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Home My WebLink AboutPermit Building 2002-03-04SPFINGFIELD Job# 02-00124-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 Job Number: 02-00124-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 06101 Subdivision: Adams Plat 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 1221 00032nd St Spr AssessorsMap#: 17023034 Lot: Block: Addition: oITY OF SPRINGFIELD, OREoON Owner: William Rossow Address: 122132nd Street Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541-726-2464 Springfield, OR97477 Value: $42,500 MH on private ContractorType Contractor General Contr Hardacker & Oleary Development lnc 83278 N 6Th St, Creswell, OR 97426 ElectricalContr Able Electric 1300 Anderson Ln, Springfield, OR 9747 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 Registration # Expiration Date Phone $f[9*.W6,ffi'*',u*nn'n|o',, mfjffit-ost2oos 541-8e5-4307 79496 211912003 541 -895-4307 Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Electric Office Use - Land Use: Mfg Home - Not in a Zoning Code: LDR # Of Build : Dwelling ElectricBedrooms: 3 Range: Electric To request an inspection call the 24 hour recording at 726-3769. All i a.m. will be made the same working day, inspections requested working day Required lnspections Buildi Footing -After trenches are excavated. Electrical MH Service i '-ti'- 1 1BB le following iilY req Water Line Sanitary Sewer Line Storm Sewer Line - Prior to filling trench - Prior to filling trench - Prior to filling trench Plumbin ..,. ..: 1 .. r"!1d Job#02-00124-01 Page 2 of 3 Required lnspections IVlanufactured Home MH Set Up MH Final -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number Zoning: LDR FloodPlain? [ Weflands? [ Journal numbers 1: Comments: 2: Planner: Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: 2 3: Additional Requirements: Required Attachments: Source Locn: Material: Land Use: Mfg Home - Not in a park Pave Driveway? Overlay District: # of Street Trees: t] Glenwood Area? ! Floodway FEMA: Zone X White Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? Area (Sq. Main: 11BB Accessory: Flood Plain FEMA: panel .1161 of 2975 # Of Stories: 1 Height (feet): 16 Current Units: Proposed Units:1 Census Code: New Mfg Home Total:1 1BB Fee Paid On Receipt# Value/Quantity Fee Amount PIan Check Residential Plan Check Total Plan Check 0210412002 7937 2,300 $34.32 $34.32 Bui Foundation Only State Surcharge For Building Permit 8% Building Administrative Fee Total Building 03t04t2002 03104t2002 03t04t2002 8202 8202 8202 2,500 $52.80 $3.70 $4.22 $60.72 Electrical Minimum Electrical Permit Fee Manufactured Home Service\Feeder State Surcharge - Electrical 8% Admin Fee - Electrical Tota! Electrical 0310412002 03104t2002 0310412002 03t04t2002 8202 8202 8202 8202 1 $.00 $50.00 $3.50 $4.00 $s7.50 Plumbing Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage San Sewer Line Footage w/Bath Permit Storm Sewer Footage Storm Sewer Line w/Bath Permit Water Service Line w/Bath Permit 0310412002 03t04t2002 03t04t2002 03t04t2002 0310412002 0310412002 03t0412002 03t0412002 8202 8202 8202 8202 8202 8202 8202 8202 20 40 20 $45.00 $3.15 $.00 $.00 $.00 $.00 $.00 $.00 Job# 02-00124-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount 8% Administrative Fee - Plumbing Total Plumbing Plumbing 0310412002 8202 $3.60 $51.75 Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home Manufactured Home 0310412002 0310412002 0310412002 0310412002 8202 8202 8202 8202 40,000 1 $160.00 $30.00 $11.20 $12.80 $214.00 System Development Residential- Single Family - Storm SDC Administrative Fee Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 03t04t2002 03104t2002 03t04t2002 0310412002 8202 8202 8202 8202 994 $271.36 $24.85 $128.22 $97.44 $521.87 b 6 Planning 03t0412002 8202 1Planning Plan Review Total Planning $50.00 $50.00 Grand Tota! PIan Check Type Checked By Date Completed Comment lnitialReview-Res Lisa Hopper 0210612002 Engineering-Res Bob Kettwig 02fi312002 Planning-Res Liz Miller 0210812002 Structural-Res Tom Marx 0211212002 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 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 set of pla will on the site at alltimes during construction. Date $990.16 3-- V--o 2-- S 97177 726-3 ELL,-rRICAL PERMJT Job Numb t,/.o-1 I COMPLETE FEE sq or less sq. ft or portion thereof Each Manufd Horne or I ON D J Permits are no and if work is not started lvithin 180 Th e tollowlng unit. SntrItems Cost Zoning -o ate Authorlz . expire days ure $ r 9.00 of issuance or if n'ork is suspended for 180 dnys 2. CONTRACTOR INSTALLATION Electrical' Contractor Address Constr Contr. Number of Supen'ising On'ners Name Drvelling or Feeder Ncu Altcratiou or Estension Per Panel $50.00. $25.00 $45.00 The installation is being made on properry" I orvn rvhich is not intended lor sale. Iease or rent. Each Additional Circuit or rvith Service or Feeder Permit _ $ 3.00 E. Miscellaneous (Service/fceder not included) -Each installation Pump or irrigation $50.00 INSTALLATION Orvners Signature: Sign/Outline Lighting Limited Euergy,ftes L i mited Energr''/Cornrn Minimum Electric Peimit Inspect ,1. SUBTOTAL OFABOVE +F 7oh Stfie Surcharge 8 ol, Administrative Fee TOTAL on ee ls s1 00 $ 106.00 _ t&I $5ooo -5D.oO Supen'isor License Number Expiration Expiration Date $ 75.00 $12s.00 -_s i63.00 -_$375.00 ANY 180 Over 1000 Reconnect Only C. Tenrporarl'Senices or Feeders Installltion, Alteration or Rclocatiorr 200 amps or less $50.00 $69.00..-------.- $1oo.oo 20t amps to 400 amps amps see One Circuit $43.00 51 e CITY OF SPRIN GFIELD SYSTEMS DEVELO PMENT CHARGE WORKSHEET SF LOCATION NTIMBER:24-02 ROSSOW 32nd.STREET SINGLE 0 JOURNAL OR JOB 02-001 NAME OR COMPANY: 1221 TAX LOT NUMBER:t7-02-30_.34 TL:6t 0tDEVELOPMENT TYPE:FAMILY NEW DWELLING UNITS BUILDING SIZE:I 188 sF LOT SIZE: 8000 IMPER vIOUS S.F.COST PER S.F DISCOT.INf RATE 50Vo $0.00 IMPER VIOUS S,F. 994.00 COST PER s.F. $0.273 1.36 x x x DRYWELL DIRECT RUNOFF TO RIINOFF ROUTED TO CITY STORM SYSTEM TO CITY STANDARDSDESIGNED AND CONSTRUCTED TOTALIITEM STORM DRAINAGE SDC 6 I .44 NUMBJR O-FD-M 6 COST PER D-FT 128.22 x x COST:A. REIMB COST:B. SANITARY2ITEMTOTALCITY SEWER SDC ADTTRIP RATE OFNLIMBER TINITS COST PER TRIP TRIPNEW FACTOR9.57 0 I ADT TRIP RATE 9.57 NI.IMBER OF LTNITS0-COST PER TRIP FACTORTRIPNEW 1J0- x x x x x x COST:A. COST:B TOTAL TAITEM3TRANSPOR SDCTION 00 $0.00 NUMBER OFFEU'S 0 COST PER FEU $332^86- NUMBER OF FEUb 0 cos T PER FEU $34.83 x x SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT COST:B IMPROVEMENT COST:A. REIMB URSEMENT MIVMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE . MWMC SANITARY SEWER SDCITEM 4 TOTAL .o2SUBT0TAL (ADD ITEMS 1,2,3, & 4) ADM. FEE RATESUBTOTAL 5Vo02 5. ADMINISTRATIVEFEE: x $s21.87 V)HaoU &EIHV) (,r!& 1070 1091 1093 to94 1073 1092 I 055 I 056 211312002tlr^,LTrr++l;r" SDC COORDINATOR TOTAL SDC CIIARGES DATE $21.51- $1621- DRAINAGE FIXTURE UNIT CALCULA TION TABLE ONLY UNITSFXTUREDRANAGEALENTUNITxEQUTVFD$URESNEWOFNUMBER ADDITIONALNETTHECALCULATEREMODEIS.FOR NO. OF DRAINAGE FIxTURE IJNITS) UNIT (#NEW - #OLD ^ r,outv ALENT FIXTURE TYPE 1 I )x J 0 ( I 0 FOUNTAIN (0 0 )x x x 0DRINKING3(0 0 ) FLOOR DRAIN J 0 GREASE / OIL / SOLIDS IETC. (0 0 ) FOR 0 x, x x x x 6 0 FOR SAND / AUTO WASH IETC.(0 00)20 0LAI.INDRY TUB I 3 ASHER /MOP SINK ( 6 0 3 ORMORE (EA)0 0 ) 0ASHER -t2 (1 PER (0 0 MOBILE HOME PARKTRAP 1 0 ITE,N STATION /ETC. (0 0 )x x x x FOR REFRIG / W 0 0 )3 0 FORCOM.SINK/ DISFTW ASHER i ETC. ( 2 2 (I 0 ) 0 )2 000 1 3(1 x x x x x 00)2 BAR 0 0SINK:(0 0 1 SINK:BAR )2 000 WASH BASIN 1 1 1 (2 0LAVATORY0)5 ST ALL/WALL 0 x x x 0URINAL,0 )6 PUBLIC INST ALLATION (0 JTOILET,1 )J ATE INST ALLATION (2 TOILET, PRIV MISCELLANEOUS DFU TYPE NUMBER OF EDU's*0)20 0(0 x FIXTURE UNITS =TOTALDRAINAGE at 167 gallons Per daY Dwelling Unit) is a discharge equi valent to a single familY dwelling unit (20 DFU's) set *EDU (Equivalent 6 MWMC CREDIT CALCULATION TABLE:BASED ON COUNTY ASSESSED VALUE $0.00 YEAR ANNEXED PER $1,000CREDITRATE ASSESSED VALUE $4.83 $4.17 $4.64 $4.47 $4.30 YEAR ANNEXED CREDIT RATE PER $1,000 vALUE -Tseo 1980 198 I r982 1983 1984 $1.64 $1.45 $1.31 $l .13 $0.97 $0.82 1991 1992 1993 1994 1995 1985 1986 1987 r988 $4.09 $3.78 $3.41 $2.98 $2.52 1996 1991 1998 1999 2000 $0.63 $0.41 $0.22 $0.04 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AF|ER ANNEXATION)$0.00 TOTAL MWMC CREDIT = 0.000 x x IF TIONANNEXAOCCURREDAFTER DATE,SEPCREDIT CREDIT RATE $0.00 VALUE / 1OOO 0.000 1979 OR BBTUKb 1989 TY OF DEV ELO PM ENT SEfI V IC E S DE PARI-M EN'I March 5,2002 William Rossow l22t 32nd Street Springfield, Oregon 97477 Enclosed is a copy of the electrical permit for your manufactured home connection at1221 32nd Street, Springfield, Oregon. When you obtained.your permit, we neglected to properly validate it. I am enclosing a copy of the permit for you to keep for your records. Thank you, and if you have any questions, please feel free to phone me at 726-3790. Sincerely, Lisa Hopper Building Safety Supervisor cc David Bowlsby Encl w ?25 t,ll. lfl :; lBl-:L t SPRINGFIELD, OR 97477 (54t) 726-3753 FAX ,541) 726-368s www. ci. s p ri n gl i e ld. o r. us \,ICI-,