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HomeMy WebLinkAboutPermit Building 2001-11-30 . "" "\ .; Job# 01-01110-01 J -:~ Page 10f 3 A'iT 11 ! "D{'~JC'#' 01-.I')T"V"7'8'7 IlIdl ,wit, "-'VI)! -..J ! DATE;NOV 30 2001 REeD;2 $ 1138,23 i"HA~Ir.E ,~ .. on 0" u I~D, '" 1 v, u CASHIER;061 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01110-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1813 Inland Way Spr Assessors Map#: 18030233 Lot: 2300 Block: Addition: Tax Lot #: 02300 Subdivision: Owner: Address: Elizabeth Nichols 838 Pool sp 29 Phone Number: 541-681-9545 Scope Of Work: Manufactured Home on Private Lot City/State/Zip: New Eugene, OR 97401 Value: . $47,400 Replace existing Manufactured Home with larger home Verify Ground Rod Footing Foundation Contractor Type Contractor Registration # Expiration Date Phone General Contr Gooden-Harrison Construction 66447 5/7/2002 .~1.1Tga9~7762 1441 hwy 99n, Eugene, OR 97 402 ATTEt',rnON:?~et~c; ~;~~;(;';~~Oi'~ Ut.i~~rt\i Electrical Contr Heritage Electric t \loW ru\e5 aoop ihoSe ru\es~~-sA~01t.OO OR 04 o. center. . h OAR 9~ 1042 Horn Lane, Eugene, 974 Not\t\cat\on _001_001othrO~g o1\he ru\es bV Plumbing Contr Gooden-Harrison Construction 6644 in OAR 95~ <<Ia~~in COP\?~e~~~e~62 1441 hwy 99n, Eugene, OR 97402 0090'\\~~gthe'center.lNot~ti\ity Notifica.t\on r:a \ \...._ nrAOOn ".;" 4 A) , To request an inspection call the 24 hour recording at 726-3769. All ins_~~~~~~teM-~~Po?iro-o';:';<:,:: " a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. ' Required Inspections , 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. , I Electrical I NOTICE:- -When blocking, setup, and plumbing inspectiJMI~i&ftM\T~dm:I~~t?~nn~ct AUTHORIZED UNDER THIS PERMIT IS NOT . I .Manufactured Home I COMMENCEDORISABANDONEDFOR - When all blocking IS complete. ' -After all required inspections are approved ane~'6r"Hm9.~'k~I,QQcks, venting, house numbel MH Electrical MH Set Up MH Final I Job# 01-01110-01 I Overlay District: Floodplain Overlay # of Street Trees: 2 Page 2 of 3 land Use: Single Family Dwelling Pave Driveway? 0 Zoning: LDR FloodPlain? 0 Wetlands? D Journal numbers 1: 2001-10-0209 2: 2001-10-0210 3: Comments:Floodplain Development Application and LDAP Planner: Liz Miller Urban Growth Boundary?D Glenwood Area? D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Floodway Zone AE Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 2 Handicap Access? D -Area (Sq. Feet) Main: 1275 Accessory: Additional Requirements: LDAP Required Required Attachments: Source locn: Material: Flood Plain FEMA: Panel 1144 of 2975 # Of Stories: 1 Height (feet): 17 Current Units: Proposed Units:1 Census Code: New Mfg Home Total:1275 Fee Value/Quantity Residential Plan Check Total Plan Check Foundation Only State Surcharge For Building Permit Building Administrative Fee Total Building Minimum Electrical Permit Fee Manufactured Home Service\Feeder State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage . Sanitary Sewer Footage Storm Sewer Footage Manufactured Home Connection Administrative Fee - Plumbing Total Plumbing Manufactured Home Setup Fee Manufactured Home State Issuance State Surcharge For Manufactured Hom Paid On Receipt# Plan Check 10/09/2001 6942 2,400 Building 11/30/2001 7387 11/30/2001 7387 11/30/2001 7387 2,400 Electrical 11/30/2001 7387 11/30/2001 7387 11/30/2001 7387 11/30/2001 7387 1 Plumbing 11/30/2001 7387 11/30/2001 7387 11/30/2001 7387 11/30/2001 7387 11/30/2001 7387 11/30/2001 7387 11/30/2001' 7387 30 30 60 1 Manufactured Home 11/30/2001 7387 11/30/2001 7387 11/30/2001 7387 45,000 1 Fee Amount $34.32 $34.32 $52.80 $3.70 $4.22 $60.72 $.00 $50.00 $3.50 $4.00 $57.50 $.00 $13.58 $45.00 $45.00 $59.00 $45.00 $15.52 $223.10 $160.00. $30.00 $11.20 Fee Manufactured Home Administrative Fee Total Manufactured Home Residential - Single Family - Storm SDC Administrative Fee Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC Improvement Total System Development 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 Steve Templin Planning-Res Sam Gollah Planning-Res Liz Miller Structural-Res Tom Marx Structural-Res Don Moore Job# 01-01110-01 Page 3 of 3 Paid On Receipt# Manufactured Home 11/30/2001 7387 Value/Quantity Fee Amount $12.80 , $214.00 System Development 11/30/2001 7387 11/30/2001 7387 11/30/2001 7387 11/30/2001 7387 10 10 $.00 $18.81 $213.70 $162.40 $394.91 Planning 11/30/2001 7387 $50.00 $50.00 Permits w/o Srchg 11/30/2001 7387 $8.00 $8.00 $1,042.55 Date Completed Comment 10/12/2001 10/19/2001 10/23/2001 Waiting for approval of LDAP and Flood Plain Development Application FEMA Elevation certificate required Base flood elevation needed for required Elevation Certificate. 11/30/2001 10/22/2001 11/26/2001 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 iffida I~. m the. ,street, that the permit card is located at the front of the propery, and the approve se 0 - ns Wll.{ terffin..Qn the site at all times during construction. . ~ ~"~ - l(-so--o J Signature ~ ~ Date 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST.: 726-3769 OFFICE: 726-3759 U)\2-0\ \ o. \'1; ~ 1. LOCATION OF INSTALLATION I ~ 1-& ~~\ rvd..lLn.r. ~ LEGAL DESCRIPTION \) \ ~ O~ rfL6~ O'L.':2.f:tJ . A. i '\ , JOB DESCRII?J..ION ~,{9\~ Permits are ~n-transferable and expire if york is not started vithin 180 days of issuance or if work is suspended for 180 days. i t , 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor /~ ~ ~{/~ Phone 7.;2 9 - /~OO ?f5-S /z/ o{ Cons tr Con tr. Number b ~(~7 iSJ;... _ _ Z-/ /5/01 ( I Signatur~ .Of~U ervisin~ Electrician ".,r,' ~ .:. I,,' , ',~w ,/:1_..:.., _ _ ',' " . D ,?wners Name EX\~. ' \\~~ . Address fiJ..?t?-l \'r:2L ~Q.q CityW01J\Q., Phone lo~\4~ OVNER ~STALLATION Address /tJ rZ- -;,;> City ~~ / Supervisor License Number Expiration Date Expiration Date The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: DATE: RECEIPT tj:: RECEIVED BY: ELECTRICAL PERMIT APPLICATION City Job Number ()\.()\\\n.D ( 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Su 1000 sq. ft. or les~ $ 85.00 Each additipnal 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular'Dwelling 'if6:.~ 5I1q) Service or Feeder \ ,$ .00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Ov~r 1000 amps/volts Reconnect'Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less 201 amps to 400 amps Over ~01 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits ,. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $' 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 40.00 40.00 20.00 36.00 not include( 5. ~BTOTAL OF ABOVE 7 r. State Surcharge % Administrative Fee TOTAL $ $ $ $ .!5)~ . 3.ScJ 4. _00 5, .SC) . \. CITY OF SPRINGFIE "YSTEMS DEVELOPMENT CHi ~E WORKSHEET JOURNAL OR JOB NUMBER: 01-01110-01 NAME OR COMPANY: NICHOLS LOCA nON: 1813 ISLAND WAY TAX LOT NUMBER: 18-03-02-33-02300 DEVELOPMENT TYPE: MAN HOME REPLACEMENT NEW DWELLING UNITS: 0 BUILDING SIZE: o SF LOT SIZE: J - STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. I COST PER S.F. x I 722.00 I $0.273 =1 ' RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. COST PER S.F. DISCOUNT RATE x x 0.00 I $0.273 I ITEM 1 TOTAL - STORM DRAINAGE SDC , 2_ SANTTARY SEWER - (TIT: A. REIMBURSEMENT COST: , NUMBER OF DFU's ' COST PER DFU x 10 $21.37 B. IMPROVEMENT COST: NUMBER OF DFU's COST PER DFU x 10 $16.24 I ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORT A TTON. A. REIMBURSEMENT COST: 1 ADT TRIP RATE . x . NUMBER OF UNITS' x' COST PER TRIP . x' NEW TRIP FACTOR I I 9.57 0, , $16.21 , 1.00 =, B. IMPROVEMENT COST: I ADT TRIP RATE NUMBER OF UNITS x I 9.57 0 I ITEM 3 TOTAL - TRANSPORTATION SDC :L.8ANTT.:\..RY SEWF.R - MWMf: A. REIMBURSEMENT COST: I NUMBER.OF FEU's . COST PER FEU x I 0 $332.86 B. IMPROVEMENT COST: NUMBER OF FEU's COST PER FEU x o $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC I SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5 ADMTNTSTRATTVE FEE.:. SUBTOTAL ADM. FEE RATE x $573.21 50% x COST PER TRIP $68.94 x NEW TRIP FACTOR 1.00 =1 =1 5% o SF $197.11 =1 =1 $0.00 $197.11 =1 $213.70 =1 =1 $162.40 $376.10 $0.00 $0.00 $0.00 =1 $0.00 =1 .=1 =1 =1 =1 =1 $0.00 I $0.00 I $0.00 I 1055 $0.00 l 1056 $0.00 I - $573.21 I =1 $28.66 ~T~ 10/19/2001 SDC COORDlNA TOR DATE TOTAL SDc CHARGES = $601.87 r./l ~ Q o U ~ ~ ~ r./l ~ d ~ l l 1070 ;/ 1091'1 I 1 I 1/ 1092/ 1093 1094 1073 DRAINAGE I rURE UNIT (DFU) cALcULATU .'ABLE ;:; ... . '. NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE ( # NEW - ' UNIT FIXTURE FIXTURE TYPE # OLD ) x EQUIVALENT = UNITS BATHTUB ( 2 1 ) x 3 3 DRINKING FOUNTAIN ( 0 0 ) x 1 0 FLOORDRAIN ' ( 0 0 ) x 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 0 LAUNDRY TUB ( 0 0 ) x 2 0 CLOTHESW ASHER / MOP SINK ( 1 1 ) x 3 0 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 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( 0 0 ) x 3 0 SHOWER, SINGLE STALL ( 1 0 ) x 2 2 SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( 1 1 ) x 3 0 SINK: COMMERCIAL BAR ( 0 0 ) x 2 0 SINK: DOMESTIC BAR ( 0 0 ) x 1 0 WASH BASIN ( 0 0 ) x 2 0 LAVATORY ( 3 1 ) x 1 2 URINAL, STALL/WALL ( 0 0 ) x 5 0 TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 0 TOILET, PRIVATE INSTALLATION ( 2 1 ) x 3 3 MISCELLANEOUS DFU TYPE NUMBER OFEDU's* ( 0 0 ) x 20 0 TOTAL DRAINAGE FIXTURE UNITS =1 10 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) MWMc CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCUl_A TE CREDIT SEPARATELY YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED V ALOE 1979 OR BEFORE $4.92 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 1988 $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 $0.00 $0.00 $0.00 'I