HomeMy WebLinkAboutPermit Building 2001-08-09Job# 01-00294-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of3
siPRINGFIELD T-ral tra& - -4-IIt\HtYit{+; u.l-u
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225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 619 S 00034th St Spr
AssessorsMap#: 17023134
Lot: Block: Addition:
Job Number: 01 -00294-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 03903
Subdivision:
ctTY oF SPRTNGFIELD, CTREGON
Owner: BillBaumgartner
Address: 2765 E 18th Ave
Scope Of Work: Manufactured Home on Private Lot
Phone Number:
City/State/Zip:
New
541 -343-6595
Eugene, OR 97403
Value: $40,000
lnstalling Mfgd Home on panhandle lot
Contractor Type Contractor Registration #
Manuf Home lnstall A Action Mobile Home Moving & Demolitio 142807
25716 Wiggins Lane, Veneta, OR 97487
Expiration Date
515t2002
Phone
541 -93s-1 786
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
1
(VN) Wood Frame
Office Use
-
Land Use:
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings: 1
OccupancyGroup: Dwelling
Heat Source:
Sq. Footage: 1344
To request an inspection callthe 24hour 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
Plumbing I
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Drywell
Final Plumbing
MH Set Up
MH Final
-After home has been connected to water and sewer
- Prior to filling trench.
-Prior to filling trench.
- Prior to filling trench.
-Engineered Drywell is required.
-When all plumbing work is complete.
Manufactured Home
-When allblocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house number
'">
Street lmprovement: Gravel
Curb Cut?[ lmprovementAgr.?[
San Sewer Depth (Ft):
Storm Sewer Available?
Special Req.:
Security Required:
Bond Begin DateTime:
Special lnstructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
AdditionalROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Page 2 of 3
tr
To Drywell-Provide Drywell En
00/00/0000 00:00 AM
Job# 01-00294-01
00/00/0000 00:00 AM
Types Of Warning Devices Reqd
Zoning: LDR
FloodPlain? [ Wettands? [
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:
3
Planner: Liz Miller Additional Requirements:
Urban Growth Boundary?! Glenwood Area? [ Required Attachments:
Quantity Of Fill: Source Locn:
Supplier: Material:
Drainage:
Floodway FEMA: ZoneXWhite Flood Plain FEMA:
Land Use:
Pave Driveway?
Panel 1161 of2975
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main: 1344 Accessory60
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:1
Census Code: New Mfg Home
Tota!:1404
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
031271200't 4781Residential Plan Check
Total Plan Check
1,000
Plumbing
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
San Sewer Line Footage WBath Permit
Manufactured Home Connection
Administrative Fee - Plumbing
Total Plumbing
08/09/2001
08/09/2001
08/09/2001
0B/09/2001
08/09/2001
08/09i2001
0810912001
6396
6396
6396
6396
6396
6396
6396
$.00
$14.00
$70.00
$70.00
$4s.00
$15.00
$6.00
$220.00
280
280
280
1
Manufactured Home
N/anufactr-rred Home Setup Fee
Manufactured Home State lssuance
State Surcharge For Manufactured Hom,
0810912001
08t09t2001
0810912001
6396
6396
6396
40,000
1
$105.00
$40.00
$7.35
$11.70
$11.70
Job# 01-00294-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Manufactured Home
Manufactured Home Administrative Fee
Total Manufactured Home
08/09/2001 6396 $3.15
$155.50
System Development
Residential- Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential lmprovement MWMC
MWMC Administrative Fee
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Property Annexed 1979 or Before
Residential Sanitary MWMC
Transportation SDC Reimbursement
Total System Development
08/09/2001
08/09/2001
08/09/2001
0B/09/2001
08/09/2001
08/09/2001
08/09/2001
08/09/2001
08/09/2001
08/09/2001
6396
6396
6396
6396
6396
6396
6396
6396
6396
6396
$211.38
$323.00
$656.02
$24.33
$10.00
$425.00
$98.04
$-129.09
$285.91
$154.27
$2,058.86
1,560
20
1
1
1
20
27
1
1
Manufactured Home - Willamalane
Total Willamalane SDC
Willamalane SDC
08/09/2001 6396 1 $1,000.00
$1,000.00
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Signature
Checked By
Bob Barnhart
Steve Templin
Date Gompleted
0312812001
07t2612001
Planning-Res
Structural-Res
Liz Miller 0412912001
Tom Max 04t20t2001
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
of plans will on the site at all times during construction.
$3,446.06
Comment
NO OCCUPANCY OR SANITARY SEWER
HOOKUP UNTIL CITY ACCEPTS
INFRASTRUCTURE, PUBL]C
IMPROVEMENT PROJECT FOR SEWER
CONSTRUCTION PENDING. SEE STEVE
TEMPLIN IN ENGINEERING
/,=^Q -C) /
0
Date
CITY OF SPRINGFIEL- SYSTEMS DEVELOPMENT ,E WORKSHEET
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS:I BLIILDING SIZE: 1344 SF LOT SIZE: 0 SF
619 SOUTH 34TH STREET
SINGLE FAMILY RESIDENCE
t7 -02-3r-34-03903
BALMGARTTNER
JOURNAL ORJOB NUMBER: 0t-00294-01
IMPERVIOUS S.F
0.00
COST PER S.F
$0.27r $0.00
RUNOFF ROI.]"IED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
COST PER S.F
$0.271 $2 I 1.38
x
x
IMPERVIOUS S.F
1s60.00
x
DISCOUNTRATE
50%
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
$211.38ITEM T TOTAL - STORMDRAINAGE SDC
NUMBER OF DFT,]'S
20
COST PER DFU
$21.2s 5.00
00
x
B.IMPROVEMENT COST:
x
NUMBER OF DFU's
20
COST PER DFU
$16. ls
2. SANITARY SEWER- CITY
A. REIMBURSEMENT COST:
$748.00ITEM 2 TOTAL - CITY SAI{ITARY SEWER SDC
ADT TRIP RATE
9.s7
NUMBEROFUNITS
I
COST PER TRIP
$ 16.12 $ts4.27
NUMBER OF UNITS
I
COST PER TRIP
$68.s5
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00 $6s6.02
x x x
xx
B.IMPROVEMENT COST:
xADT TRIP RATE
9.57
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$810.29ITEM3 TOTAL - TRANSPORTATION SDC
NUMBER OF FEU's
I
COST PER FEU
$285.91 $28s.91
NUMBER OF FEU's
I
COST PER FEU
s24.33 $24.33
($129.09)
SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
$ l8l.l s
B.IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SANTTARY SEWER- MWMC
A. REIMBI]RSEMENT COST:
ITEM 4 TOTAL - NIWMC SANITARY SEWER SDC $191.1s
St BTOTAL (ADD ITEMS 1,2,3, &4)$r960.8r
_l
$98.04
5. ADMINISTRATIVE FEE:
ADM. FEE RATESLIBTOTAL
x
5%I
712610tttutLTu4-1,.1;4-
SDC COORDINATOR
TOTAL SDC CIIARGES $2,058.86
DATE
1070
l09l
1092
1093
t094
1055
1056
1073
a
E]ooQ
&r!Fa
(,
trl&
NUMBER OF NEW FIXTURTS X UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
FIXTURE
UNITSFIXTURE TYPE (#NEW - #OLD )x LINIT
EOUIVALENT
BATHTUB (
(
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x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
J 6
DRINKING FOUNTAIN 0 0 I 0
FLOORDRAIN 0 0 3 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS IETC.0 0 3 0
INTERCEPTORS FOR SAND / AUIO WASH / ETC.0 0 6 0
LAUNDRYTUB 0 0 2 0
CLOTHESWASHER / MOP SINK I 0 J J
CLoTHESWASHER- 3 ORMORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 t2 0
RECEPTOR FOR REFBTG / WATER STATTON /!J-C-.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
0 0 I 0
0 0 J 0
SHOWER, SINGLE STALL 0 0 2 0
sHowER, GANG OTUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN I 0 J J
SINK: COMMERCIAL BAR 0 0 2 0
SINK:DOMESTIC BAR 0 0 I 0
WASHBASIN 0 0 2 0
LAVATORY 2 0 I 2
URINAL, STALL/WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET PRIVATE INSTALLATION 2 0 J 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'sX
( 0 - 0 )x 20 0
TOTAL DRAINAGE FIXTI.IRE UNITS =
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
20
DRAINAGE T TURE UNIT CALCULATIO ;ABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSED VALUE
1979 OR BEFORE $4.74 I 990 $ 1.96
l 980 $4.6s 1991 $ l.5s
198 l s4.s9 $ 1.36
t982 $4.46 t993 s 1.23
1983 $4.30 t994 sl.0s
1984 $4. l4 1995 $0.90
1985 $3.93 t996 $0.75
1986 $3.63 1997 $0.s7
1987 $3.26 1998 $0.35
1988 $2.85 t999 $0.r5
1989 $2.40
$129.09
$0.00
$129.09TOTAL TVIWMC CREDIT
0.000 x $4.74
VALUE / IOOO CREDIT RATE
27.235 x $4.74
I,,I U
1992
lmtr i?tE@
APPLICATION TO PAY SYSTEMDEVELOPMENT CIIARGES (SDC)
IN INSTALLMENTS AIYD CONSENT TO ASSESS LIEN
The owners of the property shown below hereby apply to the City of Springfield to pay the system development charges of
$Z-gEg,€;a, due on I I a I zoo r , in twenty (20) semi-annual installmens, plus interest and late fees if
applicable. The owners hereby apply for and consent to the voluntary imposition of a lien for the full amount of the system
development charges, plus a one-time adminisbative fee of $50, plus interest accrued upon the following described land in the City of
Springfield, Lane County, Oregon:
MAP AND TAX LOT 11- o2. 3I .3t'o SITE ADDRESS 6rq S. Bqa$STEEE.r
lA, lLt-ran^ ?<.B A t)N,\GA.ETN E,R-
ZIGS E- tgT\l A.lE
BILLING NAME
BILLINGADDRESS
CIry
STATE
SDC CHARGE
ADMIMSTRATIVE FEE
TOTALPRINCIPAL
v e
or<-
$ zo 56.sO
50.00
-1 rto 3
zD q-t+o-=
$ z I oe.e6 INTEREST RATE
We are all of the legal owners of the described land or all of the contract purchasers of record of the described land to which these
system development charges are applicable. We waive any and all irregularities or defects, jurisdictional, or otherwise, in any
proceedings to impose, calculate and collect these system development charges, and in the imposition and collection of the lien
consented to in this application. We promise to pay these system development charges, plus a one-time administrative fee of $50, in
twenty (20) equal semi-annual installnents ssmmensing on Zoo I . In addition to each of those
principal instalhnents, we promise to pay interest on the unpaid principal balance accrued to the date ofpaynent at the designated
interest rate. The interest rate at the time of signing the contract shall be calculated at the rate of the previous month's average interest
eamed on the City of Springfield's investments, plus 2.0yo. If, at some future time, the City finances the balance of the receivable by
selling bonds, then the interest rate will change to the rate paid on that bond, plus 1.5%. If the principal and interest billed semi-
annually has not been paid in full by the subsequent billing, then a l0olo late fee based on the delinquent installrnent emount will be
imposed. The charges may be paid in full at any time without penalty. We understand that if there is a subsequent failure to pay any
installment, plus interest and late fees, the City shall have the right to enforce payment sf ths amount due in any mrnner provided by
the general law of the State of Oregon or by the Springfield Municipal Code. In the event of any proceeding to enforce collection or
to foreclose, the entire unpaid balance, accrued interest, and any fees shall be considered delinquent and due. We also agree to pay
the city's cost ofcollection or foreclosure and any attorney fees for such collection or foreclosure
*?pt-- 41s?s.
1.q1q7o
t
Print Name of Owner Signarure of Owner Date Phone #
Print Name of Ovrner Signature of Owner Date Phone #
Print Name of Owner Signature of Owner Date Phone #
Print Name of Owner
STATEOFOREGON )
) ss.
County oflane )
The foregoing instrument was executed before me this
My commission expires:
6h
'.TELT.hffii'e(W
"3?lffil3ir"l'fr
o9 11%oJ!,\W/ mv-COrilSStOn B1ptRES ggr. 16, 2001
Date Phone #
Qoo \ .
Signature of Owner
Notary Public of
a
-('s
day of
v :\common\accnting\assessmt\SDCcontract.doc
U
LEGAL DES
JOB D
Permits are transferable and expire
if work is rvithin 180 days
ofissuance
180 days.
work is suspended for
ALLATION
Multi-Family per drvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each'additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Drvelling
Service or Feeder
$i06.00
$ 19.00
$P*
B. Services or Feeders
Installation,
Relocation:
200 amps or
201 amps to
401 amps
1 amps
Over
D. Branch
4. SUB
7Yo
3*%
Fee is $45.00 +
or with
TOTAL F,8.@
Osovc
Mlonrus
A division ot
L.B. Olson & Associales, lnc.
Consultlng Engineers
Land Surveyors
Urban Planners
Tralflc Engiheers
1410 Oak Street
Sulte 200
Eugene, Oregon g7401
(s41) 302-e7e0
Fax: (541) 4BS-SZS3
Post-lt. Fax Note 7671
subject: outstanding Barance on Account - south 34rh street project
Mr. Baumgartner,
As shown on the attached statement, your account has now become verydelinquent. As per the terms stated on tne invoices, any past due amount issubject to an 18% annual finance charge, which brings ihe current balance onyour account to $1,612.30.
I will not authorize any further work on.your project (inspections, field survey, oras-built drawings) until this account is brought iurrent, including the financecharges.
lf your account is not paid in full by November 1, 2001, Iwill turn this accountover to our attorney on November 2, to use any legal means necessary to collectth.e outstanding balance and most tikely put a mecianics lien ;^t;r;;roperty. Iwill also instruct him to add any additionalfinance and collection lnrig"s allowedby law to your account.
October 10, ZOO1
Bill Baumgartner
2765 East 18th
Eugene, OR 97403
Si
Scott rris
President
c R. Scott Corey, Attorney at Law
Wade Holaday, Olson & Morris
Tony Lockhart, Olson & Morris
Ron Sather, City of Springfield
J-
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l?oa 5^h--"-
lCo /Oept.
#il
-ltb -Fax #
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