HomeMy WebLinkAboutPermit Building 2007-9-17
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2038 HARBOR DR
ASSESSOR'S PARCEL NO.: 1803112203900
Springfield
PROJECT DESCRIPTION: Manufactured home replacement
Owner: JOHN KOZIOL
Address: 35876 POWELL LN
PLEASANT HILL OR 97455
Contractor Type
General
Electrical
ManufHome Inst
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01414
ISSUED: 09/17/2007
APPLIED: 09/17/2007
EXPIRES: 03/1712008
VALUE: $ 63,900.00
TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New Residential
I CONTRACTOR INFORMATION I
Contractor
HARRISON JACOBSON INC
MAG ELECTRIC INC
HARRISON JACOBSON INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
1
R-3
VB
50.60
41.00
5.00
65.00
0.00
Notes: Storm water uses existing system.
License
66447
149834
66447
BUILDING INFORMATION I
3
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
12.00
Electric
Electric
Electric
n/a
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Pal!e 1 of 3
Urban Fringe
Phone Number: 541-741-9107
Expiration Date
05/07/2008
12/13/2009
05/07/2008
Phone
541-689-7762
541-461-0387
541-689-7762
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,326
REQUIRED PARKING
Total:
Handicapped:
Compact:
2
17.20
Sidewalk Type:
Downspouts/Drains:
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01414
ISSUED: 09/17/2007
APPLIED: 09/17/2007
EXPIRES: 03/17/2008
VALUE: $ 63,900.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
3,900.00
60,000.00
Tvpe of Construction
Foundation Onlv Use Bid Amount
Manuf Home Manufactured Home
Total Value of Project
~
Value
Date Calculated
$3,900.00
$60,000.00
$63,900.00
09/17/2007
09/17/2007
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $33.22 9/17/07 2200700000000001456
+ 5% Technology Fee $22.41 9/17/07 2200700000000001456
+ 8% State Surcharge $26.57 9/17/07 2200700000000001456
Foundation Permit $67.16 9/17/07 2200700000000001456
Manuf Home State Issuance $30.00 9/17/07 2200700000000001456
Manufactured Home Conn - Plmb $50.00 9/17/07 2200700000000001456
Manufactured Home Feeder $55.00 9/17/07 2200700000000001456
Manufactured Home Placement $160.00 9/17/07 2200700000000001456
Plan Review Minor - Planning $116.00 9/17/07 2200700000000001456
Plan Review Residential $43.65 9/17/07 1200700000000001199
Total Amount Paid
$604.01
I Plan Reviews I
Planninf Review
09/17/2007
09/17/2007
APP T AJ
Public Works Review
09/17/2007
09/17/2007
APP TSS
Structural Review
09/17/2007
09/17/2007
APP DLM
This lot is located outside the
floodplain as shown on Panel 1144 01
the FIRM maps. The unit is also 28'
outside the Willamette Greenway
Setback line. Aerial shows an
existing street tree.
Storm water uses existing system.
No PW issues, no new impervious
surface.
Approved as submitted
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.
~eouiredJnsnections I
Foundation: After forms are erected but prior to concrete placement.
Manuf Home Set Up: When installation of all piers or stands is complete.
Pafe 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01414
ISSUED: 09/17/2007
APPLIED: 09/17/2007
EXPIRES: 03/17/2008
VALUE: $ 63,900.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Final Building: After all required inspections have been requested and approved and the building is complete.
Manuf Home Plumbing: After home has been connected to water and sewer.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
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 701.005 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.
~~LJ~ q-(7-~?
/' / .
Owner or Contract6rs Signature
Date
Pal!e 3 of 3
"' .
~ '~~" , ",' 'c> i~r~'~;~J;i,'~;~~;~:;f3,"I~&r"~l ~f~;~~1~"~;7'"~"~"~~~"~~h~;,":::~,','";~,:
'~~~f'lt~~"",-~f-;':'"' . 'MII"'~~"' I"h"" .1I!")'~~....~>--",~~.:;;...,,,i/-~'JI"'1". ". ~~~..,
n5 FlF'J:IJ STREET .. SP~FlEW. OR "'477 .. J'II:(54I)7Z6-37S3 . FAX: (S41)126-3Ci119
ELEl.,.l1dCAL PERMIT APPLICATION ~ ,..I
City Job Number Cb>+1 2bO 7 - I'? / ~ /.rr-
02/02/2007 08.41
72&3&76
l. :~~ ...
~;:r,.:t:"'. tf\'fl\'~" II.. .1\
?-/) ~{; .
LEGAL DESCRIPTION:
/ e 0 fJl..-1 / 2- 7J_ 1i?S- EJ t2
- '-' - - _.~
;:;;;;' P/~ ,~
Permit~ are non~trAnsferable and expire if work is
not started within ISO dRYS ofis5uenre or .f work is
Suspended for J 80 days.
Supervisor License Number Af'1Y r25
Expiration Date if) / f / /) 7
I ,
ConSlT. Contr, Number l.~ 9f(~ ^I
Ell,.:...::onDate/:1../ /3 ! (J9
:;;:n7i3:
_ Owners Name ~ tf";--~ 2/ t) L
Address ~~A71::- ,.J;;;:il L {~,
C1ty~dphone $- 5'112.7
OWNER INSTALLATION
The itlSl3llation is being made on property I own which
is not intended for sale. lease or renL
Owners Signa~:
---
-
InspectIon Reqllcst: 726-3769
A.teNTION: Oregon 'aw requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952.Q01.001 0 through OAR 952-001..
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
CllY ut'
Date
~.
9//7/07 '~
;. ,
3.
, l' , "
1~',1 ~.i'tJ:.( l ~f;..tl ~ ,~;: ;1~~7' :., ;';.~"""l "...-", "::,.P \or:':S: ...:r~~;,~ "., t~ (;'.~:r~\:'N~ ~~{,'.~:~,~,~:'~~ lr:')\it.;,::
',~":"'-' ~~":,,~i ,~.....' "'T': ~-..., r." '. "., . ~ , ,
A.
I ,I~ .' t. \h \.' I" './"It .1' "I
,\'rlri :1';.1 ~I' '\~::.;1~ ~~:.J, l~ll~I~) ~1~1j:
Service Ineluded
1000 sq. fl. or less
Each additional 500 sq- ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
S 19.00 ~%
I $50.00
,-r
$63.00
$ 75.00
$125.00
$163,00
$375,00
$ 50.00
B.
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
c.
Installation, Alteratiom or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or ) ODD Volts see "B'" above.
D. "
$ SO.OO
,$ 69.00
$100.00
New Alteration or Extension Per Panel
One Circuit $ 43.00
Each Additional Circuit or with
Savice or Feeder Permit ' $ 3.00
E.
Pump or irrigation $ 50.00
SignIOutline Lighting $ 50.00
Limited I!oergylResidential :& 25.00
Limited Energy/Commercial S 45,00
MfDlmllllm Efeeb'lc lP'ennit IIlB8peefilOn Fee Is $45.00 + Surdis
4..
go" Slate Surcharge
10% A.1 ;, 'strative Fee ,,~ /5'" -
S% Technology Fee 6fD _7~
TOTAL 'L:1~ zh/,ro
Shared OriVl'l{T:)lBuildinrJ FormaIE~1 ~:u.llan 8-06.doc
\p1 'Jb
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED 'fOR
ANY 180 DAY PERIOD.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01414
COM2007-01414
COM2007-01414
COM2007-01414
COM2007-01414
COM2007-01414
COM2007-01414
COM2007-01414
COM2007-01414
Payments:
Type of Payment
CreditCard
cReceint J
RECEIPT #:
2200700000000001456
Date: 09/17/2007
Description
Plan Review Minor - Planning
Foundation Permit
Manufactured Home Placement
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Feeder
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
WILLIAM B HARRISON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dIm
117143 In Person
Payment Total:
Page 1 of 1
9:43:44AM
Amount Due
116.00
67,16
160.00
30,00
50,00
55.00
22.41
26,57
33.22
$560.36
Amount Paid
$560.36
$560.36
9/17/2007