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HomeMy WebLinkAboutPermit Building 2001-4-26 , 225 North Fifth Street Springfield, OR 97477 . . I Job# 01-00343-01 I Page 1 of 4 TRANS#:01-0005073 DATE:APR 26 2001 AMT RECD:2 $ 4536.17 CHANGE: CASHIER:004 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00343-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1040 Oak Meadows PI Spr Assessors Map#: 17033422 Lot: 13 Block: Addition: Owner: Address: Tax Lot #: 06300 Subdivision:Oak Breeze Billie L Fairbanks 2174 Lamar Lane Phone Number: 541-344-2342 City/State/Zip: New Eugene, OR 97401 Value: $62,569 Scope Of Work: Manufactured Home on Private Lot Contractor Type General Contr Quad Area: # Of Units: Constr. Type: Water Heater: M.H. & attached garage on panhandle lot Contractor H Gordon Construction Inc Po Box781, Veneta, OR 97487 Registration # 140516 Expiration Date 1/24/2002 Phone 541-935-8906 1RNW 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: 3 Heat Source: Forced Air Electric Range: Electric Sq. Footage: 1512 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. Verify Ground Rod Footing Foundation Shear Wall Nailing Framing Drywall Final Building MH Electrical Rough Electrical Electrical Service Final Electrical MH Plumbing Water Line Required Inspections I Building I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. - After forms are erected but prior to concrete placement. - Before covering sheathing with finish materials. - Prior to cover. -Prior to taping. - When all required inspections have been approved and the building is complete. r-- - Electrical -~I -When blocking, setup, and plumbing inspections have been approved and the home is connect - Prior to cover. - Must be approved to obtain permanent power. - When all electrical work is complete. I Plumbing I -After home has been connected to water and sewer. -Prior to filling trench. I Job# 01-00343-01 I Required Inspections I Plumbing - Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. I Manufactured Home -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house numbel Street Improvement: Fully Improved Curb Cut?O Improvement Agr.?O San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/000000:00 AM Special Instructions: Other Utilities: Project Supervisor: 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: 1512 Accessoryll40 . Sanitary Sewer Line Storm Sewer Line Final Plumbing MH Set Up MH Final Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: Fee Residential Plan Check Total Plan Check Building Permit . Page 2 of 4 Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' o 8 To Curb and Gutter 4 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Overlay District: # of Street Trees: Land Use: Mfg Home - Not in a Park Pave Driveway? 0 3: Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: Panel 1141 of 2975 Accessory Structure # Of Stories: 1 Height (feet): 15 Current Units: Proposed Units:1 Census Code: New Mfg Home Total:1952 Paid On Receipt# Plan Check 04/09/2001 4884 Value/Quantity Fee Amount 12,569 $64.03 $64.03 Building 04/26/2001 0005073 12,569 $98.50 . . . Job# 01-00343-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Building J State Surcharge For Building Permit 04/26/2001 0005073 $6.90 Building Administrative Fee 04/26/2001 0005073 $2.96 Total Building $108.36 Plumbing Minimum Plumbing Permit Fee 04/26/2001 0005073 $.00 State Surcharge - Plumbing 04/26/2001 0005073 $7.35 Water Service Footage 04/26/2001 0005073 30 $25.00 Sanitary Sewer Footage 04/26/2001 0005073 30 $25.00 Storm Sewer Footage 04/26/2001 0005073 70 $40.00 Manufactured Home Connection 04/26/2001 0005073 1 $15.00 Administrative Fee - Plumbing 04/26/2001 0005073 $3.15 Total Plumbing $115.50 Manufactured Home Manufactured Home Setup Fee 04/26/2001 0005073 50,000 $105.00 Manufactured Home State Issuance 04/26/2001 0005073 1 $40.00 State Surcharge For Manufactured Hom 04/26/2001 0005073 $7.35 Manufactured Home Administrative Fee 04/26/2001 0005073 $3.15 Total Manufactured Home $155.50 System Development Residential - Single Family - Storm 04/26/2001 0005073 3,811 $1,032.78 Sanitary Sewer 04/26/2001 0005073 23 $371.45 Residential Transportation 04/26/2001 0005073 1 $656.02 Residential Sanitary MWMC 04/26/2001 0005073 1 $285.91 Residential Improvement MWMC 04/26/2001 0005073 1 $24.33 MWMC Administrative Fee 04/26/2001 0005073 1 $10.00 Sanitary Sewer SDC Reimbursement 04/26/2001 0005073 23 $488.75 SDC Administrative Fee 04/26/2001 0005073 $150.32 Property Annexed 1997 04/26/2001 0005073 30 $-17.02 Transportation SDC Reimbursement 04/26/2001 0005073 1 $154.27 Total System Development $3,156.81 Willamalane SDC Manufactured Home - Willamalane 04/26/2001 0005073 1 $1,000.00 Total Willamalane SDC $1,000.00 Grand Total $4,600.20 Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper Steve Templin Liz Miller Tom Marx 04/12/2001 04/13/2001 04/25/2001 04/12/2001 Engineering-Res Planning-Res Structural-Res . · I Job# 01-00343-01 I . Page 4 of 4 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. ~ft/~~. Q( ~~~ ~e:U, - 0/ Signature Date CITY OF SPRlNGF.A SYSTEMS DEVELOPMENT C.GE WORKSHEET JOURNAL OR JOB NUMBER: 01.00343-01 NAME OR COMPANY: FAIRBANKS LOCATION: 1040 OAK MEADOWS PLACE TAX LOT NUMBER: 17-03-34-22-06300 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: I BUILDING SIZE: 0 SF LOT SIZE: 0 SF . I STORM DRAINAGE , DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. 1"1 COST PER S.F. I 3811.00 $0.271 =1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSS.F'I"I COST PER S.F. 1.1 DISCOUNTRATE I I 0.00 _ $0.271 I 1 50% I ITEM 1 TOT AL-. STORM DRAINAGE SDC $1,032.78 =1 =r $1,032.78 $0.00 ~I-- CIl P-l Cl o U ~Ip::: P-l r-< CIl, 1161 ~ 1.1 .111070 2 SANITA llV ~"WJ;l1l . rTTV A. REIMBURSEMENT COST: II NUMBER OF DFU's I "I COST PER DFU I n al25 B. IMPROVEMENT COST: I NUMBER OF DFU's I "I COST PER DFU 23 $16.15 'I ITEM 2 TOTAL. CITY SANITARY SEWER SIlC ~AN~POllT~ __..._u__ n_W. _.. __ A. REIMBURSEMENT COST: I ADTTRIPRATE I.INUMBEROFUNITSI.I COST PER TRIP I.INEWTRIPFACTORI I 9.57 I $16.12 1.00 =1 B. IMPROVEMENT COST: II ADTTRIPRATE I.INUMBEROFUNITSI.! COST PER TRIP I 9.57 I I $68.55 I ITEM 3 TOTAL - TRANSPORTATION SDC 4 SANTT~RV ~"WPR _ MWMr I A. REIMBURSEMENT COST: I NUMBER OF FEU's 1.1 COST PER FEU 1 I I $285.91 I B. IMPROVEMENT COST: I NUMBER OF FEU's I "I COST PER FEU I 1 $24.33 MWMC CREDIT IF APPLICABLE (SEE REVERSE) 'I SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC l SUBTOTAL(AD~TEMS 1,2,3,&4) ILA nMTNTSTR A TIVF ""~ I SUBTOTAL 1.1 ADM.FEERATE 1 $3,006.49 \ 5% II 5:t- r.-;t.. 4/13/01 . SOC COOROfNA TOR DATE 1.1 NEW TRIP FACTOR I 1.00 =1 =r =1 $488.75 =1 =1 $371.45 5860.20 $154.27 $656.02 $810.29 =1 TOTAL SDC CHARGES =\ 1091 10921 1'1 1093 I I 10941 =1 I $285.91 I I I I 11055 I 1056 === ' I I $3,006.49 I I =1 =1 =1 =1 =1 =1 $24.33 ($17.02) $293.22 $10.00 5303.22 $150.32 1073 $3,156.81 II DRAINAGE F~RE UNIT (DFU) CALCULATIO&LE NUMBER OF NEW FIXTURES. UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDlTlONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE ( # NEW # OLD ) x EQUIVALENT = UNITS O)x 3 = 6 .0 ) x I = 0 O)x 3 = 0 o ) x 3 0 O)x 6 = 0 o ) x 2 0 O)x 3 = 3 o ) x 6 0 o ) x 12 0 o ) x I = 0 O)x 3 = 0 O)x 2 = 2 o ) x 2 0 O)x 3 = 3 o ) x 2 0 o ) x 1 0 O)x 2 = 0 o ) x I = 3 O)x 5 = 0 O)x 6 = 0 o ) x 3 6 I I FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC. INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. LAUNDRY TUB CLOTHESW ASHER 1 MOP SINK CLOTHESW ASHER. 3 OR MORE (EA) MOBILE HOME PARK TRAP (i PER TRAILER) RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC. RECEPTOR FOR COM. SINK 1 DISHWASHER I ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAURESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: DOMESTIC BAR WASH BASIN LAVATORY URINAL, STALL 1 WALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS DFU TYPE NUMBER OF EDU's. ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 2 o o o o o I o o o o I o I o o o 3 o o 2 . (0 0) x 20 0 TOTAL DRAINAGE FIXTURE UNITS =1 23 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DA TE, CALCULATE CREDIT SEP ARA TEL Y YEAR ANNEXED 1979 OR BEFORE 19S0 1981 1982 1983 1984 1985 1986 1987 1988 1989 CREDIT RATE PER $1,000 II ASSESSED VALUE $4.74 I $4.65 $4.59 $4.46 $4.30 $4.14 $3.93 $3.63 $3.26 $2.85 $2.40 II CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) L YEAR ANNEXED 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 CREDIT RATE PER $1,000 ASSESSED VALUE $1.96 $l.S5 $1.36 $1.23 $1.05 SO.9O SO.75 $0.57 SO.35 SO.15 VALUE 11000 CREDIT RATE 29.866 X $0.57 =1 0.000 X $0.57 =1 TOTAL MWMC CREDIT =1 $17.02 $0.00 $17.02 II . . S.ltGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 MANUFACTURED HOME LAND USE AGREEMENT As required by the City of Springfield Development Code, I agree that with the approval of the attached penn its, one of the following manufactured homes will be placed at /"'~ LPAk M~~..;,,?( . Springfield, Oregon, City Job Number ~J ..&s~~ '&>/ . . ~ Type I Manufactured Home. A mul1i-sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thennal envelope meeting perfonnance standards which reduce heat loss to levels equivalent to the perfonnance standards required of single family dwellings constructed under the State Specialty Codes. _ Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor area of not less than 500 square feet, that has a nominal roof pitch of2 feel in height for each 12 feet in width and that has no bare metal siding or roofing. The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6 percent slope within 10 feet of the perimeter enclosure. The perimeter foundation wall surrounding the home shall be constructed of stone, brick or other masonry materials, and with no more than 24 inches of the enclosing material exposed above grade. I further agree to meet all land use and City Code requirements of the above mentioned parcel within 60 days of the date of issuance of the manufactured home set up pennit. These requirements may include, but are not limited to the items listed below. Specific land use requirements regarding your parcel are noted on your approved set up plans andlor pennit and your partition approval if applicable: . Street Trees . Paving Driveway . Minimum 32 square foot storage structure . Comptetion of partition approval . Removal of any existing structures as no1ed on your partition approval . Signing and recording of any required partition, easement, improvement agreements, etc. . Final lot grading . City Sidewalk and curbcut installation . Any outside agency approval as required i.e., Division of Slate Land approval. By my signature below, I agree to complete the above mentioned land use requirements. ....... A cY~ .............. " 'It. :-:-:.:-:-:-:- A'~_ ;/A/~J" ~ ~ : ~> Owner Signature -V-d-~ -01 Date ...... . ...... . ...... . ...... . Contractor Signature Date ...... . ...... . . . . \ Job. No. ()\.~ 3 .nl SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~\\\\O \1) l'),.~f\(.o ADDRESS: A.L ~~I\ N\n..x::...cln LOCATION OF PROPOSED BUILDING SITE: Street Address: \\An tQ(\. Y' ,~()I,_t\_0,&"'R. O\~ Pial Name: ~ ~ ~ o~ _ Tax Lot Number: \1\[)'?-l?A ~ ? OIo;:pO 1.DEVELPPMENT TYPI; (Check appropriale dwelling(s). SDC calculaUons and dwelfirig I ype definllions are on the back.) PHONE: '"!:M.'l~'L STATE: lQN? ,ZIP: a-t40.l . A. Sinofe-Fl'lmilv Detl'lc:her[ Single Family home NO. OF UNITS \ Manufactured home not in a park \ X $1,000 per unit = $ \000.00 B. .~inole-Fl'lmilv_Altl'lc:hed. NO. OF UNITS X $924 per unit $ C_ Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. MllOufllQ1llred \-{Q,me PA~ NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ \noO. 00 2. SDC CREDIT (If applicable) SOG-payer must furnish proof of r2f Winamalane Credit approval. See SDO Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Credil) ~~lnr~~D~m.m City of Springfield $ \ OCO pO 1../ I ~ I 4!!>) Date ..,