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Home My WebLink AboutPermit Application 2000-1-4 ~, Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991591 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1615 DOTIE DR Assessors Map #: 17033422 Lot: 21 Block: Tax Lot #: 07100 Subdivision: OAKBREEZE Owner: FRED HAMPLE Address: 3426 BROOKVIEW DR. Phone #: City/State/Zip: EUGENE Describe Work: M.H.& GARGE NEW Contractor Canst. Contractor # Expires Phone General: GOODEN-HARRISON 0066447 1441 HWY 99N EUGENE OR 974020000 Electrical: HERITAGE ELECT. 0063137 1042 HARN LANE EUGENE OR 974040000 05/07/00 689-7762 12/27/97 688-1600 QUAD AREA: 1RNW # OF BLDGS: 1 OCCY GROUP: R3 SQ FOOTAGE: 1378 OFFICE USE -- LAND USE: 1150 # OF UNITS: 1 CONSTR. TYPE: VN FLOOD PLAIN: N ZONING CODE: LDR # OF BDRMS: 3 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 work day. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. UNDER FLOOR DRAIN - Prior to cover or placement of concrete. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to water and sewer. PEDESTAL - Prior to cover. MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and plumbing inspections have been approved and home is connected to panel FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. FINAL BUILDING '- When all required inspections have been approved and the building is complete. Lot Faces: N Topography: 2 Lot Type: INTERIOR Lot Sq. Ft.: 4500 Total Height: 14 Lot Coverage: 31.91% Solar Approved: Y N Setbacks S W 16 10 E 10 House Garage 21 ~\ Job Number: 991591 Page Item Main Garage M.H.FDN. Total Value BUILDING PERMIT --- Square Feet x $/square Feet 410 18.34 Value 0.00 7,519.00 1,889.00 9,408.00 Building Permit Fee Surcharge/Admin 80.50 8.06 TOTAL FEE (A) 88.56 --- PLUMBING PERMIT --- Item Sanitary Sewer Water Storm Sewer Mobile Home Fee 25.00 25.00 25.00 15.00 Plumbing Permit Surcharge/Admin 90.00 9.00 TOTAL CHARGE (C) 99.00 --- MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/Admin Sidewalk PLAN REVIEW ADJUST WILLAMALANE SDC CITY SDC E-t6q p1~'T TOTAL MISCELLANEOUS PERMITS (E) 105.00 30.00 10.50 60.00 20.00 1,000.00 2,211. 611 'It), ~o 3,437.16 3~27.Jr.. (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, 5, C, D, and E combined) .....-H4"7'1"2" "l'7,4, 13 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Received By: Plans Reviewed By: DON Building Site Reviewed 48.43 Date Paid: 11/22/99 Receipt Number: 36251 MOORE By: DON MOORE Date: 12/28/99 --- ADDITIONAL COMMENTS --- SEPARATE ELECTRICAL PERMIT IS REQUIRED TRANS#:01-0000155 DATE:JAN 04 2000 AMT RECD:2 $ 3714.93 CHANGE: CASHIER: 003 Job Number: 991591 Page 3 DRIVEWAY REQUIRED TO BE PAVED 1 STREET TREES REQUIRED 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 property, and the approved set of plans will remain on the site at all times during construction. ~c/~d.-r~ Signature ~--- ~ I~ 4- :J,d(/J@ Date -- - VALIDATION Date Paid: -::/-19 /55 ;j 4/00 .<7/4. iJ -4; /f(;~~ Receipt Number: Amount Received: Received By: . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 991591 NAME OR COMPANY: FRANK HAMPLE LOCATION: 1615 DOTIE DRIVE TAX LOT NUMBER 17033422-07100 DEVELOPMENT TYPE: SINGLE FAMILY RESIDNCE BUILDING SIZE: 1378 LOT SIZE 4500 1. STORM DRAlNAGF IMPERVIOUS SQ. FT. 2088.0 x $0.232 PER SQ. FT. $484.42 1 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $48.27 PER PFU $868.86 1 = 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 TOTAL TRANSPORTATION SDC $491.60 I $0.00 $491.60 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x $242.76 PER FEU $242.76 1 B. IMPROVEMENT COST: $22.05 1 ($13.34)1 $10.001 $261.47 I $2,106.35 1 NUMBER OF FEU's x $22.05 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (S.UBTOT AL ABOVE) x 0.05 $105.32 I ")...&< !~-<::" SDC COORDINATOR ' /~/;rs~ DATE TOTAL SDC CHARGES I $2,211.6.l1* .; . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ PLUMBING FIXTURE UNITS (NOTE: FOR REMODEL~. CALCULATE ONLY THE NET ADDITIONAL FIXTIJRES\ FIXTURES NEW OLD 2 UNIT EQUIVALENT 2 I 2 3 6 2 6 6 I 3 2 I 2 2 I 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=I 18 YEAR ANNEXED 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 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 FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOSTHSW ASHER/MOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W ATER ST A TION/ETC. RECEPTOR FOR COMMERCIAL SINK! DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, ST ALUW ALL WASH BASIN/LA V ATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 2 2 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION 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 'CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0.39 IMPROVEMENT (IF AFTER ANNEXATION DATE) x x 34.200 $ I 3.34 $0.00 CREDIT TOTAL $13.34 .". . . 'f\.1tJ " ..- ~"""Willamalane _ ~t'-~ Park & Recreation District Job_ No. $.J7; 7' L ;'., SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ??le2) ~L<f- PHONE:' ADDRESS: :?'4.2~ ~.K.I//~ kif. STATE:~ ZIP: 97t1'tl/ LOCATION OF PROPOSED BUILDING SITE: Street Address: /~ /s~,176 Ad' / Plat Name: _~2Z Tax Lot Number: / 7tJ 3 ;{~ 2'2 (J 7/ en; 1. DEVELOPMENT TYP~ (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. iliDnlA-Fflmilv DAtachAn NO. OF UNITS / Manufactured home not in a park X $1,000 per unit = $ /000 Single Family home B. RinnIA-F::lrnilv Aft::lchAn NO. OF UNITS X $924 per unit = $ C. Multi-Farnilv Aoflrtrnent NO. OF UNITS X $692 per unit = $ D. ,MflnufflGlurAcf HomA Pflr1s. NO. OF UNITS X $699 per unit c $ WfLLAMALANE SDC $ 2. SDC CREDIT (II applicable) SOCiJayer must furnish proof of Willamalane Credit approval. See SOC Credit Worksheet. $ . 3. TOTAL WILLAMALANE NET SDC ASSESSED (II SDCreduced lor Credit) Dove~pme~'2:~rtment City of Springfield $ ! Date , 4, 1)0 The following project es submitted has the followi zoning. and does nqt require specific land use approval. Zoning . , _ i)p 225 FIFTH STREET Date I - i-f - ~ .> SPRINGFIELD, OREGON 97477 INSPECTION REQUEST.: 726_Mltl'1ized Signature OFFICE: 726-3759. 1. LOCATION OF INSTALLATION /C:, / 5 r7)~ T/ E. flAl, LEGAL DESCRIPTION /70<' S ~22.. 0'7/ eo ; '\ JOB DESqITPTION df. -I/. t C:::r.-R...A-4 b " Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. i , , 2. CONTRACTOR INSTALLATION ONLY .B. Electrical Contractor ~~ ~ Address /CJ~2- ~ ,;':' a.- . /: ~i"_"""_ City Z:~- " Supervisor License Number .. ! Phone 7.7- f - /5::00 1',/5-5 /l/ of Constr Contr. Number b 3./~7 15J;~ $5- /2-1'1'1 ( SignatU~ViSi~ _ Ovners Name Expiration Date Expiration Date Address City Phone OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: --------------------71S---------------- DATE: / / ~.q1) RECEIPT II: (J,<J.') RECEIVED BY: 4(~AA ELECTRICAL PERMIT APPLICATION :: ~J Job NUIIlber 32../ 5 9 / 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per .dvelling unit. Service Included: Items Cost Su 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular. 'Dvelling Service or Feeder 7. $ 40.00 ~tD 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 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' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits " New, Alteration or Extension Per Panel E. One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit --l-- $ 2.00. ~~ not include, Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5.~UBTOTAL OF ABOVE 11'X State Surcharge 3X Administrative Fee TOTAL $ $ $ $ 132.- ,C;-./'f. ;;7 "'~ . C;{}20 40.00 40.00 20.00 36.00 . DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 MANUFACTURED I-IOME LAND USE AGREEMENT As required by Ihe Cily ofSpringlield Development Code, I agree Ihat wilh Ihe approval oflhe allaehed penn its, one oflhe following manufaelnred homes will be placed al Lt,T It ~ I Dak.hreeze ,Esi",t-e.s. Springlield, Oregon, Cily Job Nufnber ((,,15 I:>,,'tie dr. '-I... Type I Manufaelured Home. A multi-seetiona' (double wide or wider) unil wilh an enclosed noor area of nol less Ihan 1,000 square feel, Ihat has a nominal roof pilch 00 feel in heighl for each 12 feel in widlh, that has no bare metal siding or rooling, and Ihal has been certilied by the manufaclurer to have an exlerior Iherma' envelope meeling performance slandards which reduce heat loss to levels equivalcllllo Ihe performance standards required of single family dwellings eonstnlcled under the Slate Specially Codes. - Type II Manufactured I-lome. A unil of no I less Ihan 12 feet in widlh with an enclosed nooi' arca ofnollcss Ihan 500 square feel, that has a nominal roof pilch of2 feel in heighl for each 12 feel in width and Ihal has no barc metal siding or roo ling. 111e mallufaclured homc shall be placed on an cxcavatcd and back-Ii lied foundation nOllo cxceed 6 perccnt slope within 10 feel ofthe perimeter enclosure. 111e perimetcr foundation wall surrounding the home shall be conslnleled of slone, brick or other masonry malerials, and wilh no more Ihan 24 inchcs of- Ihe enclosinG malerial exposed above Grade. I further aGree to meel all land use and Cily Code requirements oflhe above men lion cd parcel wilhin 60 days of the date of issuance ofthe manufaclured home setup penn it. TIlese requiremenls may includc, but arc nOllimited to the items listed below. Specific land use requiremenls regarding your parcel arc noled on your approved set up plans and/or pennil and your partition approval if applicable: . Slrcct Trees . PavinG Driveway . Minimulll 32 square foot storage stnrclurc . Completion of pnrtition npprovnl . Removal of any existinG structures as noted on your partilion approval . SiGninG and recording of any required partition, casement, improvement agreemenls, elc. . Final 101 GradinG . City Sidewalk and.curbcut inslallalion . Any outsidc aGency approval as required i.e., Division of Slate Land approval. Dy my siG"alure below, I aGree to complele Ihe above menlioned land use requirements. '~~i~t~~ , . ~~ Contractor Si Dale ;::; I"~ II-('f-?Y Dale