HomeMy WebLinkAboutPermit Building 2000-7-12
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Job# 00-01015-01
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Page 1 of4
L 12 2000/11:40 AM/$ 1000.00
ACCT#:B21-00000-215023
~-0002541/GREAT WESTERN HOMES
J08#:00-01015-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01015-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5922 Ml. Vernon Rd Spr
Assessors Map#: 18020323
Lot: 1 Block: Addition:
Tax Lot #: 07900
Subdivision:Tanya Terrace
Owner:
Address:
Bill Thomas
76726
Phone Number: 541-782-2679
Scope Of Work: Manufactured Home on Private Lot
City/State/Zip:
New
Oakridge, OR
Value: $35,000
New MH only
Contractor Type
General Contr
Electrical Contr
Contractor
Travess Construction Lie
2492 N 19Th St, Sprin9field, OR 97477
Heritage Investors Inc Of Eugene
1042 Horn Ln, Eugene, OR 97404-2923
Ken Stinnett
36606 McGowan Creek Road, Springfield,
OR 97478
Registration # Expiration Date
138060 11/1/2001
Phone
541-746-6399
63137
12/27/2000
541-688-1600
Manuf Home Install
541-746-7003
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
4RSE
1
(VN) Wood Frame
Electric
Office Use
Land Use: Mfg Home - Not in a Pari # Of Buildings: 1
Zoning Code: LDR Occupancy Group: Dwelling
Bedrooms: 2 Heat Source: Forced Air Electric
Range: Electric , Sq. Footage: 1800
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
working day.
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Required Inspections
I Public Works I
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WOR:{
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
.... j.....,-.
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SW-Curbside
CC-Standard
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I Job# 00-01015-01 I
Street Improvement: Fully Improved Sidewalk Type:
Curb Cut?~ Improvement Agr.?D Additional ROW?
San Sewer Depth (Ft): 6 4 Size Of Line (in):
Storm Sewer Available? ~ Downspouts/Drains:
Special Req.: Enchroachment Permit:
Security Required: San Sewer Tee (in):
Bond Begin DateTime: 00/00/000000:00 AM Bond End DateTime:
Special Instructions: Storm Drains to Stub Provided - See as built drawing
Other Utilities: Types Of Warning Devices Reqd.
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Page 2 of 4
Curbside - 5'
D
8
To Storm Sewer
6
00/00/0000 00:00 AM
Project Supervisor:
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees: 2
Land Use: Mfg Home - Not in a Park
Pave Driveway? ~
3:
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 2
Handicap Access? D
rArea (Sq. Feet)
I Main: 1800 Accessory:
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:l
Census Code: New Mfg Home
Total:1800
Fee
Paid On Receipt#
Plan Check
06/28/2000 2349
Value/Quantity
I
Fee Amount
Residential Plan Check
Total Plan Check
5,000
$32.83
$32.83
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
5,000
$50.50
$3.54
$1.52
$55.56
Manufactured Home ServicelFeeder
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Electrical
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
2
$80.00
$5.60
$2.40
$88.00
Minimum Plumbing Permit Fee
Plumbinll
07/12/2000 2541
$,00
.
Fee
State Surcharge For Plumbing Permit
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Manufactured Home Connection
Plumbing Administrative Fee
Total Plumbing
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufactured Horn,
Manufactured Home Administrative Fee
Total Manufactured Home
New Sidewalk
New Curbcut
Total Public Works
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
Total System Development
Manufactured Home - Wi llama lane
Total Willamalane SDC
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Steve Templin
AI Ward
Engineering-Res
Planning-Res
Structural-Res
Don Moore
Job# 00-01015-01
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Value/Quantity Fee Amount
I
$6,30
10 $25.00
10 $25.00
5 $25.00
1 $15.00
$2,70
$99.00
30,000 $105.00
1 $30.00
$7.35
$3.15
$145.50
55 $60,00
1 $60,00
$120.00
2,452 $568.86
18 $868.86
1 $491.60
1 $242,76
1 $22,05
1 $10,00
$106,85
15 $-67,05
$2,243.93
1 $1,000,00
$1,000.00
$3,784.82
Paid On Receipt#
Plumbing
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
Manufactured Home
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
Public Works
07/12/2000 2541
07/12/2000 2541
System Development
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
07/12/2000 2541
Willamalane SDC
07/12/2000 2541
Date Completed
Comment
07/03/2000
07/07/2000
07/07/2000
07/10/2000
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 plans will remain on the site at all times during construction,
9-",-5;
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____ I Job# 00-01015-01
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Page 4 of 4 'c7
a. 7- /7 _2--cd
7 Date
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-01015-01
NAME OR COMPANY: THOMAS
LOCATION: 5922 MT VERNON ROAD
TAX LOT NUMBER 18-02-03-23-07900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1800
LOT SIZE:
7766
1. STORM DRAINAGE
IMPERVIOUS SQ, FT,
2452,00
x
$0.232 PER SQ, FT.
$568.86 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x
$48.27 PER PFU
$868.86 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $486.73 PER TRIP
x $486.73 PER TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0.00
$491.60 I
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4. SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242.76
PER FEU
$242.76 I
B. IMPROVEMENT COST:
$22.05 I
($67.05)1
$10.00 I
$207,76 I
$2.137.081
NUMBER OF FEU's
x
$22.05
PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUB TOT AL ABOVE) x
0.05
$106.85 I
~1~
SDC COORDINATOR
07/07/2000
DATE
TOTAL SDC CHARGES I $2.243.931
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT: PLUMBING FIXTIJRE UNITS
!NOTE, FOR REMODELS. CALCllLA TE ONLY THE NET ADDITIONAL FIXTIJRES\
FIXTURES
NEW OLD
2
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASElOIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB/CLOTHESWASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLlWALL
WASH BASINILA V ATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
I
3
2
1
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
o
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 18
2
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED VALUE
$4.47
$4.38
$4.32
$4.20
$4.03
$3.88
$3.68
$3.38
$3.03
$2.62
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $4.47
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $1,000
ASSESSED VALUE
$2.18
$ 1.75
$ 1.35
$1.17
$ 1.03
$0,86
$0,71
$0.57
$0,39
$0.18
x
x
15.000
=
$67.05
$0.00
CREDIT TOTAL $67.05
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Job. NO-DO .O\Q1tQ{)(
SYSTEM DEVELOPMENT CliARGE
WORKSHEET
NAME: \\\\ \\\\'\~ PHONE:!J8 ,~.a(o'lk
ADDRESS:~ ~Q.D _ ~~ \l.erllDl1~\3TATE: t~P: q~
LOCATION OF PROPOSED BUILDING SITE: n. n!\
Street Address: Go. (J.JL ~\- \\ €.r\\Of\ \,-\)(1 nl
Plat Name: ~r- (\t1"errfi'no~ Tax Lot Number: \)( O~() ~~ 3~
.v-- ~ . O\~
1. DEVELOPMENT PE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
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A. SinolA-FRmilv DAtRr.hAQ.
Single Family home --L Manufactured home not in a park
NO. OF UNITS l X $1,000 per unit = $ lnoo .qQ
B. SinolA-FRmilv At1Rr.hAd
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. MaflufRc\ured HomA Pm1~
$
$
tOea .on
;5
$ \ 0 ()(')P'
NO, OF UNITS
WILLAMALANE SDC
X $699 per unit c
2. SDC CREDIT (I( applicable) SDC-payer must furnish proof 01
Willamalane Credit approval. See SDC Credit WorKsheet. $
3. TOTAL WtLLAMALANE NET SDC ASSESSED
\m{ s~ idl"~-J
Developmenrse~ment
City of Springfield
I
I
Date
zoning, and does not require specl Ie a
approval L.. D;{..,
Zoning I 1-
--; _ I -(f7J
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2. CONTRACTOR INSTALLATION ONLYB.
Electrical Contractor ~~ ~
Address /tJ'/Z- ~ ,;P: ~. .
City ~~ Phone 7,;1.9-/5:00
Superviso~ License Number 9"f.5'-S
Expiration Date /i!../ o(
Constr Contr, Number b ?./3>7 ISJ;-
2(/~
S1""~'Jiif.~i",~~ _
pllners Name ~\ \ \hctnllD D.
:Address~ 0 bC\W->>i--. VPtOOo.W
Cit~lM{ol(fi Phone.1E!L.2.l;lq
O~'~N
Date
225 FIFTH STREET Authorlzad Signatura
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST,: 726-3769
OFFICE: 726-3759,
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1. p\1d.(=.tlj~ll+. \f~~~~~
\ cffl~~I~rY")
\ N\~O 0 .
Permits on-transferable and expire
if lIork is not started lIithin 180 days
of issuance or if lIork is suspended for
180 days.
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Expiration'Date
..
!
The installation is being made on
property I Olin IIhich is not intended
for sale, lease'or rent.
Ollners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
. A.
ELECTRICAL PERMIT APPLICATION
City Job Number{X)'b\N ~.D I
3.
COMPLETE FEE SCHEDULE BELOV
Nell Residential-Single or
Multi-Family per 'dllelling unit.
Service Included:
Items
Cost
Su
1000 sq. ft. or less, $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dllelling 1\ I!J!fr,.
Service or Feeder ~.$ 4b.oo~
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect' Only
$ 50.00
$ 60,00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over ~01 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00 -
$ 80.00 -
see "B" above
Branch Circuits
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Nell, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or lIith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not include!
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SYBTOTAL OF ABOVE
7li. State Surcharge
370 Administrative Fee
TOTAL