HomeMy WebLinkAboutPermit 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