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Home My WebLink AboutPermit Building 2003-04-18F Status Issued 225Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00213ISSUED: 0411812003APPLIED: 0312712003 EXPIRES: 10/1812003VALUE: $ 10,488.00 SITE ADDRESS: 825 19th St Springfield TYPE OF WORK: Manufactured Home on ASSESSOR'S PARCEL NO.: 1703361206500 Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured Home & Garage. Replaces home that was demolished 10/2002. See job number COM2002-01242 Owner: TETER pATRICIA L Address: PO BOX 1228 SPRINGFIELD OR 97477 Contractor Type General Electrical Owner Plumbing Contractor HARRISON JACOBSON INC ROB'S ELECTRIC TETER PATRICIA L HARRISON JACOBSON INC License 66447 Expiration Date 05t07t2004 0912512004 Phone 541-689-7762 541-686-5444 CONTRACTOR INFORMATION \t # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 1 R-3 u-1 VNSpr \$ $at 1 r5.00 Forced Air Elect Electric Electric 0st07t2004 s4t-689-7762 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 280 1,296 ,, 3 18.00 s.00 1r.00 62.00 5.00 Type: Energy Path: Overlay PARJ<INGge\ Sidewalk Type: DownspoutslDrains: Curbside 5' Curb and Gutter Handicapped: Fully Improved No Notes: Page I of3 \m Ll I gifotal: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00213ISSUED: 0411812003APPLIED: 0312712003EXPIRES: 10/1812003VALUE: $ 10,488.00 Description Type of Construction Foundation Onlv Use Bid Amount Garage Garage Manuf Home Manufactured Home Fee Descrintion Plan Review Residential + l0o/o Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Building Permit Manuf Home State Issuance Manufactured Home Connection Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Plan Review - Planning Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Water Line - lst 50 Feet Total Amount Paid $ Per Sq Ft Square Footage $1.00 5,000.00 $19.60 280.00 $1.00 48,000.00 Total Value of Project Date Pai Value $5,000.00 $5,488.00 $48,000.00 $58,488.00 Date Calculated 03t27t2003 03t2712003 03t27t2003 Amount Paid Receipt Number 1200200000000000889 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 1200200000000001026 $74.88 $ss.82 $39.07 $3.00 $8.00 $115.20 $30.00 $4s.00 $s0.00 $160.00 $s0.00 $59.00 $4s.00 $100.74 $132.54 $19.17 $150.02 $4s.00 $45.00 3t26t03 4n8t03 4fi8t03 4n8103 4n&t03 4n8t03 4n&t03 4ngt03 4n8t03 4tr8l03 4tr8t03 4n8t03 4n8t03 4tr8l03 4n&t03 4n8103 4n8t03 4n8t03 4n8t03 $1,227.44 E ees Pa Plan Reviews Initial Review Planning Review Public Works Review Structural Review 03t27t2003 03t27t2003 03t27t2003 03t27t2003 03t27t2003 04t07t2003 04n012003 04n4t2003 LLH AJI) DJW TCM APP APP APP APP To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 work day. Paee 2 of3 { Vatuation Descriotion I F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00213ISSUED: 0411812003APPLIED: 0312712003EXPIRES: 10/1812003VALUE: $ 10,488.00 Reouired Insnectl I 2 3 4 5 6 7 8 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. Manuf Home Set Up: When installation of all piers or stands is complete. Underfloor Drain: Prior to cover or placement of concrete. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Manuf Home Plumbing: After home has been connected to water and sewer. Rough Electric: Prior to Cover MH Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 9 10 11 t2 13 t4 15 16 t7 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 701.005 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 is located at the front of the property, and the approved set of plans will remain on the site at all times Y- r& o: Owner or Contractors Signature Date Page3 of3 4/18/2003 ll:25:25AM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #z 120020000000000 1 026 Date: 0411812003 Line Items: Job/Journal Number Description Amount Paid coM2003-00213 coM2003-00213 coM2003-00213 coM2003-00213 coM2003-00213 coM2003-00213 coM2003-00213 coM2003-00213 coM2003-00213 coM2003-00213 coM2003-00213 coM2003-00213 coM2003-00213 coM2003-00213 coM2003-00213 Addressing Assignment Plan Review - Planning Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Manufactured Home Placement Manuf Home State Issuance Sanitary Sewer - 1st 50 Feet Water Line - lst 50 Feet Storm Sewer - lst 50 Feet Manufactured Home Connection Manufactured Home Feeder Manufactured Home Service 8.00 59.00 150.02 t32.54 100.74 19.17 115.20 160.00 30.00 45.00 4s.00 45.00 45.00 50.00 50.00 Page I of2 cReceipt.rpt ) 4/18/2003 I l:25:25AM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #z 120020000000000 I 026 Date: 0411812003 coM2003-00213 coM2003-00213 coM2003-00213 Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + ll%" Administrative Fee Payments: 3.00 39.07 55.82 Line Item Total:$1,152.56 Type ofPayment Paid By Received By Check Number Conlirm No How Received Amount Paid Check GOODEN HARzuSON CONSTR djb In Person 1,152.56 Total: Page2 of2 cRcccipt.rpt *F$t*rl**ll 225 FIFTH STREET . SPRINGFIELD, OR97477 r PH: E LE CTRI CAL P ERMIT AP P LI CATI A N City Job Number (O,tiZr*L:; L)(.,;r j Date 1. &5 l7*n s+ LEGAL DESCRIPTION n03'36r Z 6>6 s<>o JOB DESCRIPTION SNc Permits are and expire if rS not started within 180 days of issuance or if work is Suspended for 180 days. (s4t)726-37s3 Date Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder Z $so.oo /Oo $ 106.00 $ r9.00 B.) Electrical Contractor Address Lt rS- City Q-ye.hL Supervisor License Number s Expiration Date lo*ot - o'/\(\ Constr. Contr. Number b-H6 /q1 Expiration Date ?-tf- ol Sigaature of Supervising Electrician ,?"U E/"-{t^,.200 Amps or less rsil,b 5 /. Phone /16 ry 201 Amps to s 63.00 $ 7s.00 s125.00 $ 163.00 $37s.00 s s0.00 401 w w -{o$ or Relocation less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above. D. New Alteration or Cne Circuit $ 43.00 $ 3.00 Ea.oh Service or Lighting $ s0.00 $ s0.00 Energy,Residential $ 2s.00 Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges to) 7%o State Surcharge l0% Administrative Fee TOTAL 72, /(t tz; $ 50.00 s 69.00 $ r00.00 owners N"-" r '1a +n-3 tLr'A le Address ?o au"7"( City >(Po Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature:4 Inspection Request: 726-3769 Shared Drive(T:/Building Forms/Xiectrical Permit Application 1-03.doc E z6 3. A. / e'rou/t**t CITY OF STRINGFIELD SYSTEMS DEVELOPMET.. WORKSHEET JOURNAL OR JOB NUMBER: Com2003-ffi213 NAME OR COMPANY Patricia Teter LOCATION:825 l9rh St. TAX LOTNUMBER 17033612"tL06500 DEVELOPMENT TYPE: NEW DWELLINC UNITS 0 BUILDING SIZE (SF) O LOT SIZE (SF):0 a trl U r!F(/) (, rI]& l09t t092 1093 1094 1054 1055 1054 1056 tu9 1078 I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEMI TMPERv'Iorr's s-F. xI srz.oo COST PER S.F. $0.282 CHARCE $150.02 RUNOFF ROUTED TO DRYWELL DESICNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 x COST PER S.F. $0.282 x DISCOUNT RATE 507o DISCOUNT $0.00 ITEM 1 TOTAL. STORM DRAINAGE SDC $150.02 A. REIMBURSEMENT COST: NUMBER OF DFU's 6 x COST PER DFU $22.09 = f----$r32i4 B. IMPROVEMENT COST: NUMBER OF DFU'S 6 COST PER DFU $16.79 = I $100.74 ITEM 2 TOTAL. CITY SANITARY SEWER SDC =i233.28 3. TRANSPORTATION A. REIMBURSEMENTCOST: ADT TRIP RATE 9.57 NUMBER OF UNITS 0 x COST PER TRIP $r6.8r x NEW TRIP FACTOR r.00 = f s0J0 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 x NUMBER OF UNITS 0 x COST PER TRIP $74.17 x NEW TRIP FACTOR 1.00 = I $0.00 ITEM 3 TOTAL. TRANSPORTATION SDC ;0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 x = I $0.00 B. IMPROVEMENT COST: NUMBER OFFEU's 0 x = | $0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = = I $o4q = l-----T0.oo $0.00 COST PER FEU $332.86 COST PER FEU $34.83 SUBTOTAL (ADD ITEMS I, 2, 3, & 4)$383.10 5. ADMINISTRATIVE FEE: SUBTOTAL $383.30 x ADM. FEE RATE 5Vo CHARGE $r9.17 TOTAL SANITARY ADM INISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: I rs.n I so.oo D. Wright 4t10t2003 PREPARED BY DATE TOTAL SDC CHARGES = I $402.47 x 1070 DRAINAGE FIXTURE UNIT CALCULATION TABLEI-.,T U NUMBER OFNEW FXTURES x UNIT EQUIVALENT = DRAINAGE FXTURE UNITS DRAINAGE FIXTURE UNITS NO. OF FIXTURES FIXTURE TYPE NEW OLD (NOTE: FOR REMODEIS, CALCULATE ONLY THE NET ADDITIONAL FXTURES) UNIT EQUIVALENT 1 0 3 3 DRINKING FOUNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 FOR SAND / AUTO WASH / ETC.0 0 6 0 TUB 0 0 2 0 / MOP SINK 0 0 3 0 3 OR MORE 0 0 b 0 ILE HOME PARK TRAP 1 PER 0 0 12 0 FOR REFRIG / WA / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SINGLE STALL 0 0 2 0 GANG OF 0 0 2 0 KITCHEN 0 0 3 0 COMMERCIAL BAR 0 0 2 0 BASIN/DOUBLE LAVATORYSINK:0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 WALL 0 0 5 0 PUBLIC INSTALLATION 0 0 b 0 TION 1 0 3 3 MISCELLANEOUS DFU ryPE NUMBER OF EDU'S 0 TOTAL DRAINAGE FIXTURE UNTTS *EDU lsa toa unit set MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATB$I,OOO ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 0 0 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / IOOO CREDIT RATE $0.00 x $4.92 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/ IOOO CREDITRATE $o.oo x $4.92 TOTAL MWMC CREDIT I so.oo BEFORE 1979 $4.92 1979 $4.92 r980 $4.83 l98l $4.77 1982 $4.64 1983 M.47 198.1 M.30 1985 $4.09 1986 $3.78 1987 $3.4 r 1988 $2.98 t989 $2.52 1990 $2.06 l99l $ 1.64 1992 $1.4-s 1993 $r.3r 1994 $r.r3 1995 $0.97 t996 $0.82 1997 $0.63 l 998 $0.4r 1999 $0.22 2000 $0.04 20 l---