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Home My WebLink AboutPermit Miscellaneous 2009-2-3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00062 ISSUED: 02/0312009 APPLIED: 01/14/2009 EXPIRES: 08/03/2009 VALUE: $ 86,000.00 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New PROJECT DESCRIPTION: Place manufactured home on private lot. Lot 4, Taylor Ray Subdivision Total: 3 Handicapped: Yes Compact: 29.60 U to ~:n,,()n taW le~;~~~Xot.lti\ity~ I PUBLIC IMPROVEMHi:N-FslI~~~'~dopte~;Js~ ~~t~S are ~~~:oo\~ , ou(tJ"", 'Col'ter. _Igll Qp<R \ 5 b'l ' Street Improveme~CE' 1""",","-tlO. 'I'liE 'f.jO,," "0\\\icat1on Sid.'\J"j\Ik\l1yj\'e: 01 tile rU e C b'd 7' N . re t:,,"l1~!:"foI"a NO! ~,. R 952'OU \ 'n copies \ep\1One ur Sl e Storm Sewer A'q'i j'8lfCRN\\1 Slil\ lli\S I'~M\T \S In 01\ 'IoU (lDOW.uI?'\\'l,!~('Qralli~ ~oti\\C~\DIlJ and Gutter Special Instructib :\\10R\2EO UNDER NOONED FOR 0090\\'n9 tile cen~ 'egoll t.ltllltY 44). I\U ,~MI'\\\Cm OR \S 1\'01\, ca~ber for tile \.800.332.23 Notes: Storm w[j'ter'to-cu~6:< I'ER\OO. 'nU cell\er IS , , ANY '\80 up. SITE ADDRESS: 3710 S A ST ASSESSOR'S PARCEL NO.: 1702314208600 Owner: TRA VESS GEORGE T Address: 1495 CHEEK ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Manuf Home Inst Plumbing Contractor GREAT WESTERN HOMES INC RALPH W BROWN GREAT WESTERN HOMES INC GREAT WESTERN HOMES INC License 46472 63137 'MDI 159 46472 BUILDING INFOR~A TION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R3 # of Stories: 1 Height of Structure Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: n/a VB 4 I DEVELOPMENT INFORMATION I Fronlyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 25.00 14.00 10.00 22.00 0.00 Paee I of 3 ' Residential Expiration Date 12/2912009 02/15/2010 12/29/2009 12/29/2009 Phone 747-9940 541-729-1500 747-9940 747-9940 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq FtOther: Occupant Load: 5,663 1,782 REQUIRED PARKING 2 $8,365.16 I Plan Reviews I 01/14/2009 01/20/2009 OK LLH 01/20/2009 01/20/2009 APP LKW 01/14/2009 01/21/2009 APP CJC 01/2012009 01/28/2009 APP DDK Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Manufactured Home Manuf Home Fee Description *** SDC ANNEXATION CREDIT + 12% State Surcharge + 5% Technology Fee Addressing Assignment Curbcut Permit Fire SF Fee - Residential Manufactured Home Placement Plan Review Major - Planning Plan Review Residential PW Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC IVIWMC Improvement SDC MWMC Reimbursement , SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Trarispo Reimbursement SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Willamalane ManufHome Private Total Amount Paid Initial Review Public Works Review Structural Review Plannin2: Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00062 ISSUED: 02/03/2009 APPLIED: 01114/2009 EXPIRES: 08/03/2009 VALUE: $ 86,000.00 I VaJuMiOIl Descriotion , .- $ Per Sq Ft or multiplier $1.00 Square Footage or Bid' Amount 86,000.00 Value Date Calculated $86,000.00 $86,000.00 01/20/2009 Total Value of Project Fpm P'\IU Amount Paid Date Paid Receipt Number $-346.24 $47.64 $37.70 $38.00 $88.00 $89.10 $397.00 , $211.00 $416.37 $-30.00 $525.91 $691.63 $10.00 $1,009.17 $97.90 $128.56 $888.98 $201.54 $67.84 $88.00 $849.06 $2,858.00 2/3/09' 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 , 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 , 1200900000000000074 1200900000000000074 1200900000000000074 ,1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 lio0900000000000074, 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 Storm water to curb As submitted 3 street trees required. 1 tre~ along S. 37th St. and 2 trees along S. A St. Pa2e 2 01'3 CITY OJ' ~nuNGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00062 ISSUED: 02/03/2009 APPLIED: 01/1412009 EXPIRES: . 08/03/2009 VALUE: $ 86,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. I Reoui-el'l Insllll'l'tions I 111110,1..1111 Manuf Home Set Up: When installation of all piers or stands 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 Plumbing: After home has been connected to water and sewer. MH Electric: When blocking, setup and pluQlbing inspections have been approved and the home is connected to the panel. , MH Service: Approval required prior to utility company energizing service. MH Pedestal: Approval required prior to utility company energizing service. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Foundation: After forms are erected but prior to concrete placement. 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 st~uctul'e withont 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, th:;tt the permit card is located at the front of the property, and the approved set of plans will 'remain on the site at all tim7/2e,s du . g construction,_ " ~ '7. . :;'AP7~ / ~4;1t Od-/os/09 Owner oantractors Signature Date Paee 3 of 3 Job. No. ~q -bOO~ SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: -~~.ffL\, \IDll(~ ADDRESS: \L\~~' (to ~TY PHONE: STATE~: Cf1111 LOCATION OF PROPOSED BUILDING SITE: . '~ Street Address: Pfl \ [) 5. f\:, ~.1r<; YQJ. Plat Nam;\ftl\ \n{ Tax Lot Number: I1D?3\4;L..O~LolP -1. DEVELOPMENT \vPE (Check appro riate m,.;elling(S), Dwelling type definitions are on the back,) A. Sinale-Familv Detached NO. OF UNITS \ B. Sinale-Familv Attached NO. OF UNITS X $2,858 per ,unit = X $3,100 per unit = C. Multi-Familv Aoartment NO. OF UNITS X $2,641 per unit = D. Sinale RoomOccuoancv NO. OF UNITS x'r1~321 per unit = E. Accessorv Dwellina Unit , NO. OF UNITS X $1;550 per unit= WILLAMALANE SDC 2. SDC CREDIT'(lf applicable) SDC payer must furnish proof of Willamalane Credit approval.) '~, , '\ 3. TOTAL VIIILLAMALANE NET SDC A'SESSED (ffS["\~"'cred") ~f/ cJ;2 I Deve opment Services '5ffint ' Date City of Springfield ~P\rt~r $ J185f3,.rV $ $ $ $ 'cCJ $J.0SB. $' k? $ AOO,cxJ (1]/ ' 01 5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS Com2009-00062 Great Western Homes 3710 S, A Street 1702314208600 . SinJ~lc Family Residence I BUILDING SIZE (SF: 1782 1'-- CFJ u.l a o u ~ u.l I- CFJ G ~' LOT SIZE (SF): 5663 L STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, ,I COST PER S,F, CHARGE I 1 2380,00 1 $0,357 I = I $849,06 RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, I , I COST PER S,F, I, I DISCOUNT RATE I I I 0,00 I I ,$0.357 I I 50% . ~ I ITEM I TOTAL- STORM DRAINAGE SDC 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I , i 25 I B. IMPROVEMENT COST: 1 NUMBER OF DFU's I , 1 25 1 COST PER DFU $27,67 I COST PER DFU I, $21.04 "ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3 TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIP RATE I , ! 9.57 I B. IMPROVEMENT COST: I ADT TRIP RATE ! x 1 9,57 I I NUMBER,OF UNITS I ' : I NUMBER OF UNITS I x 1 I I 1 I 4 SANITARY SEWER. MWMC ITEM 3 TOTAL- TRANSPORTATION SDC DISCOUNT $0,00 $849.06 1 1070 $849.06 $691.63 11091 I $525.91 1 1092 I = I $1,217.54 COST PER TRIP 21.06 I x /NEW TRIP FACTOR! I 1.00 1 I 11093 I $201.54 =, COST PER TRIP $92,89 $ I ,090.52 , I NEW TRIP F ACTORI I 1.00 1 1094 A. REIMBURSEMENT COST: INUMBER OF FEU's I ' I ,. B, IMPROVEMENT COST: INUMBER OF FEU's I , II I ICOST PER FEU I $97,90 ICOST PER FEU 1 $1,009,17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOT At, (ADD ITEMS I, 2, 3, & 4) ~ , 5, ADMINISTRATIVE FEE: I SUBTOTAL , I ADM, FEE RATE I~ $3.927.95 1 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $888.98 = $97.90 11054 = $1,009.17 1055 ($346.24) 1054 $10.00 11056 . $770.83 $3,927.95 I I ...-.--. CHARGE $196.40 128.56 1079 $67.84 1078 TOTAL SDC CHARGES =, $4,124.35 Kaye Wilson PREPARED BY 1/27/2009 DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 6 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER' STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM, SINK / DISHWASHER / ETC. 1 0 3 = 3 iSHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADSt 0 0 2 = 0 ISINK: COMMERClAURESIDENTIAL KITCHEN 1 0 3. = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2 IURlNAL. STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S' 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 25 I I I I I I I I =.EDU (EQuivalent DwellinR Unit) is a ~scharge equivalent to a single family dweJlin~ unit (20 DFlfs) set at 167 ~lIons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE I, YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 ii'oJ' 1992 1993 1994 1995 1996 1997 1998 1999 2000 I 2001 <- ,." ;,.,: IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes. 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 1979 CREDIT FOR LAND (IF APPLICABLE) , VALUE/1000 CREDIT RATE $65.45 x $5,29 ~ , $346,24 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/1000 . CREDIT RATE $0,00 x $5,29 ' ~ , 0 TOTAL MWMC CREDIT $346.24 = 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009.00062 COM2009.00062 COM2009.00062 COM2009.00062 COM2009-00062 COM2009.00062 COM2009.00062 COM2009-00062 COM2009.00062 COM2009-00062 COM2009-00062 COM2009-00062 COM2009-00062 COM2009-00062 COM2009-00062 COM2009-00062 COM2009-00062 COM2009.00062 COM2009.00062 COM2009c00062 COM2009-00062 COM2009-00062 RECEIPT #: 1200900000000000074 Description Plan Review Residential Manufactured Home Placement Addressing Assignment Willamalane Manuf Home Private Fire SF Fee. Residential 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 ANNEXA nON CREDIT ... SDC Sanitary/Stonn Admin, SDC Transportation Admin / Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit Plan Review Major - Planning + 5% Technology Pee + 12% State Surcharge Payments: Type of Payment CreditCard cReceintl Paid By TERRY TRA VESS .~ '" ,-.,.' City of Springfield Official Receipt Development Services Department Public Works Department Date: 02/03/2009 1:17:49PM / Amount Due 416,37 397,00 38,00 2,858,00 89,10 849,06 '691.63 525,91 201.54 , 888,98 97,90 1,009,17 10.00 (346.24) 128,56 67,84 88,00 88,00 (30,00) 211.00 37,70 47,64 $8,365. I 6 , Item Total: Check Number Authorization Received By Batch Number Number How Received njm Page 1 of 1 Amount Paid 015548 In Person Payment Total: $8,365,16 .$8,365.16 2/3/2009