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Home My WebLink AboutPermit Building 2002-1-23 (2) ,- . I Job# 01-01246-01 I .. Page 1 of4 TRANS#:Ol-0007857 DATE: JAN 23 200;: At'1T RECD: 2 $ 4543.70 CHANGE. CASHIER'06I ir SPRINGFIELD ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01246-01 225 North Fifth Street Springfield. OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1621 Dotie Dr Spr Assessors Map#: 17033422 Lot: 20 Block: Addition: Tax Lot #: 07000 Subdivision:Oak Breeze Owner: Fred Hample 3426 Brookview Dr Phone Number: 541-484-7076 City/State/Zip: Eugene, OR 97401 New Value: $48,571 Address: Scope Of Work: Manufactured Home on Private Lot Electrical Contr ~\.o _~o ~~~.:~ ,~0? f:o.v _\0 \' .\ ^ """ " \0- ~0'" 0? a:" 'Q'I Contractor \,/>1< "'~ a-<(f 0 Expiration Date o~ ~~. ~oo;& 0\ f:"~,ffi7 Gooden Harrison Constructiono\0Q) 00'0 ;#l~~ d- ~,,0~~" ./2002 1441 hwy 99n, Eugene, o~w:t~"l ~ >I$'~".,qJi> 0\.e..,O.;S-~ ~' 0' ~0<'" ~~ c.O~ .~ '-..bi\' Heritage Electric ;(> <,,~0'O 00~ ~ ~~~~~~~'1-'ll'" 2/15/2004 1042 Horn Lane, Euge,oEl, ~9$)4c)Q 0<"'~"'O~ ~q: \U'~\V7; 6'); ",'/>"1 ~ ~clr Gooden Harrison Con ~ ,.. 0fiJ e06.'if"+7 1441 hwy 99n, EUge~~~~~ ~'('\o<"~e::''O ...... C'" ^\ .<'- - Qftf'~e U~~ , Quad Area: 1RNW Land Use: Mfg Home - Not in a ParI # Of B\!Ji1tngs: 2 # Of Units: 1 Zoning Code: LDR O~~~'\Group: Dwelling Constr. Type: (VN) Wood Frame Bedrooms: 3 ~.*i'l;~~~'ife: Forced Air Electric Water Heater: Electric Range: Electric A~c.~q.~~ge: 1188 To request an inspection call the 24 hour recording at 726-37~~II~i?'~~~~~d before 7:00 a.m. will be made the same working day, inspections reques~~J\'Y:o~'fu~w'1lrbe made the following working day. ~O 'X~ (j,~<V 0<0 J 0<;)' ~f6 O~ ('~<;) ~~ Required Inllp~'"..t>~ . .;: . . I Building (,()~~J,I:)<;) -After trenches are excavated. # -After forms are erected but prior to concrete placement. - Prior to cover. -When all required inspections have been approved and the building is complete. MH with garage on private lot Contractor Type General Contr Phone 541-689-7762 541-729-1500 Plumbing Contr 5f712002 541-689-7762 Footing Foundation Framing Final Building MH Electrical Rough Electrical MH Service Final Electrical I Electrical I - When blocking, setup, and plumbing inspections have been approved and the home is connect - Prior to cover. . - When all electrical work is complete. Required Inspections I Plumbing I -After home has been connected to water and sewer. - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. I Manufactured Home -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house numbel 1 Public Works I -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete " " MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line MH Set Up MH Final SW-Curbside CC-5tandard . . I Job# 01-01246-01 I Page 2 of 4 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: 00/00/0000 00:00 AM Special Instructions: Other Utilities: Project Supervisor: Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: Sidewalk Type: Curbside - 5' Additional ROW? D Size Of Line (in): 8 Downspouts/Drains: To Curb and Gutter Enchroachment Permit: San Sewer Tee (in): 6 Bond End DateTime: 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 1 . Land Use: Mfg Home - Not in a Park Pave Driveway? 0 3: Planner: Urban Growth Boundary?D Glenwood Area? D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 2 # Of Bedrooms: 3 Handicap Access? D [Area (Sq. r .,1) _ Main: 1188 AccessoryS08 Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: Panel 1141/2975 Accessory Structure # Of Stories: 1 Height (feet): 16 Current Units: Proposed Units:1 Census Code: New Mfg Home Total:1496 . . Job# 01-01246-01 Page 3 of4 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check I Residential Plan Check 11/13/2001 7229 8,571 $64.74 Total Plan Check $64.74 Building Garage/Carport 01/23/2002 7857 8,571 $99.60 State Surcharge For Building Permit 01/23/2002 7857 $6.97 Building Administrative Fee 01/23/2002 7857 $7.97 Total Building $114.54 Electrical Manufactured Home Service\Feeder 01/23/2002 7857 2 $100.00 Branch Circuits With Feeder or Service 01/23/2002 7857 1 $3.00 State Surcharge - Electrical 01/23/2002 7857 $7.21 Administrative Fee - Electrical 01/23/2002 7857 $8.24 Total Electrical $118.45 Plumbing State Surcharge - Plumbing 01/23/2002 7857 $12.60 Water Service Footage 01/23/2002 7857 42 $45.00 Sanitary Sewer Footage 01/23/2002 7857 42 $45.00 Storm Sewer Footage 01/23/2002 7857 42 $45.00 Manufactured Home Connection 01/23/2002 7857 1 $45.00 Administrative Fee - Plumbing 01/23/2002 7857 $14.40 Total Plumbing $207.00 Manufactured Home Manufactured Home Setup Fee 01/23/2002 7857 40,000 $160.00 Manufactured Home State Issuance 01/23/2002 7857 1 $30.00 State Surcharge For Manufactured Horn, 01/23/2002 7857 $11.20 Manufactured Home Administrative Fee 01/23/2002 7857 $12.80 Total Manufactured Home $214.00 Public Works New Sidewalk 01/23/2002 7857 45 $65.00 New Curbcut 01/23/2002 7857 1 $65.00 Multiple Permit Discount - 2nd Permit 01/23/2002 7857 1 $-30.00 Total Public Works $100.00 System Development Residential - Single Family - Storm 01/23/2002 7857 2,060 $562.38 Residential'mprovement MWMC 01/23/2002 7857 1 $34.83 MWMC Administrative Fee 01/23/2002 7857 1 $10.00 SDC Administrative Fee 01/23/2002 7857 $130.08 Property Annexed 1997 01/23/2002 7857 29 $-18.36 Residential Sanitary MWMC 01/23/2002 7857 1 $332.86 Residential - Improvement 01/23/2002 7857 1 $659.76 Residential - Reimbursement 01/23/2002 7857 1 $155.13 Sanitary Sewer SDC Reimbursement 01/23/2002 7857 23 $491.51 Sanitary Sewer SDC Improvement 01/23/2002 7857 23 $373.52 Total System Development $2,731.71 Willamalane SDC Manufactured Home - Willamalane 01/23/2002 7857 1 $1,000.00 Total Willamalane SDC $1,000.00 . . .' Fee 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 Liz Miller Structural-Res Don Moore Job# 01-01246-01 Paid On Receipt# Planning 01/23/2002 7857 . Page 4 of 4 Value/Quantity Fee Amount 1 $50.00 $50.00 Permits w/o Srchg 01/23/2002 7857 1 $8.00 $8.00 $4,608.44 Date Completed Comment 11/15/2001 11/26/2001 11/21/2001 12/04/2001 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 is readable from the street, that the permit card is located at the front of the propery, and the approved set of plans will remain on the site at all times during construction. €~ ~A'~ 1-z...3 -oz. Signature Date ; '\ , . ~ I I i , ; . ' \'fI0 \0 -VS0 ",'OS ''0",0 \\\06 cl.\C ",'0<<' s~e ~ ~t0 . \"'''~~II 2.2.5 FIFTH STREET ~~'O"'O"'O 00 \ \."t . ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON . ,~... \ ~\ f,..\ 1\\ ItA I . n I INSPECTION REQUEST.: ~ irf69I.o"''''\~/ Ci ty Job Number I ) .( J 'CtVJ. OFFICE: 726-3759. ... ,'0 IV 3 ~..~.. . COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLA'Ill'O'h i<,,,eo \I o ILl') \In: l o. 1)~~~ A. New Residential-Single or Multi-Family per.dwelling unit. LEGAL DESCRIPTION Service Included: \-,C'.....?Af)2.. rn.f'Y'X:) Items Cost Su JOB DESCRIPTION ~~)'\~r.. r\(U'-O ~ Permits are non-transferable and expire if work is not started within 180 days of issuance o~ if work is suspended for 180 days. 2.. CONTRACTOR INSTALLATION ONLY .B. Electrical Contractor ~~ ~ Address /t?7'Z- ~,~ 0 - . Ci ty f(r Supervisor License Number Phone 7,;;.9 - / S;00 '115-S 1'-/ 0/ Constr Contr. Numbe~ b 3./'$7 1Sl;~ VIs/of 1 I Signature of Supervisin~ Electrician /: ~~ owners- 'N~m~ ~Ml\ IN\. ~ \0 - Address .~..lo ~rrY'K ~tU.;~ 'tll-;, 'lO Ci ty rl ~QJVL.. Phone ~41.()\ to OVNER INSTALLATION Expiration Date Expiration Date The installation is being made on property I own which is not intended for sale, lease.or rent. Owners Signature: DATE: RECEIPT II: RECEIVED BY: . 1000 sq.ft. or less. Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular'Dwelling Service or Feeder 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 Reconnec f. Only $ 85.00 $ 15.00 ~ . $ re 00 tro.c~ $ 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 ~01 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel ," Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Addi tional Circuit or with Service or Feeder Permit E. 5. !BTOTAL OF ABOVE . State Surcharge ~ . Administrative Fee TOTAL $ 35.00 $$)!..oo '~'ci> not includec $ 40.00 $ 40.00 $ 20.00 $ 36.00 103 pc) 7..Q./ 7/g.~ . . SPRINGFIELD I' II. 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 Development Code, 1 agree that with the approval of the attached pennits, one of the following manufactured homes will be placed at _I (,,2-1 DOT/;:. 'J2Js'., Springfield, Oregon, City Job Number DJ-f)1 zA.~ -t)(. L Type 1 Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet, that has a nominal roof pitch of3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thennal envelope meeting perfonnance standards which reduce heat loss to levels equivalent to the perfonnance standards required of single family dwellings constructed under the State Specialty Codes. _ Type II Manufactured Home..A unit of not less than 12 feet in width with an enclosed floor area of not less than 500 square feet, that has a nominal roof pitch of2 feet in height for each 12 feet in width and that has no bare metal siding or roofing. The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6 . percent slope within 10 feet of the perimeter enclosure. The perimeter foundation wall surrounding the home shall be constructed of stone, brick or other masonry materials, and with no more than 24 inches of the enclosing material exposed above grade. 1 further agree to meet all land use and City Code requirements of the above mentioned parcel within 60 days of the date of ISsuance of the manufactured home set up pennit. These requiremeuts may include, but are not limited to the items listed below. Specific land use requirements regarding your parcel are noted on your approved set up plans and/or pennit and your partition approval if applicable: . Street Trees . Paving Driveway . Minimum 32 square foot storage structure . Completion of partition approval . Removal of any existing structures as noted on your partition approval . Signing and recording of any required partition, easement, improvement agreements, etc. . Fmallot grading . City Sidewalk and curbcut installation . Any outside agency approval as required i.e., Division of State Land approval. By my signature below, 1 agree to complete the above mentioned land use requirements. Owner Signature [j)~~J.J/A~ Contractor Signature Date I - 2.3 -0 L Date CITY OF SPRIN<!FIELD .TEMS DEVELOPMENT CHAR"ORKSHEET JOURNAL OR JOB NUMBER: 01-01246-01 NAME OR COMPANY: HAMPLE LOCATION: 1621 DOTlE DRIVE TAX LOT NUMBER: 17-03-34-22-07000 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: I BUILDING SIZE: 1496 SF LOT SIZE: 4500 SF I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.P. II COST PER S.F. I I 2060.00 . \ $0.273 = 1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUSS.F'lxl COSTPERS.F. 1.1 DlSCOUNTRATE I 1 0.00 I $0.273 50% I, ITEM 1 TOTAL. STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's 1..1 COST PER DFU 23 $21.37 B. IMPROVEMENT COST: I NUMBER OF DFU's 1..1 COST PER DFU 23 $16.24 r ITEM 2 TOTAL - CITY SANITARY SEWER SDC r 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTT:'~~RATE IINUMBE\OFUNITSH COS;I~E2~TRIP H NEW TRII;ACTORI=I B. IMPROVEMENT COST: L T:'~~ RATE 1..1 NUMBER IOF UNITS I xl I ITEM 3 TOTAL. TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: I NUMBER OF FEU's 1..1 COST PER FEU 1 $332.86 B. IMPROVEMENT COST: I NUMBER OF FEU's 1..1 COST PER FEU 1 I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE r ITEM 4 TOTAL - MWMC SANITARY SEWER SDC I SUBTOTAL ~D ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: SUBTOTAL 1.1 ADM.FEERATE $2,601.63 5% $562.38 =1 =r $0.00 $562.38 =1 $491.51 =1 =1 $373.52 $865.03 $155.13 COST PER TRIP IxlNEWTRIPFACTORI $68.94 J I~ 1=1 $659.76 =L $814.89 CI) ~ Ci o U ~ ~ CI) ...... o ~ I -111070'/ /' 1091' 1092' /' / 1093' 1094- / ~~ SDC COORDINATOR ... 11/2612001 =\ $332.86 =\ =\ =1 =1 =1 =1 $34.83 I ($18.36) I I / $349.33 I 105S' $10.00 J 1056 $359.33 I $2,601.6'0 =[ $130.08 --.J TOTAL SDC CHARGES = $2,731.71 DATE 1073 II DRAINAGE FIX. UNIT (DFU) CALCULA nON .LE . . . NUMBER OF NEW AXTURES x UNIT EQUlV ALENT = DRAINAGE AXTURE UNITS I (NOTE: FOR REMODELS. CALCUlATE ONLY THE NET ADDITIONAL AXTURES) NO. OF FIXTURES DRAINAGE I ( #NEW # OLD ) UNIT FIXTURE FIXTURE TYPE x EQUIVALENT = UNITS BATHTUB ( 2 0 ) x 3 = 6 DRINKING FOUNTAIN ( 0 0 ) x I = 0 FLOOR DRAIN ( 0 0 ) x 3 = 0 INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC. ( 0 0 ) x 3 = 0 II INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. ( 0 0 ) x 6 = 0 LAUNDRY TUB ( 0 0 ) x 2 = 0 CLOTHESW ASHER 1 MOP SINK ( I 0 ) x 3 = 3 I 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 1 WATER STATION 1 ETC. ( 0 0 ) x 1 = 0 RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. ( 0 0 ) x 3 = 0 SHOWER, SINGLE STALL ( I 0 ) x 2 = 2 SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0 SINK: COMMERCIAURESIDENTIAL KITCHEN ( I 0 ) x 3 = 3 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 0 ) x 1 = 3 URINAL, STALL 1 WALL ( 0 0 ) x 5 = 0 TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0 TOILET, PRIVATE INSTALLATION ( 2 0 ) x 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU's' ( 0 0 ) x 20 = 0 TOTAL DRAINAGE FIXTURE UNITS =1 23 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day - - MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY YEAR ANNEXED r--T979 UK nnrvKri I 1980 I 1981 I 1982 I 1983 I \984 I 1985 I 1986 I 1987 I 1988 I \989 CREDIT RATE PER $1.000 II ASSESSED VALUE $4.92 $4.83 $4.77 $4.64 $4.47 $4.30 $4.09 $3.78 $3.4\ $2.98 $2.52 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE 1990 $2.06 1991 $1.64 1992 $1.45 1993 $1.31 1994 $1.13 1995 $0.97 1996 $0.82 1997 $0.63 1998 $0.41 1999 $0.22 2000 $0.04 VALUE 11000 CREDIT RATE 29.142 x $0.63 =1 0.000 x $0.63 = 1 TOTAL MWMC CREDIT =1 $18.36 $0.00 $18.36