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Home My WebLink AboutPermit Building 2000-7-6 ~.l ~ . ~'\' Job# 00-00927-01 Page 1 of 4 TRANS#:01-0002480 DATE:JUL 06 2000 AMT RECD:2 $ 3467,19 CHANGE: CASHIER: 032 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00927-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Locatio'n Of Proposed Site: 4646 UNION AVE Spr Assessors Map#: 17023243 Lot: Block: Addition: Tax Lot #: 08601 Subdivision: Owner: Roy & Angela Kirk 375 SW JUniper Phone Number: City/State/Zip: Junction City, OR New Value: $42,000 Address: Scope Of Work: Manufactured Home on Private Lot , Contractor Doug Palmer Electric 300 hwy 99 south, junction City, OR 97448 , Manuf Home Install Melum Reid x,x,OR Contractor Type Electrical Contr Registration # Expiration Date Phone 541-501-5539 Quad Area: # Of Units: Constr. Type: Water l,ieater: 1 (VN) Wood Frame Office Use Land Use: Mfg Home - Not in a ParI # Of Buildings: 1 Zoning Code: LMI Occupancy Group: Dwelling Bedrooms: 3 Heat Source: Range: Sq. Footage: 1296 To request an inspectiqn 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. Verify Ground Rod Footing Foundation Slab Shear Wall Nailing Framing Final Building Required Inspections I 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. , - To be made after all inslab building service equipment, conduit piping, and other equipment iter - Before covering sheathing with finish materials. - Prior to cover. , -When all required inspections have been approved and the building is complete. Electrical' Rough Electrical Electrical Service Final Electrical - Prior to cover. - Must be approved to obtain permanent power. - When all electrical work is complete. MH Plumbing Water line Sanitary Sewer Line Storm Sewer Line Final Plumbing I Job# 00-00927-01 I Required Inspections I Plumbing I -After home has been connected to water and sewer. -Prior to filling trench. -Prior to filling trench. -Prior to fjlling trench. ' - When all plumbing work is complete. I Manufactured Home - When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house numbel Page 2 of 4 MH Set Up MH Final Street Improvement: AC Mat Curb Cut?D ,Improvement Agr.?D San Sewer Depth (Ft): 0 0 Storm Sewer Available? D Special Req.: Security Required: Bond Begin DateTime: 00/00/0000:00 AM , Special Instructions: STORM SEWER At Other Utilities: Project Supervisor: Sidewalk Type: Additional ROW? D Size Of Line (in): Downspouts/Drains: To Culvert-Provide Drainage F Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: 00/00/00 00:00 AM Types Of Warning Devices Reqd. Zoning: LMI FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: Overlay District: # of Street Trees: 1 land Use: Mfg Home - Not in a Park Pave Driveway? 0 3: Planner: Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Additional Requirements: Glenwood Area? D Required Attachments: Source locn: Material: Flood Plain FEMA: Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? D -Area (Sq. Feet) Main: 1296 Accessoryf1.80 Accessory Structure # Of Stories: 1 Height (feet): 15 Current Units: 0 Proposed Units:1 Census Code: Does not apply Total:1776 Fee Paid On Receipt# , I' Plan Check 06/12/2000 2117 Value/Quantity Fee Amount Residential Plan Check Total Plan Check 12,000 $60.13 $60.13 ,i Job# 00-00927-01 I - Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Building I Building Permit 07/06/2000 2480 12,000 $92.50 State Surcharge For Building Permit 07/06/2000 2480 $6.48 Building Administrative Fee 07/06/2000 2480 $2.78 Total Building, $101.76 Electrical Manufactured Home Service\Feeder 07/06/2000 2480 2 $80.00 State Surcharge For Electrical Permit 07/06/2000 2480 $5.60 Electric Administrative Fee 07/06/2000 2480 $2.40 Total Electrical $88.00 Plumbing Minimum Plumbing Permit Fee 07/06/2000 2480 $.00 State Surcharge For Plumbing Permit . 07/06/2000 2480 $12.60 Water Service Footage 07/06/2000 2480 168 $55.00 Sanitary Sewer Footage' 07/06/2000 2480 168 $55.00 Storm Sewer Footage 07/06/2000 2480 168 $55.00 M~nufactured Home Connection 07/06/2000 2480 1 $15.00 Plumbing Administrative Fee 07/06/2000 2480 $5.40 Total Plumbing $198.00 I Manufactured Home Manufactured Home Setup Fee 07/06/2000 2480 30,000, $105:00 Manufactured Home State Issuance 07/06/2000 2480 1 $30.00 State Surcharge For Manufactured Homl 07/06/2000 2480 $7.35 Manufactured Home Administrative Fee 07/06/2000 2480 $3.15 Total Manufactured Home $145.50 System Development Residential - Single Family -, Storm 07/06/2000 2480 2,126 $493.23 Sanitary Sewer 07/06/2000 2480 18 $868.86 'Residential Transportation 07/06/2000 2480 1 $491.60 Residential Sanitary MWMC 07/06/2000 2480 1 $242.76 Residential Improvement MWMC 07/06/2000 2480 1 $22.05 MWMC Administrative Fee 07/06/2000, 2480 1 $10.00 SDC Administrative Fee 07/06/2000 ' 2480 $106.43 Total System Development $2.234.93 Willamalane SDC Manufactured Home in Park - Willa malar 07/06/2000 .2480 1 $699.00 Total Willamalane SDC $699.00 Grand Total $3.527.32 Plan Check Type Checked By Date Completed Comment Initial Review-Res Wendy Stanley 06/13/2000 Engineering-Res Steve Templin 06/27/2000 Planning-Res AI Ward 06/29/2000 Structural-Res Wendy Stanley 06/29/2000 i' ~ I Job# 00-00927-01 I page 4 of 4 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 allwork 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 rp. uired inspections are requested at the proper time, that each address is readabl~he treet, that t emit card is located at the front of the propery, and the apg ved set 0 {anSWilL e a~no~ Sit~ at al ime~ during construction. - 'A. ) 'cJ;7- ?-cm o Date , / Signature (' ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-00927-01 NAME OR COMPANY: KIRK LOCATION: 4646 UNION AVE TAX LOT NUMBER 17-02-32-43-08601 ,DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: BUILDING SIZE: 1776 LOT SIZE: 10595 1. STORM DRAINAGE IMPERVIOUS SQ. F:T. 2126.00 x $0.232 PER SQ. FT. $493.23 , 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $48.27 PER PFU $868.86 I 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP x x 1.01 x $486.73 PER TRIP x $486.73 PER TRIP $491.60 $0.00 TOTAL TRANSPORTATION SDC $491.60 I 4. SANITARY SEWER - MWMC A REIMBURSEMENT COST: NUMBER OF FEU's x $242.76 PER FEU $242.76 I B. IMPROVEMENT COST: NUMBER OF FEU's SUBTOTAL (ADD ITEMS 1,2,3, & 4) $22.05 ~ $0.00 I $10.00 I $274.81 I $2,128.50 j (" 1 ... x $22.05 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC 5. ADMINISTRATIVE FEES: I ; BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $106.43 , 5tw~ 1~ SDC COOKlJl1'1ATOR 06/2712000 DATE TOTAL SDC CHARGES I $2,234.93 I PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS. CALCULA TE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. , INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOTHESW ASHER/MOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER ST A TlON/ETC. RECEPTOR FOR COMMERCIAL SINK! DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL,STALLANALL W ASH BASIN/LAVA TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES ,'NEW OLD 2 2 2 UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 ~ PLUMBING FIXTURE UNITS 4 o o o o 2 o o o o o o 2 o 2 o 8 o o o TOTAL PLUMBING FIXTURE UNITS=1 18 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL YEAR ANNEXED 1979 or before 1980 - 1981 1982 1983 1984 1985 1986 1987 1988 RATE PER $1,000 ASSESSED VALUE $4.47 $4.38 $4.32 $4.20 $4.03 $ 3.88 $3.68 $3.38 $3.03 $2.62 YEAR ANNEXED 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $1,000 ASSESSED VALUE $2.18 $ 1.75 $ 1.35 ,,$ 1.17 $ 1.03 $0.86 $0.71 $0.57 $0.39 $0.18 x x $0.00 $0.00 CREDIT TOTAL $0.00 9 ~~ Willamalane t, ~. Park'& Recreation District Job. No. Il\)-ooq~ 1--()j f. SYSTEM DEVELOPMENT CHARGE ! WORKSHEET NAME: ' R~ i' 'A+- ~ ADDRESS: Lft51a ~!l~( lAJ-~ ~___ ,__ __,--_,..rJ PHONE: +Lt~... 7I-'l5 STATE: ~ZIP: LoeA TION OF PROPOSED BUILDING SITE: Street Address: U ~ St , Plat N.ame: Tax Lot Number: l'1-0-;;t3).'i) 1'-C>9 1. DEVELOPMENT TypE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are ori the back.) , A. Bin ale-Family Detached, Single Family home Manufactured home not in a park NO. OF UNITS X $1,000 per unit = $ , B. ,Sinale-Family Attach.!ll! NO. OF UNITS , X $924 per unit = $ C.' Multi-Family A~artment , ,NO..oF UNITS X $692 per unit =$ D. Manufactured Home Park. NO. OF UNITS. \ X $699 per unit c: $ o<l "t, WILLAMALANE SDC $ 2. SDC CREDIT (if applicable) SDG-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC redu~d for Credit) 6't1 · $. lJ~~ ' Developmen~ervices Department City of Springfield ' , 5 " Date I L~ r I~