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HomeMy WebLinkAboutPermit Building 2002-7-5 ~ ;' . ~ . Job# 02-00410-01 Page 1 of 5 iI'IP.i'lSH:Ol CCJ')~W DATE Jdl or, ~)O,;; AtlT RtCDo t' $ i. ,'(8 I 'HqNlil 'A" , ~r 'J' w Oll.~_l' I";. 225 Fifth Street Springfieldo OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00410-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1056 Assessors Map#: 17033422 Lot: 11 Block: Owner: Address: Oak Meadows PI Spr Ta~ot#: 06100 Addition: ~~~~ion:Oak Breeze "!:Iv ,~~'.,S.'b~~ Phone Nu~r.;.~"5~"';.~".076 t~1 D....-,.).." ~ ~ City/S~'::...~riJ ~~~~R New .(;)~~ '8 ~~ e:> ~~ '~alue: ~~ ~~~~s MH on private lot with garage .~,~es, e}~':.~ "- ~. ''>v :".$ RESIDEN City 0 . Community ~ Division BUilai~~afety Fred Hample 3426 Brookview Drive Scope Of Work: Manufactured Home on Private Lot Location Of Proposed Site: 1056 Assessors Map#: 17033422 Lot: 11 Block: 225 Fifth Street Springfield, OR 97477 Owner: Address: Job Number: 02-00410-01 Janise Jones 1056 Oak Meadows PI , pffi.ce: 726-3759 . ~ ., I ns~,~C~\O~,line :/.26-3769 . -.' ..,.... './l,'......r' (' - LJ. , ....., ,... : .r~, r.-:' r. J ~.. C ," .. (l ~... ,..u :" (~.~_ :~ ,TaX LoU: ,,::-06100" , .r, .::::l 'J \- .... .'- ;. ",S.l.,!J'tl!~~io~:,b.cfB~eeze .;';"<::""-'.~~ 1:::" ............1 r: Phone Number:<':: .e,41 ~7 46"5596" . Ij'V' ""'.~...!;.. , City/StatelZip:~ ~Sp~ingfieido OR 97478 .. '.' J;, .... _, ,"'j' 6 ,..... ...:J 0 ,.;., . New .l,~ >.' ;i> ,;,\ ,<;:" '.value: $68,408 ..' :. ,"J? (h' ~. rC) >l"'i~ . -~...J ." ('. ~ ~ ,'"..... r- , -,' .~..' ~ ~~ ~ ("... .::- ... ......,?- -.... ') ~ ".' 'j' ". .:.s' /... r: . ~",.l.i.J f~~"ty Registrati9n # Expiration Date 5/7/2004 Phone Oak Meadows PI Spr Addition: Scope Of Work: Manufactured Home on Private Lot Contractor Type General Contr Electrical Contr Landscape Manuf Home Install Plumbing Contr MH on private lot with garage Contractor Harrison Jacobson Inc 1441 HWY 99N, Eugene, OR 97402 Heritage Electric of Eugene 1042 Horn Lane, Eugeneo OR 97404 Eugene Landscape and Irrigat 29360 Clearlake Rd, Eugene, OR 97402 Harrison Jacobson Inc 1441 HWY 99No Eugeneo OR 97402 66447 541-689-7762 63137 2115/2004 541-729-1500 6129 8/31/2002 541-689-5455 66447 5n12004 541-689-7762 Harrison Jacobson Inc 1441 HWY 99N, Eugeneo OR 97402 66447 5n12004 541-689-7762 .. . I Job# 02-00410-01 I . Page 2 of 5 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, Street Improvement: Fully Improved Curb Cut?0 Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTlme: 00/00/000000:00:00' Special Instructions: Other Utilities: Project Supervisor: Verify Ground Rod Footing Foundation Shear Wall Nailing Framing Final Building MH Service Final Electrical Underfloor Drain MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Backflow Device MH Set Up MH Final SW-Curbside CC-5tandard Required Inspections I Building I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir -After trenches are excavated, -After forms are erected but prior to concrete placement. - Before covering sheathing with finish materials. - Prior to cover, - When all required inspections have been approved and the building is complete, Electrical -When all electrical work is complete, I Plumbin!l - Prior to cover or placement of concrete, -After home has been connected to water and sewer, - Prior to filling trench, - Prior to filling trench, - Prior to filling trench, -After device is installed but before backfilling trench, I Manufactured Home I - When all blocking is complete, -After all required inspections are approved and porches, skirting, decks, venting, house number I Public Works I -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete 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 6 00/00/000000:00:00 ' Types Of Warning Devices Reqd. . r Zoning: LOR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: Planner: Sam Gollah Urban Grow1h Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White I Job# 02-00410-01 I Overlay District: # of Street Trees: 1 . 3: Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 2 # Of Bedrooms: 3 Handicap Access? 0 rArea (Sq. Feet) I Main: 1782 Accessoryl480 Fee Residential Plan Check Total Plan Check Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Minimum Electrical Permit Fee Manufactured Home ServicelFeeder Branch Circuits With Feeder or Service State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee State Surcharge - Plumbing State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Backflow Prevention Device 8% Administrative Fee - Plumbing 8% Administrative Fee - Plumbing Total Plumbing Manufactured Home Setup Fee Page 3 of 5 Land Use: Single Family Dwelling Pave Driveway? ~ Flood Plain FEMA: 1141 of 2975 Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 16 Current Units: Proposed Units:1 Census Code: New Mfg Home Total:2262 Paid On Receipt# Plan Check 04/10/2002 8569 Building OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 Electrical OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 Plumbing OS/20/2002 9167 07/05/2002 9844 OS/20/2002 9167 07/05/2002 9844 OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 07/05/2002 9844 OS/20/2002 9167 07/05/2002 9844 Manufactured Home OS/20/2002 9167 Value/Quantity l Fee Amount 13,408 $90,09 $90.09 13,408 $138,60 $9,70 $11,09 $159.39 2 1 $,00 $100,00 $3,00 $7,21 $8,24 $118.45 30 30 80 1 $.00 $31,00 $10.43 $3.15 $45,00 $45,00 $59,00 $14,00 $11,92 $3,60 $223.10 55,000 $160,00 . .' Fee Manufactured Home State Issuance State Surcharge For Manufactured Homl Manufactured Home Administrative Fee Total Manufactured Home New Sidewalk New Curbcut Encroachment Permit - Residential Total Public Works Manufactured Home - Storm Residential Improvement MWMC MWMC Administrative Fee SOC Administrative Fee Property Annexed 1997 Residential Sanitary MWMC Residential - Improvement Residential - Reimbursement Sanitary Sewer SOC Reimbursement Sanitary Sewer SOC Improvement Total System Development Manufactured Home - Willamalane Total Willamalane SDC Planning Plan Review Total Planning Address Assignment Total Permits w/o Srchg Grand Total Plan Check Type Checked By Initial Review-Res Lisa Hopper Dennis Ernst Engineering-Res Planning-Res Structural-Res Sam Gollah Tom Marx Job# 02-00410-01 Paid On Receipt# [' Manufactured Home OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 Public Works OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 System Development OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 OS/20/2002 9167 Willamalane SDC OS/20/2002 9167 Planning OS/20/2002 9167 Permits w/o Srchg OS/20/2002 9167 Date ~ompleted Comment 04/11/2002 04/26/2002 04/19/2002 04/22/2002 . Page 4 of5 Value/Quantity Fee Amount 1 $30,00 $11,20 $12,80 $214.00 48 1 1 $75,00 $75,00 $120,00 $270.00 3,142 1 1 $857.77 $34,83 $10,00 $139,16 $-19.38 $332,86 $659,76 $155,13 $427.40 $324,80 $2,922.33 31 1 1 1 20 20 1 $1,000,00 $1,000.00 1 $55.00 $55.00 1 $8,00 $8.00 $5,060.36 . L Job# 02-00410-01 I . Page 5 of 5 By signatureo I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correcto 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 hereino and that NO OCCUPANCY will be made of any structure without permission of the Community Services Oivisiono 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 aljlress is readable from the streeto that the permit card is located at the front of the properyo and the pproved et of plans will r main on the site at all times during construction, '1-5~~ Date . . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET - JOURNAL OR JOB NUMBER: 02-00522-01 NAME OR COMPANY, Harrison Jacobson Ioc, LOCATION: 1032 Oak Meadows PI. TAX LOT NUMBER: 17-03-34-22 Tax Lot # 06600 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: I BUILDING SIZE: 1656 SF LOT SIZE: I. STORM DRAINAGE DIRECf RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S,F. I ,I COST PER S,F, 1 I 3706,00 $0,273 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. ,,' COST PER S,F, 1,,1 DISCOUNT RATE I 1 0.00 $0,273 50%-.J I ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: II NUMBER OF DFU's 1..1 COST PER OFU I W gl37 B, IMPROVEMENT COST: I NUMBER OF DFU's 1..1 COST PCI< ur u I 20 $16,24 I I ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3, TRANSPORTATION I A, REIMBURSEMENT COST: 1 ADTTRIP RATE lx/NUMBER OF UNITS I 'I COST PER TRIP I xl NEW TRIP FACTOR I I 9,57 1 $16.21 I 1.00 =1 B, IMPROVEMENT COST: I ADTTRIPRATE IxINUMBEROFUNITSI" COSTPERTRIP II 9,57 I _ I I $68,94 I ITEM 3 TOTAL. TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: I NUMBER OF FEU's I 'I COST PER FEU I 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 REIMBURSEMENTo IMPROVEMENT & CREDIT MWMC ADMINlSTRA TIVE FEE I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC I SUBTOTAL (ADD ITEMS 1,2,30 & 4) 5. ADMINISTRATIVE FEE: SUBTOTAL I ' I ADM. FEE RATE $2,956,52 5% Steve Templin 5/10/2002 SDC COORDINATOR DATE 8073 =1 $10011.74 =1 $0,00 =1 $1,011.74 =1 $427.40 SF CI) W Cl o U ~ ~ CI) - o I~ =1 =1 $324,80 $752.20 11070 I 1091 1092 $155,13 ]" NEW TRIP FACfOR I 1.00 =1 $659,76 =c $814,89 =1 $332,86 1093 J .11 -I 1094 = I $34,83 I =1 $0,00 I =1 $367,69 ! 11055 =1 $1O,00=:lj 1056 =1 $377.69 I J =1 $2,956,~ =1 $147,83 TOTAL SDC CHARGES =L!:104.35 I. 1073 I . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE ( ) UNIT FIXTURE # NEW # OLD x EQUIVALENT = UNITS 2 O)x 3 = 6 o O)x I = 0 o O)x 3 = 0 o O)x 3 = 0 o O)x 6 = 0 o O)x 2 = 0 I O)x 3 = 3 o O)x 6 = 0 o 0) x 12 = 0 o O)x I = 0 o O)x 3 = 0 o O)x 2 = 0 o O)x 2 = 0 I O)x 3 = 3 o O)x 2 = 0 o O)x I = 0 o O)x 2 = 0 2 O)x I = 2 o O)x 5 = 0 o O)x 6 = 0 2 O)x 3 = 6 FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. INTERCEPTORS FOR SAND I AUTO WASH / ETC. LAUNDRY TUB CLOTHESW ASHER / MOP SINK CLOTHESW ASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIG / WATER STATION I ETC. RECEPTOR FOR COM, SINK / DISHWASHER I ETC. SHOWER, SINGLE STALL SHOWERo GANG (NUMBER OF HEADS) SINK: COMMERCIAURESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: DOMESTIC BAR WASH BASIN LAVATORY URINAL, STALL / WALL TOILETo PUBLIC INSTALLATION TOILETo PRIV ATE INSTALLATION MISCELLANEOUS DFU TYPE NUMBER OF EDD'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 unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY II YEAR ANNEXED CREDIT RATE PER $10000 I ASSESSED VALUE $4,92 I $4,83 I $4.77 $4,64 . $4.47 $4,30 $4,09 $3,78 $3.41 $2,98 $2.52 1979 v~ ;;:;;:rv~;;:-- 1980 1981 1982 \983 \984 \985 1986 1987 1988 1989 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFrER ANNEXATION) YEAR ANNEXED \990 \99\ \992 \993 1994 1995 1996 1997 \998 1999 2000 CREDIT RATE PER $1,000 ASSESSED VALUE $2,06 $1.64 $1.45 $1.3\ $1.13 $0,97 $0,82 $0,63 $0,41 $0,22 $0,04 II VALUE / 1000 CREDIT RATE 0,000 X $0.63 =1 0,000 X $0,63 =1 TOTAL MWMC CREDIT =1 $0,00 $0,00 $0.00 ..J