HomeMy WebLinkAboutPermit Building 2003-6-2
Status
Issued
.
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: 02-00711-01
ISSUED: 06/02/2003
APPLIED: 06/13/2002
EXPIRES: 12/02/2003
VALUE: $ 59,624.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1053 Oak Meadows PI
ASSESSOR'S PARCEL NO.: 1703342205800
PROJECT DESCRIPTION:
TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New Residential
Lot: 8, Subdivision: Oakbreeze, Land Use: Mfg Home - Not in a Park, Zoning: LDR,
M.H. w/ Garage
Spr
Owner: Fred Hample
Address: 3426 Brookview Drive Eugene OR
..
I BUILDlNG;INFORMA TION,
~.... 0' 0'" ~\J
.0< "IS. ~<;; fJ' '0'
# of Buildings: I .'~ I#:of Stories:' ~<, I
$' v _ IJ' <'1,"-1 _~Iu
Primary Occupancy Group: R-3,,' 'S'e H.eight.ofS.truct~i'e ^ 16.00
o ....\ ~' I"" .Il \.) r.."
Secondary Occupancy Group: \.(ZJ,\$ 0'0' fOe T~.pe~,He~:f ~orced Air Elect
Primary Construction Type .\YN",e; -<,<:,0 ,cWaterType: ;~,v Electric
v' ),.o~ ., ,~' ,,\.v r.~,o"
Secondary Construction Type:.,'" "b-u ",e~' ,I.'" ,~a?&~~T.~p,e: biI' Electric
# of Bedrooms: .~' .se":> CP' R)\0 ,:,,<:- Energy;Path:1"
" -!l~ ~, ~'\' ~'\.' ~~ I:"J 0;"
~ ,,0" .}~o ,,1):\:5 .....-..\ 0 ~'-c~. ....(\,0 ......!'~
,- ,.,~ ,-,.- ". -~. ..... .-.'
~o"'~~":~o\;} ~1,.DEVELOPMENTlNFORMATlON I
-$' R\-:l- _,<:-C', \0' ~'. - ",,,,REQUIRED PARKING
\01;) 'C~. e~ c.<:- ~\)'<'
v {)~o C; Overlay Dist: '-(..<:c. ~\)1;otaI:
<:" # Street Trees Rqd: ~~ '" ~\\ ,'0 ~ Handicapped:
Paved Drive Rqd: ~i-'('\ '(~.... 'i-IJ Compact:
,,-,-'- ~S n~~"'v
% of Lot €~.era~s\\l"' S~ '\ ~~o.'uO
~~'\~ O~~~~\\ \)~~ ,'0 \>-~
Contractor Type
General
Electrical
Manuf Home Inst
Owner
Plumbing
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Scwer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
Contractor
Harrison Jacobson Inc
Heritage Electric of Eugene
Harrison Jacobson Inc
Frcd Hample
Harrison Jacobson Inc
License
.\.0 _
7.00
Phone Number: (541) 484-7076
Expiration Date Phone
(541) 689-7762
(541) 729-1500
(541) 689-7762
(54]) 484-7076
(541) 689-7762
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
6,082
1,387
440
I PUBLIC IIJPR(>YE~)lI.f.~'l~~\)"
Fullv Improved '~\)~\,\'O\l \)l"' Sidewalk Type:
\>-~-{ Downspouts/Drains:
Pa2e 1 of 4
Curbside 5'
Curb and Gutter
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00711-01
ISSUED: 06/02/2003
APPLIED: 06/13/2002
EXPIRES: 12/02/2003
VALUE: $ 59,624.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
Square Footaee
Value
Date Calculated
Total Value of Project
Fpp<. P'\W
Fee Description Amount Paid Date Paid Receipt Number
Residential Plan Check $79.95 6/13/02 9560
Multiple Permit Discount - 2nd $-30.00 11/14/02 2200200000000000178
New Curbcut $75.00 11/14/02 2200200000000000178
New Sidewalk $75.00 11/14/02 2200200000000000178
8% Admin Fcc - Electrical $8.24 6/2/03 1200200000000001394
80/0 Administrative Fee - Plumbi $14.40 6/2/03 ]20020000000000]394
8% Building Administrative Fee $9.84 6/2103 1200200000000001394
Address Assignment $8.00 6/2103 1200200000000001394
Branch Circuits Witb Feeder or $3.00 6/2/03 1200200000000001394
Building Permit $123.00 6/2/03 1200200000000001394
Manufactured Home - Willamalan $1,000.00 612/03 1200200000000001394
Manufactured Home Administrati $12.80 6/2103 1200200000000001394
Manufactured Home Connection $45.00 6/2103 1200200000000001394
Manufactured Home ServicelFeed $100.00 6/2103 1200200000000001394
Manufactured Home Setup Fee $160.00 6/2103 1200200000000001394
Manufactured Home State Issuan $30.00 6/2103 1200200000000001394
MWMC Administrative Fcc $10.00 6/2103 1200200000000001394
Planning Plan Review $55.00 6/2103 1200200000000001394
Residential - Improvement $659.76 6/2103 1200200000000001394
Residential - Reimbursement $155.13 6/2103 1200200000000001394
Residential - Single Family- $620.80 6/2103 1200200000000001394
Residential Improvement MWMC $34.83 6/2103 1200200000000001394
Residential Sanitary I\1WI\1C $332.86 6/2103 1200200000000001394
Sanitary Sewer Footage $45.00 6/2103 1200200000000001394
Sanitary Sewer SDC Improvement $324.80 6/2103 1200200000000001394
Sanitary Sewer SDC Reimburseme $427.40 6/2103 ,1200200000000001394
SDC Administrative Fee $128.28 6/2103 1200200000000001394
State Surcharge - Electrical $7.21 6/2/03 ]200200000000001394
State Surcharge - Plumbing $12.60 6/2103 ]200200000000001394
State Surcharge For Building P $8.61 6/2103 1200200000000001394
State Surcharge For Manufactur $11.20 6/2103 1200200000000001394
Storm Sewer Footage $45.00 6/2/03 1200200000000001394
Water Service Footage $45.00 6/2103 1200200000000001394
Total Amount Paid $4,637.71
Pa2e 2 of 4
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: 02-00711-01
ISSUED: 06/0212003
APPLIED: 06/13/2002
EXPIRES: 12/02/2003
VALUE: $ 59,624.00
SIatus
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
En2ineerin2-Res
Initial Review-Res
Plannin2-Res
Structural-Res
I Plan Reviews I
06/20/2002 Appr DW
06/17/2002 Appr LH
06/18/2002 Appr LM
06/28/2002 Appr BB
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 work
day.
~ Rpnnir~tinn~, I
I Footing: After trenches are excavated.
2 Foundation: After forms are erected but prior to concrete placement.
3 Firewall: Located and constructed according to plans.
4 Final Building: After all required inspections have been requested and approved and the building is complete.
5 Shear Wall Nailing: Before covering sheathing with finish materials.
6 Rough Electric: Prior to Cover
7 Final Electric: When all electrical work is complete.
8 Final Manuf Home Set Up: After all required inspections arc requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
9 Manuf Home Set Up: When installation of all piers or stands is complete.
10 Underground Plumbing: Prior to filling the trench and including required testing.
II Rough Plumbing: Prior to cover and including required testing.
12 Water Line: Prior to filling trench and including required testing.
13 Sanitary Sewer Line: Prior to filling trench and including required testing.
14 Storm Sewer Line: Prior to filling trench.
15 Manuf Home Plumbing: After home has been connected to water and sewer.
16 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
17 Sidewalk - Curbside: After forms arc erected but prior to placement of concrete.
18 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
19 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
20 Under"oor Plumbing: Prior to insulation or decking.
21 Under"oor Plumbing: Prior to insulation or decking.
22 Final Plumbing: When all plumbing work is complete.
Pa2e 3 of 4
-ii:~
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: 02-00711-01
ISSUED: 06/02/2003
APPLIED: 06/13/2002
EXPIRES: 12/02/2003
VALUE: $ 59,624.00
Status
Issued
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 bave 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 arc in compliance with ORS 701.005 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 property, and the approved set of plans will remain on the site at all
times during construction.
Ul?-~
b - Z'O "5
Owner or Contractors Signature
Date
Page 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfiel.d
Development Services Department
Public Works Department
Official Recehft
Receipt #: 1200200000000001394
Date: 06/0212003
Job/Journall\'umber
Description
Building Pcrmit
Address Assignment
Manufactured Home State Issuan
8% Admin Fee - Electrical
Sanitary Sewer Footage
Storm Scwer Footage
Manufactured Home Connection
8% Administrative Fee - Plumbi
Sanitary Sewer SDC Reimburseme
Sanitary Sewer SDC Improvement
Residential - Improvement
Residential Sanitary MWMC
SDC Administrative Fee
MWMC Administrative Fee
Residential - Reimbursement
State Surcharge For Building P
8% Building Administrative Fec
Manufactured Home Setup Fee
State Surcharge For Manufactur
Manufactured Home Administrati
Manufactured Home ServiceIFeed
Brancb Circuits With Feeder or
State Surcbarge - Electrical
Water Service Footage
State Surcharge - Plumbing
Residential - Single Family -
Manufactured Home - Willamalan
Residential Improvement MWMC
Planning Plan Review
Amount Paid
02-00711-01
02-00711-01
02-00711-01
02-00711-01
02-00711-01
02-00711-0 I
02-00711-0 I
02-00711-0 I
02-00711-0 I
02-007 I 1-0 I
02-00711-0 I
02-00711-0 I
02-00711-01
02-00711-01
02-00711-01
02-00711-01
02-00711-01
02-00711-01
02-00711-01
02-00711-01
02-00711-01
02-00711-01
02.00711-01
02-00711-01
02-00711-01
02-00711-01
02-00711-01
02-00711-01
02-00711-01
123,00
8,00
30,00
8,24
45,00
45,00
45,00
14.40
427.40
324,80
659,76
332,86
128,28
10.00
155,13
8,61
9.84
160,00
11.20
12.80
100.00
3.00
7.21
45.00
12.60
620.80
1,000.00
34.83
55.00
$4,437.76
Item Total:
Payments:
Type of Payment
Check
How Received
In Person
Payment Total:
Amount Paid
4,437.76
$4,437.76
Paid By
GOODEN HARR1S0N
Received By
djb
(;heck Number Confirm No
612/2003
1I:02:43AM
Page I ofl
.
.
cRcceiptrpt
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 02-00711-01
NAME OR COMPANY: Fred Hample
LOCATION: \053 Oak Meadows PI.
TAX LOT NUMBER: 17-03-34-22 TaxLot#05800
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: I BUILDING SIZE: 1827 SF LOT SIZE: 6082 SF
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S.F. I 'I COST PER S.F. I
I 2274.00 $0.273 =1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IIMPERVIOUSS,F./.I COSTPERS.F. 1.1 DISCOUNTRATE I
I 0,00 $0.273 50% 1 = 1
- -
lITEM 1 TOTAL - STORM DRAINAGE SDC =1
2. SANITARY SEWER - CITY
.
.
.
A. REIMBURSEMENT COST:
1 NUMBER OF DFUs 1..1 COST PER DFU
I 20 $21.37
B, IMPROVEMENT COST:
1 NUMBER OF DFUs I. I COST PER DFU
L 20 _ $16.24
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
13. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I.INUMBER OF UNITSI.I COST PER TRIP I 'I NEW TRIP FACTOR \
1 9.57 1 $16.21 1.00 1=1
B. IMPROVEMENT COST:
I ADT TRIP RATE I. I NUMBER OF UNITS 1.1 COST PER TRIP
I 9,57 I $68,94
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
I NUMBER OF FEU's I ,I COST PER FEU
I $332,86
B. IMPROVEMENT COST:
I NUMBER OF FEU's I" I COST PER FEU
I $34,83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
r ITEM 4 TOTAL - MWMC SANITARY SEWER S~
1 SUBTOTAL (ADD ITEM~I, 2, 3, & 4)
I 5. ADMINISTRATIVE FEE:
I SUBTOTAL 1,1 ADM,FEERATE
$2,565.58 5%
I Steve Templin 6120/2002
SDC COORDINATOR DATE
I,INEWTRIPFACTORI
1.00 1=1
=1
TOTAL SDC CHARGES =
$620.80
$0.00
$620.80
=1
$427.40
=1 $324.80
=1 $752.20
I
~
$155.13
$659.76 _L
$814.89 ~
=1
$332.86
=1
=1
=1
=1 $10.00
=~77,69
=1 $2,565.58
$34,83
$0,00
$367,69
=1
$128.28
$2,693.86
(/)
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o
U
~
~
(/)
I-<
(j
~
\070
\091
1092
\093
1094
11055
1056
1\073
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULA TION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULA TE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( ) UNIT FIXTURE
FIXTURE TYPE # NEW # OLD x EQUIVALENT = UNITS
BATHTUB (2 0) x 3 = 6 II
DRINKING FOUNTAIN (0 0) x I = 0
FLOOR DRAIN ( , 0 0) x 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. (0 -. 0 ) x 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. (0 O),,x 6 = 0
LAUNDRY TUB (0 0 ' ') x 2 = 0
CLOTHESW ASHER / MOP SINK (I 0) x" 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) (0 0) x 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) (0 0') x 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. (0 0) x I = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. (0 0) x 3 = 0
SHOWER, SINGLE STALL (0 0) x 2 = 0
SHOWER, GANG (NUMBER OF HEADS) (0 0) x 2 = 0
SINK: COMMERCIALlRESIDENTIAL KITCHEN (I 0) x 3 = 3
SINK: COMMERCIAL BAR (0 0) x 2 = 0
SINK: DOMESTIC BAR (0 0) x 1 = 0
WASH BASIN (0 0) x 2 = 0
LAVATORY (2 0) x I = 2
URINAL, STALL/WALL (0 0) x 5 = 0
TOILET. PUBLIC INSTALLATION (0 0) x 6 = 0
TOILET, PRIVATE INSTALLATION (2 0) x 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
(0 0) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =1 20
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unil (20 DFU's) set at 167 gallons per day
r
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
YEAR CREDIT RATE PER $1,000 II YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4.92 I 1990 $2.06
1980 $4,83 1991 '$1.64
1981 $4,77 1992 $1.45
1982 $4,64 1993 $1.31
1983 $4.47 1994 $1.13
1984 $4.30 1995 $0.97
1985 $4,09 1996 $0,82
1986 $3,78 1997 $0,63
1987 $3.41 1998 $0,41
\988 $2,98 1999 $0,22
1989 $2,52 2000 $0,04
VALUE /1000 CREDIT RATE
0,000 X $0.00 =1
0.000 X $0,00 =1
TOTAL MWMC CREDIT =1
..
I
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
$0,00
$0.00
$0.00