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Home My WebLink AboutPermit Building 2000-07-25SPRIN. '?ELD Job# 00-01061-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 225 Nortl ifth Street Springfie OR97477 Location ( ' Proposed Site: 1919 00022ND ST 39 Spr Assessor. i/lap#: 17032500 Lot:39 Block: Addition: Job Number: 00-01 061-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00204 Subdivision:Maia Park aITY OF SPRINGFTELD, OREGO^ Owner: Wilbur Osterberg Address: 5848 Main St Scope Of ' ,rrk: Manufactured Home in Park w/garage Phone Number: City/State/Zip: New 541-747-3628 Springfield, OR 97478 Value: $83,443 Contractor i'ype GeneralCr r ElectricalC :rtr Plumbing ( rtr Contractor Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Heritage lnvestors lnc Of Eugene 1042Horn Ln, Eugene, OR97404-2923 Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Registration # Expiration Date 63137 12t27t2000 Phone 541-689-7762 541-688-1600 541-689-7762 2RNW 1 (VN) Wood Frame Electric Office Use Land Use: Mfg Home Zoning Code: LDR Bedrooms: 3 Range: Electric Overlay District: # of Street Trees: in Material: Lu sst tortt Land Use: Mfg Home - in a Park Pave Driveway? Z by Quad Are : # Of Units Constr. T' 'e: Water He; ,:r: To requesi an inspection callthe 24hour recording a1726-3769. All in 7:00 a.m. will bt rnade the same working day, inspections requested after 7:00 a.m. will be made the following working de,, Zoning: LDR FloodPlair: I ! Wetlands?[ Journ, numbers 1: 2: Gomn, rrts: Planner: AlWard Urban Grc ' th Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway I:SMA: n/a 3: TffJJ:ffff *Hg:11':"':JI,5[1H Add itio n a I FatrHOBtEEBy:t:i il*oon Er ton Req u i red o@h'ME \€i;,0?11;;:^' " " - Source LocrAtrlY 180 2 Gtenwood Area? ! Flood Plain FEMA:nla \ You Constructio rr Types(VN) Wood Frame Occupancv G roups: Dwelling # Of Buildin,:rs: 2 # Of Bedrocrns: 3 Handicap Access? [ Area (Sq. ' Main: 255 i Accessory5O4 Job# 00-01061-01 Accessory Structure # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code: New Mfg Home Total:3055 Page 2 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount 0710712000 2484Residential i'lan Check Total Plan Check 13,443 $67.e3 $67.93 Building Building Perrnit State Surcharge For Building Permit Building Adrrinistrative Fee Tota! Building 0712512000 07t2st2000 0712512000 2666 2666 2666 13,443 $104.50 $7.32 $3.14 $114.e6 Electrical Manufacturr d Home Service\Feeder State Surcharge For Electrical Permit Electric Acl nrinistrative Fee Total Etectrical 07t25t2000 0712512000 0712512000 2666 2666 2666 2 $80.00 $5.60 $2.40 $88.00 Plumbing Minimum PlLrmbing Permit Fee State Surcharge For Plumbing Permit Water Servii:e Footage Sanitary Se 'rer Footage Storm Sewr,i'Footage Manufactu rr,d Home Connection Plumbing A, :ministrative Fee Total Plumlring 0712512000 07t25t2000 0712512000 0712512000 0712512000 07t25t2000 07t25t2000 2666 2666 2666 2666 2666 2666 2666 15 15 15 1 $.00 $6.30 $25.00 $25.00 $2s.00 $1s.00 $2.70 $ee.00 Manufactured Home Manufacturcd Home Setup Fee Manufacturcd Home State lssuance State Surchnrge For Manufactured Hom, Manufactu r,,C Home Administrative Fee Total Manuiactured Home 0712512000 07t25t2000 0712512000 07t25t2000 2666 2666 2666 2666 70,000 1 $105.00 $30.00 $7.35 $3.15 $14s.50 System Development Residential - Single Family - Storm Residential - Single Family - Storm Elderly Housing - Detached - Tran Elderly Housing - Detached - Tran Sanitary Sc.",er Residential Sanitary MWMC Residential I rnprovement MWMC MWMC Aclr''inistrative Fee SDC Admrni;trative Fee Total Syste :n Development 07t25t2000 07t25t2000 0712512000 07125t2000 07t25t2000 0712512000 07t25t2000 0712512000 0712512000 2666 2666 2666 2666 2666 2666 2666 2666 2666 3 3 ,674 ,674 1 1 20 1 1 1 $881.76 $881.76 $1 15.64 $1 15.64 $997.20 $242.76 $22.05 $10.00 $1 13.47 $3,380.28 Job# 00-01061-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Manufactured Home in Park - Willamalar TotalWillamalane SDC Willamalane SDC 07t25t2000 2666 1 $699.00 $699.00 Grand Total Plan Check Type Ghecked By Date Completed Comment lnitialReview-Res Lisa Hopper 0711012000 Engineering-Res Steve Templin 0712012000 Planning-Res AlWard 0712112000 Structural-Rr:s Wendy Stanley 0712412000 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 structrrre 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 re adable from the street, that the permit card is located at the front of the property, and the a of plans will $4,594.67 ?-2{-a.?/ Date on the site at alltimes during construction. \ NAME: ADDRESS: LOCATIO N OF PROPOSED BUILDING S Street Address: Plat Nam Willamalane Park & Recreation District 1. DEVELOPMENT TYPE (check ype definitions are on the back.) A. Single-Family Detached Single Family home Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE: STATE ztP _ Tax Lot Number: appropriate dwelling(s). SDC calctrlations and dwelling t D0.orD\olof 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 UNTTS X $692 Per unlt D. Manufac'tured Home Park NO. OF UNITS X $699 Per unlt WILLAMALANE .,"- 2. SDC CREDTT (lf applicable) SDGpayer must fumlsh proot of Willamalane Credit approval. See SOC Credit Wotkshoet. 3. TOTAL WILLAMALANE SDC ASSESSED ([ sDc for Credit) $ $ $ oc) oo $a /$ $ 00 City of etd Department a Date CTTY OF ;PlrINGFIELI, f6n t' Qg 225 FIFTE STREEf, o*u SPRINGFTEI,D,7 INSPECTION REQUBST.: OFFICE: 726-3759 1 Permits are -transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR TNSTALT,ATTON ONLY Electrical Contractor e-m,> Address 2/Z ,4t* Ci ty Phone 73f -/Soc: Supervi-sor License Number ?f5-s Expiration Date /z/ al constr Contr. Number 6 Zt=Z EF- /t^ ELE TRICAL PERHIT APPLICATION City Job Nunbe COHPI,ETE FEE SCESDIILE BELOV Residential-Single or Hulti-FamiIy per dvelling unit. Service Included: Items Cost 4*o * Su i \ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or -Hodular'Dvelling 17 Service or Feeder (/ Services or Feeders Installation, Alterations or Relocation: Over 401 to 600 Over 600 amps or 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/vo1ts Reionnect 0n1y $ 40.00 amps 1000-i6TEs ee rtBt' a5fr6 s 8s.00 $ 1s.00 $ 3s.00 $. 2.00 & ,2. B. ! I I ffi*-s s0.00 s 60.00 $100.00 $130.00 s300.00s 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Exp Signaturg -----T f Supervisi iration Date r ng Electrician 200 amps"or less 201 amps to 400 amps - $ $ $ s 40.00 55.O0 80.00 Owners Name Address D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Serviceor Feeder Permit I E. Hiscellaneous (Service/feeder not include< ci Ph The installation is being made on property I ovn vhich is not intendedfor sale, Iease or rent. Orners Signature: DATE: on"l*:lr3\d6 -Each installation Pump or irrigation Sign/outline Lighting- Limited Energy/Res Limited Energy/Comm SyBToTAL 0F ABoVE 7 f/" State Surcharge' 3Z Admini.strative Fee TOTAL s 40.00 $ 40.00 $ 20.00 $ 36.00a)5 RBCEIVED a /Lr** tgilrElf r ft DI: ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS D CHARGE WORKSHEET JOTIRNAL OR IOB NUMBER NAME OR COMPANY: LOCATION: TAX LOTNUMBER DEVELOPMENT TYPE: DWELLING I.INITS: I9I9 N 22ND STREET #39 (MAJA PARK) 00-01061-01 OSTERBERG t7-03-25-00-00204 SINGLE FAMILY RESIDENCE BUILDING SIZE:LOT SIZE I. STORM DRAINAGE IMPERVIOUS SQ. FT.3674.00 x $0.240 PER SQ. FT $881.76 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 20 x $49.86 PER PFU $991.20 3. TRANSPORTATION NUMBER OF TRIPS X TRIP RATE X COST PERPM PEAK HOUR TRIP I x 0.23 x $502.79 PER TRIP x x $502.79 PER TRIP $l15.64 $0.00 TOTAL TRANSPORTATION SDC $115.64 4. SAMTARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I B.IMPROVEMENT COST: NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x $242.76 PER FEU x $22.05 PERFEU TOTAL MWMC SDC $242.76 $22.0s $0.00 $10.00 $274.81 69.41SUBToTAL (ADD ITEMS 7,2,3, &4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $l13.47 9lpvoTrr4^[l;",-ffi $2,382.8807/13/2000 DATE TOTAL SDC CHARGES I PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUTVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS. CALCI ONLY THE NET ADDITIONAI- FIXTI ]RF,S) LINIT FIXTURE TYPE BATHTUB DRINKING FOT]NTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINIV DISHWASHEWETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCTAL, RESIDENTIAL KITCHEN URINAL, STALL/WALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 2 0 0 0 TOTAL PLUMBING FIXTURE LINITS:20 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) $0.00 FIXTURES NEW OLD PLUMBING FIXTI-]RE LINITS 1 4 0 0 0 0 2 0 0 0 0 2 0 2 0 2 0 8 2 I 2 J 6 2 6 6 I 3 2 I 2 2 I 6 4 2 2 x x CREDIT TOTAL YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE 1979 or before 1980 l98r 1982 1983 1984 1985 1986 1987 1988 1989 $4.74 $ 4.65 $ 4.s9 $ 4.46 $ 4.30 $4.14 $ 3.93 $ 3.63 $3.26 $ 2.85 $2.40 1990 t99t 1992 1993 t994 1995 1996 1997 1998 1999 $ 1.96 $ 1.55 $ 1.36 $ 1.23 $ 1.05 $ 0.90 $ 0.75 $ 0.s7 $ 0.3s $0.15 $0.00 $0.00