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Home My WebLink AboutPermit Miscellaneous 2001-4-23 ". -::. '" . I Job# 00-01521-01 I . Page 1 of4 TRANS#:01-0005021 DATE:APR 23 2001 AMT RECD:1 $ 20.00 2 $ 4067.06 CHANGE: CASHIER: 061 ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01521-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-37M Tax Lot #: 00600 "'-r Subdivision: Location Of Proposed Site: 6401 Main St Spr Assessors Map#: 17023443 Lot: Block: Addition: Owner: Nick Tolbert 6401 Main St Phone Number: 541-746-7832 Address: Scope Of Work: Manufactured Home on Private Lot City/State/Zip: New Springfield, OR 97478 Value: $83,005 MH on MDR lot Contractor Type General Contr Contractor Ray Sharp Construction Inc 2495 Devon Ave, Eugene. OR 97408-4678 Registration # 60926 Expiration Date 7/12/2001 Phone 541-345-2279 Quad Area: # Of Units: Constr. Type: Water Heater: 4RSE 1 (VN) Wood Frame Electric Office Use Land Use: Zoning Code: Bedrooms: Range: MDR 3 Electric # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Electric Sq. Footage: 2416 To request an inspection call the 24 hour recording at 726-3769,(I.\II~nspections requested before 7:00 a,m, will be made the same working day, inspections requeste~laft~r '';00' a.rT)t1will ~^r;n!\l~!lI!hl?lf6116wi5'g( working day. THISPERMII ~ ALL S PERMIT IS NOT . AI!THORIZEDUNDERTHI___M ReqUired. l~spe=~NCED OR IS A\jAI~UV"""~' -. . I BUlldm!! .J DAY PERIOD. ' _ After trenches are excavated. AI\I T 100 - After forms are erected but prior to concrete placement. Footing Foundation MH Set Up MH Final I Plumbin!! I -After home has been connected to water and sewer. - Prior to filling trench, I .._...-...~..:~~O -Prior to filling trench, ^-- .,--,~q ,,-~~~- ~." .., \'1"'t -Prior to filling trench, f 1'1 '\~'..;', ": . -. :';0 .\on 't'~' ~lh n r, ."0',, 1'1J> Jf:J53 ,Q.. I Manufactured Home'q""..,.... , ll') , I ",'o'jon \JAM i152-Q01- . 0"1 .,,, \J(II", I' ". '. \ by -When all blocking is complete, 10 n -,,;~." ..", ~I-,t"'ir ~,,"i'~', 'lfl.h:=J fOJ 35 -After all required inspections are approvll'd ~ii'd\pllrqhes, skirting,:d!lcks,l.v~ntiiig1 house numbel ,dli,': ,11- .,,, ".' i'...,.l:>ti'lication PublicWorks nll,.L~._~,. " ,....:~~:.r-H). -After forms are erected but prior to placement of,concrete - ,,- - After forms are erected but prior to' placement of concrete , MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line CC-Close & Replace CC-Standard ~ ~.. . Job# 00-01521-01 I . Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: Street Improvement: Fully Improved Curb Cut?0 Improvement Agr.?O San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: Special Instructions: Other Utilities: San Sewer Tee (in): 00100/0000 00:00 AM Bond End DateTime: DOWNSPOUTS TO DRYWELL OR DIRECT CONNECTION Project Supervisor: Zoning: MDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: Fee Residential Plan Check Total Plan Check Foundation Only State Surcharge For Building Permit Building Administrative Fee Total Building Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Page 2 of 4 Curbside - 5' o 8 To Drywell-Provide Drywell En 4 0010010000 00:00 AM Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 3 3: Additional Requirements: Required Attachments: Source locn: Material: land Use: Pave Driveway? 0 Flood Plain FEMA: panel 1166 of 2975 # Of Stories: 1 Current Units: 0 Census Code: Does not apply Height (feet): 15 Proposed Units:1 Planner: Liz Miller Urban Growth Boundary?O Glenwood Area? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X white Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 ,Area (Sq. Feet) I Main: 2416 Accessory: Total:2416 Paid On Receipt# Plan Check 10/17/2000 3492 Value/Quantity Building 04/23/2001 5021 04/23/2001 5021 04/23/2001 5021 Plumbing 04/23/2001 5021 04/23/2001 5021 04/23/2001 5021 04/23/2001 5021 04/23/2001 5021 3.200 3,200 90 90 90 Fee Amount $28,93 $28.93 $44,50 $3,12 $1,34 $48.96 $,00 $9.45 $40,00 $40,00 $40,00 ". '"" . . Job# 00-01521-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbin!! Manufactured Home Connection 04/23/2001 5021 1 $15,00 Administrative Fee - Plumbing 04/23/2001 5021 $4,05 Total Plumbing $148.50 Manufactured Home Manufactured Home Setup Fee 04/23/2001 5021 79,805 $105,00 Manufactured Home State Issuance 04/23/2001 5021 1 $20.00 State Surcharge For Manufactured Hom' 04/23/2001 5021 $7,35 Manufactured Home Administrative Fee 04/23/2001 5021 $3.15 Total Manufactured Home $135.50 Public Works New Curbcut 04/23/2001 5021 1 $60.00 Curbcut Repair 04/23/2001 5021 1 $30,00 Total Public Works $90.00 System Development Residential - Single Family - Storm 04/23/2001 5021 3,173 $761,58 Sanitary Sewer 04/23/2001 5021 20 $997,20 Residential Transportation 04/23/2001 5021 1 $507,82 Residential Sanitary MWMC 04/23/2001 5021 1 $285,91 Residential Improvement MWMC 04/23/2001 5021 1 $24,33 MWMC Administrative Fee 04/23/2001 5021 1 $10,00 SDC Administrative Fee 04/23/2001 5021 $126,86 Property Annexed 1979 or Before 04/23/2001 5021 10 $-49,60 Property Annexed 1999 04/23/2001 5021 $,00 Total System Development $2,664.10 Willamalane SDC Manufactured Home - Willamalane 04/23/2001 5021 1 $1,000,00 Total Willamalane SDC $1,000.00 Grand Total $4,115.99 Plan Check Type Checked By Date Completed Comment Initial Review-Res Wendy Stanley 10/17/2000 Held at initial review until plan check was paid on 10/16/00 OBTAIN ACCESS PERMIT FROM ODOT PRIOR TO ISSUING PERMIT, SPOKE WI JACK BUKER 10/25/00 ABOUT REQUIREMENT. Engineering-Res Steve Templin 04/23/2001 Planning-Res Liz Miller 11/03/2000 When submitting for future manufactured home must show additional paved parking places OK Pending planning and eng approval Structural-Res Wendy Stanley 10/20/2000 .- "J' . . I Job#OO-01521-01 I Page4of4 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 approved set of plan?i11 remain on the site at all times during construction. ~ ~/#~ALo^-^- Signature /' / I-/-;X~~o ( Date " . .~ . ~ .. i 'fI\AI\~'W;'11 I ',I",' ~ .". lama ane ,; '-t'l Park & Recreation District Job. No. tJD -OIS'J.J -()/ l ' fW SYSTEM DEVELOPMENT CIiARGE ~I WORKSHEET 11 NAME: Ii '-'- -r/,[p"o<}- .~: ADDRESS: (Pr./Ct Y'n,,-'.. . , " PHONE: 7 L{.(p - 7<{ ~ "'L. STATE: 0(2... ZIP: i 147 <i( i , , LOCATION OF PROPOSED BUILDING SITE: Street Address: l'ot!O;' m~ Plat Name: Tax Lot Number: / 7 ~ ). 3<1' <f 3 00" a1J 1. DEVELOPMENT TYP.!; (Check approprlate dwelling(s). SDC calculations and dwelling t Y!>ll deflnWons are on the back.) , . " ~ :1 , , A SlnnIA.F::!milv DAt::!C',hed _ Single Family home NO. OF UNITS 'I' / Manufactured home not in a park ' X $1,000 per unit = $ I O?n'>. - B. SlnnIA-F::!milv Att::!chAQ. ~,. NO. OF UNITS X $924 per unit = $ C. Multi-Famil\[..AoartmAnt NO. OF UNITS X $692 per unit = $ D. Mmn.!fadl/rArl HomA PRrk, NO. OF UNITS WILLAMALANE SDC X $699 per unit .: $ $ IC;1)-o. - 2. SDC CREDIT (If applicable) SOC-payer rnusI furnish proof of IX Willarnatane Credit approval. See SDC Credit Worksheet. $ IV, 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Credit) $ I 0"1l0 . ~~f- IJll~'-- Developmijnt Services Department City of Springfield 1 j ~3 1 0 I Date