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Home My WebLink AboutPermit Building 2001-05-01Job# 01-00345-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1919 00022nd St 71 Spr AssessorsMap#: 17032500 Lot:71 Block: Addition: Job Number: 01-00345-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00204 Subdivision:maia park crTY oF SPRINGFIELD, OREGOTV Owner: AnnaMae Willis Address: 1919 22nd Street #71 Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541-999-0018 Springfield, OR97477 Value: $51,836 Contractor Type GeneralContr ElectricalContr Plumbing Contr with attached garage. Address is srrhiect to chanoe drre to recenl srrbdivision annroval Contractor Registration # I Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Heritage Electric 1042Horn Lane, Eugene, OR 97404 Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Expiration Date Phone 541-689-7762 541-729-1500 541-689-7762 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 1 (VN) Wood Frame Electric Office Use rules acio'rrted Land Use: Mfg I Zoning Code: LDR Bedrooms: 3 inOARS 00 90. You ma Range Electric 52-00 Dwelling it),1296 To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Building Footing Foundation Shear Wal! Nailing Framing Drywall FinalBuilding :t[:iffi ["J::"T":ffi ll,'iitr1t.","=*]8?lt?,.[***norr*'lllyJll[itl rff :?1.":.rl"Jlssheathinswithf inishmateriar**;;-fr ;l^rs,T^_x'.iffx$J; -Prior to taping. ,^611r,...:rll,[) 0R -When all required inspections have been appfuVdU"{qdJftq HniOis comptete. Electrical | ' MH Electrical Rough Electrical Electrical Service -When blocking, setup, and plumbing inspections have been approved and the home is connect - Prior to cover. -Must be approved to obtain permanent power. bY the setlorth 952'001- Job# 01-00345-01 Final Electrical MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing MH Set Up MH Final Zoning: LDR Overlay District: FloodPtain? ! Wetlands? [ # of Street Trees: Journal numbers 1:2000-08-0163 2: 3: Comments:Finaled Subdivision Plat - Jim Donovan Planner Page 2 of 4 Required !nspections Electrica! -When all electrical work is complete. Plumbi -After home has been connected to water and sewer. - Prior to filling trench. - Prior to filling trench. -Prior to filling trench. -When all plumbing work is complete. Manufactured Home -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number Land Use: Mfg Home - Not in a Park Pave Driveway? Y Planner: Liz Miller Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Additional Requirements: Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:Panel 1 153 o'f 2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? ! Area (Sq. Main: 1296 Accessory320 Accessory Structure # Of Stories: 1 Height (feet): 15 Current Units: Proposed Units:1 Census Code: New Mfg Home Total:1616 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total PIan Check 0411012001 4891 6,836 $40.63 $40.63 Garage/Carport State Surcharge For Building Permit Building Administrative Fee Total Building Buil 0510112001 05101t2001 05t01t2001 51 10 51 10 51 10 6,836 $62.50 $4.38 $1.88 $68.76 Electrical Manufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge - Electrical 0510112001 0510112001 05101t2001 2 1 $80.00 $2.00 $5.74 51 10 51 10 51 10 nq Job# 01 -00345-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Administrative Fee - Electrical Total Electrical 05t01t2001 5110 $2.46 $e0.20 Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Manufactured Home Connection Administrative Fee - Plumbing Total Plumbing Plumbing 0510112001 0st01t2001 05101t2001 05t01t2001 05101t2001 0510112001 05t01t2001 51 10 51 10 51 10 51 10 51 10 51 10 51 10 20 20 20 1 $.00 $6.30 $25.00 $25.00 $25.00 $15.00 $2.70 $99.00 Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home Manufactured Home 0510112001 05t01t2001 0510112001 05101t2001 51 10 51 10 51 10 51 10 45,000 1 $105.00 $40.00 $7.35 $3.15 $1s5.s0 Manufactured Home - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential I mprovement MWMC MWMC Administrative Fee Sanitary Sewer SDC Reimbursement SDC Administrative Fee Transportation SDC Reimbursement Total System Development System Development 05101t2001 05t01t2001 05t01t2001 0510112001 05t01t2001 05101t2001 0510112001 0510112001 05t01t2001 51 10 51 10 51 10 51 10 51 10 51 10 51 10 51 10 51 10 2,122 23 1 1 1 1 23 $575.06 $371.45 $656.02 $285.91 $24.33 $10.00 $488.7s $128.29 $154.27 $2,694.08 1 Manufactured Home - Willamalane TotalWillamalane SDC Willamalane SDC 0510112001 5110 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res $4,148.17 Checked By Lisa Hopper Steve Templin Liz Miller Tom Max Date Completed 04113t2001 04117t2001 04t26t2001 0412512001 Gomment Sibdivision Plat finaled Job# 01 -00345-01 Page 4 of 4 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 address sig re I required inspections are requested at the proper time, that each that the permit card is located at the front of the propery, and the at alltimes during construction Date CITY OF SPRINGFI,) SYSTEMS DEVELOPMENT CF 'GE WORKSHEET JOLiRNAL OR JOB NUMBER: 0l-00345-01 NAME OR COMPA}ry WILLIS LOCATION:I9I9 22ND STREET #7I TAX LOTNUMBER:r7-03-25-00-00204 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING LINITS I BUILDING SIZE: 1616 SF IMPERVIOUS S.F COST PER S.F.DISCOLINT RATE $0.00$0.271 50%0.00 IMPERVIOUS S.F 2t22.00 COST PER S.F $0.271 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 5.06 x x x I. STORM NRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM $575.06ITEM l TOTAL. STORMDRAINAGE SDC COST PER DFUNUMBEROFDFU's 7 t.4516.1523 NUMBER OF DFI.]'S 23 COST PER DFU s2t.2s $488.75 B. IMPROVEMENT COST: x x 2. SANITARY SEWER- CITY A. REIMBURSEMENT COST: $860.20ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER TRIP NEWTRIP FACTORADT TRIP RATE NUMBEROF UNITS 1.00 $6s6.029.57 I $68.s5 ADT TRIP RATE 9.57 NUMBEROFI.]NITS I COST PER TRIP $16.12 NEW TRIP FACTOR 1.00 $1s4.27 B.IMPROVEMENT COST: xxx x x x 3. TRANSPORTATION A. REIMBURSEMENT COST: 0.29ITEM3 TOTAL - TRANSPORTATION SDC $310.24 $10.00 NUMBER OF FEtIs I COST PER FEU $28s.91 NLIMBER OF FEU's I COST PER FEU $24.33 $24.33 $0.00 SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE s285.91 B,IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: ITEM 4 TOTAL .IVTWMC SANITARY SEWER SDC 65.79SUBTOTAL (ADD ITEMS 1,2,3, & 4) SUBTOTAL ADM. FEE RATE 128.2979sYo 5. ADMINISTRATIVE FEE: x $2,694.08 4lt7l0rSlplLk ^t^lb SDC COORDINATOR TOTAL SDC CHARGES DATE 1070 091 092 1093 1094 1055 056 1073 ct)r!oo() &HFa o rrl& LOT SIZE: O SF NO. OF FIXTURES DRAINAGE FIXTURE UNITSFIXTURE TYPE (#NEW - #OLD )x UNIT EOUIVALENT BATHTUB ( 2 - 0 )*( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( I - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( I - 0 )x( 0 - 0 )x( I - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( 3 - 0 )x( 0 - 0 )x( 0 - 0 )x( 2 - 0 )x J 6 DRINKING FOUNTAIN I 0 FLOORDRAIN J 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.J 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.6 0 LAI.]NDRY TUB 2 0 CLOTHESWASHER / MOP SINK J J CLOTHESWASHER - 3 OR MORE (EA)6 0 MOBILE HOME PARK TRAP (I PER TRAILER)l2 0 RECEPTOR FORREFRI_G / WATER STATION/ ETC. RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 3 0 SHOWER, SINGLE STALL 2 2 SHOWER, GANG G\UMBER OF HEADS)2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN J 3 SINK: COMMERCIALBAR 2 0 SINK: DOMESTIC BAR I 0 WASH BASTN 2 0 LAVATORY I 3 URINAL, STALL / WALL 5 0 TOILET, PUBLIC INSTALLATION 6 0 PRIVATE INSTALLATION J 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU's* ( 0 - 0 )x 20 0 TOTAL DRAINAGE FIXTI.]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 FI}-VRE UNIT (ITU) CALCULATION^'.BLE NUMBER OF NEW FIxTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS FOR CALCULATE ONLY THE NET ADDITIONAL MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $0.00 IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $0.00 YEAR ANNE)(ED CREDIT RATE PER $I,OOO ASSESSED VALIIE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE 1979 OR BEFORE $4.74 I 990 $1.96 1980 $4.6s 199 I $l.ss 1981 $4.59 1992 $1.36 1982 $4.46 I 993 s1.23 I 983 s4.30 1994 sr.05 I 984 $4. l4 I 995 $0.90 l 985 $3.93 t996 $0.7s I 986 $3.63 1997 $0.57 1987 $3.26 I 998 $0.3s l 988 $2.8s 1999 s0.ls l 989 $2.40 $0.00 TOTAL MWMC CREDIT 0.000 x $0.00 VALUE / IOOO CREDIT RATE 0.000 x $0.00 \ Willamalane Park & Recreation District Job.No. Oi.r.'^?ASO[ SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE: D. Manr(acilrred Home Park NO. OF UNITS 1 $ogg per unlt WILLAMALANE SDC 2. SDC CREDIT (tt appncaOte) SDO4ayermust (unrlsh proof of Wiltamalane Credil approval. See SOC Credit Wodaheot. 3. TOTAL WILLAMALANE NET SDC ASSESSED (lf SDC reduoed (orCredit) , ADDRESS:\qg,,rnA SIS \STATE: -ZlP:LOCATTON OF PROPOSED BUILDING SITE: Street Address: Plat Name _ Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calcttlations and dwelling t ype definitions are on the back.) A Single-Family Detachecl Single Family home t Manufactured home not in a park NO. OF UNITS X $1,000 per unit = $t .cc) B. Single-Family Attached NO. OF UNITS X $924 per unit $ C. Multi-Family Apartment NO. OF UNITS X $692 per unlt $ $ $ $ $ \OD V !1 t_l_r Or City of Department Date \q\q 0.0 t r['11 Iw00() CITY OF 225 FIFTE SPRINGFIEI,D, INSPECTION OFFICE: 726-3759 OF Permits ar on-transferable and exp Ireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACf,OR INSTALLATION ONLY Electrical Contractor 4er-fft Address 2/L fr4e f*r'- {r4*"- Phone 73 f - /Soc: SPClINGFIELO ELE TRTCAL PERHIT APPLICATION Ci ty Job Nurnber COHPI..ETE FEE SCEEDTILE BELOS Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less. Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or - $ 8s.00 $ 1s.00 Modular 'DveIIing Service or Feeder Services or Feeders Installation, Alterations or Relocation: A $4o.ooBeP Q"tu 3 A Su i \ l ,I ! ON B. Ci ty License Number ?f5-S 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/vo1ts Reconnect 0n1y $ s0.00 s 60.00 $100.00 $130.00 s300.00s 40.00 $ 3s.00 $.2.OO ,4(x)+- ----v Supervi*sor Expiratio n o^r"-Ar/%-f -Signature of Supervising Electrician Expiration Date /z/ al consrr contr. Number 6 7/97 EF- - _ C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 4O.OO ' Over 3OO .*p" or tbooEltTs see uBu aEiG D. Branch Circui ts ; .. Nev, Alteration or Extension Per Pane1 Ovners N aaar"ss\O\Q \\ ci Phone OIINER INSTALI.J\TION The installation is being made on property I ovn vhiih is not intendedfor sale, lease or rent. Orners Signature: DATE: One Circuit Each Additional Circuit or vith Serviceor Feeder Permit / E. Hiscellaneous (Service/feeder not includer -Each installation Pump or irrigation Sign/ou t I ine - Ligh t ing- Limited Energy/Res Limited Energy/Comm syBTorAL 0F ABoVE 'J fA State Surcharge' 3Z Admini.strative Fee TOTAL $ 40.00 s 40.00 $ 20.00 $ 36.00 5 RECEIVED BY: @ l-oa : : t I I I I KIrUf,Ifr *