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Home My WebLink AboutPermit Building 2000-12-19Job# 00-01753-01 Addition: Page 1 of 4 SPRTNGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 434 00039th St Assessors MaP#: 17023114 Lot: Block: RESTDENTIAL PERMIT City Of SPringfield CommunitY Services Division Building SafetY spr Job Number: 00-01 753-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 01700 Subdivision: Owner: Address Hubert RaY 412 39th st Scope Of Work: Manufactured Home on Private Lot Phone Number: 541-726-2825 City/State/Zip: Springfield,OR97478 New Value: $19'524 Contractor TYPe GeneralContr ElectricalContr Plumbing Contr Contractor Registration # Melvin Reed Construction 375 SW Juniper Street, Junction City, OR 97448 Crow Valley Electric lnc 95910 Po Box 22201, Eugene, OR 97402 Glenn & Marsha Goodsel 175 49th Street, Springfield, OR 97478 Expiration Date 1t6t2001 Phone 541-501-s539 541-729-5108 541-746-3985 Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Electric Office Use - Land Use: Single FamilY Dwelling Zoning Gode: LDR Bedrooms: 3 Range: Electric # Of Buildings: 2 Occupancy Group: Dwelling Heat Source: Forced Air Electric Sq. Footage: 1120 To request an inspection callthe 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 Buil Verify Ground Rod Footing Foundation Shear Wall Nailing Framing Final Building MH Electrical Rough Electrica! MH Service -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. CITY OF SPR"VGFIELD,OREGON Job# 00-01753-01 Page 2 of 4 - Required lnspections Electrical Final Electrical MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line MH Set Up MH Final SW-Curbside GC-Standard -When all electrical work is complete. Plum -After home has been connected to water and sewer -Prior to filling trench. - Prior to filling trench. - Prior to filling trench. Manufactured Home -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house numbet Public Works I -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Sidewalk Type:Curbside - 5' Additional ROW? Street lmprovement: Fully lmproved Curb Cut?f lmprovement Agr.?[ San Sewer Depth (Ft): 6 - 4 Size Of Line (in): B Storm Sewer Available? f Downspouts/Drains: To Storm Sewer Special Req.: Enchroachment Permit: Security Required: San Sewer Tee (in): Bond Begin DateTime: 00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM Special lnstructions: ALL IMPERVIOUS AREA MUST DRAIN TO STREET OR STORM SEWEI Other Utilities: Types Of Warning Devices Reqd. Project Supervisor: Zoning: LDR FloodPlain? [ Wetlands? ! Overlay District: # of Street Trees: 0 Land Use: Single Family Dwelling Pave Driveway? g Zone X White Journal numbers 1: 2: 3: Comments:Sarah Summers - Tentative Partition - 1999-10-0260 Planner: Liz Miller Additional Requirements: Urban Growth Boundary?! Glenwood Area? [ Required Attachments: Quantity Of Fil!: Source Locn: Supplier: Material: Drainage: Floodway FEMA: Panel 1161 of 2975 Flood Plain FEMA: Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 2 # Of Bedrooms: 3 Handicap Access? [ Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 14 Current Units:0 Proposed Units:1 Census Code: New Mfg Home Area (Sq. Main: 1120 Accessory672 Total:1792 Job# 00-01753-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount PIan Check Residential Plan Check Total Plan Check 12t0512000 3969 15,825 $75.73 $75.73 Garage/Carport Foundation Only State Surcharge For Building Permit Building Administrative Fee Tota! Building Buildins 12t1912000 12t1912000 1211912000 1211912000 4082 4082 4082 4082 12,324 3,500 $98.50 $44.50 $10.01 $4.29 $1s7.30 Man ufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrica! Electrical 12t19t2000 12t19t2000 12t19t2000 12t19t2000 4082 4082 4082 4082 2 2 $80.00 $4.00 $5.88 $2.52 $e2.40 Plumbing Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Manufactured Home Connection Administrative Fee - Plumbing Total Plumbing 12t19t2000 12t1912000 12t19t2000 1211912000 12t19t2000 12t19t2000 1211912000 4082 4082 4082 4082 4082 4082 4082 123 123 123 1 $.00 $9.45 $40.00 $40.00 $40.00 $15.00 $4.05 $148.50 Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 12119t2000 12t19t2000 12t19t2000 12119t2000 4082 4082 4082 4082 3,700 1 $105.00 $40.00 $7.3s $3.15 $1s5.50 Public Works Sidewalk Repair New Curbcut Total Public Works 1211912000 1211912000 4082 4082 1 1 $10.00 $60.00 $70.00 System Development Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development 1211912000 12t19t2000 1211912000 1211912000 12t19t2000 12t19t2000 1211912000 4,188 17 1 1 1 1 $1,134.'95 $635.80 $810.29 $285.91 $24.33 $10.00 $145.06 $3,046.34 4082 4082 4082 4082 4082 4082 4082 Manufactured Home - Willamalane Total Willamalane SDC Willamalane SDC 1 $1,000.00 $1,000.00 Grand Total 12119t2000 4082 $4,745.77 Job# 00-01753-01 Date Gompleted 1210712000 12t1412000 12t15t2000 Page 4 of 4 Comment Sarah Summers said final plat came back from County on 12114100 /a-fi-a Date Plan Check Type lnitial Review-Res Engineering-Res Planning-Res sig re Checked By Wendy Stanley Steve Templin Liz Miller Structural-Res Wendy Stanley 1210712000 needs signature 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 street,permit card is located at the front of the propery, and the the all times during construction. CITY OF OREGO'U 1 225 FIFTE SI3.EET SPRINGFIEI.J)OREGON INSPECf,ION REQUESTz 726-3769 oFBrcE: 726-3759 Date Authorized INSTALLATION Signature aoProval ' 97477 Zonins -04 SP} .;FIELO PERHIT APPLICATION 200 amps 201 amps 401 amps 601 amps One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit A- $ 2.00 LOCATION4tq 3qth,tt^-C.t OF ty Job Nunber 0O- At757-ot. COHPLETE FEE SCMDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items CostLEGAL DESCRTPTIONl+o?)lltl otloo JOB DESCRIPTIONn+ Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI..ATION ONLY 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home- or Modular Dvelling Sertice or Feeder $ 8s.00 $ 1s.00 L g 4o.oo 8a Services or Feeders Installation, Alterations or Relocation: amps _ amps 000 amps_ Over 1000 amps/volts - Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less $ 40.00 over 4b1 to 6oo amps - $ 80.00 or"i oOO amps or tbooT6Tfs see rrBrr ame Nev, Alteration or Extension Per Panel B Sum 1_ Electrical Contractor Address / i; ,Jau Ci ty Phone ln,15 '{3L-r Supervisor License Number tl 7 qz- .5 Expiration Date /O -Ot -A,/ Constr Contr. Number Expiration oarc /D - 0 Z Signature o f Supervising EIec 1C1Ern tltc s s0.00 s 60.00 s1o0.0o s130.00 $300.00 s 40.00 ses 00 00 orIto4to6 toL c D Ovners Name +l.b*p Address b /tta 3q*+' Ci ty Phone 77'6'Jtes OVNER TNSTALI.,ATION The instatlation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: E Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/OutIine Lighting- Limited Energy/Res Limi ted Energy/Comm SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL 8L/ s 40.00 $ 40.00 $ 20.00 $ 36.00 5 RBCEIVED BY:@TKI'UEAT-T ff CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORIGHEET DWELLING UNITS: I BUILDING SZE: 1792 SF LOT SIZE: 10487 SF JOURNAL ORJOB NUMBER: 00-01753-01 NAME OR COMPANY:RAY DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE ANNEXATIONYEAR LANE COI.TNTY ASSESSED VALUE (LAND) LOCATIONT 434 39TH STREET TAXLOTNUMBER:l7 -02-3r-14-01700 IMPERVIOUS S.F COSTPER S.F 134.9s4188.00 $0.271 I. STORMDRAINAGE x ITEM 1 TOTAL - STORM DRAINAGE SDC NUMBEROFDFU's COSTPERDFU t7 16.15 .55 NUMBEROFDFU's t7 COSTPERDFU $21.25 $361.25 B.IMPROVEMENT COST: x x 2. SANITARY SEWER- CITY A. REIMBI]RSEMENT COST: $635.80ITEM 2 TOTAL - CITY SANITARY SEWER SDC ADTTRIP RATE NUMBEROFUNITS COST PERTRIP NEWTRIPFACTOR 9.57 I $68.ss 1.00 $656.02 ADT TRIP RATE 9.57 NUMBEROFUNITS I COST PERTRIP $16.12 NEWTRIPFACTOR L00 sls4.27 B.IMPRO\IEMENT COST: x x x x x x 3. TRANSPORTATION A. REIMBURSEMENT COST: $810.29ITEM 3 TOTAL - TRANSPORTATION SDC $10.00 NUMBEROFFEU's I COSTPERFEU $28s.91 NUMBER OF FEU's I COSTPERFEU $24.33 $24.33 $0.00 $285.91 B.IMPROVEMENT COST x x 4. S^NITARY SEWFR - MWMC A. REIMBURSEMENT COST: MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATTVE FEE $320.24ITEM 4 TOTAL - NTWMC SANITARY SEWER SDC 1.28SUBTOTAL (ADD ITEMS t, 2, 3, & 4) SUBTOTAL ADM. FEE RATE 1.28 5%145.06 5. ADMIMSTRATTVE FEE: x $3,046.34 t2/14100$lr,wTrrrf,l;e SDC COORDINATOR TOTAL SDC CHARGES DATE $1.134.95 I..,T U NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OFFXTURES DRAINAGE FXTURE UNITSFIXTURE TYPE (#NEW - #OLD )x LTNIT EQUTVALENT BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( I )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x J J DRINKING FOUNTAIN I 0 FLOORDRAIN J 0 INTERCEPTORS FOR GREASE I ON- / SOLIDS IETC.3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.6 0 LAUNDRYTUB 2 0 CLOTHESWASIMR / MOP SINK I J J cLoTmswASHER - 3 ORMORE (EA)6 0 MOBILE HOME PARK TRAP (I PER TRAILER)t2 0 RECEPTOR FOR REFRTGI WATER STAI_O]i / EJCI RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 J 0 SHOWE& SINGLE STALL 2 0 sHowE& GANG (NUMBER OF HEADS)2 0 SINK: COMMERCIAL/RESIDENTIAL KITCTIEN I J J SINK: COMMERCIALBAR 2 0 SINK: DOMESTIC BAR I 0 WASHBASIN 2 0 LAVATORY 2 I 2 URINAL, STALL/WALL 5 0 6 0 TOILET PRTVATE INSTALLATION 2 3 6 MISCELLANEOUS Dzu TYPE NUMBER OF EDU's* )x 20 0 TOTAL DRAINAGE FIXTI]RE I]MTS *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day DRAINAGE FIXTURE UNIT CALCULATION TABLE NTWMC CREDIT CALCULATION TABLE: BASED ON COI.INTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FORLAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $0.00 $0.00 YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $1,OOO ASSESSED VALI]E 1979 OR BEFORE $4.',t4 1990 $1.96 1980 $4.6s 199 I $1.ss 198 l $4.59 1992 $1.36 t982 $4.46 I 993 $ 1.23 1983 $4.30 1994 $1.0s 1984 $4. l4 1 995 $0.90 1985 $3.93 1996 $0.75 1 986 $3.63 199'7 $0.57 1 987 $3.26 I 998 $0.35 1988 $2.85 1999 $0.1s 1989 $2.40 TOTAL 1VTWMC CREDIT x 0.000 x $4.74 VALUE/ IOOO 0.000 CREDIT RATE $4.74 TOILET, PUBLIC INSTALLATION t UUillamalane Park & Recreation District Job. No. 0O4 7-4 STATE: a/\ Ztp: cliH >r SYSTEM DEVELOPMENT CI{ARGE WORKSHEET PHONE:vNAME ADDRESS: , {ra. LOCATION OF PROPOSED BUILDING SITE: 1 Street Address: Plat Name:_ Tax Lot Number: DEVELO,P[,!ENT TypE (check ype definitions are on the 6ack.) A. Single-Family Detached Single Family home NO. OF UNITS appropriate dwelting(s). SDC calculations and dwelting t Manufactured home not in a park X $1,000 per unit = $t000 B. Single-Family Attachecf NO. OF UNITS X $924 per unit C. Multi-Family Apartment NO. OF UNITS X $Gsz per unlt D. Manrfaclured Home park NO. OF UNITS WILLAMALANE SDC X $699 per unlt 2- sDc CREDIT (rf appricabre) sDGpayer must tumrsh proof ot wittamarane credit approvar. see sDC credir wo*ineet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (lf SDC reduced for Credit)$b00.p I I $ $ $ $ $ D City of fietd Departmeni _ta-l+loo Date *a J'..s I