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Home My WebLink AboutPermit Building 2001-05-11SPRINGF!ELD Job# 01-00398-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 Job Number: 01-00398-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00204 Subdivision: Maia 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1919 00022nd St 37 Spr AssessorsMap#: 17032500 Lot:37 Block: Addition: ctrY oF SPRfiNGFfiELq OREGON Owner: Robert Kelley Address: 1919 22nd, SPace 37 Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541 -746-8580 Springfield, OR97477 Value: $59'800 Address is subject to change due to recent subdivision approval Contractor Type GeneralContr Contractor J. Standifer Construction 1875 Taney St., Eugene,, OR 97402 Registration # 67328 Expiration Date 6l1Bl01 Phone 541-461-2886 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 1 (VN) Wood Frame Electric Office Use - Land Use: Mfg Home - Not in a Parl # Of Buildings: 2 Zoning Code: LDR Occupancy Group: Dwelling Bedrooms: 3 Heat Source: Forced Air Electric To request an inspection ca a.m. will be made the same working day. ll lhe 24 hour recording working day, inspections re 7:00 following Required lnspections Verify Ground Rod Footing Foundation Framing FinalBuilding MH Electrical Rough Electrical MH Service Final Electrical Underfloor Drain Water Line Sanitary Sewer Line FinalPlumbing -lnstallground,"#pectioninconjuctionwith -After trenches are excavated. footing and/or foundation i -After forms are erected but prior to concrete placement. - Prior to cover. -When all required inspections have been approved and the building is complete. -Whenblocking,ffitionshavebeenapprovedandthehomeisconnect - Prior to cover. -When all electricalwork is complete. -Priortocover"r# -Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. Job# 01-00398-01 Page 2 of 3 Required lnspections Manufactured Home I -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number MH Set Up MH Final Zoning: LDR Overlay District: FloodPlain? [ Wetlands? [ # of Street Trees: Journal numbers 1: 2: 3: Comments:Recent finaled sub-division plat Planner: Liz Miller Additional Requirements: Urban Growth Boundary?[ Glenwood Area? [ Required Attachments: Quantity Of Fill: Source Locn: Supplier: Material: Drainage: Floodway FEMA: Zone X white Flood Plain FEMA: Land Use: Mfg Home - Not in a Park Pave Driveway? n Panel of2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 2 # Of Bedrooms: 3 Handicap Access? fl Accessory Structure # Of Stories: 1 Height (feet): 15 Current Units: Proposed Units:1 Census Code: New Mfg Home (Sq. Feet) Main: 1620 Accessory340 Total:1960 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 0412012001 0005007Residential Plan Check Total Plan Check I,800 $52.33 $52.33 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0511112001 0511112001 0511112001 5296 5296 5296 9,800 $80.50 $5.64 $2.42 $88.56 Electrical Manufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 0511112001 0511112001 0511112001 05t11t2001 5296 5296 5296 5296 2 1 $80.00 $2.00 $5.74 $2.46 $90.20 Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Manufactured Home Connection Plumbing 0511112001 0511112001 05t11t2001 05t11t2001 0511112001 0511112001 40 40 80 1 $.00 $7.35 $25.00 $25.00 $40.00 $15.00 5296 5296 5296 5296 5296 5296 1 Job# 01-00398-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Administrative Fee - Plumbing Total Plumbing Plumbing 0511112001 5296 $3.1 5 $11s.so Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 05t11t2001 05111t2001 0511112001 0511112001 5296 5296 5296 5296 50,000 1 $105.00 $40.00 $7.35 $3.15 $155.s0 System Devetopment Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee Sanitary Sewer SDC Reimbursement SDC Administrative Fee Transportation SDC Reimbursement Total System Development 0511112001 05111t2001 05t11t2001 05t11t2001 0511112001 05t11t2001 0511112001 05t11t2001 0511112001 5296 5296 5296 5296 s296 5296 5296 5296 5296 2,806 23 1 1 1 1 23 $760.43 $371.45 $656.02 $285.91 $24.33 $10.00 $488.75 $137.56 $154.27 $2,888.72 1 Manufactured Home - Willamalane TotalWillamalane SDC Willamalane SDC 05t11t2001 5296 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Planning-Res Checked By Lisa Hopper Steve Templin Liz Miller Liz Miller Date Completed 0412312001 0412612001 05/08/2001 05/08/2001 $4,390.81 Comment Waiting for return callfrom contractor. Side setback abutting common park area parking needs to be 10 feet per Jim Donovan. LM Side setback abutting common area of park will be changed to 10' per Jamie Standifer - contractor on 5/8/01. LM Structural-Res Tom Max 05/08/2001 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 n on the site at all times during construction Date CITY OF SPRING }YSTEMS DEVELOPMENT CHA 'E WORKSHEET JOURNAL OR JOB NUMBER: 0l-00398-01 NAME OR COMPANY:KTLLEY LOCATION: TAX LOTNUMBER: NEW DWELLING LTNITS I9I9 22ND STREET #37 17 -03-25-00-00204 ar!oo(-) &r!FV) O rrl& 1070 109 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE I BUILDING SZE: O SF LOT SIZE OSF l 055 10s6 \ IMPERVIOUS S.F DISCOI.]NT RATE 0.00 500h s0.00 IMPERVIOUS S.F 2806.00 COST PER S.F. $0.271 $760.43 RUNOFF ROLTTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS COST PER S.F $0.271 x x x I. STORMDRAI\IAGE DIRECT RUNOFF TO CITY STORM SYSTEM $760.43ITEM 1 TOTAL - STORM DRAINAGE SDC NUMBER OF DFU's COST PER DFU 23 $ 16. l5 $371.45 NLIMBER OF DFU's 23 COST PER DFU s2r.25 75 B.IMPROVEMENT COST: x x 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: $860.20ITEM 2 TOTAL. CITY SATIITARY SEWER SDC ADT TRIP RATE NUMBER OF UNITS COST PERTRIP NEW TRIP FACTOR 9.57 I s68.ss 1.00 $656.02 ADT TRIP RATE 9.57 NUMBER OF LINITS I COST PER TRIP $ 16. l2 NEW TRIP FACTOR 1.00 $rs4.27 B.IMPROVEMENT COST: x x x x x x 3. TRANSPORTATION A. REIMBTJRSEMENT COST: ITEM 3 TOTAL - TRANSPORTATION SDC $10.00 NUMBER OF FEU's I COST PER FEU s285.91 $285.91 NUMBER OF FEU's I COST PER FEU $24.33 $24.33 $0.00 SLIBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE $310.24 B.IMPROVEMENT COST x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANTTARY SEWER. MWMC A. REIMBURSEMENT COST: ITEM 4 TOTAL. MWMC SANITARY SEWER SDC 751.16SUBTOTAL (ADD ITEMS 1,2,3, &4) ADM. FEE RATESUBTOTAL s137.56751.16 5% 5. ADMIMSTRATIVE FEE: x $2,888.724l26l0rSlr,uok +tl;q- SDC COORDINATOR TOTAL SDC CHARGES 1073 DATE NO. OF FIXTURES DRAINAGE FIXTURE UNITS(#NEW - #OLD )x UNIT EQUIVALENTFIXTURE TYPE BATHTUB (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 )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x 5 6 DRINKING FOUNTAIN I 0 FLOORDRAIN 3 0 INTERCEPTORS FOR GREASE I OIL ISOLIDS / ETC J 0 INTERCEPTORS FOR SAND / AUTO WASH IETC.6 0 LAUNDRYTUB 2 0 CLOTHESWASHER / MOP SINK 3 J CLoTHESWASHER - 3 OR MORE (EA)6 0 MOBILE HOME PARK TRAP (I PERTRAILER)t2 :T RECEPTOR FOR REFRIG / WALER STATION / ETC RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 0 SHOWER, SINGLE STALL ')2 SHOWER,GANG (NUMBEROF HEADS)2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 3 J SINK: COMMERCIALBAR 2 0 SINK: DOMESTIC BAR I 0 WASHBASIN 2 0 LAVATORY I J URINAL, STALL / WALL 5 0 PUBLIC INSTALLATION 6 0 PRIVATE INSTALLATION J 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU's* ( 0 - 0 )x 20 0 TOTAL DRAINAGE FD(TI.]RE T]NITS : *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-TURE UNIT (D FU) CALCULATIC ]ABLE NUMBER OF NEW TIXTURES X UNIT EQUIVALENT = DRAINACE FIXTURE UNITS FOR CALCULATE ONLY THE NET ADDITIONAL NTWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED YALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AITER ANNEXATION) YEAR ANNEXED CREDIT RATE PER SI,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $1,OOO ASSESSED VALUE I979 OR BEFORE $4.74 I 990 $1.96 l 980 $4.65 l99l $1.55 198 I $4.s9 t992 $1.36 1982 $4.46 l 993 $1.23 I 983 $4.30 1994 $1.05 I 984 s4.1 4 I 995 $0.90 1985 $3.93 t996 $0.75 I 986 $3.63 1997 $0.57 t987 $3.26 l 998 $0.3s 1988 $2.8s l 999 $0.1 5 I 989 $2.40 $0.00 TOTAL ]VTWMC CREDIT 0.000 x $0.00 VALUE / IOOO CREDIT RATE 0.000 x $0.00 OF SPRINGF/ELD, OREGO'V SPRTII'GFIELI} BACKFLOI' PREVEI{TION DEVICE PEBHTT APPIJCATION CITT OT SPRINGFIELD BUII,DING SATEf,Y DIVISION 225 B:BTH STBEBT SPRTNGFTEL) OR 97477 OFPICB: INSPE TTON TJ!{E: 726-3759 726-3769 JOB L.]CATI.)N: ASSESSORS ;{AP *: OIINER: ADDRESS: CTTY: BACKFLOU FsRl{IT IS 515.00 + 3z,s-co TN( LOT *: O<)zoL/ PEONE *:qg* (ta>o STATE:CL ZTP:Qtqn l.og lb,Sb-$+5 (STATE SIJRCEARGE) + $,45 (AIlt{rN. FEB) = Sl{i*O 1 i "75 CONTR.{CTOF:: ADDRESS:PBONE *:q CTTY:STATE:ZTPz CONSIRUCT-I0N COITTRACT0RS REGISTRATIOH * ;+E)( TBES: BY STGNING TBrS PERUTT/APPLTCATTON, r AGREE T0 CAII FoR Al{ rNspBgrroN oNcE TEE BACKFLOS PREVENTION DEIICB HAS BEEI{ INSTALIJD A}ID IS VISIBLE TOR INSPECf,ION(726-3769). I AISO STATE TBAT ALL TI{TORilATION ON THIS PERI{ITIAPPTICATION IS CORREgI. FOR OFTTCE USE DATE OF ATPLICATIoN: ;;{ 1t, i I tos *, Ol-oO?Z{'g (-r=:zll[:, f]{Z:m L':l," {+f,>."(= (fmH. Il--, (3 &* r;) l'aj E*.(} -F.c:l I'Jl-J.\CI RECE-PT iI C{Z u]rr"t|:-) r..J €+ lJ LNC) ISSUED BY: /fa C1 --' LII> Crf,:ETOTAL AUO$IT COLIJGTED: D4 c) rflo..rrlF"" (np