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Home My WebLink AboutPermit Building 1999-12-06SPRINGFIELD RESIDENTIAL PERMIT APPLICATION CITY OF SPRTNGFIELD COMMI'NITY SERVICES DIVTSION BUILDTNG SAFETY Page 1 ilob Number: 991535 225 North Frfth Street Springfield, OR 97477 Location of Proposed Work: 1919 22ND ST SP 70 Assessors Uap #: 17032500 Lot: Block: Office: fnspection Line: '726 -37 s9 725 -37 69 Tax Lot #: OO2O4 Subdivisi-on: CITY OF SPruNGFIELD, ONEGON owner:,IIM/DALE YANCEY Address: 735 66TH PL. Describe Work: M.H. & CARPORT Phone #: 726-7577 city/state/zip: sPFD, oR 97478 NEW General-: Plumbing: Electrical Contractor HARDACKER & O'L 0079496 83278 N 5TH ST CRESWELL OR 97426000 HARDACKER & O'L OO'79495 83278 N 5TH ST CRESWELL OR 97426000 DIXON ELECTRIC 0056894 33736 MARTIN RD CRESWELL OR 9742600 Const. ConEractor #Expires 02/1-e/01- 02/Le/01- o7 /L8/oa Phone 895 - 4307 89s - 4307 895-2440 QUAD AREA: 2RNW # OF UNITS: 1 CONSTR. TYPE: VN OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 3 # OF BLDGS OCCY GROUP SQ FOOTAGE 1 R3 1883 To requests an inspection, call the 24 hour recording at 726-3769. A11 inspections requested before 7:00 a.m. will- be made the same working day, inspections reguested aft.er 7:00 a.m. will be made the following work day. --- REQUTRED INSPECTIONS --- FOITNDATION - After forms are erected but prior to concrete placement.. WATER LINE - Prior to filling trench. SAIiIITARY SEWER LINE - Prior to fi-1ling trench. MAI\IUF HOME/MOBIT.E HOI{E sET uP - When af I blocking is complete. MANUF. HOME/MOBILE HOME PLITMBING - After home has been connected to water and sewer. ITT,ANUF. HOME/MOBTLE HOME ELECTRICAL - WhEN blOCKiNg, SCLUP, ANd plumbing inspections have been approved and home is connected to pane1 PEDESTAL - Prior to cover. FR.AITIING - Prior to cover. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been instal-led. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: N ftem Main Garage STORAGE FDN FOR M.H Total Value BUILDING PERMIT --- Square Feet x $/Square Feet Val-ue 0.00 0.00 7,,461 .OO 0.00 7 ,457 .0O Building Permit Fee BO 18.34 58. s0 5PR!]{GFIELD .fob Number: 991535 CITY OF SPruNGFIEI^D, ONEGON Page 2 Surcharge/admin TOTAI, FEE 6 .86 (A)75.36 PI.I'MBING PERMIT Item Sanitary Sewer Water Mobile Home STATE SURCHARGE SITY SURCHARGE Plumbing Permit Surcharge/admin TOTAL CHARGE 0 Fee 25.00 25.00 15.00 0.00 0.00 6s.00 6. s0 71_.50(c) MISCELLANEOUS PERMITS Mobile Home State Issuance surcharge/admin WILLAIVI,J\LAI{E SDC CITY SDC PLSN REVIEW AD.JUST TOTAL MTSCELLANEOUS PERMITS r-05.00 30.00 10.50 699.00 2 , 436 .08 -7.80 (E)3,272.78 (Excluding Electrical ) unless otherwise noEed TOTAL AI{OI'NT DUE - - - (A, B, c, D, and E combined)3 ,4L9 .64 BUILDING VAI,UE, PLAI.I CHECK AND BUII,DING PERMIT This permit j-s granted on the express condition that the said construction shal1, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the consLruction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Received By: P1ans Reviewed By: DON BuiJ-ding Site Reviewed MOORE By: DON MOORE o .52 Date Paid:1,1/08/99 Date: LL/24/99 Receipt Number: 35L22 ADDITIONAL COMMENTS FIRST M.H. ON THIS S]TE. SEPARATE ELECTRICAL PERMIT IS REQUIRED. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatj-on hereon is true and correct, and I further certify that any and all work performed shaIl be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without permission of the Communi-ty Services Divisj-on, Building SafeLy. I further certify that only contractors and employees who are j-n compliance with ORS 701.055 wiII be used on this project. CITY OF ONEGON SPRINGF!ELD Job Number: 991535 Page 3 I further agree to ensure thaL 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 approved set of plans will remai-n on the site at afl-s during construction Signa Date --- VALIDATION --- ReceipL Number Date Paid Amount Received Received By: 747', ^ /2^a'?< 7 // ?, ar/ 4,* I(r JOURN AL o" oB No. QQ t53, ATTACHMENT A CITY OF SPzuNGFTELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAMEORCOMPANY: ilu ,:o I ce V tcey LOCATION DEVELOPMENT TYPE:['1rr lJo*,v BUILDTNG SZE LOT S S Q.Ft 2ro'-9" y q o 2o w z* 2-k Y z+ X 5486.73 PER TRIP S -sqt, q V-+ Jq1'3'l Ldib't?'O t, kj 48otpI. STORM DRAINAGE IMPERVIOUS SQ. FT z, s41 x $0.232 PER SQ. FT 2. SAMTARY SEWER-CITY NO. OF PFU'S ZO X $48.27 PER PFU (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRTP RATE X COST PER PM PEAK HOTIR TRIP s ?6f .40 S 4qL ao S 2+2,7G S zz.os <S 3, z?> s 10.00 TOTAL-MIVI\4CSDC $ Z7/,5? 2 ZO,6 s //6,ao Shr^$A I x /,ot X 5486.73 PER TRIP 4. SANITARY SEWER-MWIvIC A. REIMBURSEMENT COST: NO. OF FEU'S X Z4Z,7A PER FEU B. MPROVEMENT COST: NO. OF FEU'S I X zz,N PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE suBTorAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATTVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 SX SDC Coordinator . ATTACH'A.WPD Date: //-/?-77 TOTAL SpC $ Zt + "6.06 !'l)('l'Ul(t' UNI'I' CALCULA'I'ION IABLE! Number of New Fixtures X unit Equivatent = Fixn*e Units(NOTE: For remodels, calculate only the N-'- Cditional fixtures) - ----- FIXTURE TYPE Bathtub........ Drinking Fountain....... Floor Drain. Interceptors For Grease/OiVSolids/Etc. Interceptors For Sand/Auto WashL,/Etc.. Laundry Tub/Clotheswasher/Tvf op S ink. Clotheswasher - 3 Or More Mobile Home Park Trap (i Per Trailer)... Receptor For Re frigeratorAVater S tation/Etc.......... Receptor For Commerc ial S inVD ishwasher/Etc..... Shorver, Single Stall.. Shower, Gang.................... Sink: Bar, Commercial, Residential Kitchen............ NUMBER OF NEW FIXTURES 7 TOTAL FIXTURE LINITS UNIT EQUIVALENT FIXTURE I-INITS 2 I 2 3 6 2 6 6 I 3 2 I 2 2 I 6 A* z- a ' -zL l-E- /Head ?- 4 Zo Urinal, Stall/Wal1........,. wat*r. gasinllavatory, S , Hiiii,!#J:::illi:::: /'gls.El"ffH:- ingle. CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits Credit for Parcel or Land Only If Appl Improvement (if after annexation date) icable 4, 47 X$O,7zr = 7,L.2__ (Rate X Assessed Value)x$ = (Rate X Assessed Value) CREDIT TOTAL _ S 1. 2-.2-- Year Anaexed Rate per S 1,000 Assessed Value Year Annexed Rate per S 1,000 Assessed Value I 980 1981 t982 I 983 1984 l 985 1986 l 987 I 988 - s4.47 '' 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 or before I 9S9 I 990 1991 1992 r 99i 199.1 I 995 t996 1997 l 998 2.18 1.15 1.35 t.t7 1.03 0.86 0.71 0.57 0.39 0.18 RUNOFF COEFFICIENTS FOR STORM DR{INAGE (For Estimating Purposes Only) Residential.. Commerical.. Industrial...... Govemmenta1...................... 0.4 0.9 0.5 0.5 FIXUNIT.WPD IMPERVIOUS AREA =TOTAL LOT SIZE X RUNOFF COEFFICIENT I .L Job. No.l5s 5 SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:PHONE: ADDRESS:STATE: e. zp: ?44-4 LOCATION OF PROPOSED BUILDING SITE: Street Address:# Plat Name:Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculalions and dwelling t ype definitions are on the back.) A. Singte-Family Detached Single Family home Manufactured home not in a park NO. OF UNITS X $1,000 per uoit = $ B. Single-Family Attached NO. OF UNITS X $924 per unit Willamalane Park & Recreation District C. Multi-Familv Aoartment - NO. OF UNITS X $692 Per unit D. Manufactured Home Park $ $ $NO. OF UNITS WLLAMALANE SDC 2. SDC CREDTT (if applicable) SDCaayermust {umish proof of Wiltamalane Credit approval. See SOC Credit Workshoet- 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced forCredit) /zr Date X $699 per unit b?? $ $ $ D City Department 4 r?< -75 77 ATTACHMENT A CITY OF SPRINGFIELD SYS DEVELOPMENT CHARGE W HEET JOURNAL OR JOB NUMBER 991595 NAME OR COMPANY: LOCATION: TAX LOTNUMBER DEVELOPMENT TYPE GREG LARKIN 342I WATER MARK DRIVE r7021943-07700 SINGLE FAMILY RESIDENCE BUILDING SIZE 2O1O LOT SIZE 5 133 I. STORM DRAINAGE IMPERVIOUS SQ. FT.2494.O x $0.232 PER SQ. FT $578.61 2. SANITARY SEWER-CITY NUMBEROF PFU's (SEE REVERSE SIDE) x $48,27 PER PFU18 86 3. TRANSPORTATION NUMBER OF TRIPS X TRIP RATE X COST PER PM PEAK HOI,R TRIP I x l.0l x $486.73 PER TRIP x x $486.73 PER TRIP $491.60 $0.00 $49 r.60 4. SANITARY SEWER- MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 1 B.IMPROVEMENT COST: NUMBEROF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x $242.76 PER FEU x 522.05 PER FEU TOTAL MWMC SDC $242.76 s22.0s ($6.50) $ 10.00 $268.31 38SUBToTAL (ADD ITEMS 1,2,3, &4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $l10.37 s2,317.752 fTATE TOTAL SDC CHARGES TOTAL TRANSPORTATION SDC PLUMBING FIXTURE LTNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUTVALENT = PLUMBING FIXTURE LINITS (NOTE: FOR R CALCULATE ONLY THE NET ADDITION FIXTURES) L]NIT FIXTURE TYPE BATHTUB DRINKING FOTINTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LATJNDRY TUB/CLOSTHSWASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLNVALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 0 0 TOTAL PLUMBING FIXTURE CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL FIXTURES NEW OLD YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE $4.47 $ 4.38 $ 4.32 s4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1989 1990 l99l 1992 1993 1994 1995 r996 1997 1998 $2.18 $ l.7s $ l.3s $ l.l7 $ 1.03 $ 0.86 $ 0.71 $ 0.s7 $ 0.39 $ 0.18 1919 or before 1980 1981 1982 r983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0.I8 IMPROVEMENT (IF AFTER ANNEXATION DATE) 36.100 $6.50 ALENT PLUMBING FIXTURE LTNITS 2I 0 2 I 2 J 6 2 6 6 I J 2 I 2 2 1 6 4 2 0 0 0 0 2 0 1 2 0 2 0 8 2 2 0 0 0 x x $6.s0 $0.00 CREDIT TOTAL I