HomeMy WebLinkAboutPermit Building 2002-7-5
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Job# 02-00410-01
Page 1 of 5
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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
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Phone Nu~r.;.~"5~"';.~".076
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City/S~'::...~riJ ~~~~R
New .(;)~~ '8 ~~ e:> ~~ '~alue:
~~ ~~~~s
MH on private lot with garage .~,~es, e}~':.~ "-
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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
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I ns~,~C~\O~,line :/.26-3769
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,TaX LoU: ,,::-06100"
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Phone Number:<':: .e,41 ~7 46"5596" .
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City/StatelZip:~ ~Sp~ingfieido OR 97478
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New .l,~ >.' ;i> ,;,\ ,<;:" '.value: $68,408
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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
.
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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
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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
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