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
..,