HomeMy WebLinkAboutPermit Building 2000-9-5 (2)
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I Job# 00-01119-01 I
Page 1 of4
TRANS#:01-0003115
DATE:SEP 05 2000
AMT RECD:2 $ 3777.61
CHANGE:
CASHIER: 061
SPRINGFIELD
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225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01119-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1607 Dotie Dr Spr
Assessors Map#: 17033422
Lot: 22 Block: Addition:
Owner:
Address:
Tax Lot #: 07200
Subdivision: oakbreeze
Fred Hample
3426 Brookview Dr
Phone Number: 541-484-7076
City/State/Zip: Eugene, OR 97401
New Value: $49,871
Scope Of Work: Manufactured Home on Private Lot
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Gooden-Harrison Construction
1441 hwy 99n, EUgene, OR 97402
Heritage Investors Inc Of Eugene
1042 Horn Ln, Eugene, OR 97404-2923
Gooden-Harrison Construction
1441 hwy 99n, Eugene, OR 97402
Office Use NU U 1(;1::: -.
Land Use: Single Family DweIl1~ISPi~f113u'iI'clfri&s"fX2IREIFTHEWORK
Zoning Code: LDR AUTHIo1!irITpa'~~YlG7oupS IDWellingS NOT
Bedrooms: 3 COMMHeat'SouR:ii1A66tc~dJ~l!::9\es\1ic
Range: Electric ANY lt~q?,IfPP~g~D, 1026
Registration # Expiration Date
Phone
541-689-7762
63137 12/27/2000
541-688-1600
541-689-7762
1RNW
1
(VN) Wood Frame
Electric
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,
Verify Ground Rod
Footing
Foundation
Framing
Firewall
Final Building
MH Electrical
MH Service
Final Electrical
Required Inspections
I Buildinll I ATTENTfON:Oregonlawrequiresyouto
follow rules adQP.!Ad.h\{ttJa,OrAnon Ilt~ih
-Install ground rod at footing, and call for inspecti,~illbaWC!H~gPtlgl~lfhO'o ~ruTeC7o"otrn adQn i
-After trenches are excavated, "OAR952-001- ' ose u esareset ortr,
-After forms are erected but prior to concrete plaJ~~OU m 001~thro~ghOAR952-o01'
_ Prior to cover . ay obtam copies of the rules b}'
-Located and ~onstructed according to plans, call~g}hecenter. (Note: the telephone
- When all required inspections have been approv~d~nd !hj~~~~~~~~~~ml~ficatiOn
I Electrical ,.J
- When blocking, setup, and plumbing inspections have been approved and the home is connect
-When all electrical work is complete,
Required Inspections
I Plumbing
- After home has been connected to water and sewer.
-When all plumbing work is complete,
I Manufactured Home I
-When all blocking is complete,
-After all required inspections are approved and porches, skirting, decks, venting, house numbel
I Public Works I
-After forms are erected but prior to placement of concrete
-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: 0010010000 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
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MH Plumbing
Final Plumbing
MH Set Up
MH Final
SW-Curbside
CC-Standard
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: nla
I Job# 00-01119-01 I
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Page 2 of4
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
D
8
To Curb and Gutter
6
0010010000 00:00 AM
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
[Area (Sq. Feet)
_ Main: 1026 AccessoryaOO
Flood Plain FEMA: nla
Accessory Structure
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:1426
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Job# 00-01119-01 I Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check 07/18/2000 2610 9,871 $52,33
Total Plan Check $52,33
Building
Building Permit 09/05/2000 3115 9,871 $80,50
State Surcharge For Building Permit 09/05/2000 3115 $5,64
Building Administrative Fee 09/05/2000 3115 $2.42
Total Building $88.56
Electrical
Manufactured Home ServicelFeeder 09/05/2000 3115 2 $80,00
State Surcharge For Electrical Permit 09/05/2000 3115 $5,60
Electric Administrative Fee 09/05/2000 3115 $2.40
Total Electrical $88,00
Plumbin!l
Minimum Plumbing Permit Fee 09/05/2000 3115 $,00
State Surcharge For Plumbing Permit 09/05/2000 3115 $6,30
Water Service Footage 09/05/2000 3115 39 $25,00
Sanitary Sewer Footage 09/05/2000 3115 39 $25,00
Storm Sewer Footage 09/05/2000 3115 39 $25,00
Manufactured Home Connection 09/05/2000 3115 1 $15,00
Plumbing Administrative Fee 09/05/2000 3115 $2,70
Total Plumbing $99,00
Manufactured Home
Manufactured Home Setup Fee 09/05/2000 3115 40,000 $105,00
Manufactured Home State Issuance 09/05/2000 3115 1 $30,00
State Surcharge For Manufactured Hom 09/05/2000 3115 $7,35
Manufactured Home Administrative Fee 09/05/2000 3115 $3,15
Total Manufactured Home $145.50
Public Works
New Sidewalk 09/05/2000 3115 47 $60,00
New Curbcut 09/05/2000 3115 1 $60,00
Total Public Works $120,00
System Development
Manufactured Home - Storm 09/05/2000 3115 1,940 $465,60
Sanitary Sewer 09/05/2000 3115 18 $897.48
Residential Transportation 09/05/2000 3115 1 $507,82
Residential Sanitary MWMC 09/05/2000 3115 1 $242,76
Residential Improvement MWMC 09/05/2000 3115 1 $22,05
MWMC Administrative Fee 09/05/2000 3115 1 $10,00
SDC Administrative Fee 09/05/2000 3115 $106,50
Property Annexed 1997 09/05/2000 3115 27 $-15,66
Total System Development $2,236.55
Willamalane SDC
Manufactured Home - Willamalane 09/05/2000 3115 1 $1,000,00
Total Willamalane SDC $1,000,00
Grand Total $3,829,94
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Job# 00-01119-01 I Page 4 of 4
Plan Check Type Checked By Date Completed Comment
Initial Review-Res Lisa Hopper 07/19/2000
Engineering-Res Steve Templin 07/24/2000
Planning-Res AW 07/27/2000
Structural-Res Wendy Stanley 07/24/2000
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 is readable from the street, that the permit card is located at the front of the propery, and the
ap53ved set 0: ~Ians will.remain on the site at all times during construction,
~J ftCU_ij~ 9 -5 /00
Signature Date
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f\Ati. '
.. ~r"'Wdlamalane
~, "'1' Park & Recreation District Job. No. r{j.(j\ \ q .0 l
;" SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:~~G\ ~~ PHONE: ~'lD\\..Q
ADDRESS: Ef\'Lu ~\:)\:.J'(STATEJ1td. ZIP:ctJ4.0\
LOCATION OF PROPOSED BUILDING SITE:
{[,gO'7 ()6t\~o! 00 \JJ) _,
_ Tax Lot Number: \'\(Y~?Af2JLOl2.CD
Street Addres :
Plat Name:
1. DEVELOPMENT TYPE, (Check appropriale dwelling(s). SOC calculations and dwelling I
ype definitions are on the back.)
A. Sj,nale-Fl'Imilv Detl'lched
Single Family home
NO. OF UNITS l
( Manufactured home not in a park
X $1,000 per unit = $ .JQC() . ex)
B. Sj,nole-Fl'lmilv Attl'lched
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aom1ment
NO. OF UNITS
X $692 per unit = $
D. ManufA.QjurAd Home Pm1\
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ 10m
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0(;)
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2. SDC CREDIT (II applicable) SOG-payer must furnish proof of
Willamalane Credil approval. See sac Credit Worksheet.
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SOC reduced for Credil)
~.~~~(),Q?K21
City of Springf~~
$ lmo.ro
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Date
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ATIACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-01119-01
NAME OR COMPANY: HAMPLE
LOCATION: 1607 DOTIE DRIVE
TAX LOT NUMBER 17-03-34-22-07200 (OAK BREEZE ESTATES LOT 22)
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1426
LOT SIZE:
4500
, \, STORM DRAINAGE
IMPERVIOUS SQ, IT,
1940,00
x
$0,240 PER SQ, IT,
$465,60 I
2 SANITAQV SFWFQ_r.TTV
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x
$49,86 PER PFU
J...IReNSPOQT~
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.0\
x $502,79 PER TRIP
X $502,79 PER TRIP
TOTAL TRANSPORTATIONSDC
4 SANITARY SEWER - MWM!;
A, REIMBURSEMENT COST:
NUMBER OF FEU's
$242,76
PER FEU
X
B, IMPROVEMENT COST:
NUMBER OF FEU's
$22,05 PER FEU
X
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3,&4) r
.2..1:\OMINISTRATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE) X
0,05
$897.48 I
$507.821
$0,00
$507,82 I
$242,76 1
$22,05 1
($15,66)1
$10,00 1
$259,15 I
$2,130,051
$106,50 I
~T~
'SIJC CUUKlJINAIUK
07/24/2000
IJAIE
TOTAL SDC CHARGES I $2,236.551
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PLUMBING FIXTURE UNIT (PFU) CALCULA TION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT ~ PLUMBING FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
TOTAL PLUMBING FIXTURE UNITS~I
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEl
YEAR RATE PER $1,000 YEAR RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
-
1979 or before $4,74 1990 $ 1.96
1980 $4,65 1991 $1.55
1981 $4,59 1992 $1.36
1982 $ 4.46 1993 $1.23
1983 $ 4,30 1994 $ 1.05
1984 $4,14 1995 $0,90
1985 $3,93 1996 $0,75
1986 $3,63 1997 $0,57
1987 $3,26 1998 $0,35
1988 $2,85 1999 $0,15
1989 $ 2.40
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CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC,
INTERCEPTORS FOR SANDI AUTO W ASH/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 TIONIETC,
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC,
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URlNAL,STALLAWALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
I
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
2
2
$0,57
x
27.469
x
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
o
o
2
o
2
o
8
o
o
o
18
$15,66
$0,00
CREDIT TOTAL $15,66
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S.NCFIELO' ~~ ,
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD. OR 97477
(541) 726.3753
FAX (541) 726.3689
MANUfACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Developmenl Code, I agree that Wilh~'pP..tevaMlhe 'l.ll:'~!led
permils, one of the following manufactured homes will be placed at-.l1Rm \ YJllD, \.lX
Springfield, Oregon, Cily Job Nulnber ,n().()\\\Q .1""11 _'
V Type J Manufactured I'lome, A multi-sectional (double wide or wider) unit with an enclosed
11001' area of nOlless than 1.000 square feel, thaI has a nominal roof pitch of 3 feel in height for each 12
feet in width, that has no bare metal siding or roofing, and that has been cenified by the manufacturer to
have an exterior thennal envelope meeting perfonnanee slandards which reduce heat Joss 10 levels
equivalent to the perfonnanee slandards required of single family dwellings constnleted under the Slale
Specialty Codes.
Type Il Manufactured I'/ome, A unil of not less than 12 feel in widlh with an enclosed 1100;' area
of not less Ihan 500 square feet, that has a nominal roof pitch of2 feel in height for each 12 feel in widlh
and Ihal has no bare metal siding or roofing,
TI.e manu factured home shall be placed on an excavated and back. filled foundalion not 10 exceed 6
pcrcenl slope wilhin 10 feel of the perimeter enclosure. TIle perimeter foundalion wall surrounding the
home shall be conSlnlcled of stone, brick or other masonry materials, and wilh no more Ihan 24 inches of,
lhe enclosing material exposed above grade,
I funher agree to meet all land use and City Code requirements of the above mentioned parcel wilhin 60
days oflhe date of issuance of the manufaclured home set up pemli!. TIlese requirements may include, but
arc not limiled to the items listed below. Specific land use requiremenls regarding your parcel arc nolcd on
your approved set up plans and/or penn it and your panilion approval if applicable:
. Slrcc( Trees
. Paving Driveway
. Minimum 32 square foot slorage stnlelure
. Complelion of pan it ion approval
. Removal of any existing slnletures as nOled on your panilion approval
. Sisnins and reeordins of any required panition, easemenl, improvement agreements, ele,
. final 101 sradinS
. Cily Sidewalk nnd.curbcut inSinUation
. Any oUlside aseney npproval as required i,e., Division of State Land approval,
Dy my sisnature below, I agree 10 complele the above menlioned land use requirements.
, ~~e.AJ a :\ ~n Q
Owner ign01turc. "
," ~A.u-~
Conlrnctor Signature
1- 18 -00
Dale
-, - /8-o(J
Dale
~D 11)0. O~i
:0"0 'iI. "g
"C11 '/}(1 DI'O'
. 0'0& 7l$lCI
~ ~,
"0. S8
',.. "6
69",""~
II'G &(1
~"'9",Z~~/~ ELECTRICAL PERMIT APPLICATION
'e 6.r
~ 'oq, . f1
"0' "~~"';'.9 Ci ty Job Number pO -0\ n"".f) I
OHPLETE FEE SCHEDULE BELOV
D~/6
..qlt/~
0"
225 FIFTH STREET <'>60' ~'
SPRINGFIELD, OREGON 97477 :9"~/"
INSPECTION REQUEST,: 726-3769 '6
OFFICE: 726-3759,
1. LOCATION OF INSTALLATION
\\'lOl ~r.
LEGAL DESCRIPTION t'I "0
\i. n~?A1.lL mLAJ
ew Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Su
IONn C'\O~
Permits ar non-transfera~ and e~ire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq. ft. or les:;,
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home, or
Modular, 'Dwelling
Service or Feeder
$ 85.00
;
'\
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor ~~ ~
Address /~~2-. ~ ,;r; 0_ ,
Ci ty f!~
?
Supervlsnr License Number
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
OVer 1000 amps/volts
Reconneci'Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Phone 7,;2 9 -/500
'1'15-S
/'IO{
Constr Contr. Numbel' b ?f~7 f5E;-
Expiration Date .1. Uf;;//J<f
S' f S !. {l ..
Ignat~r~vls~clan
,pwners Na~~\O
"Address'2A"?lo ~.
Ci ty f~lLruL.J Phone .:\<64 '\01, !o
OVNER INSTALLATION
Expiration Date
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
..
!
Branch Circuits
D.
"
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not include,
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I own which is not intended
for sale, lease'or rent.
Owners Signature:
5. SYBTOTAL OF ABOVE
7?% State Surcharge
370 Administrative Fee
TOTAL
DATE:
~vGJ.rl If:
RECEIVED BY: