~~' - ~:oJ-lfo~~~s requested before 7:00
a.m. will be made the'same working day, inspect~)?_~'\~ . ~'tn. will be made the following
working day. '\~ ~,\~r::s ~~~ ~ ~
ReqUi~~~~~~ns
I BU"~~ I
-Install ground rod at footing, and call for inspection in conjuction with footing andlor foundation if
-After trenches are excavated,
-After forms are erected but prior to concrete piacement
-Before covering sheathing with finish materials.
- Prior to cover.
-Prior to taping.
- When all required inspections have been approved and the building is complete.
Location Of Proposed Site: 2441
Assessors Map#; 17032514
Lot: 63 Block:
Maia Lp Spr
Owner:
Tim Robertson
Contractor Type
General Contr
Electrical Contr
63137
Plumbing Contr
Verify Ground Rod
Footing
Foundation
Shear Wall Nailing
Framing
Drywall
Final Building
Electrical
Rough Electrical
MH Servico
Final Eloctricai
- Prior to cover.
-When all electrical work is complete.
I Manufactured Home
-When all blocking is complete.
MH Sot Up
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Phone
541-689-7762
541-729-1500
541-689-7762
541-689-7762
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I Job# 02-00412-01 I
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Required Inspections
I Manufactured Home I
-After all required inspections are approved and porches, skirting, decks, venting, house number
MH Final
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees: 3
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Gienwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner:
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
,Area (Sq. Feet"
I Main: 1188 Accessory:480
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Manufactured Home ServicelFeeder
Branch Circuits With Feeder or Service
State Surcharge - Electrica!
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
Flood Piain FEMA: 1161 of 2975
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 16
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:1668
Paid On Receipt#
Plan Check
04/10/2002 8570
Value/Quantity
Fee Amount
13,208
$90.09
$90.09
Building
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
13,208
$138.60
$9. 70
$11.09
$159..39
Electrical
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
2
1
$.00
$100.00
$3.00
$7.21
$8.24
$118.45
Plumbinl;l
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
40
40
80
$.00
$10.43
$45.00
$45.00
$59.00
$11.92
$171.35
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Address Assignment
Total Permits wlo Srchg
Grand Total
Permits wlo Srch!l
04/25/2002 8728
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Value/Quantity Fee Amount
45,000 $160.00
1 $30.00
$11.20
$12,80
$214.00
2,168 $591.86
1 $34,83
1 $10.00
$124.95
1 $332.86
1 $659.76
1 $155.13
19 $406.03
19 $308.56
$2,623.98
1 $1,000.00
$1,000.00
1 $55.00
$55..00
1 $8.00
$8.00
$4,440..26
Job# 02-00412-01
Paid On Receipt#
Manufactured Home
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
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Fee
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufactured Homl
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
System Development
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
04/25/2002 - 8728
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
04/25/2002 8728
Manufactured Home - Willamalane
Total Willamalane SDC
Willamalane SDC
04/25/2002 8728
Planning Plan Review
Total Planning
Planning
04/25/2002 8728
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Bob Kettwig
Sam Gollah
04/11/2002
04/23/2002
04/18/2002
04/22/2002
Engineering-Res
Planning-Res
Structural-Res
Tom Marx
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
ap~ved ,set of plans will remain on the site at all times during construction.
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Signature Date
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 02-00412-0 I
NAME OR COMPANY: TIM ROBERTSON
LOCATION: 2441 MAlA LOOP
TAX LOT NUMBER: 17-03-25-14 TL:8600
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: I BUILDING SIZE: 1668 SF LOT SIZE: 6865 SF
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S..F. 1..1 COST PER S.F. I
2168.00 $0.273 = 1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
II IMPERVI0USS.F.J,1 COSTPERS..F. J'I DISCOUNTRATE
1 0.00 $0.273 50%
lITEM 1 TOTAL. STORM DRAINAGE SDC
2. SANITARY ~BWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's I " I COST PER DFU I'
I 19 $21..37
B. IMPROVEMENT COST:
I NUMBER OF DFU's I " I COST PER DFU 1
I 19 $16..24
[ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A REIMBURSEMENT COST:
I ADTTRIPRATE I'INUMBEROFUNITSI'I COST PER TRIP 1,1 NEW TRlPFACTORI
I 9.57 1 $16.21 1.00 =1
B. IMPROVEMENT COST:
I ADTTRIPRATE 1,INUMBEROFUNITSI'l COST PER TRIP I,INEWTRIPFACTORI
I 957 1 $68.94 1.00 =1
[ITEM 3 TOTAL. TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
I NUMBER OF FEU's 1..1 COST PER FEU
I 1 $332.86 '
B. IMPROVEMENT COST:
I NUMBER OF FEU's I "I COST PER FEU
I 1 $34.83 I
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MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
lITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3,&'2.
5. ADMINISTRATIVE FEE:
SUBTOTAL I,ll ADM.FEERATE
$2,499.03 . 5%
$591.86
= I $0.00
=1 $591.86
=1
$406..03
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11070- /'
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1091'
111092'/
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$30856
$714.59
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109Y
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III
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: 1055, /
I 1056
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II
,
Stw<- T~
4/23/2002
1073
$155.13
=1
$659.76
$814.89
=1
$332.86
=1
=1
=1
=L
=1
=1
$34.83
$0..00
$367.69
$10..00
$377.69
$2,499.03
=1
$124.95
TOTAL SDc CHARGES = $2,623.98
SDC COORDINATOR
DATE
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DRAINAGE FIXTURE UNIT (DFI:!) CALCULATION TABLE II
II NUMBER OF NEW FIXTURES x UNIT EQUIVALENT; DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO.. OF FlXTURES DRAINAGE I
( # NEW # OLD ) UNIT FIXTURE
FIXTURE TYPE x EQUlV ALENT = UNITS
BATHTUB ( 1 0 ) x 3 = 3
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
CLOTHESW ASHER I MOP SINK ( 1 0 ) x 3 = 3
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 IETC ( 0 0 ) x I = 0
RECEPTOR FOR COM. SINK I DISHWASHER I ETC ( 0 0 ) x 3 = 0
SHOWER, SINGLE STALL ( I 0 ) x 2 = 2
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN ( I 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 1 = 2
URINAL, STALL I WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0
TOILET, PRlVATE INSTALLATION ( 2 0 ) x 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
( 0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =1 19
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OAJ's) set at 167 gallons per day
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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 'I YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
- 19"/", UI'I. Dcr0RE $4.92 - 1990 $2.06
1980 $4.83 1991 $1.64
1981 $4.77 1992 $1.45 '
1982 $4.64 1993 $L31
1983 $4.47 1994 $Ll3
1984 $4.30 1995 $0.97
1985 $4.09 1996 $0.82
1986 $3.78 1997 $0.63
1987 $3AI 1998 $0.41
1988 $2.98 1999 $0.22
1989 $252 2000 $0.04
VALUE 11000 CREDIT RATE
CREDIT FOR LAND (IF APPLICABLE) 0..000 X $4.92 =1 $0..00 I
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 0.000 X $4..92 =1 $0.00 :J
TOTAL MWMC CREDIT =1 $0..00
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TRANS#:P~~~728
DAT.8:APJ(25' 2002
AMT RECD':2' $--4350.17
CHANGE:
CASHIER: 061
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225 FIF7H STFlEET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
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April 26, 2002
Harrison Jacobson Inc
1441 Hwy99N
Eugene, Oregon 97402
Enclosed is a copy of the electrical permit for the placement of a manufactured home and
the construction of a garage at 2441 Maia Loop, Springfield, Oregon..
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When/you obtained your permits, we neglected to properly validate them, I am enclosing
a copy of the permit for you to keep for your records..
Thank you, and if you have any questions, please feel free to phone me at 726-3790..
Sincerely,
Lisa Hopper
Building Safety Supervisor
cc: David Bowlsby
Enc\