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Home My WebLink AboutPermit Building 2001-08-02Job# 01-00615-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of3 SPRINGF!ELD rll-,i.j +Ll-u. nun Lu:Ll tnr ![J L, t:11F\Ril T f f!-,fl,J! lJ-Li\ 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1919 00022nd St 20 Spr AssessorsMap#: 17032500 Lot:20 Block: Addition Job Number: 01 -0061 5-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 00204 Subdivision:Maia Park crTY oF SPRINGFTELD, OREGOA' Owner: Lisa Skeem Address: 493 Scotts Glen Drive Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541-726-0702 Springfield, OR97477 Value: $53,000 Space 20 Address srrhiect to chanoe drre to recent chanoe of nrooerlv from a mohile home nark to a Contractor Registration # Expiration Date PhoneContractor Type GeneralContr ElectricalContr Plumbing Contr Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Heritage Electric 1042Horn Lane, Eugene, OR 97404 Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97 541-689-7762 541-729-1500 541-689-7762 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 1 (VN) Wood Frame Electric Office i Land Use: Zoning Code: Bedrooms: Range: c\\.r 3 Electric ing # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Electric Sq. Footage: 1782 To request an inspection call the 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 Buildi Foundation FinalBuilding Pedestal MH Service Final Electrical Underfloor Drain MH Plumbing Water Line -After forms are erected but prior to concrete placement. -When all required inspections have been approved and Electrical -Prior to cover -When all electrical work is complete. Plumbing -Prior to cover or placement of concrete. -After home has been connected to water and sewer. - Prior to filling trench. the building is complete. qos 00 Sanitary Sewer Line Storm Sewer Line MH Set Up MH Final Zoning: LDR FloodPlain? [ Wetlands? Journal numbers Planner: Liz Miller Urban Growth Boundary?[ Quantity Of Fil!: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: Glenwood Area? 2 3: Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Pave Driveway? Job# 01-00615-01 Page 2 of 3 Required lnspections Plumbi -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 Land Use: Single Family Dwelling 1:2000-08-0163 2: CommentsJim Donovan Planner on Subdivision Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Accessory Structure # Of Stories: 1 Height (feet): 15 Current Units: Proposed Units:1 Census Code:New Mfg Home (sq Matn:1782 Accessory384 Total2166 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 06t1512001 5B3B 5,304 $36.73 $36.73 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 08t02t2001 08t02t2001 08t02t2001 6331 6331 6331 3,000 $38.50 $2.70 $1.16 $42.36 Electrical Manufactured Home Service\Feeder State Surcharge - Electrical Administrative Fee - Electrical Total Electrica! 08t02t2001 08t02t2001 08t02t2001 6331 6331 6331 2 $80.00 $5.60 $2.40 $88.00 Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Plumbins 0810212001 08t02t2001 08t02t2001 08t02t2001 0810212001 40 40 40 $.00 $6.30 $25.00 $25.00 $25.00 6331 6331 6331 6331 6331 Job# 01-00615-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Plum Manufactured Home Connection Administrative Fee - Plumbing Total Plumbing 08t02t2001 0810212001 6331 6331 1 $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 Tota! Manufactured Home 08t02t2001 08t02t2001 08t02t2001 081021200'l 6331 6331 6331 6331 50,000 1 $105.00 $40.00 $7.35 $3.15 $155.50 Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential lmprovement MWMC MWMC Administrative Fee Sanitary Sewer SDC Reimbursement SDC Administrative Fee Residential Sanitary MWMC Transportation SDC Reimbu rsement Total System Development System Development 0810212001 08t02t2001 08102t2001 0810212001 0810212001 08t02t2001 08t02t2001 08t02t2001 0810212001 6331 6331 6331 6331 6331 6331 6331 6331 6331 2,606 23 1 1 1 23 1 1 $706.23 $371.45 $656.02 $24.33 $10.00 $488.75 $134.85 $285.91 9154.27 $2,831.81 Manufactured Home - Willamalane TotalWillamalane SDC Willamalane SDC 0810212001 6331 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Checked By Lisa Hopper Date Completed 0611812001 $4,253.40 Comment Address subject to change due to recent change of property from a mobile home park to a subdivision Engineering-Res Steve Templin 0710212001 Planning-Res Liz Miller 0710312001 Structural-Res Don Moore 0710612001 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 approved set of plans will remain on the site at all times during construction. Signature Date nA-a I C'TY OF 'Fl!NGFIELl, Wo' (A t- 225 FIFTE SIts.EET SP&INGFTELD, OREGON 97477 INSPECTION REQIEST.: 726-3769 OFFICE: 726-3759 1 4 Permi ts -transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALT.ATION ONLY BLEGTRICAL PBRHIT APPLICATION Ci ty Job Nurnber 3. COHPI,ETE FEE SCEEDTIT.E BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost A Su i \ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or -Hodular'Dvelling ASerVice or Feeder d, Services or Feeders Installation, Alterations or Relocation:Electrical Contractor te^;Tut Address 2/z tM Ci {.-/** Phone 73 F - /Soc: $ 8s.00 $ 1s.00 $ 40.00 $ s0.00 s 60.00 $ 100. 00 s 130. 00 s300.00 s 40.00 tu I I I / Supervi-sor License Number 200 amps or less 20L amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps_ Over 1000 amps/volts -Reconnect 0n1y -Each installation Pump or irrigation sign/outline Lightins- Limited Energy/Res Limited Energy/Comm SUBToTAL 0F ABoVE 1f/" state Surcharge'32 Administrative Fee TOTAL fi-i- B. c D. ?f5-s Expiration Dar.e // al constr conrr. Number 6 Zt>Z EF^ - - Expiration Date z/t$/o( Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps"or less S 4O.OO over 600 amps or 1t)OO voTEs see uBu a66G Branch Circui ts ; .- Nev, Alteration or Extension Per Panel 77 Signature of Supervisins Electrician Ovners Name Address 3SSl,. \ ,1. )narri\ fY Ci ty OVNER INSTALI.A &\\8 The installation is being made on property f ovn vhiih is not intended for sale, lease or rent. 0rners Signature: DATE: One Circuit $ 35.00 Each AdditionalCircuit or vith Serviceor Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not include< r_ $ $ $ $ 40.00 40.00 20.00 36.00 5 RBCEIVED I i Kf,UElrr t BI: CITY OF SPRINGFIE, , SYSTEMS DEVELOPMENT CH,.}E WORKSHEET NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING I.]NITS:I BUILDING SIZE: 2166 SF LOT SIZE: 6934 SF I9I9 22ND STREET #20 t7 -03-2s-00-00204 SINGLE FAMILY RESIDENCE SKEEM JOURNAL OR JOB NUMBER: 0l-00615-01 DISCOUNTRATEIMPERVIOUS S.F COST PER S.F. $0.000.00 $0.27r 5OYo IMPERVIOUS S.F 2606.00 COST PER S.F $0.271 $706.23 RUNOFF ROIj-IED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x x x I. STORM DRATNAGE DIRECT RUNOFF TO CITY STORM SYSTEM 706.23ITEM l TOTAL. STORMDRAINAGE SDC NUMBER OF DFU's COST PER DFU $371.4s23sl6.rs NUMBER OF DFU's 23 COST PER DFU szt.2s $488.7s B. IMPROVEMENT COST: x x 2. SANITARY SEWER - CIry A. REIMBURSEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC $860.20 NLIMBER OF UMTS COST PER TRIP NEW TRIP FACTORADT TRIP RATE 55 1.00 $6s6.029.57 I ADT TRIP RATE 9.57 NUMBER OF UNITS I COST PER TRIP $16.12 $154.27 NEW TRIP FACTOR 1.00 B.IMPROVEMENT COST: xxx xxx 3. TRANSPORTATION A. REIMBURSEMENTCOST: ITEM 3 TOTAL . TRANSPORTATION SDC $810.29 $ 10.00 NUMBER OF FEU's I COST PER FEU $28s.91 $285.91 NUMBER OF FEU's I COST PER FEU s24.33 s24.33 $0.00 SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE s310.24 B. IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: ITEM 4 TOTAL . MWMC SANITARY SEWER SDC $2SLIBTOTAL (ADD ITEMS 1,2,3, & 4) SUBTOTAL ADM. FEE RATE 5%$ 134.8s96$2 5. ADMINISTRATIVE FEE: x $2,831.817l2l0ttlr4,oTur.tl,b SDC COORDINATOR TOTAL SDC CHARGES DATE a trlnoO &r!Fac rrld 1070 1091 1092 1093 1094 I 055 1056 1073 NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE FIXTURE UNITS(#NEW - #OLD )x UNIT EQUIVALENTFIXTURE TYPE BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x J 6 DRINKING FOUNTAIN I 0 FLOORDRAIN J 0 INTERCEPTORS FOR GREASE / OIL I SOLIDS IETC.3 0 INTERCEPTORS FOR SAND / AUTO WASH /ETC.6 0 LAUNDRYTUB 2 0 CLOTHESWASHER / MOP SINK J J CLOTHESWASHER - 3 ORMORE (EA)6 0 MOBILE HOME PARK TRAP (I PER TRAILER)t2 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 J 0 SHOWER, SINGLE STALL 2 2 sHowER, GANG (NLTMBER OF HEADS)2 0 SINK: COMMERCTAL/RESIDENTIAL KITCHEN J J SINK: COMMERCIAL BAR 2 0 SINK: DOMESTIC BAR I 0 WASHBASIN 2 0 LAVATORY I J URINAL, STALL / WALL 5 0 TOILET PUBLIC INSTALLATION 6 0 TOILET PRIVATE INSTALLATION J 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU's* ( 0 - 0 )x 20 0 TOTAL DRAINAGE FIXTURE UIIITS = *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 23 DRAINAGE F. URE UNIT CALCULATIO^ .ABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $0.00 IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $0.00 $0.00 CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE I979 OR BEFORE $4.74 I 990 $1.96 1 980 $4.65 l99l $ l.s5 198 I $4.59 t992 $1.36 1982 $4.46 I 993 $1.23 I 983 $4.30 t994 $1.05 I 984 $4. l4 I 995 s0.90 I 985 $3.93 1996 s0.75 I 986 $3.63 1997 $0.s7 1987 $3.26 l 998 s0.35 l 988 $2.85 t999 $0.1 s 1989 $2.40 TOTAL TVIWMC CREDIT = x 0.000 x $0.00 VALUE / IOOO 0.000 CREDITRATE $0.00 trt u 2-0 0-0 0-0 0-0 0-0 0-0 l-0 0-0 0-0 0-0 0-0 l-0 0-0 l-0 0-0 0-0 0-0 3-0 0-0 0-0 2-0 YEAR ANNEXED