HomeMy WebLinkAboutPermit Building 2002-5-20
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225 Fifth Street
Springfield, OR 97477
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I Job# 02-00410-01 I
Page 1 of 4
TRANS#:01-0009167
DATE:MAY 20 2002
ANT RECD:2 $ 4918.52
CHANGE:
CASHIER: 003
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 Oak Meadows PI Spr
Assessors Map#: 17033422
Lot: 11 Block: Addition:
Owner:
Address:
Tax Lot #: 06100
Subdivision: Oak Breeze
Fred Hample
3426 Brookview Drive
Phone Number: 541-484-7076
City/State/Zip: Eugene, OR
New Value: $68,408
Scope Of Work: Manufactured Home on Private Lot
Contractor
Harrison Jacobson Inc
1441 HWY 99N, Eugeneo OR 97402
Heritage Electric
1042 Horn Laneo Eugene, OR 97404
Manuf Home Install Harrison Jacobson Inc
1441 HWY 99N. Eugeneo OR 97402
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
MH on private lot with garage
63137
Phoneou to
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5/7/20 -,-,," t>~4j,.689.7762 [\\1
1'0,-\ \::'''''~ 0 ted 0)' " -Ie set to
fo\\O\~ l,ule~~~t~r. il'\Ose lu\e~ a R 95Z-001-
,"otilic2l,1S/200~ 0010 tnlosa~-7~-\l5003S b)'
," "UIJI- , SO'" ~.
in OAR 95,,- ot~n cop'~ telephOne
0090 YoU ~a)' ,edNote, t~e . or,''''~flt\On
a517J20 . '0 gon~.1.,689-7762
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""berloltn6, onn_33Z-Z3 .
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5/7/2092'0'\ 541-689-7762
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Registration # Expiration
66447
66447
Harrison Jacobson 'nc
1441 HWY 99N. Eugeneo OR 97402
66447
To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 1UE wal'.l<.
a.m. will be made the same working dayo inspections requested after 7:00 ~JlW'(~~~ made th3..e~vptRf. If <l IS ~01
working day, ~\J) u' ~EV.\IJ\\1 Stlj>; 1t1IS PERWlI1
. . 1t'\\S '!,I:n \t~DE\\ -J nnNf.D fOP.
ReqUired Inspections />.uu,\(,f'l.-- 0\\ ,';) I\u...n..
I Building I CO\lJ\\IJ\t.~CEO PE\\\QO.
-Install ground rod at footing, and call for inspectiop.\Wcll'a~~~ 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,
Verify Ground Rod
Footing
Foundation
Shear Wall Nailing
Framing
Final Building
Rough Electrical
MH Service
Final Electrical
Underfloor Drain
Water Line
Sanitary Sewer Line
Electrical
- Prior to cover,
- When all electrical work is complete.
Plumbina
- Prior to cover or placement of concrete,
-Prior to filling trench,
-Prior to filling trench,
I Job# 02-00410-01 I
Required Inspections
I Plumbing
- Prior to filling trench,
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Storm Sewer Line
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Page 2 of 4
I Manufactured Home
-When all blocking is complete,
-After all required inspections are approved and porcheso skirting, decks, venting, house number
I Public Works I
-After forms are ereceted but prior to placement of concrete,
-After excavation is complete, forms and sub base material is in place.
-After forms are erected but prior to placement of concrete
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 DateTime: 00/00/0000 00:00:00 '
Special Instructions:
Other Utilities:
Project Supervisor:
MH Set Up
MH Final
Curbcut
Sidewalk
SW.Curbside
Zoning: LOR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Planner: Sam Gollah
Urban Grow1h Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End OateTime:
Curbside - 50
D
8
To Curb and Gutter
6
00/00/000000:00:00.
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 1
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 2
# Of Bedrooms: 3
Handicap Access? D
rArea (Sq. Feet)
I Main: 1782 Accessoryl'l80
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
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.' Job# 02.00410.01 I Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check l
Residential Plan Check 04/10/2002 8569 13,408 $90,09
Total Plan Check $90.09
Building
Building Permit OS/20/2002 9167 13,408 $138,60
State Surcharge For Building Permit OS/20/2002 9167 $9,70
8% Building Administrative Fee OS/20/2002 9167 $11,09
Total Building $159.39
Electrical
Minimum Electrical Permit Fee OS/20/2002 9167 $,00
Manufactured Home Service\Feeder OS/20/2002 9167 2 $100,00
Branch Circuits With Feeder or Service OS/20/2002 9167 1 $3,00
State Surcharge - Electrical OS/20/2002 9167 $7,21
8% Admin Fee - Electrical OS/20/2002 9167 $8,24
Total Electrical $118.45
Plumbing
Minimum Plumbing Permit Fee OS/20/2002 9167 $,00
State Surcharge - Plumbing OS/20/2002 9167 $10.43
Water Service Footage OS/20/2002 9167 30 $45,00
Sanitary Sewer Footage OS/20/2002 9167 30 $45,00
Storm Sewer Footage OS/20/2002 9167 80 $59,00
8% Administrative Fee - Plumbing OS/20/2002 9167 $11,92
Total Plumbing $171.35
Manufactured Home
Manufactured Home Setup Fee OS/20/2002 9167 550000 $160,00
Manufactured Home State Issuance OS/20/2002 9167 1 $30,00
State Surcharge For Manufactured Horn. OS/20/2002 9167 $11,20
Manufactured Home Administrative Fee OS/20/2002 9167 $12,80
Total Manufactured Home $214.00
Public Works
New Sidewalk OS/20/2002 9167 48 $75,00
New Curbcut OS/20/2002 9167 1 $75,00
Encroachment Permit - Residential OS/20/2002 9167 1 $120,00
Total Public Works $270.00
System Development
Manufactured Home - Storm OS/20/2002 9167 3,142 $857,77
Residential Improvement MWMC OS/20/2002 9167 1 $34,83
MWMC Administrative Fee OS/20/2002 9167 1 $10,00
SOC Administrative Fee OS/20/2002 9167 $139,16
Property Annexed 1997 OS/20/2002 9167 31 $-19,38
Residential Sanitary MWMC OS/20/2002 9167 1 $332,86
Residential - Improvement OS/20/2002 9167 1 $659,76
Residential - Reimbursement OS/20/2002 9167 1 $155,13
Sanitary Sewer SOC Reimbursement OS/20/2002 9167 20 $427.40
Sanitary Sewer SOC Improvement OS/20/2002 9167 20 $324.80
Total System Development $2,922.33
Willamalane SDC
Manufactured Home - Willamalane OS/20/2002 9167 1 $1,000.00
Total Willamalane SOC $10000.00
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Fee
Planning Plan Review
Total Planning
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type Checked By
Initial Review-Res Lisa Hopper
Engineering-Res Dennis Ernst
Planning-Res Sam Gollah
Structural-Res Tom Marx
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Job# 02.00410.01
Page 4 of 4
Value/Quantity Fee Amount
Paid On Receipt#
Planning
OS/20/2002 9167
1
$55,00
$55.00
Permits w/o Srchq
OS/20/2002 9167
1
$8.00
$8.00
$5,008.61
Date Completed
Comment
04/11/2002
04/26/2002
04/19/2002
04/2212002
By signature, I state and agreeo 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 hereino and that NO OCCUPANCY will be made
of any structure without pem1ission 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
required inspections are requested at the proper time, that each
tr eto that the pem1it card is located at the front of the propery, and the
, the site at all times during construction.
Signature
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S'Ul-O'L
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Date
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fetion Fe~ is $45,~O + ~~ii1i~s .
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 02-004\0-01
NAME OR COMPANY: Fred Ham~le
LOCA nON: \056 Oak Meadows PI
TAX LOT NUMBER: 1.70334E+12
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE,
NEW DWELLING UNITS: I BUILDING SIZE: 2182 SF LOT SIZE: 6152 SF
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F. I" I COST PER S,F. I
3142,00 $0,273 I =1
RUNOFF ROUTED TO ORYWELL DESIGNED AND CONSTRUCfEO TO CITY STANDARDS
I IMPERVIOUSS,F, JxL COSTPERS,F. Ixl DISCOUNTRATE I
0,00 $0.273 50%
liTEM 1 TOTAL - STORM DRAINAGE SDC
2, SANITA~V SEWER - CITY
A, REIMBURSEMENT COST:
r NUMBER OF OFU's I" I COST PER DFU
20- $21.37
B, IMPROVEMENT COST:
I I NUMBER OF OFU'SJ" I COST PER OFU
I 20 $16.24
liTEM 2 TOTAL. CITY SANITARY SEWER SDC
1. TRANSPORTATION
$857,77
=1
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$0,00 I
$857.77 I ,,1\070
$324,80 I \092 ~
$752.20 fl
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$155,13 1093
$659,76 I 11094
$814.89 1 I " ,
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$427.40
1091
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A. REIMBURSEMENT COST:
I ADTTRIP RATE IxlNUMBER OF UNITS I xl COST PER TRIP I xl NEW TRIP FACTOR I
I 9,57 I $16,21 I I 1.00 =1
B. IMPROVEMENT COST:
I ADT TRIP RATE. I xl NUMBER. OF UNITS I I ""COST PER TRIP I xl NEW TRIP FACTOR I
9.57 I I $68,94 I I 1.00 =1
TITEM 3 TOTAL - TRANSPORTATION SDC =1
4" SANITARY SEWER'-'MWMC .,
A, REIMBURSEMENT COST:
I NUMBER OF FEU's Ixl COST PER FEU
1 $332,86 =1 $332,86
B, IMPROVEMENT COST:
I NUMBER OF FEU's I 'I COST PER FEU
1 $34,83 =1 $34,83 I
MWMC CREDITIF APPLICABLE (SEE REVERSE) =1 ($19,38) ,
SUBTOTAL OF MWMC REIMBURSEMENTo IMPROVEMENT & CREDIT =1 $348.31 I \055
MWMC ADMINISTRATIVE FEE =L $10.00 J , 1056
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ITEM 4 TOTAL. MWMC SANITARY SEWER SDC =1$358.31 I
,SUBTOTAL(AOOITEMS 102030&4) =L $2,783,17 1"
~5. AOMINISTRATIVE"FEE:
I SUBTOTAL 1,1 AOM,FEERATE
I $20783.17 5% =1 $139.16 \073
r ~ r+ - 4/29/2002 TOTAL SDC CHARGES =1 $2,922.33 - "\
I SDC COORDINATOR DATE
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
II NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
( #NEW # OLD ) x EQUI~ENT = FIXTURE
FIXTURE TYPE UNITS
BATHTUB ( 2 0 ) x 3 = 6
DRINKING FOUNTAIN ( 0 0 ) x I = 0
FLOOR DRAIN ( 0 0 ) x 3 = 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. ( 0 0 ) x 3 = 0
INTERCEPTORS FOR SAND I AUTO WASH / ETC. ( 0 0 ) 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 (I PER TRAILER) ( 0 0 ) x 12 = 0
RECEPTOR FOR REFRlG I WATER STATION IETC, ( 0 0 ) x I = 0
RECEPTOR FOR COM, SINK / DISHWASHER I ETC. ( 0 0 ) x 3 = 0
SHOWERo SINGLE STALL <- 0 0 ) x 2 = 0
SHOWERo GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
" SINK: COMMERCIAURESIDENTIAL KITCHEN ( 1 0 ) x 3 = 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0
. SINK: DOMESTIC BAR ( 0 0 ) x I = 0
I
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 2 0 ) x I = 2
URINAL, STALL I WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0
TOILET, PRIVATE INST ALLA TION .( 2 0 ) x 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EOU's'
( 0 0 ) x 20 = 0
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I . - . .. . TOTAL DRAINAGE FIXTURE UNITS =1 20
*EDU (Equivalent Dwelling Unit) is a discharge eq~ivalent to a single family dwelling unit (~O DRJ's) set at 167 gallons per day
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MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFfER ANNEXATION DA TKCALCm-A TE CREDIT SEPARA TEL Y
YEAR CREDIT RATE PER $1,000 II YEAR CREDIT RATE PER $10000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
19790R BER:lRE $4.92 'I 1990 $2,06
1980 $4,83 1991 $1.64
1981 $4,77 \992 $1.45
\982 $4,64 \993 $1.31
\983 $4.47 \994 $1.13
1984 $4.30 r995 $0,97
1985 $4,09 1996 $0,82
1986 $3,78 1997 $0,63
1987 $3.41 1998 $0.4\
\988 $2,98 1999 $0,22
1989 $2,52 2000 $0,04
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CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE /1000 CREDIT RATE
30,762 X $0.63 =1 $19.38 I
0,000 X $0,63 =1 $0,00 I
TOTAL MWMC CREDIT =1 $19.38 L