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Home My WebLink AboutPermit Building 2000-07-21SPRTNGFIELD Job# 00-01062-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 €h, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 469 00048th St Spr AssessorsMap#: 17023200 Lot:6 Block: Addition: Job Number: 00-01 062-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 01500 Subdivision: Lynn Lee Estates ctTY oF SPR7NGFIELD, OREGON Owner: Don Phillips Address: 1120W Fairview lt44 Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541-744-0335 Springfield, OR97477 Value: $43,500 Contractor Type General Contr Electrical Contr Manuf Home lnstall Plumbing Contr Contractor M&AConstructionlnc 916 Prescott Lane, Springfield, OR 97477 Glen NealElectric 4715 Fox Hollow Road, Eugene, OR 97405 Emerald Lifestyle Homes lnc 575 S A St, Springfield, OR 97477-5464 M&AConstructionlnc 916 Prescott Lane, Springfield, ORgT4Tl 10t22t2000 541485-2472 5118t2001 541-7474008 2111t2001 541-747-6504 Registration # 88928 Expiration Date 2t11t2001 Phone 541-747-6504 93953 66750 88928 af ltrv i f €uy requrcs ttr turhQuad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Electric ,rf Required lnspections Office Use Land Use: Mfg Zoning Gode: LDR Bedrooms: 3Range: Electric calllng 4cntp.$qr To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00a'm' will be made the same working day, inspectio=ns requested after z:oo a.m. wllr6e maoe the followingworking day. Public Works OTICE: SW-Curbside CC-Standard -After forms are erected but prior to -After forms are erected but prior to t,t- r ANY lSODAYPT Job# 00-01062-01 Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Page2 ot 4 Curbside - 5' I To Curb and Gutter 6 00/00/0000 00:00 AM Street lmprovement: Fully lmproved Curb Cut?lmprovement Agr.?[ San Sewer Depth (Ft): 6 - 4 Storm Sewer Availabte? f Special Req.: 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: Comments: Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: Land Use: Mfg Home - Not in a Park Pave Driveway? Z3 2:3: Additional Requirements Gtenwood Area? [ Required Attachments: Source Locn: Material: Flood PIain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Feet) Main: 1026 Accessory: # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code:New Mfg Home Total:1026 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Residential Plan Check Total Plan Check 0710712000 07t21t2000 2486 2649 2,565 1,935 $25.03 $21.45 $46.48 Building Foundation Only State Surcharge For Building Permit Building Administrative Fee Total Building 07t21t2000 07121t2000 07121t2000 2649 2649 2649 4,500 $50.50 $3.54 $1.52 $55.s6 Electrical Manufactu red Home Service\Feeder State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 07t21t2000 07t21t2000 0712112000 2649 2649 2649 2 $80.00 $5.60 $2.40 $88.00 Job# 00-01062-01 Page 3 of4 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbi Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Manufactured Home Connection Plumbing Administrative Fee Total Plumbing 07t21t2000 07t21t2000 07t21t2000 07121t2000 0712112000 07121t2000 0712112000 2649 2649 2649 2649 2649 2649 2649 25 25 25 1 $.00 $6.30 $2s.00 $25.00 $2s.00 $1s.00 $2.70 $99.00 Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 07t21t2000 07t21t2000 07t21t2000 07t21t2000 2649 2649 2649 2649 39,000 1 $10s.00 $30.00 $7.35 $3.15 $145.s0 Public Works New Sidewalk New Curbcut Total Public Works 0712112000 07121t2000 2649 2649 60 1 $60.00 $60.00 $120.00 Manufactured Home - Storm Manufactured Home - Storm Sanitary Sewer Residentia I Transportation Residentia I Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development 07t21t2000 07t21t2000 07t21t2000 07121t2000 07t21t2000 07t21t2000 07t21t2000 07t21t2000 07t21t2000 2,084 2,094 18 1 1 1 1 1 $500.16 $500.16 $897.48 $507.82 $507.82 $242.76 $22.0s $10.00 $109.01 $3,297.26 2649 2649 2649 2649 2649 2649 2649 2649 2649 Manufactured Home - Willamalane Total Willamalane SDC Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Willamalane SDC 07t21t2000 2649 Date Completed 07t10t2000 07t13t2000 07t13t2000 07t20t2000 Comment 1 $1,000.00 $1,000.00 $4,851.80 Checked By Lisa Hopper Steve Templin AlWard Wendy Stanley Job# 00-01062-01 Page 4 of 4 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the propery, and the site at alltimes during construction.d set of plans will remain on the fru *l J-{ Date CITY OF SPP"VGFIELD, OREGO'U at'e/ oot 8$ 225 FITTE STREET SPRINGFIEI,D, OREGON 97 477 INSPECf,ION REQI BSTI 726-3769 OFFICE: 726-3759 1 OF Permits ar n-transferable and exPire if vork is not started vithin 180 days of issuance or if uork is suspended for 180 days. 2. COMRACTOR INSTALI,ATION ONLY B Electrical contrac rc, 6/e- ,r()/4/ f,a.-'lic- Address 47 I 5 t/,A/x SF ,GFIELO FEE SCEEDTIIJ BELOV sidential-Single or Family per dvelling unit. e Included: I tems .0^ o1e APPLICATION A. Mu Servic Cos t $ 8s.00 $ 1s.00 s 40.00 s300.00 $ 40.00 @ Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular DvelIing Service or Feeder ,l_ citv Fv ?hc vnone y'iir^ 1472 Supervis,:rr License Number J57g 5 Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less 20L amps to 400 amps -401- amps to 600 amPs - 601 arnps to 1000 amps- Over 1000 amps/vo1ts Temporary Services or Feeders Installalion, ALteration or Relocation Expiration Date t0 - Dl- Dl Constr Contr. Number Expiration Date i0 -Zz^ oO Signa Supervising Elec clan 0vners Name Address Ci ty Phone s s0.00 s 60.00 s100.00 s130. 00 OVNER ON The installation is being made on property I ovn vhich is not intended for saIe, Iease or rent. Ovners Signature: DATE: ee rrBtr a6ove Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit - $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0utIine Lighting- Limited Energy/Res Limited EnergY/Comm SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL C 200 amps''or less $ 20L amps to 400 amps - $over 4bL to 6oo ambs - $ Over 600 amps or 1000-vofTs s 40.00 ss.00 80.00 D a E $ $ $ $ 40 20 36 40 00 00 00 00 RECETVED BI: 5 e) Job Nunber q3 ?.qs \ Willamalane Job. No.c D,tDb00\Park & Recreation District SYSTEM DEVELOPMENT CI{ARGE WORKSHEET t PHONE:aNAME: ADDRE SS: LOCATION OF PROPOSED BUTLDING SITE: STATE:ZIP: Manufactured home not in a ,000 per unit = $ X $924 per unlt $ ,qAStreet Addr Plat Name: 1 re S: ype definitions are on the A. Sinqle-Family Detached Single Family home NO. OF UNITS B. Single-Family Attached NO. OF UNITS Tax Lot Number: (Check appropriate dwelting(s). SDC calctrlations and dwelling t back.) 00lt -x $1 C. Multi-Family Apartment NO. OF UNITS X $692 per unlt D. Manufac-tured Home Park NO. OF UNITS X $699 per unlt $ WILLAMALANE SDC 2. SDC CREDTT (r applicable) SDGpayor must fumlsh proof of Willamaland Credit approval. See SOC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED _ (rr sDc pment $ DO$ $ $ -V 0d City of Springfield [or epartment Date a a ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: I 7-02-32-00-0 I 500 00-01062-01 PHILLPS t7-02-32-00-0t900 SINGLE FAMILY RESIDENCE DWELLINGUNITS I BUILDING SIZE: 1276 LOT SIZE: 6279 I. STORM DRAINAGE IMPERVIOUS SQ. FT.x $0.240 PER SQ. FT2084.00 16 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) x $49.86 PER PFUt8 $897.48 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PERPM PEAK HOUR TRIP I x l.0l x $502.79 PER TRIP x x $502.79 PER TRIP $s07.82 $0.00 TOTAL TRANSPORTATION SDC $507.82 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 522.05 PER FEU TOTAL MWMC SDC $242.t6 $22.0s $0.00 $r0.00 $274.81 180.27SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $109.01 S|ruoT0'41,1;"t-ffi $2,289.280711312000 DATE TOTAL SDC CHARGES PLLIMBING FIXTURE LTNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x TINIT EQUIVALENT: PLUMBING FIXTURE UNITS FIXTURES UNIT FIXTURE FIXTURE TYPE NEW OLD L]NITS BATHTUB DRINKING FOLINTAIN 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 SINIV DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBEROF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLAVALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 0 0 TOTAL PLUMBING FIXTURE UNITS:l8 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) $0.00 0 0 0 0 2 0 0 0 0 0 0 2 0 2 0 8 2 I 2 J 6 2 6 6 I J 2 I 2 2 1 6 4 CREDIT TOTAL x x YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE 1979 or before 1980 l98l 1982 1983 1984 1985 1986 1987 1988 1989 $4.74 $ 4.65 $ 4.s9 $4.46 $ 4.30 $ 4.14 $ 3.93 $ 3.63 $3.26 $ 2.8s $2.40 1990 t99t 1992 1993 1994 t99s 1996 1997 1998 1999 $ r.96 $ 1.ss $ 1.36 $ 1.23 $ l.0s $ 0.90 $ 0.75 $ 0.57 $ 0.35 $ 0.ls $0.00 $0.00