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Home My WebLink AboutPermit Building 2003-03-24Buildin g/C ombin ation permitStatus: Issued lJl l,f1h Stree( Springfietd, oR541-726-3753 phone 541-726-3676 Fax 541:7 26-37 69 Inspection Line SITE ADDRESS: ASSESSOR'S PARCEL 832 S 43rd ST NO.: 1802052108507 Springfietd TYPEOF TYPE OF USE: Manufactured Home w Garage/Carport on private Notv Residential Owner: Address: PROJECT DESCRIpTION: Manufactured Home and Carport COUCH BETTYL 4626 BLUEBELLE WAY SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical Manuf Home Inst Owner Plumbing KEN L STINNETT Contracto, LicenseTRAVESS CONSTRUCTION RALPH W BROWN ULII\.'I\ 138060 63137ASSOCIATED HEATING & AIR CONDITION 106275KEN L STINNETT MOBILE HOME SETUP NIO4I81COUCH BETTY L Expiration Date 1U0u2003 02/15/2004 08t3u2004 02fi7t2004 Phone s4r-746-6399 541-729-1500 541-683-2590 541-746-7003 # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: I R-3 u-1 VN # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: SETUP 104181 I 15.00 'orced Air Electric Electric Electric 02fi7t2004 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 1,040 3 SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Arailable: Special Instruction: r8.00 17.00 5.00 Overlay Dist: # Street Trees Paved Drive Rqd: REQUIRED PARKING Total: 2 Handicapped: Compact: 17.00 s.00 o/o of Lot Gravel SidewalkType: Storm drainage will go to ditch in DownsPoutVDrains 43rd St. Sanitary & Storm sewer system must comply with SUB2002-09-0286. Public Works has no record of Encroachment permit. Encroachment Permit must be completed and returned to Public Works prior to connection. Encroachment Permit has been included in building permit fee's. Notes: 1of 3 - PERMIT NO: ISSUED: APPLIED: E)PIRES: VALTIE: coM2003-001sl 03t24t2003 03t10/2003 09/24/2003 $ 12,039.00 Yes 480 32.00 Vr Building/C ombination permit Status: Issued ?21 F ifth Stree t, Springfietd, OR 541-726-3753 phone 541-726-3676 Fax 541:726-37 69 Inspection Line Fee Description Plan Review Residential -Mechanical Issuance Fee_ + l|yo Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Air Handling Unit Up to 10,000 Building Permit Encroachment permit Heat Pump Manuf Home State Issuance Manufactured Home Feeder Manufactured Home placement Manufactured Home Service Minimum/Adj ustment Mechanical Plan Review - Planning Sanitary Sewer - lst 50 Feet Sanitary Seryer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addfl 100' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' Willamalane Manuf Home Private PERMIT N ISSUED: APPLIED: E)GIRES: VALI.IE: O: COM2003-00I51 03/24t2003 03n0t2003 09t24t2003 $ 12,038.00 D_escription Type of Construction Foundation Only Use Bid AmountGarage Garage Manuf Home Manufactured Home $ Per Sq Ft Square Footage$1.00 4,694.00$19.60 480.00$1.00 25,000.00 Total Value of project Value $4,694.00 $9,408.00 $25,000.00 $39,102.00 Date Calculated 03n0/2003 03/10/2003 03/10/2003 Amount Paid Date $8s.02 $r0.00 $61.s8 $43.11 $3.00 $8.00 $8.00 $130.80 $120.00 $12.00 $30.00 $50.00 $160.00 $s0.00 $25.00 $s9.00 $45.00 $352.59 $463.89 $14.00 $10.00 $34.83 $332.86 $87.s2 $50.44 $709.81 $160.87 $694.28 $4s.00 $14.00 $4s.00 $14.00 $1,000.00 2/24/03 3t24t03 3/24/03 3/24t03 3/24t03 3/24/03 3/24t03 3t24t03 3t24/03 3t24/03 3t24/03 3t24/03 3/24t03 3/24t03 3t24t03 3t24/03 3t24t03 3t24/03 3/24t03 3t24t03 3t24/03 3/24t03 3124t03 3124t03 3t24t03 3/24t03 3t24t03 3124t03 3l24tD3 3t24t03 3124t03 3t24103 3t24103 Receipt Number 2200200000000000519 r200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 r200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 120020000000000086s 1200200000000000868 1200200000000000868 1200200000000000868 r200200000000000868 120020000000000086s 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 1200200000000000868 l 200200000000000868 Total Amount $4,929.60 2of3 Building/C ombin ation permit Status: Issued 225 Fifth Stree( Springfietd, OR 547-726-3753 phone 541-726-3676 Fax 541:1 26-37 69 Inspection Line Initial Review Initial Review Planning Review Public Works Review PERN{IT N ISSUED: APPLIED: E)PIRES: VALTIE: O: COM2003-00151 03t24t2003 03/10t2003 09t24t2003 $ 12,038.00 03t07/2003 03n0t2003 03fi0t2003 03n0t2003 03/1U2003 03n2t2003 LLH AJD DJW 02/2st2003 8t07t2003 wr DLM Held for information on partition sonew address could be assigned to new lot Sanitary & Storm sewer system mustcomply with SUB200 2_09_02g6. Public Works has no record ofEncroachment permit. Encroachment permit must be completed and returned to public Works prior to connection. Encroachment permit has been included in building permit fee's. APP APP APP Structural Review 03n0t2003 8n8t2003 APP TCM hour recording at726-3769. AII inspection re quested before 7:00 a.m.rns pections requested after 7:00 a.m. will be made the following work I Footing: After trenches are excavated.2 Framing Inspection: Prior to cover and after all rough in inspections have been approved.3 Final Building: After alt required inspections-hrnu ui.o..qrXst"a and approvea una trr" building is complete.4 water Line: prior to firing trenctr ant incruding ,.qriiJioiirg.5 Sanitary sewer Line-' prior to fiiling trench and"inctuding required testing.6 Storm Sewer Line: prior to fi[ing tiench.7 Manuf Home prumbing: After home has been connected to water and sewer.8 Rough Electric: prior to Cover9 MH Service: Approvar required prior to utility company energizing service.l0 MH Electric: when blocking, setup and ptumuing inrpectiors t ave been approved and the home is connected tothe panel. 1l Final Electric: When all electrical work is complete. To Request an inspection call the 24will be made the same working day, day. By signature, I state and agree, that I have carefully examined the completed application and do hereby certiff that allinformation hereon is true and correct, and I further certify that any and all woit perrormed shall be done in accordancewith the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work describedhereiq and that NO OCCUPANCY will be made of any structure without permission of the C.ommunity Services Division, Building Safety. I further certiff that orily contractors and employees who are in compliance with ORS 701.06 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 property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature 3 of 3 Date 3 2V- ct 4 3/24/2003 l0:52:45AlvI 225Frfth Street Springfield, Oregon 97 477 SglZe-1759 Phone City of Springfield Development Service, n.pu.ti, ""iPublic Works Department Official Receipt Receipt #: 1200200000000000868 Date:03t24t2003 Line Items: Job/Journal Number coM2003-001s1 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-001s 1 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 Addressing Assignment Willamalane Manuf Home private Air Handling Unit Up to 10,000 Minimum/Adj ustment Mechanical Heat Pump -Mechanical Issuance Fee- Manufactured Home Feeder Manufactured Home Service Add, Alter, Extend Circ Ea Add Plan Review - planning Building Permit Manufactured Home placement Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addrl 100' Water Line - lst 50 Feet Amount Paid 8.00 1,000.00 8.00 2s.00 12.00 r0.00 50.00 50.00 3.00 59.00 130.80 160.00 45.00 14.00 45.00 Page I of3 cReceipt.rpt 3/24/2003 l0:52:46AM 225Eitth Street Springfield, Oregon 97 477 541:726-3759 Phone City of Springfield Development Serviies oepardn eni Public Works Department Official Receipt Receipt #: 1200200000000000868 Date: 03124t2003 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-00151 coM2003-o0l5l coM2003-o015l Water Line - Each Addtl 100, Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Manuf Home State Issuance + 7%o State Surcharge + lOyo Adminishative Fee Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Encroachment permit 14.00 45.00 14.00 30.00 43.11 6 r.58 694.28 463.89 352.59 160.87 709.81 332.86 34.83 10.00 87.52 50.44 120.00 Page2 of3 cReceipt.rpt 3/24/2003 l0:52:45AM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 1200200000000000868 Date: 0312412003 Line Item Total:$4,844.58 Payments Tlpe of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check BETTY COUCH djb In Person 4,844.58 Total: Page 3 of3 cReceipt.rpt spr$lt(iIEt*Ltl 225 FIFTH STREET SPRINGFIELD, OREGON 97 ELT UCAL PERMIT APPLICATION 726-376 cntiirl-Singlc ulti-Family' per drvelling unit. Included: or less E additional 500 ft or portion thereof Each Manufd Home or Ivlodular Drvelling Sen'ice or Feeder ces or Fectlcrs Instirllittion, Alterations or Rclocation: Citl'Job Numb -l0l amps to 600 amps Each or ine Lighting ted Energf iRes Linrited Energl'/Conint Items Cost Sum $ 106.00 $ 19.00 LE D B DES Perniils are no sferable if rvork is not sta(ed ri'ithin \80 of issuance or if u'ork is 180 days 2. CONTRACTOR INSTALLA Electri cal Contractor Address ,""" &u.Wz L$5oool$.d5 B. Serli 201 amps to 400 arnPs Cit)'Phone Supen'isor License ; Expiration Constr Contr. : Expiration OWNER INSTALLATION Tire insttrllation is being Ittade on property I orvn rvhich is not intended for sale, Iease or rent. 601 amps to 1000 Oyer I "B" abot'e D. Branch Circtrits Netv Alteration or Extension One Circuit 6aCZ-*4e*t-. -__-i- nElectricingof Supcrlisi Orvncrs N \$ er not included) $50.00 - $50.00 _ $25.00 _- $+5.00 Nlinimum Electric Permit Inspcction Fcc i's S-t5'00 * surcltirrgcs ]. SUBTOTALOFABOVE 77, Statc Surchrtrgc 1D(% Administrative Fce TOTAL DO L 3. COMPLETE FEE SCHEDULE BELOW $ 63.00 _ $ 75.00 _ $l25.oo -- $ r 63.00 $375.00 _ $ 50.00 $50.00 $69.00 --$1oo.oo -.or 1000 r,olts see --t- $ 3.oo @ Olr'ncrs Signature. uDst CITY OF S/RINGFIELD SYSTEMS DEV ELOPME... WORKSHEET NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS BUILDING SIZE (SF)LOT SrZE (SF): OR JOB Com2003-001 Couch 832 South 43rd Street TLo8-507 COST PER S.F $0.282 CHARCE $694.28 COST PER S.F. $0.282 DISCOUNT RATE 507o DISCOUNT $o.oo ;694.28ITEM 1 TOTAL - STORM DRAINAGE SDC x x AND CONSTRUCTED TO CITY STANDARDS NUMBER OF DFU'S 21 COST PER DFU s22.09 NUMBER OF DFU's 21 COST PER DFU $ r6.79 $816.48 B. IMPROVEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC x = | $463.89 = | $35259 2. SANITARY SEWER - CIry A. REIMBURSEMENT COST: ADTTRIP RATE 9.57 NUMBER OF UNITS I COST PER TRIP $ 16.8 r NEW TRIP FACTOR r.00 NUMBER OF UNITS I COST PER TRIP $74.17 NEW TRIP FACTOR L00 $870.68 ADTTRIP RATE 9.57 B.IMPROVEMENT ITEM 3 TOTAL - TRANSPORTATION SDC x x x x x - | $160.87 = | $709.81 3. TRANSPORTATION A. REIMBURSEMENTCOST: NUMBER OFFEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL . MWMC SANITARY SEWER SDC = COST PER FEU $332.86 NUMBER OF FEU's I COST PER FEU $34.83 i377.69 x B.COST: x = I $332.86 = | $14.81 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: SUBTOTAL (ADD rTEMS 1,2,3, & 4) -@L SUBTOTAL $2.7s9.13 ADM. FEE RATE 57o CHARGE $ r 37.96 TOTAL SDC CHARGESSteve Templin PREPARED BY .5. ADMINISTRATIVE FEE: x DATE f-----ssz t-T2,s9?"093t12t2003 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: 1070 r09l t@2 1093 t094 1055 1056 t079 I 078 v)HooU &r!F U) E]ilTO CITY x x FIXTURE TYPE UNIT ALENTOLDNEW NUMBER OF NEW FXTURES X UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS CAI-CULATE ONLY THE NET ADDITIONAL OF FIXTURES FOR FIXTURE UNITS 000DRINKING FOUNTAIN 30FLOOR 0030/ ETC.CREASE / OIL / 60WASH /FOR SAND 000TUB 30/ MOP 03 OR MORE 1PARK TRAP PERMOBILE 000/WATERFOR / ETC. 30ETC.SINK ASHERDISHWCOMFOR 000SINGLE ST 200OF 1 000BARSINK: 1LAVASINK: WASH 101LAVATORYBAR 50/WALLST 00PUBLIC INST 32ATE set at 167toa 020 unit MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FXTURE UNITS *EDU lsa DRAINAGE FIXTURE UNIT CALCULATION TABLE MWMC CREDIT CALCT'LATION TABLE: BASED ON COUNTY ASSESSED VALTIE 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 / 1OOO CREDIT RATE $0.00 x $4.92 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1OOO CREDIT RATE $0.00 x $4'92 TOTAL MWMC CREDIT = I $0.00 BEFORE 1979 94.92 1979 $4.92 r980 M.83 l98l v.77 r982 M.64 1983 $4.47 1984 M.30 1985 M.09 1986 $3.78 I 987 $3.41 1988 $2.98 1989 $2.s2 I 990 2.06 l99l $r.64 1992 $ 1.45 r993 $r.31 1994 l.l3 1995 $0.97 1996 ;0.82 1997 $0.63 1998 ;0.41 1999 i0.22 2000 ;0.04