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
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Page 1 of3
SPRINGFIELD T
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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
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