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Home My WebLink AboutPermit Building 2009-9-14 CITY OF SPRINl:if<lJ:.LD Building/Combination Permit PERMIT NO: COM2009-00062 ISSUED: 09/14/2009 APPLIED: 01/14/2009 EXPIRES: 03/14/2010 VALUE: $ 86,000.00 Springfield TYPE OF WORK: Manufactured Home on Private Lot TVPE OF USE: New Place manufactured home on private lot. Lot 4, Taylor Ray Subdivision Added Elect service and feeder 3-12-09 of, l-< "f -~J~8~,t~~h9p,,: , , .~. , ... '"'" L' '.~.j' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectitm Line " SITE ADDRESS: ::3710 S A ST ASSESSOR'S PARCIj:L NO.: 1702314208600 PROJECT DESCRIPTION: Owner: Address: TRA VESS GEORGE T 1495 CHEEK ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATI?N 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 MDl159 46472 , BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructio~ Type Secondary Construction Type: # of Bedrooms: 1 R3 # of Stories: I 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 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 25.00 14.00 10.00 22.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: ,_ ....."tl\ Residential Expiration Date 12/29/2009 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 Ft Other: Occupant Load: '5,663 1,782 I Yes 29.60 REQUIRED PARKING Total: . 2 Handicapped: Compact: ATTENTION: ~~e(eo; ~~v;\;;CI;p,iiBi.IGlIMPROVE1)IE~fPS:J: follow rules a P les "it, 0'" .-:" ' HE WORK Street Improre"l;~,~\'Won Center. ThjSlr r~ ~.~, 'ii;2-001- THIS PERMIHJlIWall<E1;y'pe':E IF T C b'd 7' .w".'" ""2-001-0010 '".\'_y'!!.mprove . \ by AUTHORIZED "~ln~R T41<: P~RMIT IS !\lOT ur Sl e Storm Sewer'Available: obtain copies 01 toYesu es " Downsponts/Drains: RCurb and Gutter Special InstrU'ctio'i,:. YOU may nter. (Note: the telephone COMMENCED OR IS ABANDONI:D FO calling the ce 0 011 Utility Notlllcatlon C' W 180 DAY PERIOD "",hRT lor the reg 44) h' . Notes: Storr&water to curb ',5 1_800.332-23 . ' \.J.ellLvl Paee I of 4 Status Issued 225 Fiftb Street, Springfield, OR I; 541-726-3753 Pbone . 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Manuf Home Manufactured Home Fee Description *** SDC ANNEXATION CREDIT + 12% State Surcharge + 5% Technology Fe~ 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 MWMC Improvement " SDC MWMC Reimbursement, SDC Sanitary/Storm l'Admin SDC Transpo Improvement SDC Transpo Reimbursement' SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Willamalane Manuf Home Private + 12% State Surcharge + 5% Technology Fee Manufactured Home"Feeder Manufactured Home Service + 12% State Surcbarge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Fixture SDC Sanitary/Storm Admin Storm Drainage Imp~rvious Area Total Amount Paid I V ~Iuation DescriDtio~ I $ Per Sq Ft or multiplier $1.00 Amount Paid $-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 $15.12 $6.30 $63.00 $63.00 $3.00 $1.25 $6.00 $19.00 $11.96 $239.28 $8,793.07 Square Footage or Bid Amount 86,000.00 Total Value of Project Ii' p '''1 .~r.5 7,1 Date Paid 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 3/12/09 3/12/09 3/12/09 3/12/09 9/14/09 9/14/09 9/14/09 9/14/09 9/14/09 9/14/09 Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00062 ISSUED: 09/14/2009 APPLIED: 01/14/2009 EXPIRES: 03/14/2010 VALUE: $ 86,000.00 Value Date Calculated $86,000.00 $86,000.00 01120/2009 Receipt Number 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074' 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000183 1200900000000000183 1200900000000000183 1200900000000000183 1200900000000001056 1200900000000001056 1200900000000001056 1200900000000001056 1200900000000001056 1200900000000001056 ""'D'lIIftPIEL.Q' -'i'P"k'l'lh"" """"",,: ;f"';'" .'.' ..'.' , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspecti~n Line Initial Review Public Works Review Plan, Reviews I 01/20/2009 OK 01/20/2009 APP 01/14/2009 01/2012009 Structural Review APP CJC 01/14/2009 01/2112009 " Planning Review 01/28/2009 APP DDK 01/20/2009 CITY OF M"Kll~ld;IELD Building/Combination Permit PERMIT NO: COM2009-00062 ISSUED: 09/14/2009 APPLIED: 01/14/2009 EXPIRES: 03/1412010 VALUE: $ 86,000.00 LLH LKW Storm water to curb As su bmitted 3 street trees required. I tree along S. 37th St. and 2 trees along S. A St. ----------- 9/10/09 There is an improvement agreement for the frontage along S. A Street portion of the lot wbich includes street trees so no street trees required along S. A Street at this time. The 1 tree along S. 37th Street IS still required. ddk 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. wilibe made the following work day. l.."jeollired Ilr'1P~tin~ 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,~istreet address numbers, trees, driveway, etc. have been installed. . ManufHome I;luinbing: After home has been connected to water and sewer. MH Electric: 'fben blocking, setup and plumbing inspections have been approved and the home is connected to tbe panel. MH Service: Approval required prior to utility company energizing'service. . , MH Pedestal: Approval required prior to utility company energizing service. Ufer Electrieal:,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. Page 3 of 4 _~IJAI~I!!~!~:,~, '~ ~j ;:-' ~-": ,;,:;'~ ~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00062 ISSUED: 09/]4/2009 APPL]ED: 01/]4/2009 EXPIRES: 03/]4/2010 VALUE: $ 86,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is'!rue and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of theiCity of Springfield and the Laws of tbe 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 tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furtber agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, tbat tbe permit card is located at the front of tbe property, and the approved set of plans will remain on the site at all times during constrfc'ti . ;2; -. - -~ 9> / l/ - 0 7 Owner or Con traG,' rs Sig~re Date Paee 4 of4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: 0 NAME OR COMPANV: 0 LOCATION: 0 TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS ~ I. STORM DRAINAGE B. IMPROVEMENT COST: I NUMBER OF DFU's I 1 0' 1~ I~ 10 Iffi :If- ,00 C3 ~ Single Farnily Residence o BUILDING SIZE (SF: COST PER DFU I- $28.99 x COST PER DFU - $22.05 , DIRECT RUNOFF TO'CITY STORM SVSTEM 1 IMPERVIOUS S.F. x 'I COST PER S.F. CHARGE ! - 640.00 I $0.374 I = I $23928 I RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITV STANDARDS 1 IMPERVIOUS S.F. 1 x I COST PER S,F. I x 1 DISCOUNT RATE 1 I I 0.00 I I $0.374 I I 50% I ~ I ITEM 1 TOTAL - STORM DRAINAGE SDC '$239.28 2 SANITARY SEWER - DTY A. REIMBURSEMENT COST: I NUMBER OFDFU's I x 1 0 'I ITEM 2 TOTAL - CITY SANIT ARV SEWER SDC o LOT SIZE (SF): o DISCOUNT $0,00 'I I $239.28 I 1070 $0.00 11091 I 11092 I $0.00 ~ , $0.00 3, TRANSPORTATION A. REIMBURSEMENt COST: I ADTTRIPRATE I x I 9.57 1 B. IMPROVEMENT COST: I ADT TRlP RATE I x I 9,57 I 1 NUMBER OF UNITS I x I I 0 I I I NUMBER OF UNITS I x I i 0 1 I ITEM 3 TOTAL - TRANSPORTATION SDC = , 4, SANITARY SEWER- MWMf: A. REIMBURSEMEN'FCOST: INUMBER OF FEU's I x I 0 " I B. IMPROVEMENT COST: INUMBER OF FEU's I x I 0 I 1 ICOST PER FEU I $101.97 ICOST PER. FEU I $1,044,54 . , MWMC CREDIT IF ~'pLlCABLE (SEE REVERSE) MWMC ADMINISTRi\TIVE FEE ITEM 4 TOTAL-MWMC SANITARY SEWER SDC ~ , , , SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I ) ADMINISTRATIVE FEE- I SUBTOTAL x I ADM_ FEE RATE I~ I $239.28 I 5% I TOTAL SANJTARV ADMINISTRATION FEE: TOTAL TRANSPORTATION ADM1NISTRATION FEE: COST PER TRlP 22,07 x INEW TRIP FACTORI I 1.00 I $0.00 11093 COST PER TRIP $97.35 $0.00 x !NEW TRlP FACTORI 1 1.00 I I 11094 J $0.00 = , $0.00 ~ 1054 $0.00 1055 $0.00 1054 $0.00 i 1056 $0.00 - I $239.28 nJ CHARGE $11.96 11.96 11079 $0_00 11078 TOTAL SDC CHARGES =l $251.24 Kaye Wilson PREPARED BY 9114/2009 DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TAJlLE -~.,~--- NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FDITURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TVPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3~ = 0 IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRV TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER SINGLE STALL 0 0 2 = 0 I I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I ISINK: COMMERCIAL/RESIDENTlAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORV 0 0 2 = 0 SINK: SINGLE LAVATORV/RESIDENTIAL BAR 0 0 1 0 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRlV ATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TVPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 "'EDU (Equivalent Dwelling Unit) is a discharge equivalent 10 a single family dwelling unit (20 DFU's) set at ]67 ~alJons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE L YEAR ANNEXED I BEFORE 1979 I 1979 I 1980 I 1981 I 1982 I 1983 I 1984 I 1985 I 1986 I 1987 I 1988 I 1989 I 1990 I 1991 I 1992 1993 1994 1995 I 1996 '1997 I 1998 1999 I 2000 I 2001 CREDIT RATE/$J,O~ ASSESSED VALUE 5, IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Ves, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / lOOO CREDIT RATE $0.00 x $5.29 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA TlON) VALUE / lOOO CREDIT RATE ~OO x ~~ 0 TOTAL MWMC CREDIT $0.00 = 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 Payments: Type or Payment CreditCard cRece;ntl ~"""!I"I'I',~-~"~ ...,' ',..,"", ~~". " ,-,.. .. .- .,"~..-u_. ~ '.'._ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200900000000001056 Date: 09/14/2009 Description Fixture Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Storm Drainage Impervious Area SDC Sanitary/Storm Admin Paid By GEORGE TRA VESS Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 049731 In Person Payment Total: Page I of I II :39:37 AM Amount Due 19.00 6.00 1.25 3.00 239.28 11.96 $280.49 Amount Paid $280.49 $280.49 9/14/2009