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Home My WebLink AboutPermit Building 2001-04-30Job# 01-00291-01 RES!DENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 SPFINGFIELE, h, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1919 00022ND St Spr AssessorsMap#: 17032500 Lot: 13 Block: Addition: Job Number: 01 -00291 -01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00204 Subdivision:Maia Park ctTY oF SPRTNGFIELD, OREGON Owner: Martin & Evonne Larsen Address: 84567 S Hideaway Hills Scope Of Work: Manufactured Home in Park MH w/ Garage Phone Number: Gity/State/Zip: New 541 -687-2383 Eugene, OR 97405 Value: $53,803 Contractor Type GeneralContr 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 ires You to Phone 541-689-7762 541-729-1500 541-689-7762 law requ are set lorth Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 1 (VN) Wood Frame 1 p: Dwelling e: 1 188 To request an inspection call the 24 hour recording at 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 Verify Ground Rod Footing Foundation Shear Wall Nailing Framing Final Building - lnstall ground rod at footing, and call for inspectlon in coniuctionwith footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to conarete;placement. -Before covering sheathing with finish materials. -Prior to cover. -When allrequired inspections have been approved and the building is complete. --l Electrical I MH Electrical Rough Electrical MH Service -When blocking, setup, and plumbing inspections have been approved and the home is connect - Prior to cover. Final Electrica! MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line MH Set Up MH Final Street lmprovement: Curb Cut?! San Sewer Depth (Ft): Storm Sewer Available? SpecialReq.: Security Required: Bond Begin DateTime: Special Instructions: Other Utilities: Project Supervisor: tmprovement Agr.?[ 00/00/0000 00:00 AM Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime:00/00/0000 00:00 AM Job# 01-00291-01 Page 2 of 4 Required lnspections Electrical -When all electrical work is complete. -Afterhome has n#d 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 Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? [ Wetlands? [ Journal numbers 1: Comments: Planner:Ruth Klein Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees 1 Land Use: Mfg Home - in a Park Pave Driveway? 2 3: Additional Requirements: Gtenwood Area? [ 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. # Of Stories: 1 Height (feet): Gurrent Units: Proposed Units:1 Gensus Code: New Mfg Home Main: 1188 Accessory48O Total:1668 Job# 01-00291-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 0312712001 4774 13,803 $67.e3 $67.93 Building Building Permit Garage/Carport Foundation Only State Surcharge For Building Permit Building Administrative Fee Total Building 04t0612001 0410612001 0410612001 04t06t2001 04t06t2001 4866 4866 4866 4866 4866 8,803 5,000 $.00 $74.50 $50.50 $8.75 $3.75 $137.50 Electrical Manufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 04t06t2001 04t06t2001 04106t2001 04t06t2001 4866 4866 4866 4866 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 Administrative Fee - Plumbing Total Plumbing Plumbins 0413012001 0413012001 04t30t2001 0413012001 0413012001 04t30t2001 0413012001 5098 5098 5098 5098 5098 5098 5098 30 99 99 1 $.00 $8.40 $25.00 $40.00 $40.00 $15.00 $3.60 $132.00 Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home Manufactured Home 0410612001 0410612001 0410612001 0410612001 4866 4866 4866 4866 40,000 1 $105.00 $40.00 $7.35 $3.15 $155.50 System Development 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 0410612001 04t06t2001 04106t2001 04t06t2001 04t06t2001 0410612001 04t06t2001 04t06t2001 04t06t2001 4866 4866 4866 4866 4866 4866 4866 4866 4866 2,306 26 1 1 1 1 26 $624.93 $419.90 $656.02 $285.91 $24.33 $10.00 $552.50 $136.39 $1s4.27 $2,864.25 1 Manufactured Home in Park - Willamalat TotalWillamalane SDC Willamalane SDC 04t06t2001 4866 1 $699.00 $699.00 Grand Total Plan Check Type lnitial Review-Res Checked By Bob Barnhart Date Completed 0312712001 Comment $4,146.38 Plan Check Type Engineering-Res Planning-Res Ghecked By Steve Templin Ruth Klein Job# 01-00291-01 Date Completed 03t2812001 0312912001 Page 4 of 4 Comment The process of changing Maia Park to individually owned tax lots has not been completed yet which is why this application is being processed as if the manufactured home was being placed in a park. Jim Donovan is working on the conversion process. Structural-Res Tom Max 0312912001 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 ag re that 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 on the site at alltimes during construction Signature Date Job# 01-0029'l-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 Spr AssessorsMap#: 17032500 Lot:13 Block: Addition: Job Number: 01-00291-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00204 Subdivision:Maia Park ctTY oF SPRTNGFIELD, OREGOTV Owner: Martin & Evonne Larsen Address: 84567 S Hideaway Hills Scope Of Work: Manufactured Home in Park MH w/ Garage Phone Number: City/State/Zip: New 541-687-2383 Eugene, OR 97405 Value: $53,803 Contractor Type GeneralContr 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 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 1 (VN) Wood Frame Office Use - Land Use: Mfg Home - in a Park Zoning Code: LDR Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: 1188 To request an inspection call the 24 hour recording at726-3769. AII 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 Build Verify Ground Rod Footing Foundation Shear Wall Nailing Framing Final Building MH Electrical Rough Electrical MH Service - lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. -Before covering sheathing with finish materials. - Prior to cover. -When allrequired 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. Job# 01-00291-01 Page 2 of 4 Final Electrical MH Set Up MH Final Street lmprovement: Curb Cut?[ lmprovement Agr.? San Sewer Depth (Ft): Storm Sewer Available? [ Special Req.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Required lnspections Electrical -When all electrical work is complete Manufactured Home -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house numbet 00/00/0000 00:00 AM Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime:00/00/0000 00:00 AM Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? !Wetlands? [ Journal numbers 1: Comments: Planner: Ruth Klein Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees:1 3: Additional Requirements Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Land Use: Mfg Home - in a Park Pave Driveway? 2: Glenwood Area? [ Gonstruction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? Area (Sq. Main: 1188 Accessory480 # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code:New Mfg Home Total:1668 Fee Paid On Receipt# Value/Quantity Fee Amount PIan Check 031271200'1 4774Residential Plan Check Total Plan Check 13,803 $67.93 $67.93 Building Permit Garage/Carport Foundation Only Building 0410612001 04t06t2001 04t06t2001 B 5 ,803 ,000 $.00 $74.50 $50.50 4866 4866 4866 Job# 01-00291-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Buil State Surcharge For Building Permit Building Administrative Fee Total Building 04t06t2001 04t06t2001 4866 4866 $8.75 $3.75 $137.50 Electrical Man ufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 04t06t2001 0410612001 0410612001 04t0612001 4866 4866 4866 4866 2 1 $80.00 $2.00 $5.74 $2.46 $e0.20 Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 04t06t2001 04t0612001 04t0612001 04t0612001 4866 4866 4866 4866 40,000 1 $10s.00 $40.00 $7.35 $3.1 5 $15s.50 m Develo 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 04t0612001 04t06t2001 04t06t2001 04t06t2001 04t06t2001 04t06t2001 04t06t2001 0410612001 04t06t2001 4866 4866 4866 4866 4866 4866 4866 4866 4866 $624.93 $419.90 $656.02 $285.91 $24.33 $10.00 $s52.50 $136.39 $154.27 $2,864.25 2,306 26 1 1 1 1 26 1 Manufactured Home in Park - Willamalar TotalWillamalane SDC Willamalane SDG 0410612001 4866 1 $699.00 $6s9.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Checked By Bob Barnhart Steve Templin Ruth Klein Date Completed 03t27t2001 0312812001 0312912001 $4,014.38 Comment The process of changing Maia Park to individually owned tax lots has not been completed yet which is why this application is being processed as if the manufactured home was being placed in a park. Jim Donovan is working on the conversion process. Structural-Res Tom Max 0312912001 Job# 01-00291-01 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 Springfleld 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 app Signature agree to ensure that from all required inspections are requested at the proper time, that each street, that the permit card is located at the front of the property, and the in on the site at alltimes during construction Date ?-oo-o CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE SF JOURNAL OR JOB NUMBER: 0l-00291-01 NAME OR COMPANY:SUCHANEK LOCATION 1919 22ND STREET #I3 TAXLOTNUMBER:17-03-25-00-00209 ANNEXATION YEAR LANE COUNTY ASSESSED VALUE (LAND) DWELLING UNITS: I BUILDING SIZE SF LOT SZE: IMPERVIOUS S.F COST PER S.F. .2712306.00 I. STORM DRAINAGE x $624.93ITEM I TOTAL - STORM DRAINAGE SDC COST PERDFUNUMBEROF DFIIs $419.90$ 16.1526 NUMBEROF DFU's 26 COSTPERDFU s2r.2s $552.50 B. IMPROVEMENT COST: x x 2. SAMTARY SEWER- CITY A. REIMBURSEMENT COST: $972.40ITEM 2 TOTAL - CITY SANITARY SEWER SDC NEWTRIPFACTORADT TRIP RATE NUMBEROFUNITS COSTPERTRIP $6s6.021$68.55 1.009.57 ADTTRIP RATE 9.57 NUMBEROFUNITS I COST PERTRIP $16.12 NEWTRIPFACTOR 1.00 $154.27 B. IMPROVEMENT COST: xxx x x x 3. TRANSPORTATION A. REIMBURSEMENT COST: $810.29ITEM3 TOTAL - TRANSPORTATION SDC $10.00 NUMBER OF FEU's I COSTPERFEU $28s.91 NUMBEROF FEU's I COST PERFEU $24.33 $24.33 $0.00 $28s.91 B.IMPROVEMENT COST: x x 4. SANITARY SEWER - MWMC A. REIMBLIRSEMENT COST: MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE $320.24ITEM 4 TOTAL - NTWMC SANITARY SEWER SDC 727.86SIJBTOTAL (ADD ITEMS l, 2, 3, & 4) ADM. FEE RATESUBTOTAL 5%$ 136.39727.86 5. ADMINISTRATIVE FEE: x $2,864.25 3/28/01tk4,cTrrr./;4- SDC COORDINATOR TOTAL SDC CHARGES DATE DRAINAGE FIXTURE TII\IT CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COTJNTY ASSESSED VALUE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT: DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OFFXTURES DRAINAGE FIXTURE UMTSFXTURETYPE(#NEW - #OLD ). UNIT EQUTVALENT BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 2 ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) x x x x J 6 DRINKING FOUNTAIN I 0 FLOORDRAIN 3 0 INTERCEPTORS FORGREASE ION- ISOLIDS IETC.J 0 INTERCEPTORS FOR SAND / AI.TIO WASH / ETC x x x x x x x x x x x x x x x x x 6 0 LAT]NDRYTUB 2 0 CLOTIIESWASIIER / MOP SINK 2 3 6 cLoTrrESwASmR- 3 ORMORE (EA)6 0 MOBILE HOME PARK TRAP (I PER TRAILER)t2 0 sECEPTOR FORREFRIG / WATEB STATTON/ ETC. RECEPTOR FOR COM. SINK / DISHWASIIER / ETC. 1 0 J 0 SHOWE& SINGLE STALL I 2 2 sHowE& GANG (Nr.]MBER OF ImADS)2 0 SINK: COMMERCIAL/RESIDENTIAL KITC}IEN I J 3 SINK:COMMERCIALBAR 2 0 I 0 WASHBASIN 2 U LAVATORY I URINAL, STALL/WALL 5 0 TOILET PTIBLIC INSTALLATION 6 0 TOILET PRTVATE INSTALLATION 3 6 MSCELLANEOUS Dzu TYPE NUMBER OF EDLIs* (---) *20 0 TOTAL DRAINAGE FIXTURE UNITS = *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 26 IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FORLAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) YEAR ANNE)(ED CREDIT RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE 1979 OR BEFORE $4.74 1990 $ 1.96 1980 $4.65 r99l $l.ss 198 l $4.s9 r992 $1.36 1982 $4.46 1993 $1.23 1983 $4.30 1994 $1.0s 1984 $4. l4 1995 $0.90 I 985 $3.93 1996 $0.75 I 986 $3.63 1997 $0.s7 1987 $3.26 I 998 $0.3s 1988 $2.85 1999 $0. l5 1989 s2.40 $0.00 $0.00 TOTAL NTWMC CREDIT x 0.000 x $4.74 VALUE/ IOOO 0.000 CREDIT RATE $4.74 lrt u SINK:DOMESTIC BAR 2 CITY OF Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COI{TRACf,OR INSTALI,ATION ONLY EPClINGFIELO EI,ECTKTCAL PERHIT APPLICATION City Job Nurnber COI{PLETE FEE SCBEDTILE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less. $ 85.00 Each additional 500 sq. ft or portion thereof S 15.00 Each Hanuf'd Home. or -Hodular 'DveIIing SerViceorFeeder ) .$40.00 Services or Feeders InstalIation, Alterations or Relocation: ipecitic land Zonin0 -O OFFICE: 726-3759 1. IJGAL DESCRIPTION JOB A. 3. B. C E Su O,ADL./ ! I I Electrical Contractor te" it;- Address 2/L ,4e Ci ty {.-r"phone pf -/Soc: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps_ 0ver 1000 amps/voIts Reconnect OnIy ffi-*$ s0.00 s 60.00 $100.00 $130.00 $300.00s 40.00 Expiration Date constr contr. Number 6zt=z EF^ Temporary Services or Feeders Installation, Alteration or Relocation v- Supervtsor License Number ?f5-s _prrr"" Phone bafzr@ o Expiration Date Signa ture of Supervising Electrician 200 amps"or less 201 amps to 400 amps -Over 401 to 600 amps Over 600 amps or 100016-fEs Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each AdditionalCircuit or vith Service . ,' -or Feeder Permit--- L $ 2.oo ' 2* Hiscellaneous (Service/feeder not include( $ $ $ sge tt 00 oo oo B" aE6G 40 55 80 0vners Name Address Ci ty OVNER INSTALINTION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Orners Signature: DATE: -Each installation Pump or irrigation sign/outline Lighting- Limi ted Energy/Res Limi ted Energy/Comm SUBTOTAL OF ABOVE 1 ft state Surcharge' 3Z Admini.strative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 @-to 5,7 2lpRBCEIVED BY:w I i \ ! ttlile&If r t \ Willamalane Park & Recreation District t-otJob. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ADDRESS: LOCATION OF PROPOSED BUILDING SITE: PHONE:L g,l -83I srATE: cc ZIP: q?+os Street Address:tQ t4 .b t3 Plat Name:k-_ Tax Lot Number:D3 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t lpe definitions are on the back.) A. Single-Family Detached Single Family home Manufactured home not in a park NO. OF UNITS X $1,000 Per unit = $ B. Single-Family Attached NO. OF UNITS X $924 Per unit = $ C. Multi-Family Apartment NO. OF UNITS X $692 per unlt D. Manrfac{urecl Home Park NO. OF UNITS I X $699 per unlt $ $ WILLAMALANE SDC 2. SDC CREDIT ([ appticable) SDGpayermust (umlsh proot of Willamalane Credit approvat. See SOC Credit Worlahoot. 3. TOTAL WILLAMALANE NET SDC ASSESSED (lt SDC reduoed forCredit) $ $ $ T C'ity of Services Department Date q- t -yfu or