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Home My WebLink AboutPermit Building 2000-04-03SPRINGFTELD Job# 00-00406-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 TRANSS:01-00011?5 DATE:ftPR O] 2OOO t\HT REID:? $ 4743.0? CHANGE: IAEHIER:059 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 3993 Osage St Spr Assessors Map#: 18020614 Lot:2 Block: Addition Job Number: 00-00406-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 06500 Subdivision: ctTY oF sPRtNcFtELq OREGON Owner: Donald Mills Address: 7011 Glacier Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541 -736-8799 Springfield, OR 97478 Value: $61,030 MH and carport ContractorType Contractor GeneralContr M &AConstruction lnc ElectricalContr Manuf Home lnstall Registration # Expiration Date 88928 2t11t01 Phone 541-747-6504 541-485-2472 541-746-7003 Quad Area: # Of Units: Constr. Type: Water Heater: 5RSC 1 (VN)Wood Frame Electric office use - Land Use: Mfg Home - Not in a Parl # Of Buildings: 1 Zoning Code: LDR Occupancy Group: Dwelling Bedrooms: 3 Heat Source: FireplacenanggloTlCEfflectric Sq. Footage: 1350 To request an inspection call the 24 hour a.m. will be made the same working day, working day. Footing Framing Final Building MH Electrical Rough Electrical MH Service Final Electrical Building -After trenches are excavated. - Prior to cover. -When all required inspections have been approved and the building is complete Electrical -When blocking, setup, and plumbing inspections have been approved and the home is connect - Prior to cover. -When all electrical work is complete. MH Plumbing MH Set Up MH Final Curbcut Street lmprovement: Gurb Cut?f San Sewer Depth (Ft): Storm Sewer Available? Special Req.: Security Required: Bond Begin DateTime: Special !nstructions: Other Utilities: Project Supervisor: Partially lmproved lmprovement Agr.? Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains Job# 00-00406-01 PageZ of 4 Required lnspections Plumbi -After home has been connected to water and sewer Manufactured Home I -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number Public Works -After forms are ereceted but prior to placement of concrete To Curb and Gutter ln Lieu of Assessment Enchroachment Permit: San Sewer Tee (in): 00/00/00 00:00 AM Bond End DateTime: 00/00/00 00:00 AM Sanitary sewer to connect north per land use decsion Types Of Warning Devices Reqd. Zoning: LDR Overlay District: FloodPlain? [ Wetlands? [ # of Street Trees: 2 Journa! numbers 1: 2: 3: Comments2 paved 9'x1B'off-street parking spaces are required Land Use: Mfg Home - Not in a Park Pave Driveway? Z Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Additional Requirements tr Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Main: 1350 Accessory*00 Accessory Structure # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code: New Mfg Home Total:1750 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check $48.43 $48.43 03t15t2000 941 8,030 Job# 00-00406-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0410312000 04t03t2000 0410312000 1125 1125 1125 8,030 $74.50 $5.22 $2.24 $81.e6 Manufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Electrical 0410312000 04/03/2000 04t03t2000 0410312000 1125 1125 1125 1125 2 1 $80.00 $2.00 $5.74 $2.46 $90.20 Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Manufactured Home Connection Plumbing Administrative Fee Total Plumbing Plumbinq 04t03t2000 04t03t2000 04t0312000 0410312000 1125 1125 1125 1125 1 $.00 $1.05 $15.00 $.45 $16.50 Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home Manufactured Home 04t03t2000 04t03t2000 0410312000 04t0312000 1125 1125 1125 1125 53,000 1 $105.00 $30.00 $7.35 $3.15 $145.50 ln Lieu of Assessment New Curbcut Tota! Public Works Public Works 04t03t2000 04t03t2000 1125 1125 6,808 1 $1,157.36 $60.00 $1,217.36 System Development Residential- Duplex - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development 04t03t2000 0410312000 0410312000 0410312000 0410312000 0410312000 04t03t2000 1125 1125 1125 1125 1125 1125 1125 1,948 1B 1 1 1 1 $451.94 $B6B.B6 $491.60 $242.76 $22.05 $10.00 $104.36 $2,191.57 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 04t03t2000 1125 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res $4,791.52 Checked By Lisa Hopper Steve Templin Date Completed 03t20t2000 03t2412000 03/30/2000 04t0312000Wendy Stanley 1 Job# 00-00406-01 Page 4 oI 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 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 fa4 @ Si Date appro^ved set of plans will remain on the site at alltimes during construction.\d. A( i\L l-,L,t rhlckt ;fr,i^ ! U Willamalane Park & Recreation District cn.OMilnrc.D(Job. No. SYSTEM DEVELOPMENT CHARGE . WORKSHEET PHONE: ADDRESS: LOCATION OF PROPOSED BUILDING SITE: Street Address: Ptat Name: \\U-_ Tax Lot umber:-F 1. pEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on lhe back.) A. Single-Family Detached srArE: MrzP: q141t Manufactured home not in a park $1,ooo per unit = $ \OnO .OD Single Family home x B. Single-Family Attached NO. OF UNITS X $924 per unit $ C. Multi-Family Apartment NO. OF UNITS X $692 per unit $ D. Manufactured Home Park NO. OF UNITS X $699 per unlt WILLAMALANE SDC 2. SDC CREDIT (it applicable) SDGpayer must (umlsh proof of Wittamalane Credit approval. See SOC Credit Workshoet- 3. TOTAL WILLAMALANE NET SDC ASSESSED $ $(if SDC reduced $ $o U) OD Date City of Springfield ment \((rAOtc'\\ O\ErsCo NO. OF UNITS \ \a SPR"VGFIELD, OREGO'I$CITY OF 225 FIFTE STREET SPRINGFIEIJ, OREGON 9 INSPECTION REQTIBST: OFFICE: 726-3759 7 72 1 I DbSOD JOB 7 Permits a non-transferable and exPire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTAII.,ATION ONLY SiPhrilGFlELD EI,ECTPJCAL PERI{IT APPLICATION City Job Nurnber COHPI,STE FEE SCEEDT'I,E BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems 3 A Electrical Contractor Gf * ilr^f gloJ' B. Services or Feeders Installation, Alterations t'C- or Relocation: c L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dvelling Sertice or Feeder SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL Cos t $ 8s.00 s 1s.00 $ 40.00 s see uBu a66G- not included) 40.00 40.00 20.00 36.00 @ Sum A g Address 41 I 5 FD< //,1/,1J Phone 49r'2't72 200 amps or less 201 amps to 400 amPs _ 401- amps to 600 amps _601 amps to 1000 amps_ Over L000 amps/voIts Reconnect Only 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-voIT $ s0.00 $ 60.00 $100. 00 s130.00 s300.00s 40.00 Ci ty Supervisor License Number 357 *-s Expiration Date i0-ol- 0 t Constr Contr. Number 3 Expiration Date i0- 22'oo S ur of Supervising rtclErn $ 40.00 $ ss.00 $ 80.00 1) 0vners Name Address qD l\6 Lr(t roY D. Branch Circuits Nev, Alteration or Extension Per Panel gne Circuit $ 35.00 Each Additional Circuit or vith Service. ,lor Feeder Permit I $ 2.00 C Ci ty OVNER ALLATION The installation is being made on property I ovn vhich is not intended for safe, lease or rent. Ovners Signature: DATE: ,no.,"JAla814? E Miscellaneous ( Service/feeder -Each installation Pump or irrigation $ signzoutl-ine Lighting- $ Liilited Energy/Res - $ )' RECEIVED 0) 5 Ev?t-ur 4qq *CITY OF OREGON 225 TIFTE SIREET SPKTNGFIELD, OREGON 97477 INSPECTION REQITESTz 726'3769 OFFICE: 726-3759 1 I vo OP ts are non-transferable and expire rk is not started vithin 180 daYs TRANES:01-00015?l EATE:|(ftY 04 IOOO fll'lT ftEID:I $ 11160 EIACTRTCAL PBRHIT APPLICATION IHAI'IGE: City Job 3. COHPI,ETE FEE SCEEDI'I,E BELOS Nev Residential-Single or Multi-Family per dvelling unit. rvice fncluded: I tems Cos t $ 8s.00or lessI 500 s the $ 1s.00 Each Manu me. or Modular 'Dvelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less -J_20L amps to 400 amps _ 40L amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amps/vo1ts - Reconnect OnlY As EE Sum of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY .8. Electrical contrac ro, Cien, //.o / aL,]u r- Address 47t f l-><//"*, AJ ci Phone 4tfAL/72 Supervisor License Number . 7E'7,,*S Expiration Date /a -at C. Constr Contr . Number 7S 753 Expiration Date /e -ao of Supervising trician Owners Name Temporary Services or Feeders Installaiion, Alteration or Relocation $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 a56v6- $ 40.00 $ ss.00 $ 80.00 see lrBll 200 amps'"or less 201 amps to 400 amPs - D. Branch Circuits Nelr, Alteration or Extension P over 401 to 600 am 0ver 600 amps or 1 One Circuit Bach AdditionalCircuit or vith Se er Panel 35.00 ps_ 000 volts ng_ Address cit ,ALLA The installation i property I ovn whi for sale, Iease or Orners Signature: DATE: $ 2.00 ice/feeder not included) rvice/) -r+ ,&Le-- $ Phone , s 40.00 $ 40.00 $ 20.00 $ 36.00 32 Administrative Fee BBCEIVBD TOTAL a \se i$ OF ABOVE te Surcharge 5. ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NI.IMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: DONALD MILLS 00-00406-01 3993 OSAGE I 8-02-06-14-06500 SINGLE FAMILY RESIDENCE DWELLING UNITS I BUILDING SIZE 1750 LOT SIZE: 6808 1. STORM DRAINAGE IMPERVIOUS SQ. FT.1948.00 x $0.232 PER SQ. FT $451.94 2. SANITARY SEWER-CITY NUMBEROF PFU's (SEE REVERSE SIDE) x $48.27 PER PFUl8 $868.86 3. TRANSPORTATION NUMBER OF TRIPS X TRIP RATE X COST PER PM PEAK HOURTRTP I x 1.01 x M86.73 PER TRIP x x $486.73 PER TRIP $491.60 $0.00 TOTAL TRANSPORTATION SDC $491.60 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I B.IMPROVEMENT COST: NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x $242.76 PER FEU x 922.05 PER FEU TOTAL MWMC SDC $242.76 $22.0s $0.00 $10.00 $274.81 suBTorAL (ADD ITEMS l, 2, 3, & 4) | $2,087.21 | 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $104.36 $2,191.57 SDC COORDINATOR DA'I'E TOTAL SDC CHARGES PLUMBING FIXTURE T]NIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUTVALENT = PLUMBING FIXTURE LTNITS (NOTE: FOR REMODELS. CALCTJLATE ONLY THE NET A FIXTURES) UNIT FIXTURE TYPE BATHTUB DRINKING FOLTNTAIN FLOOR DRAIN TNTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASIVETC. LAUNDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER - 3 ORMORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATIONIETC. RECEPTOR FOR COMMERCIAL STNK/ DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALL/WALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 0 0 0 0 0 TOTAL PLUMBING FIXTURE LINITS:18 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL FIXTURES NEW OLD YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE $ 4.47 $ 4.38 $ 4.32 $4.20 $ 4.03 $ 3.88 $ 3.68 s 3.38 $ 3.03 $2.62 1989 1990 t99t 1992 1993 1994 1995 1996 1997 1998 $2.18 $ l.7s $ l.3s $ l.l7 $ 1.03 $ 0.86 $ 0.71 $ 0.s7 $ 0.39 $ 0.18 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE x IMPROVEMENT (IF AFTER ANNEXATION DATE) x ALENT PLUMBING FIXTURE LINITS 4 0 2 0 0 0 0 0 0 2 0 2 0 8 2 I 2 J 6 1 6 6 I J 2 I 2 2 I 6 4 2 2 1 CREDIT TOTAL $0.00 $0.00 $0.00 I