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Home My WebLink AboutPermit Building 2000-06-15Job# 00-00744-01 RESIDENTIAL PERMIT Caty Of Springfield Gommunity Services Division Building Safety SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1305 00032nd St Spr Assessors Map#: 17023034 Lot: Block: Addition: Job Number: 00-00744-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 05700 Subdivision: crTY oF SPRINGFIELD, OREGO^' Owner: HOWARD MOHLER Address: 1305 32ND STREET Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541-726-5467 SPRINGFIELD, OR 97478 Value: $44,967 new double wide manufactured home to replace existing single wide ContractorType Contractor Manuf Home lnstall Gooden Harrison X,X,X Registration # Expiration Date Phone 541-689-7762 Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Sq. Footage: 1177 To request an inspection call the 24 hour recording a1726-3769. 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 NOTICE: Required lnspections THIS UNDERTHISPERMITIS NOT EDFORSite Verify Ground Rod Footing Foundation MH Electrical Rough Electrica! MH Service Final Electrical MH Plumbing MH Set Up MH Final -Toberro""rt"#ti - lnstall ground rod at footing, and call for in -After trenches are excavated.ANY 180 footing and/or foundation i -After forms are erected but prior to concrete placement. Electrica! -When blocking, setup, and plumbing inspections have been approved and the home is connect -Prior to cover. -*n"n all electricalwork is complete. Plumbing -After home has been connected to water and sewer Manufactured Home -When allblocking is complete. iqullC. ruu t' oreoon Utilit I ffi1 ;o' il; olugon .Yll it:' N ctiticatio -After all required inspections are approved and porches, skirting, decks, venting, house number Page 1 of 3 Job# 00-007M-01 Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Page 2 of 3 Curbside - 5' To Curb and Gutter 00/00/0000 00:00 AM Street lmprovement: Fully lmproved Curb Cut?[ tmprovement Agr.?[ San Sewer Depth (Ft): Storm SewerAvailable? f SpecialReq.: Security Required: Bond Begin DateTime: 00/00/0000 00:00 AM Special lnstructions: Other Utilities: Project Supervisor: Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? [ Wetlands? [ Journal numbers 1: Gomments: Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a 2 3 Additional Requirements: tr Glenwood Area? ! Required Attachments: Source Locn: Material: FIood Plain FEMA:nla Overlay District: # of Street Trees Land Use: Single Family Dwelling Pave Driveway? Z Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:1177 Accessoryl2O # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code:New Mfg Home Total:1297 Fee Paid On Receipt#Value/Qua ntity Fee Amount Plan Check 05t17t2000 0001778Residential Plan Check Total Plan Check 4,912 $32.83 $32.83 Building Foundation Only State Surcharge For Building Permit Building Administrative Fee Total Building 05/31/2000 05i31/2000 05/31/2000 4,912 $50.50 $3.54 $1.52 $5s.56 Electrical Manufactured Home Service\Feeder Man ufactured Home Service\Feeder Permanent: 200 Amps or Less State Surcharge For Electrical Permit State Surcharge For Electrical Permit 05/31/2000 06/1 5/2000 06/1 5/2000 05t31t2000 06/1 si2000 1973 2163 2163 1973 2163 1 1 1 $40.00 $40.00 $50.00 $2.80 $6.30 1 973 1973 1 973 Job# 00-00744-0'l Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Electric Administrative Fee Electric Administrative Fee Total Electrical 0513112000 06/1 5/2000 1 973 2163 $1.20 $2.70 $143.00 Plumbing Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Manufactured Home Connection Plumbing Administrative Fee Total Plumbing 05/31/2000 05/31/2000 05/31/2000 05t31t2000 1973 1 973 1 973 1973 $.00 $1.0s $15.00 $.45 $16.50 Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 05/31/2000 05/31/2000 05/31/2000 0s/31/2000 1973 1973 1973 1973 40,055 1 $105.00 $30.00 $7.35 $3.1 5 $14s.50 Manufactured Home - Storm Sanitary Sewer SDC Administrative Fee Total System Development 05/31/2000 05/31/2000 05t31t2000 1973 1973 1973 446I $103.47 $434.43 $26.e0 $564.80 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res $958.19 Checked By Bob Barnhart Steve Templin AlWard Wendy Stanley 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 approved set of plans will remain on the site at all times during construction. Signature Date Date Completed 0512212000 05t25t2000 05t25t2000 05/31/2000 1 OF OREGON SP' ,FIELC' The tolloWlng zonrng' and approval PERHIT APPLICATION s 1s.00 OATE:JUN 15 2OOO Al{T REED:? $ 99.00. IHANGE: IASHIER:061 o 225 FIFTE STREET sPRrNGFrElD, OREGON 97 477 Zoning Job Nurnber 3. COHPI,ETE FEE SCMDIII,E BBLOV A. Nev Residential-Single or Multi-FamilY Per dvelLing unit' Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular DvelIing Service or Feeder s 8s.00 B Services or Feeders Installation, Alterations or Relocation: 200 amps or less /- 201 amps to 400 amps - 401- amps to 600 amPS - 601 amps to 1000 amPS- 0ver 1000 amPs/vo1ts Reconnect OniY amps 100O-7ofTs rBr aEott -60 INSPECf,ION REQTIEST: 7 OFFICE: 726-3759 1 LOCATION OF I.,EGAL DESCRIPTION 69 ;\utnorlzed signature 57. 26-37 Date Sum JOB DE Permits are non-transfer a Ie and expire Electrical Contractor Address Ci tv Phone Supervisor License Number Signature of Supervising Electrician Ovners Name Address .4 Ci ty Yhone 7l.L-f467 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35'00 Each Additional Circuit or vith Service or Feeder Permi. t $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Lighting_- Limited EnergY/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL 70 6.) SCRIPTION<.ru 6 if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COI\ITRACTOR INSTAII.'ATION ONIY / s 4o.oo fu,do 5f,oo$ s0.00 $ 60.00 s100.00 s130.00 $300.00s 40.00 00 00 00 $40$ss $eo see Expiration Date- Constr Contr. Nr:mber Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 200 amps''or J. 201 amps to 4 Over 401 to 6 Over 600 amps C am ess 00 00 or ps D E 0040 40 20 36 .00 .00 .00 //L DATE: RECEIVED BY: 5 $ S $ $ ZO rN 33 J) SPRINGFIELD Job# 00-00744-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of3 TRANS*:01-00019T1 DATE:HAY ]1 2OOO Al,lT RE[D:2 $ BZ6.i6 CHANGE: CASHIER:059 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1305 00032nd St Spr AssessorsMap#: 17023034 Lot: Block: Addition: Job Number: 00-00744-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 05700 Subdivision: ctrY oF SPRfiNGFfiELq OREGON Owner: HOWARD MOHLER Address: 1305 32ND STREET Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541-726-5467 SPRINGFIELD, OR 97478 Value: $44,967 new double wide manufactured home to replace existing single wide ContractorType Gontractor Manuf Home lnstall Gooden Harrison X,X,X Registration # Expiration Date Phone 541-689-7762 L Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Office Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: 1177 To request an inspection call the 24 hour recording a1726-3769. 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. Required lnspections Buildin Verify Ground Rod Footing Foundation MH Electrical MH Service MH Plumbing MH Set Up MH Final -lnstallground rod at footing, and -After trenches are excavated. in conjuction with footing and/or foundation i -After forms are erected but -When blocking, setup, and plumb approved and the home is connect Plu -After home has been connected to water and sewer Manufactured Home -When allblocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number "#+ Street lmprovement: Curb Cut?[ San Sewer Depth (Ft): Storm Sewer Available? SpecialReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Fully lmproved lmprovement Agr.? 00/00/00 00:00 AM Sidewalk Type: Additiona! ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Page 2 of 3 Curbside - 5' To Curb and Gutter 00/00/00 00:00 AM Job# 00-00744-01 Types Of Warning Devices Reqd. Zoning: LDR FloodPtain? ] Wetlands? [] Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: 2: Additional Requirements: t] Glenwood Area? [ Required Aftachments: Source Locn: Material: Flood Plain FEMA:nla Land Use: Single Family Dwelling Pave Driveway? V Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? (Sq. Feet) Main:.1177 Accessoryl20 # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code:New Mfg Home Total:1297 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 0511712000 0001778Residential Plan Check Total Plan Check 4,912 $32.83 $32.83 Foundation Only State Surcharge For Building Permit Building Administrative Fee Total Building Buildinq 05/31/2000 05131t2000 05/31/2000 1973 1973 1973 4,912 $50.50 $3.54 $1.52 $55.56 Electrical Manufactured Home Service\Feeder State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 05t31t2000 05131t2000 0513112000 1973 1973 1973 1 $40.00 $2.80 $1.20 $44.00 Plumbing Minimum Plumbing Permit Fee 05131t2000 1973 $.oo Journal numbers 1: Comments: 3: Job# 00-00744-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge For Plumbing Permit Manufactured Home Connection Plumbing Administrative Fee Total Plumbing 05/31/2000 0513112000 0513112000 1 973 1 973 1973 $1.05 $15.00 $.45 $16.s0 Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 05/31/2000 05/31/2000 0s/31/2000 05t31t2000 1973 1973 1 973 1973 40,055 1 $105.00 $30.00 $7.35 $3.1s $145.50 System Development Manufactured Home - Storm Sanitary Sewer SDC Administrative Fee Total System Development 05/31/2000 05/31/2000 05/31/2000 1 973 1973 1973 446 9 $103.47 $434.43 $26.90 $564.80 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Bob Barnhart Steve Templin AlWard Wendy Stanley Date Completed 0512212000 0512512000 05t25t2000 0513112000 $8s9.19 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 approved set of plans will remain on the site at all times during construction. 4La"d +v Signature Date 1 ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOTNUMBER DEVELOPMENT TYPE: I3O5 32ND STREET 00-00744-01 MOALER t7 -02-30-34-05700 MAN HOME REPLACEMENT DWELLING LINITS BUILDNG SIZE:LOT SIZE I. STORM DRAINAGE IMPERVIOUS SQ. FT.446.00 x $0.232 PER SQ. FT $103.47 2. SANITARY SEWER-CITY NUMBEROF PFU's (SEE REVERSE SIDE) x $48.27 PER PFU9 $434.43 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP 0 x 1.01 x $486.73 PER TRIP x x M86.73 PER TRIP $0.00 $0.00 TOTAL TRANSPORTATION SDC s0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 B.IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x $242.76 PER FEU x $22.05 PER FEU TOTAL MWMC SDC $0.00 $0.00 $0.00 s0.00 $0.00 s537.90SUBTOTAL (ADD ITEMS 1,2,3, &4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $26.90 9lpvoTbr*lb 05t25t2000 $s64.80 SDC COORDINATOR DATE TOTAL SDC CHARGES PLUMBING FIXTURE LTNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS ^"ta,a"- *""""ar. FIXTURES UNIT FIXTURE FIXTURE TYPE NEW OLD ALENT TINITS BATHTTJB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LALINDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ 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: 1 0 0 0 TOTAL PLUMBING FIXTURE UNITS: CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL 22 0 2 I 2 J 6 2 6 6 I J 2 I 2 2 1 6 4 0 0 0 0 0 0 0 0 2 0 4 I I 1 2 2 0 0 I 0 YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE $ 4.47 $ 4.38 $ 4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 r989 1990 l99l 1992 1993 1994 1995 1996 1997 1998 2.18 $ 1.75 $ 1.35 $ 1.r7 $ 1.03 $ 0.86 $ 0.7r $ 0.s7 $ 0.39 $ 0.18 1979 or before 1980 l98l 1982 r983 1984 1985 1986 1987 1988 CREDIT FORPARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x $0.00 $0.00 $0.00CREDIT TOTAL 9