HomeMy WebLinkAboutPermit Building 2001-8-16
;;, <4
.-
."
225 North Fifth Street
Springfield, OR 97477
.
I Job# 01.00706.01 I
.
Page 1 of 3
TRANS#:01-0006453
DATE:AUG 16 2001
AMT RECD:2 $ 4604.84
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00706-01
Office: 726-3759
Inspection Line: 726-3769
~
Location Of Proposed Site: 2788 Maia Lp Spr
Assessors Map#: 17032500
Lot: Block: Addition:
Owner:
Address:
Robert Gray
36199 East Enterprise Rd
Scope Of Work: Manufactured Home in Park
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
MH wlgarage
Contractor
Travess Construction L1c
5050 Main St, Springfield, OR 97478
Heritage Electric
1042 Horn Lane, Eugene, OR 97404
Travess Construction L1c
5050 Main St, Springfield, OR 97478
2RNW
1
(VN) Wood Frame
Office Use
Land Use:
Zoning Code: LDR
Bedrooms:
Range:
Tax Lot #: 00204
Subdivision: Maia Park
Phone Number: 541-747-7110
City/State/Zip: Creswell, OR 97426
New Value: $15,564
Registration # Expiration Date ~~ne
138060 11/1/2001 x\~~5~9-7@-6399
. 'C;.'f-~\?'C;. \ ~W-~ ,'2> ~
~O~\C;~\\ 'O~i'-\.~? \~\'O ~~~~l?lj1l~29-1500
\~\S?'C: 1'C;.'i.l 'U~'i.l IS, i'-'OI'~'i.l
1380600\~O?\ dd/.1'126010. 541-746-6399
i" '~W-~~.J ?'C.?\O
r,O'" _ r-!>.'l .
i'-~'l'u"
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source:
Sq. Footage: 2080
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before,7<:OOo
a.m. will be made the same working day, inspections requested after 7:00.~"m0\~i>>:be'maClti~~(1)0.wiifg'
working day. AilEi'll IV dopted by the r ale set torth
. tn)IOW rule~~~."r ihOse rule;. ^ 0 Q">2-001-
ReqUired Inspectlonstlu" -. O.otl1rOU\l" - les oy
Nml"V~ 001-0 I . t the ru
I Building In OAf'\1j,52- y obtain COpies 0 telephOne
-After trenches are excavated. 0090. :ou.~:centel. (Note: ~~e Notitication
-After forms are erected but prior to concriherplacement,egon Ut\h~344)
- Before covering sheathing with finish mate'riaiJo~~~; i~ 1_800-332- .
-Prior to cover. ve
- Prior to taping.
-When all required inspections have been approved and the building is complete.
Footing
Foundation
Shear Wall Nailing
Framing
Drywall
Final Building
MH Electrical
Rough Electrical
MH Service
I Electrical I
- When blocking, setup, and plumbing inspections have been approved and the home is connect
- Prior to cover.
I Job# 01.00706.01 I
Required Inspections
I Electrical
- When all electrical work is complete.
I Plumbin!! I
-After home has been connected to water and sewer.
-Prior to filling trench.
-Prior to filling trench.
-Prior to filling trench.
..~~
.
.
.,
Final Electrical
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
.
Page 2 of 3
MH Set Up
MH Final
I Manufactured Home
- When all blocking is complete.
-After all required inspections are approved and porches. skirting, decks. venting, house numbel
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:
Land Use:
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner: Liz Miller
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: nla
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: 2080 Accessory576
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Manufactured Home ServicelFeeder
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Flood Plain FEMA: Zone X White
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:2656
Paid On Receipt#
Plan Check
07/10/2001 6110
Value/Quantity
I
Fee Amount
15,563
$75.73
$75.73
Buildin!!
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
15.563
$116.50
$8.16
$3.50
$128.16
Electrical
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
2
1
$80.00
$2.00
$5.74
$2.46
$90.20
'..
.
./
..
Fee
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Manufactured Home Connection
Administrative Fee - Plumbing
Total Plumbing
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufaciured 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
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Bob Barnhart
Steve Templin
Liz Miller
Engineering-Res
Planning-Res
Structural-Res
Don Moore
Job# 01.00706-01
.
Page 3 of 3
Paid On Receipt#
I Plumbing
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
Value/Quantity
1
1
1
1
Manufactured Home
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
1
1
System Development
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
08/16/2001 6453
3,424
1
1
1
1
1
23
23
Willamalane SDC
08/16/2001 6453
1
Date Completed
Comment
07/16/2001
07/25/2001
08/01/2001
08/10/2001
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 property, and the
approved set of plans will remain on the site at all times during construction.
~
Signature
~
.Hoo'?
Fee Amount
$.00
$6.30
$25.00
$25.00
$25.00
$15.00
$2.70
$99.00
$105.00
$30.00
$7.35
$3.15
$145.50
$934.75
$34.83
$10.00
$149.62
$332.86
$659.76
$155.13
$491.51
$373.52
$3,141.98
$1,000.00
$1,000.00
$4,680.57
'7{-/G - 01
Date
. 'o. CITY OF SPRINGFIE.SYSTEMS DEVELOPMENT cHaE WORKSHEET
JOURNAL OR JOB NUMBER: 01-00706-01
NAME OR COMPANY: GRAY
LOCATION: 1919 N 22ND #39
TAX LOT NUMBER: i7-03-25-00-00204
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 2676 SF LOT SIZE: 7581 SF
=1 $34.83 I
=1 $0.00 I
=1 $367.69 I 1055 ,/'
=1 $10.00 , 1056
- -
=1 $377.69 I
~I $2,992.36 ,
~. .
. I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. II COST PER S.F. 1
1 3424.00 . $0.273 I =1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I
0.00 $0.273 50% I
I ITEM 1 TOTAL. STORM DRAINAGE SDC
12 SANlTAI/V ""W"R - CITY
A. REIMBURSEMENT COST:
1 NUMBER OF DFU's 1.1 COST PER DFU
1 V ~137
B. IMPROVEMENT COST:
1 NUMBER OF DFU's I ,I COST PER DFU
1 23 $16.24
lITEM 2 TOTAL - CITY SANITARY SEWER SDC
LTRAN"'PORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE IxlNUMBEROFUNITSlxl
1 9~7 1
B. IMPROVEMENT COST:
1 ADTTRIPRATE 1"INUMBEROFUNITSlxl
I 9~7 I
liTEM 3 TOTAL. TRANSPORTATION SDC
4 SANlTAllV<"W1'll-MWMr;
COST PER TRIP I x I NEW TRIP FACTOR I
$16.21 1 1.00 =1
COST PER TRIP
$68.94
I x I NEW TRIP FACTOR I
1 1.00 =1
=1
A. REIMBURSEMENT COST:
I NUMBER OF FEU's 1.1 COST PER FEU
1 1 $332.86
B. iMPROVEMENT COST:
1 NUMBER OF FEU's 1.1 COST PER FEU
1 1 $34.83
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, & 4)
"LA~:~~~:~TIV"I FIH~M. FEE RATE
II $2,99236 5%
I s:t- T~
I SDC COORDINATOR
7/25/01
$934.75
=1
=1
$0.00
$934.75
=1
$491.51
=1
=1
$373.52
$865.03
$155.13
$659.76
$814.89
=1
$332.86
=1
$149.62
DATE
TOTAL SDc CHARGES =1 $3,141.98
rrJ
~
~
o
u
.~
~
f-<
rrJ
......
o
~
II
1 1070 /
1091 ,/
I 1092'/
I
1093 ./
11094 /
,
1073
DRAINAGE .URE UNIT (DFU) cALcULATI.ABLE 4 .....
I
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW UNIT FIXTURE
FIXTURE TYPE # OLD ) x EQUIVALENT = UNITS
BATHTUB ( 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
CLOTHESW ASHER I MOP SINK ( I 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 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 ( 3 0 ) x I 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 23
'.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 Dftrs) set at 167 gallons per day
~
MWMc CREDIT cALcULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
YEAR CREDIT RATE PER $1,000 II YEAR CREDIT RATE PER $1.000
ANNEXED ASSESSED V ALOE ANNEXED ASSESSED V ALOE
1979 OR BEFORE S4.92 '1 1990 S2.06
1980 S4.83 1991 SI.64
1981 $4.77 1992 SI.45
1982 $4.64 1993 SUI
1983 $4.47 1994 SLI3
1984 S4.30 1995 SO.97
1985 S4.09 1996 SO.82
1986 S3.78 1997 SO.63
1987 S3.41 1998 S0.41
1988 S2.98 1999 SO.22
1989 S2.52 2000 SO.04
VALUE 11000 CREDIT RATE
0.000 x $0.00 =1
0.000 x $0.00 =1
TOTAL MWMC CREDIT =1
$0.00
$0.00
$0.00