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HomeMy WebLinkAboutPermit Building 2000-07-11Job# 00-00789-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Job Number: 00-00789-01 Office: 726-3759 lnspection Line: 726-3769 *,n{_It' UI 5?? NAT fiflal-t.l\LtrU '3599.1_? n!'1UT.JI *zt 4s #i's't Page 1 of3 SPRINGFIELD T I NT'Trlilt 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1919 00022ND ST 46 Spr AssessorsMap#: 17032500 Lot:46 Block: Addition: Tax Lot#: 00204 Subdivision:MAIA PARK ctrY oF SPR1NGFIELq OREGOAT Owner: Loretta Hoff Address: 1475 Green Acres Road Scope Of Work: Manufactured Home in Park Manufactured Home and Garport and shed Phone Number: Gity/State/Zip: New 541-349-8951 Eugene, OR 97408 Value: $44,760 Contractor Type GeneralContr Contractor Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Registration # Expiration Date Phone 541-689-7762 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 1 (VN) Wood Frame Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: 1296 To request an inspection call the 24 hour recording at 726-3769. 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. Zoning: LDR FloodPlain? ! Wettands? [ Journal numbers 1= Comments: 2 Additional Requ irements: Glenwood Area? ! Required Attachments: Source Locn: Material: Flood Plain FEMA: NOTICE: THIS PERMIT SHllttuEl€BE Sffi ilIffiowerrins AurH o R lzED u NBERTDII&BFB}ilIENo I COIv{NIENCED OR lS ABANDONED FOR 3: ANY 1Bo DAY PERI0D' Overlay District: # of Street Trees: Planner: AlWard Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a 090. Y+l Calltrrc nrlmber Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? Job# 00-00789-01 # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code:New Mfg Home Page 2 of 3 Area (Sq. Main: 1296 Accessory384 Total:1680 Fee Paid On Receipt# Value/Quantity Fee Amount Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 07t11t2000 0711112000 0711112000 2527 2527 2527 4,760 $50.s0 $3.54 $1.52 $ss.s6 Electrical Manufactured Home Service\Feeder State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 07t11t2000 07t11t2000 07t11t2000 2527 2527 2527 2 $80.00 $5.60 $2.40 $88.00 Plumbins Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Storm Sewer Footage Manufactured Home Connection Plumbing Administrative Fee Total Plumbing 0711112000 0711112000 07t1112000 07t11t2000 07t11t2000 2527 2527 2527 2527 2527 40 1 $.00 $2.80 $2s.00 $1s.00 $1.20 $44.00 Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 07t11t2000 07t11t2000 07t11t2000 07t11t2000 2527 2527 2527 2527 40,000 1 $105.00 $30.00 $7.35 $3.1s $145.50 System Development Manufactured Home - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development 0711112000 0711112000 07t11t2000 07t11t2000 0711112000 0711112000 0711112000 2527 2527 2527 2527 2527 2527 2527 2,254 18 1 1 1 1 $522.93 $868.86 $491.60 $242.76 $22.0s $10.00 $107.91 $2,266.11 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDG 0711112000 2527 $1,000.00 $1,000.00 Comment 1 $3,599.f 7Grand Total PIan Check Type lnitial Review-Res Engineering-Res Checked By Bob Barnhart Steve Templin Date Gompleted 05t26t2000 05/30/2000 Plan Check Type Planning-Res Structural-Res Job# 00-00789-01 Checked By Date Completed Gomment AlWard 05/31/2000 Wendy Stanley 0610212000 Page 3 of 3 1-ll-oo 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 property, and the appreved set of plans will remain on the site at all times during construction 8*l /Jn,o,"- Signature Date ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEEf JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOTNUMBER DEVELOPMENT TYPE: DV/ELLING UNITS MAJA PARK LOT #?? 00-00789-01 HOFF t7-03-25-00-00204 SINGLE FAMILY RESIDENCE BUILDING SIZE:LOT SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT.22s4.00 x s0.232 PER SQ. FT $s22.93 2. SANITARY SEV/ER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) x $48.27 PER PFU18 $868.86 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE X COST PER PM PEAK HOUR TRIP I x l.0l x M86.73 PERTRIP x $491.60 $0.00 TOTAL TRANSPORTATION SDC $49r.60 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 5242,76 PER FEU x $22.05 PER FEU TOTAL MWMC SDC $242.76 $22.0s $0.00 $10.00 $274.81 158.20SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $107.91 9tqoTrrr,+l;*ffi $2,266.110513012000 DATE TOTAL SDC CHARGES x $486.73 PER TRIP PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLEjR OF NEW FIXTURES x LTNIT EQUIVALENT = PLUMtsING FIXTURE LINITS .XTURE TYPE TINIT JATHTUB DRINKING FOLINTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LATINDRY TUB/CLOTHESV/ASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLAVALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOI]S: TOTAL PLUMBING FIXTURE CREDIT CALCULATION TABLE: BASED ON ASSESSED VAT,UE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL FIXTURES NEW OLD PLUMBING FIXTURE LINITS 2 I 2 J 6 2 6 6 I J 2 1 2 2 1 6 4 0 0 0 0 2 0 0 0 0 0 0 2 0 2 0 8 0 0 0 YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE $4.47 $ 4.38 $4.32 $4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1989 1990 1991 1992 1993 1994 r995 1996 1991 1998 $ 2.18 $ 1.7s $ r.35 $ 1.17 $ 1.03 $ 0.86 $ 0.71 $ 0.s7 $ 0.39 $ 0.18 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x $0.00 $0.00 $0.00CREDIT TOTAL 2 I 2 2 PRIITIGFIELD City of Springfiei Voucherh, :port lD : SPRA103 Voucher lD : 00024342 Handling Code : RE Harrison,Gooden 1441 Hwy.99 Eugene, OR 97402 )escription Account Fund lefund of Overpayment 215023 821 SubClass BY Vendor Number: Voucher Date : lnvoice # : Approver: Operator: Gross Amount : Proi/Grant 0000004090 Nov 06, 2000 1 1-6-2000 Puent,David wtLS5940 301.00 Amount 301.00 qrg 2001 Comments: Refund of overpayment on job number 00-00789-01 paid $1000. should have been $699.00 for a park ll q 2e,^L *'(t'