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Home My WebLink AboutPermit Building 2001-04-30SPFINGFIELD Job# 01-00290-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 .1i 1' { L 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1919 00022nd St Spr AssessorsMap#: 17032500 Lot:28 BIock: Addition: Job Number: 01-00290-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 00204 Subdivision:Maia Park ctrY oF SPRINGFIELD, OREGOTV Owner: Ray Andrews/ Helen Serrage Address: PO BOX9662 Scope Of Work: Manufactured Home in Park Phone Number: City/State/Zip: New 541-942-9662 COTTAGE GROVE, OR97424 Value: $57,104 Address subject to change due to recent subdivision approval Gontractor Type GeneralContr Electrical Contr Plumbing Contr Contractor Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Heritage Electric 1042 Horn Lane, Eugene, OR 97404 Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Registration # Expiration Date Phone 541-689-7762 541-729-1500 541-689-7762 -,^, i.,^r-inr: I'ilrJ pqq]res }?.Y i?. Office Use Land Use: Mfg Home Park or Court # Of B :h 01-Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 1 (VN)Wood Frame Zoning Code: LDR Bedrooms Range: Occupancy Group: Heat Source: Sq. Footage: 1392 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 !nspections Verify Ground Rod Footing Foundation Framing FinalBuilding MH Electrical Rough Electrical MH Service FinalElectrical - lnstal -After -After -Prior -When all required inspections have been comp lete Electrical l ANY 180 DAY PE RIOD -When blocking, setup, and plumbing inspections have been approved and the home is connect -Prior to cover. -When all electricalwork is complete. tollow r adoPted bY in OAR 952 0090. You calling' 5er MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line MH Set Up MH Final Zoning: LDR FloodPlain? ! Wetlands? ! Planner: Ruth Klein Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Job# 01 -00290-01 Page 2 of 3 Required lnspections Plumbing -After home has been connected to water and sewer, - Prior to filling trench. -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 number Overlay District: # of Street Trees Land Use: Mfg Home Park or Court Pave Driveway? Z Journal numbers 1: 2: 3: Comments:Park in process of being shifted to individually owned tax lots. Gtenwood Area? [ Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? (sq.F Main: 1392 Accessory660 # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code: New Mfg Home Total2052 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 0312712001 4774Residential Plan Check Total Plan Check 17,104 $83.53 $83.53 Garage/Carport Foundation Only State Surcharge For Building Permit Building Administrative Fee Total Building Building 0410212001 0410212001 0410212001 0410212001 481 s 481 5 481 5 481 5 12,104 5,000 $98.50 $50.50 $10.43 $4.47 $163.90 Manufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Electrical 04t02t2001 0410212001 04t02t2001 04t0212001 481 5 481 5 481 5 481 5 2 1 $80.00 $2.00 $5.74 $2.46 $e0.20 Plumbing Minimum Plumbing Permit Fee 0413012001 5099 $.oo Job# 01 -00290-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Manufactured Home Con nection Water Service Line WBath Permit Administrative Fee - Plumbing Total Plumbing 04t30t2001 04130t2001 04130t2001 0413012001 04t30t2001 04t30t2001 0413012001 5099 5099 5099 5099 5099 5099 5099 30 99 99 1 $8.40 $25.00 $40.00 $40.00 $15.00 $.00 $3.60 $132.00 Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 0410212001 04102t2001 04t02t2001 0410212001 481 5 481 5 4815 4815 40,000 $105.00 $40.00 $7.35 $3.1 s $155.50 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 System Development 0410212001 0410212001 0410212001 0410212001 04t02t2001 0410212001 0410212001 0410212001 04102t2001 48'15 4815 4815 481 5 481 5 481 5 481 5 4815 481 5 3,284 23 1 1 1 1 23 $889.96 $371.45 $656.02 $285.91 $24.33 $10.00 $488.75 $144.03 $1s4.27 $3,024.72 1 Manufactured Home in Park - Willamalar TotalWillamalane SDC Willamalane SDC 0410212001 4815 1 $699.00 $6e9.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res $4,348.85 Checked By Bob Barnhart Steve Templin Ruth Klein Are there any street tree requirements? 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 allwork 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 all required inspections are requested at the proper time, that each address that the permit card is located at the front of the property, and the app 7-30- o r Date Completed 0312712001 03t28t2001 03t29t2001 Comment Sig re to re o all times during construction Date 1 SPRINGFTELD Job# 01-00290-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: '1919 00022nd St Spr AssessorsMap#: 17032500 Lot:28 Block: Addition: Job Number: 01 -00290-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 00204 Subdivision:Maia Park ctrY oF SPR7NGFTELD, OREGOI' Owner: Ray Andrews/ Helen Serrage Address: PO BOX 9662 Scope Of Work: Manufactured Home in Park MH w/ GARAGE Phone Number: City/State/Zip: New 541-942-9662 COTTAGE GROVE, OR97424 Value: $57,104 Contractor Type General Contr ElectricalContr Plumbing Contr Contractor Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Heritage Electric 1042Horn Lane, Eugene, OR 97404 Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Registration # Expiration Date Phone 541-689-7762 541-729-1500 541-689-7762 T'T t DO Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 1 (VN) Wood Frame Office Use - Land Use: Mfg Home Park or Court # Of Buildings: 1 Zoning Code: LDR Occupancy Group: Dwelling Bedrooms: Heat Source: Range: Sq. Footage: 1392 To request an inspection call the 24 hour recording at726-3769. 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 Buitding I Verify Ground Rod Footing Foundation Framing FinalBuilding MH Electrical Rough Electrical MH Service Final Electrical -lnstallground rod atfooting, and callfor inspection in conjuction with footing and/orfoundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to cover. -When all required inspections have been approved and the building is complete. Electrical -When blocking, setup, and plumbing inspections have been approved and the home is connect - Prior to cover. NL -When all electricalwork is complete Page 1 of 3 THIS PERMIT SHALL EXPiPtr 0090. call Job# 01-00290-01 Page 2 of 3 Required Inspections Manufactuied 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? [ Wettands? [ # of Street Trees: Journal numbers 1: 2: 3: Comments:Park in process of being shifted to individually owned tax lots. Land Use: Mfg Home Park or Court Pave Driveway? g Planner: Ruth Klein Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Glenwood Area? [] Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? Area (Sq. Main: 1392 Accessory660 # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code: New Mfg Home Total2052 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total PIan Check 0312712001 4774 17,104 $83.53 $83.53 Garage/Carport Foundation Only State Surcharge For Building Permit Building Administrative Fee Total Building Building 0410212001 04t02t2001 04t0212001 0410212001 4B'15 4815 4815 4815 12,104 5,000 $98.50 $s0.50 $10.43 $4.47 $163.e0 Manufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Electrical 0410212001 0410212001 04t02t2001 4u02t2001 481 5 4815 4815 4815 2 1 $80.00 $2.00 $s.74 $2.46 $90.20 Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home Manufactured Home 04t02t2001 04t02t2001 0410212001 04t02t2001 40,000 1 $105.00 $40.00 $7.35 $3.1 5 $15s.50 4815 4815 4815 48l 5 Job# 01-00290-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount ment 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 04t02t2001 04t02t2001 0410212001 04t02t2001 04t02t2001 04t02t2001 04t02t2001 04t02t2001 04t02t2001 481 5 4815 481 5 481 5 4815 4815 481 5 4815 481 5 3,284 23 1 1 1 1 23 $BBe.e6 $371.45 $656.02 $28s.91 $24.33 $10.00 $488.75 $144.03 $154.27 $3,024.72 Manufactured Home in Park - Willamalat TotalWillamalane SDG Willamalane SDC 04t02t2001 4815 1 $699.00 $699.00 Grand Total PIan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res $4,216.85 Ghecked By Bob Barnhart Steve Templin Ruth Klein Date Completed 0312712001 0312812001 0312912001 Gomment Are there any street tree requirements? By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the*K;r;jrffwill remain on the site at all times durins construction !Signature Date 'l-z-ol 1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORIGHEET DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE SF JOURNAI OR JOB NUMBER: 0l-00290-01 NAME OR COMPANY ANDREWS LOCATION:1919 22ND STREET #28 TAXLOTNUMBER:I 7-03-25-00-00209 ANNEXATIONYEAR LANE COLTNTY ASSESSED VALI.JE (LAND) DWELLINGUMTS I BTIILDING SIZE:SF LOT SIZE: IMPERVIOUS S.F COST PER S.F. ,963284.00 7t I. STORM DRAINAGE x COST PER DFUNUMBER OF DFU's 1.4523$ I 6.1s NUMBEROF DFU's 23 COST PER DFU $21.2s 75 B.IMPROVEMENT COST: x x ?. SANITARY SEWER- CITY A. REIMBURSEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC ADT TRIP RATE OFUMTS COST PERTRIP NEWTRIPFACTOR 6.029.57 I $68.ss 1.00 ADT TRIP RATE 9.57 NUMBEROFUNITS I COST PERTRIP $ 16. l2 NEWTRIPFACTOR 1.00 sts4.27 B.IMPROVEMENT COST: xxx x x x 3. TRANSPORTATION A. REIMBURSEMENT COST: 0.29ITEM 3 TOTAL - TRANSPORTATION SDC $ 10.00 NUMBER OF FEU's I COST PERFEU $285.91 $285.91 NUMBEROF FEU's I COST PERFEU $24.33 $24.33 $0.00 B.IMPROVEMENT COST: x x 4. SANITARY SEWER. MWMC A. REIMBURSEMENT COST: MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE s320.24ITEM 4 TOTAL - MWMC SANITARY SEWER SDC 880.69SUBTOTAL (ADD rrEMS l, 2, 3, & 4) ADM. FEE RATESUBTOTAL 5%$144.03 5. ADMTNISTRATME FEE: x $3,024.723128/01Slr,yoTr.r$b TOTAL SDC CHARGES SDC COORDINATOR DATE ITEM l TOTAL - STORMDRAINAGE SDC DRAINAGE FIXTURE UNIT CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALIIE DT( U NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTT]RES) NO. OFFXTURES DRAINAGE FIXTLIRE UMTSFIXTURE TYPE ( +Nrw - #oro ) x UNIT EQUTVALENT BATHTI-]B ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 2 )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 / Otr, I SOLIDS /ETC,J 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.6 0 LAUNDRYTUB 2 0 CLOTTIESWASHER / MOP SINK I 3 3 CLoTI{ESWASTTER- 3 ORMORE (EA)6 0 MOBILE HOME PARKTRAP (I PERTRAILER)t2 0 RECEPToR FoR _RElryqllry4EB q4lrqryITq_ RECEPTOR FOR COM. SINK / DISIIWASMR / ETC. I 0 J 0 SHOWE& SINGLE STALL 2 2 SHOWE& GANG (NUMBER OF TIEADS)2 0 SINK: COMMERCIAL/RESIDENTIAL KITCMN J J SINK: COMMERCIAL BAR 2 0 SINK: DOMESTIC BAR I 0 WASHBASIN 2 0 LAVATORY J I J URINAL, STALL/WALL 5 0 TOILET, PUBLIC INSTALLATION 6 0 TOILET PRTVATE INSTALLATION 2 J 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU's* (_ )x 20 TOTAL DRAINAGE FIXTT]RE UMTS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day $0.00 IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FORLAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATIO].O $0.00 $0.00 YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE I979 OR BEFORE s4.74 1990 $ 1.96 I 980 $4.65 199 I $1.55 l98l $4.s9 1992 $1.36 $4.46 1993 $1.23 1983 $4.30 1994 $1.0s $4. r4 $0.90 1985 s3.93 1996 $0.7s I 986 s3.63 1997 $0.57 I 987 s3.26 I 998 s0.3s 1988 $2.8s t999 $0.1s 1989 $2.40 TOTAL MWMC CREDIT = x 0.000 x $4.74 VALUE / IOOO 0.000 CREDIT RATE $4.74 I I 1982 1984 I 99s Willamalane Park & Recreation District Job. No.!0x10 -ol SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ADDRESS:o.9trtrz^ LOCATION OF PROPOSED BUIIJING SITE: PHoNE: ?-42- qtoQ Z STATE: ge-ZlP: Q1 4 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t 1pe detinitions are on the badc) A Sinqle-Family Detachecl Single Family home Manufactured home not in a park NO. OF UNITS X $1,000 Per unit = $ B. Single-Family Attached StreetAddress: ng JaruA + Plat Nam e: lhr.;^ ?"*--_ Tax Lot Number: NO. OF UNITS X $924 per unlt C. Multi-Family Apartment NO. OF UNITS X ,$692 per unlt D. Manufac{ured Home Park NO. OF UNITS X $699 per unlt WILLAMALANE SDC 2. SDC CREDIT (tt appncaOle) SDCAayer must (unrlsh proof of Wllamalane Credit approval. See SOC Credit Wotksheet. 3. TOTAL WTLLAMALANE NET SDC ASSESSED (lf SOC reduoed forCredit) t(o^-- I' ru-r-l o as@ oo $ $ $ $ 0 lnQ4 ( -o* t oa / ol Develo C,ity of pmen Spdngtietd Date ( j $- $ loqq. -