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Home My WebLink AboutPermit Building 2001-05-25\_/Job# 01-00393-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4\-.-4' SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1919 00022nd St 27 Spr AssessorsMap#: 17032500 Lot:27 Block: Addition Job Number: 01 -00393-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00204 Subdivision:Maia Park ctrY oF SPRINGFIELD, OREGO^ Owner: Ruth Gunn Address: 90865 Roberts Rd. Scope Of Work: Manufactured Home on Private Lot Phone Number: Gity/State/Zip: New Coburg, OR 97408 Value: $57,817 Address subject to change due to recent subdivision approval GontractorType Contractor General Contr Hardacker & Oleary Development Inc 83278 N 6Th St, Creswell, OR 97426 ElectricalContr Able Electric 1300 Anderson Ln, Springfield, OR 97478 Manuf Home lnstall Hardacker & Oleary Development lnc 83278 N 6Th St, Creswell, OR 97426 Plumbing Contr Hardacker & Oleary Development lnc 83278 N 6Th St, Creswell, OR 97426 79496 2t19t2003 541-895-4307 79496 2t1912003 541-895-4307 Registration # 79496 Expiration Date 2t19t2003 Phone 541-895-4307 541-726-6701925067t16t2003 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 1 (VN) Wood Frame Electric Office Use - Land Use: Mfg Home - Not in a Parl # Of Buildings: 1 Zoning Code: LDR Occupancy Group: Dwelling Bedrooms: 3 Heat Source: Forced Air Electric Range: Electric Sq. Footage: 1296 To request an inspection call the 24 hour recording a1726-3769, All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. *rAlF" ^.-Required lnspectiong Bui I tr,!r$- 1'p.111r11T SHALL EXPIBFITTHE WUFI\ IS NOT Verify Ground Rod Footing Foundation Framing FinalBuilding MH Electrical Rough Electrical foundation i ABAI{DONE uilding is complete Electrical I -When blocking, setup, and plumbing inspections have been approved and the home is connect - Prior to cover. MH Service Final Electrical Underfloor Drain MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Job# 01-00393-01 Page2 of 4 Required Inspections Electrical -When all electrical work is complete. -Priortocover"r# -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 MH Set Up MH Final Zoning: LDR Overlay District: FloodPlain? ! Wetlands? [ # of Street Trees: O Journal numbers 1:2000-08-0163 2: 3: Comments:Subdivision Plat complete - Jim Donovan Planner Planner: Liz Miller Additional Requirements: Urban Growth Boundary?[ Glenwood Area? [ Required Attachments: Quantity Of Fil!: Source Locn: Supplier: Material: Drainage: Floodway FEMA: Zone X White Flood Plain FEMA: Land Use: Mfg Home - Not in a Park Pave Driveway? Z Panel 1153of2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ (Sq. Feet) Main: 1296 Accessory28O Accessory Structure # Of Stories: 1 Height (feet): 15 Current Units: Proposed Units:1 Census Gode: New Mfg Home Total:1576 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check ResidentialPlan Check Total Plan Check 0411912001 4992 7,817 $44.53 $44.53 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0512512001 05t25t2001 0512512001 5536 5536 5536 7,817 $68.50 $4.80 $2.06 $7s.36 Electrical Manufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge - Electrical 0512512001 05t2512001 0512512001 5536 5536 5536 2 1 $80.00 $2.00 $5.74 Job# 01-00393-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Administrative Fee - Electrical Total Electrical 0512512001 5536 $2.46 $90.20 Plumbing Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Administrative Fee - Plumbing Total Plumbing 0512512001 05t2512001 0s12512001 05t25t2001 05t25t2001 0512512001 5536 5536 5536 5536 5536 5536 40 40 90 $.oo $6.30 $25.00 $25.00 $40.00 $2.70 $99.00 Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 05t2512001 05t25t2001 05t25t2001 0512512001 5536 5536 5536 5536 50,000 1 $10s.00 $40.00 $7.35 $3.15 $1s5.50 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 Reimbu rsement Total System Development System Development 05t25t2001 0512512001 05t2512001 0512512001 05t25t2001 0512512001 05t2512001 05t25t2001 05t25t2001 5536 5536 5536 5536 5536 5536 5536 5536 5536 2,912 20 1 1 1 1 20 $789.15 $323.00 $656.02 $285.91 $24.33 $10.00 $42s.00 $133.38 $154.27 $2,801.06 Manufactured Home - Willamalane TotalWillamalane SDC Willamalane SDC $1,000.00 $1,000.00 Grand Total Plan Check Type Checked By Date Completed Comment lnitial Review-Res Lisa Hopper 0412012001 Engineering-Res Steve Templin 0412312001 Planning-Res Liz Miller 0412612001 Subdivision Plat now finaled Structural-Res Tom Max 0412412001 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 70'1.055 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 $4,265.65 )f^o)2a( on site at alltimes during construction. _e 1 05t25t2001 5536 1 Mar-29-Ol 03:57P 225 FIFTE STREET SPRINGFIEID, OI(EGON 97477 INSPECTT0N Rn0tInsT : 't 26-'.t-t.(,<) 0FFICE: tZO 3159 1 I ,AI ,TION JOI' DUSCIU ON rl A LECAI, DESCRIPTION .YtOaaS@--__OoeCA UI.ISI'RICAL PP.R}{IT APII,ICATION crty rob Nuuber,O_L. OOts$$:Ol 3. COHPLETE FIE SCIIIDULE DELOV Neu Resident ia.l.-Sing).c <rr Hul t i-l'anrily per dvelling uni t . Service Included: l tens Co.s t I.QQQ 1:q. f t. or lcss F.rch atld: t jonal 500 .,i(l . f( or lrorriott thereot Iiach l'lauuf 'd Honc or Hodrrl.rr Dvellirrg Service or Feeder s B_5.00 $ 1s .00 Services or Feeders f rr:;I irlI;rt iotr, AIreratiot'ts or: [(clocation: 20() anrpr; o r -i. er;s 201 amps to 400 atlps - " -- 401 anrps to 600 amPs _601 anrps to 1.000 amDs 0ver: I000 .rrnp.';/vof t.'; -t(cconncct 0n)y c 'l'enrporary Services or Fcederr; f ru; t.rl1ation, Alterarion or I(cloc(-rt i(!tr EB"' Ltt SPr rr-lEr-o P-Ol !itrm 'tD" aSov€ Per"mi ts arc if vor-lc i-s not of isguatrce or 1u0 days. Exlli ra'. i on Da t Coo.str-L:ontr. r-trirrr:i[(:tahle atrd expire s t arted vi thirr 1tJO days i f vork is srrspendnd f or: 2. CONTRACTOR INSTALI.NTTON ONLY Ntrnrr>er. ///V"" tlxlrir;rtiotr Dir rr, ,//^a7^<a2... . Sigoattrre ol Supervisirrg E1<:ctriciiur -< Ovne r s Nanr Address qffi6 Cji ty ----- .!'ho'e \o(Q .\o\OO OVI\IER INSTALLjTION TIrc itt:;t,;rllalirtrt is beittg made on p,.oper ty I ovn r,r)rir:lr i:; ttot intettded for s;rl.e, ).ea-se oi Ient. Ovncrl:5i{rrreture: DATB: RECrilp-1--- ' RUCEIVED DY;' 200 amps 'or Iess 201 arnps to 400 arnps -over 401 to 600 arnps -Ovcr 600 aurl)s or' 1000ro-ITs U t(\p_s 40.00 s300 4o ELectrical cori(r'ac rr,' /AZa fZaa4,a Arld.es,.;.... /VA @ Ci ty .l)horrc 26:A2?/ *5uIrr:t vi srrl Li cr-.rts e Nut:tl;er')e23 r A .zo z<-f o,/ s50 s60 $ 10o s 130 00 00 00 00 00 00c.) D, Br aoclr Ci rctri ts Nev, Alteratiott ol Ixtension Pt:r Pattel 00 00 00 00 00 00 OU s40s55 sB0 sc(: Oue Circuit S 35.00 F.ach Addition;r1 Ci rcui t or- r.ri Lh Service or Feeder-Pcrmit'--"-,-t S 2.00 A n. MisccJlaneotr:; (Service/feeder not irtcludcd) -liach instal];rl iort I'ump or- j I-rigatiott Sign/0ut) rnc Liglrt ing-- Liuri tcd Energy/Rcl; t.irni r cd Euergy/Cornm -- .- . SUI}TOTAL OP ATJOVE l'L Srote Surcharge 3Z Admirr i.strative Fcc TOTAL 5 \) C a0 40 ?.0 3(i 5 Gu*s- CITY OF SPRINGFIF SYSTEMS DEVELOPMENT CII, ]E WORKSHEET NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING I.INITS:BUILDING SIZE: 1296 SF LOT SIZE: 6780 SF 1919 22ND STREET #27 t7-03-25-00-00204 SINGLE FAMILY RESIDENCE GUINN JOURNAL OR JOB NUMBER: 0l COST PER S.F.DISCOI.]NTRATEIMPERVIOUS S.F. s0%0.00 .271 IMPERVIOUS S.F 29t2.00 COST PER S.F. $0.271 $789. ls RLTNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY ST x xx ANDARDS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM $789.15ITEM l TOTAL. STORMDRAINAGE SDC NUMBER OF DFI-]'S COST PERDFU s323.00$ l6.l s20 NUMBER OF DFI..]'S 20 COST PERDFU $2r.2s .00 IMPROVEMENT COST: x x 2. SAMTARY SEWER- CITY A. REIMBURSEMENTCOST: ITEM2 TOTAL. CITY SANITARY SEWERSDC NEW TRIP FACTORNLIMBER OF UMTS COST PER TRIPADT TRIP RATE 1.00 $6s6.02$68.s59.57 I ADT TRIP RATE 9.57 NUMBEROF LINITS I COST PER TRIP $ 16. l2 NEW TRIP FACTOR 1.00 154.27 B.IMPROVEMENT COST: xxx x xx 3. TRANSPORTATION A. REIMBURSEMENT COST: $8r0.29ITEM3 TOTAL - TRANSPORTATION SDC $ 10.00 NUMBER OF FEU's I COST PER FEU $28s.91 $285.91 NUMBER OF FEU's I COST PER FEU $24.33 $24.33 $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: $320.24ITEM 4 TOTAL. NTWMC SANITARY SEWER SDC .68$2SUBTOTAL (ADD ITEMS 1,2,3, &4) ADM. FEE RATESUBTOTAL 5%$ 133.38.68 5. ADMINTSTRATIVE FEE: x $2,801.06 4123l0ttlr,voT4,l;4- SDC COORDINATOR TOTAL SDC CHARGES DATE a trln O &r!Fa (, E]& 1070 l09l 1092 1056 t07 I I DRAINAGE FI^URE UNIT CALCULATIOI.-ABLE NUMBER OF NEW FIXTURES x LrNIT EQUMLENT = DRAINAGE FIXTURo tjNITS FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL MWMC CREDIT CALCULATION TABLE: BASED ON COT]NTY ASSESSED VALUE NO. OFFIXTURES DRAINAGE FIXTLIRE I.INITSFXTURE TYPE ( *Nnw - #ot.o ) x UNIT EQUIVALENT BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 2 0 ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) x x x x x x x J 6 DRINKING FOUNTAIN 0 0 I 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR GREASE I OIL ISOLIDS IETC.0 0 J 0 INTERCEPTORS FOR SAND / AUTO WASH IETC.0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK I 0 3 J CLOTHESWASHER - 3 OR MORE (EA)0 0 x x x x x x x x x x x x x x 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 t2 0 RECEPTORFORREFRIG / WATER STAJION / ETC. RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 I 0 0 0 J 0 SHOWER, SINGLE STALL 0 0 2 0 SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN I 0 J J SINK: COMMERCIAL BAR 0 0 2 0 SINK:DOMESTIC BAR 0 0 I 0 WASHBASIN 0 0 2 0 LAVATORY 2 0 I 2 URINAL, STALL /WALL ( ( ( 0 0 5 0 TOILET PUBLIC INSTALLATION 0 0 6 0 TOILET PRIVATE INSTALLATION 2 0 J 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU's* ( 0 - 0 )x 20 TOTAL DRAINAGE FIXTIIRE T]NITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CRIDIT FOR LAND (IF APPLICABLE) CREDIT FORIMPROVEMENT (IF AITER ANNEXATION)$0.00 YEAR ANNEXED 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 l 980 $4.6s l99l $1.55 198 l $4.59 1992 $ 1.36 t982 $4.46 1993 $1.23 l 983 $4.30 1994 $1.05 1984 $4. l4 I 995 $0.90 I 985 $3.93 1996 $0.75 l 986 s3.63 199't $0.57 1987 s3.26 I 998 $0.35 1988 $2.85 1999 $0.15 1989 $2.40 TOTAL MWMC CREDIT 0.000 x $0.00 VALUE / IOOO CREDIT RATE 0.000 x $0.00 t Willamalane Park & Recreation District O\.f'rrarc.61Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE:NAME ADDRESS: LOCATION OF PROPOSED BUILDING SITE: Street Address: Plat Nam 1. DEVELOPMENT TYPE (check ype de{initions are on the back.} A Single-Family-Detached Single Family home (lf SDC reduoed (orCredit) Se srArE:9? ,ztP, k\+d + _ Tax Lot Number: appropriate dwelling(s). SDC calcutations and dwelling t I Manufactured home not in a Park No. oF uNlrs t x $1,000 per unit = $ \nOn .Cd) B. Single-Family Attaehed NO. OF UNITS X $924 per unit C. Multi-Family Apartment NO. OF UNITS X $692 per unlt $ D. Manufadured Home Park WILLAMALANE SDC 2. SDC CREDTT (lf appticablol SD9payer must (urnlsh proof of Wllamatane Credit approval. See SOC Crodl Wottcsheot- 3. TOTAL WILLAMALANE NET SDC ASSESSED $ $ \00 po $ $ $ e oo 5,&5, City of ringfield nt Date