HomeMy WebLinkAboutPermit Building 2001-11-30
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Job# 01-01110-01
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DATE;NOV 30 2001
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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
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LOCATION OF INSTALLATION
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LEGAL DESCRIPTION \)
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JOB DESCRII?J..ION
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Permits are ~n-transferable and expire
if york is not started vithin 180 days
of issuance or if work is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor /~ ~
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Phone 7.;2 9 - /~OO
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Cons tr Con tr. Number b ~(~7 iSJ;... _ _
Z-/ /5/01
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Signatur~ .Of~U ervisin~ Electrician
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,?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)
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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