HomeMy WebLinkAboutPermit Building 2001-10-09SPRINGFIELD
Job# 01-00969-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 4
Job Number: 01-00969-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01702
Subdivision:
Zfr,
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 563 00037th St Spr
AssessorsMap#: 17023113
Lot:34 BIock: Addition:
ctTY oF SPRINGFIELD, OREGON
Owner: Neil Reynolds
Address: 926 Anderson Ln 25
Scope Of Work: Manufactured Home on Private Lot
Phone Number:
City/State/Zip:
New
541-746-0222
Springfield, OR97477
Value: $81,426
MH w/garage on private lot
Contractor Type
General Contr
ElectricalContr
Contractor
Gooden-Harrison Construction
1441 hwy 99n, Eugene, OR 97402
Heritage Electric
1042 Horn Lane, Eugene, OR 97404
Registration # Expiration Date Phone
541-689-7762
541-729-1500
\g\N'os(
To request an inspection call the 24 hour recording at 726-3769. All
a.m. will be made the same working day, inspections requested after
working day
7:00
be g
Verify Ground Rod
Footing
Foundation
Shear Wall Nailing
Framing
FinalBuilding
MH Electrical
Rough Electrical
Electrical Service
MH Service
Final Electrical
Underfloor Drain
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
FinalPlumbing
Required Inspections
Buildi
- lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Before covering sheathing with finish materials.
- 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.
-Must be approved to obtain permanent power.
-When all electrical work is complete.
-Priortocover.r#
-After home has been connected to water and sewer.
- Prior to filling trench.
- Prior to filling trench.
-Prior to filling trench.
-When allplumbing work is complete.
\/
MH Set Up
MH Fina!
SW-Curbside
CC-Close & Replace
Street Improvement: Fully lmproved
Job# 01-00969-01 Page 2 of 4
Required lnspections
Manufactured Home
-When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house numbet
Public Works
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
Sidewalk Type:Curbside - 5'
Curb Cut?[
San Sewer Depth (Ft):
Storm Sewer Available?
Special Req.:
Security Required:
Bond Begin DateTime:
Special lnstructions:
Other Utilities:
Project Supervisor:
tmprovement Agr.?!
6-4
Additional ROW?
Size Of Line (in): B
Downspouts/Drains: To Curb and Gutter
Encroachment Permit Enchroachment Permit:
San Sewer Tee (in):
00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM
HOOK TO EXISTING MANHOLE AS PROPOSED WITH PARTITION. t
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? ! Wetlands? [
Land Use:
Pave Driveway?
X-White
Journal numbers
1:
Comments:
3
Planner: Additiona! Requirements:
Urban Growth Boundary?[ Glenwood Area? [ Required Attachments:
Quantity Of Fill: Source Locn:
Supplier: Material:
Drainage:
Floodway FEMA: 1161 ot2975 Flood Plain FEMA:
2
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main:1782 Accessory384
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total2166
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
1010912001 6941Residential Plan Check
Total Plan Check
11,426 $74.88
$74.88
Building
Garage/Carport
Foundation Only
10t09t2001
1010912001
7,526
3,900
$91.80
$60.60
6941
694'1
Overlay District:
# of Street Trees:
Job# 01 -00969-01 Page 3 of4
Fee Paid On Receipt# Value/Quantity Fee Amount
Building
State Surcharge For Building Permit
Building Administrative Fee
Total Building
10109t2001
10t09t2001
6941
6941
$10.67
$12.19
$175.26
Electrical
Minimum Electrical Permit Fee
Manufactured Home Service\Feeder
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
1010912001
10t09t2001
10/09/2001
10t09t2001
1010912001
6941
6941
6941
6941
6941
2
1
$.00
$100.00
$3.00
$7.21
$8.24
$118.45
Plumbinq
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Manufactured Home Connection
Administrative Fee - Plumbing
Total Plumbing
1010912001
1010912001
10t09t2001
10t09t2001
10t09t2001
1010912001
10t09t2001
6941
6941
6941
6941
6941
6941
6941
30
40
80
1
Manufactured Home
Manufactured Home Setup Fee
Manufactured Home State lssuance
State Surcharge For Manufactured Hom,
Manufactured Home Administrative Fee
Total Manufactured Home
10t09t2001
1010912001
10t0912001
1010912001
6941
6941
6941
6941
70,000
1
$160.00
$30.00
$1 1.20
$12.80
$214.00
Public Works
Curbcut Repair
Encroachment Permit - Residential
Total Public Works
1010912001
10t09t2001
6941
6941
1
1
$30.00
$85.00
$11s.00
Residential- Single Family - Storm
Residential lmprovement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - lmprovement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC lmprovement
Total System Development
System Development
1010912001
1010912001
10t09t2001
1010912001
10t09t2001
1010912001
10t09t2001
10t09t2001
10t09t2001
6941
6941
6941
6941
6941
6941
6941
6941
6941
,836
1
1
2
1
1
1
28
28
$774.23
$34.83
$10.00
$150.99
$332.86
$659.76
$155.13
$598.36
$454.72
$3,170.88
Manufactured Home - Willamalane
TotalWillamalane SDC
Willamalane SDC
10109t2001 6941 1 $1,000.00
$1,000.00
Planning
Planning Plan Review
Total Planning
$50.00
$50.00
Grand Total
1010912001 6941 1
$5,141.57
$.00
$13.58
$45.00
$45.00
$59.00
$45.00
$15.52
$223.',10
Plan Check Type
lnitial Review-Res
Engineering-Res
lfurther
address
to
approved
Signature
Checked By
Bob Barnhart
Steve Templin
Job# 01 -00969-01
Date Completed
0911212001
0912012001
Page 4 of 4
Comment
HOOK TO SANITARY SEWER AS PROPSED
IN PARTITION APPLICATION.
ENCROACHEMENT PERMIT REQUIRED.
CLOSE EXISTING CURB CUT AS
REQUIRED.
The rear set back was measured from the
coner of the lot: see note on the site plan
Planning-Res Sam Gollah 09t27t2001
Structural-Res Tom Max 0912512001
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.
iredthat
the that
inspections are requested at the proper time, that each
the permit card is located at the front of the propery, and the
site at alltimes during construction.
Date
CITY OF SPRINGFIE SYSTEMS DEVELOPMENT CH, ;E WORIGIIEET
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS:I BUILDING SIZE: O SF LOT SIZE: O SF
563 37TH STREET
01-00969-01
SINGLE FAMILY RESIDENCE
REYNOLDS
JOURNAL OR JOB NUMBER: 0l-00969-01
IMPERVIOUS S.F COST PER S.F DISCOUNTRATE
0.00 $0.273 500h $0.00
IMPERVIOUS S.F
2836.00
COST PER S.F
$0.273 $774.23
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x x
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
$774.23ITEM 1 TOTAL - STORMDRAINAGE SDC
NUMBER OF DFU's COST PER DFU
28 $16.24 $4s4.72
NUMBER OF DFU's
28
COST PER DFU
$21.37 8.36
B.IMPROVEMENT COST:
x
x
2. SAMTARY SEWER - CITY
A. REIMBURSEMENT COST:
ITEM 2 TOTAL - CITY SAI\ITARY SEWER SDC
NUMBER OF UNITS COSTPERTRIP NEW TRIP FACTOR
I $68.94 1.00 $6s9.76
ADT TRIP RATE
9.57
NUMBER OF LIMTS
I
COST PER TRIP
$16.21
NEW TRIP FACTOR
1.00 $lss.l3
ADT TRIP RATE
9.57
B.IMPROVEMENT COST:
x x x
x x x
3. TRANSPORTATION
A. REIMBURSEMENT COST:
4.89ITEM3 TOTAL. TRANSPORTATION SDC
$10.00
NUMBER OF FEI.]'S
I
COST PERFEU
$332.86 $332.86
NUMBEROFFEUS
I
COST PER FEU
$34.83 83
$0.00
SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
$367.69
B.IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SANITARY SEWER - MWMC
A. REIMBI.]RSEMENT COST:
$377.69ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
19.89SUBTOTAL (ADD ITEMS 1,2,3, & 4)
SUBTOTAL ADM. FEE RATE
19.89 5%$150.99
5. ADMIMSTRATIVE FEE:
x
$3,170.88
Slr,wTu^l,l;4-
SDC COORDINATOR
91201200t TOTAL SDC CHARGES
DATE
l09l
1092
l05s
1056
to13
U)H
oO
&Ht.iO
()
trl&
I
I
DRAINAGE F]URE UNIT CALCULATIO, ABLE
NUMBER OF NEW FIXTURES X UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
FOR CALCULATE ONLY THE NET ADDITIONAL
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
NO. OF FIXTURES DRAINAGE
FIXTLIRE
UNITSFIXTURE TYPE (#NEW - #OLD )x UNIT
EQI-IIVALENT
BATHTT]B (
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
2-0
0-0
0-0
0-0
0-0
0-0
l-0
0-0
0-0
0-0
0-0
2-0
0-0
l-0
0-0
0-0
0-0
3-0
0-0
0-0
3-0
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
J 6
DRINKINGFOUNTAIN I 0
FLOORDRAIN 3 0
TNTERCEPTORS FOR GREASE I OIL I SOLIDS IETC.J 0
INTERCEPTORS FOR SAND / AUTO WASH /ETC.6 0
LAUNDRY TUB 2 0
CLOTHESWASHER / MOP SINK J J
CLoTHESWASHER- 3 ORMORE (EA)6 0
MOBILE HOME PARK TRAP (I PER TRAILER)t2 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
1 0
3 0
SHOWER, SINGLE STALL 2 4
SHOWER, GANG CNUMBER OF HEADS)2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 3 J
SINK: COMMERCIAL BAR 2 0
SINK:DOMESTIC BAR I 0
WASHBASIN 2 0
LAVATORY 1 J
URINAL, STALL/WALL 5 0
TOILET, PUBLIC INSTALLATION 6 0
TOILET PRIVATE INSTALLATION J 9
MISCELLANEOUS DFU TYPE NUMBER OF EDI-],S*
( 0 - 0 )x 20 0
TOTAL DRATNAGE FTXTURE UITIITS :
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
28
$0.00
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCLILATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION)
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
I979 OR BEFORE $4.92 l 990 $2.06
1980 $4.83 1991 $ 1.64
1981 $4.77 t992 $ 1.4s
r982 $4.64 r993 $1.31
1983 $4.47 1994 $ 1.13
1984 $4.30 I 995 $0.97
I 98s $4.09 1996 $0.82
I 986 $3.78 1997 $0.63
t987 $3.41 I 998 s0.41
1988 $2.98 t999 90.22
1989 $2.s2 2000 s0.04
$0.00
$0.00
TOTAL MWMC CREDIT :
0.000 x $0.00
VALUE / IOOO CREDIT RATE
0.000 x $0.00
\
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