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Home My WebLink AboutPermit Building 2014-09-09SPRINGFIELD '- 225 Fifth St 1 CITY OF SPRINGFIELD Springfield,OR 97477 ,�. Phone: 541-726-3753 - "' aaec°" Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01781 vrvrvispdn9field ocgov permit"nter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 09/09/2014 EXPIRES: 03/07/2015 STATUS DATE: 09/09/2014 APPLIED: 08/15/2014 SITE ADDRESS: 4055 REDWOOD DR, Springfield, OR 97477 SCOPE: Garage / Carport ASSESOR'S PARCEL NO: 1802061100601 TYPE OF STRUCTURE: Residential -PROJECT -DESCRIPTION: —S-- New -Maufaclured-Home -with 330SF-Garage— -- -- — — —-- —----- OWNER: CHATWOOD CRAIG E & DULICE Phone Number: ADDRESS: 1 9-�S 18TH ST REBMON788_ CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone General Contractor HARRISON JACOBSON INC CCB 66447 05/07/2016 541-689-7762 Manufactured Home Installer HARRISON JACOBSON INC CCB 66447 05/07/2016 541-689-7762 INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks 1110 Footing Footing: After trenches are excavated. 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 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 or 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 Safely. 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. Owner or Contractor Signature Date ATTLNTION: Oregon lar/ Iequlrgs you t WORK foi!ow rule adopted b the Oregon UtilityI.N?I1 ;,I IALL [-XPIRE lE THE Notifi(:alionCenter. Those ruleSare set forth PIIS-D U(dDf_R TNI")PERMIT IS NOT in OAR 952-001-0010 through OAST 952-001- OR lS AI ANDONIED rOR 0090. Yeu may obtain copies of the rules by calling the Center. (Note: the telephone d�',1<he Oregon Utility Notification pdngtl�fifllir��dfhl7 9/9/2014 10:31:34AM Page 1 Of 1 Center is 1-500-332-2344). SPRINGFIELD -- OREGON v .springfield-or.gov TRANSACTION RECEIPT 811-SPR2014.01781 4055 REDWOOD DR CITY OF SPRINGFIELD 225 Fifth St Spnngfield,OR 97477 541-726-3753 permitcente r@spnngfield-or.gov RECEIPT NO: 2014001966 RECORD NO: 811-SPR2014-01781 DATE: 09/09/2014 Continuing Education Fee 224-00000-425606 2.50 Garage Carport 224-00000-425602 1030 218.78 Residential Fire (.05 Per Sci Foot) 100-00000-424005 9111 16.50 SDC: Improvement Cost - Storm Drainage 440-00000-448028 1176 153.00 SDC: Reimbursement Cost- Storm Drainage 441-00000-448029 1177 105.26 SDC: Total Storm Administration Fee 719-00000-426604 1180 12.91 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 26.25 Technology fee (5% of permit total) 100-00000-425605 2099 10.94 TOTAL DUE: 546.14 & Dulcie Chatwood 5382 TOTAL PAID: 546.14 RECEIPT NO: 2014001783 RECORD NO: 811-SPR2014-01781 DATE: 08/15/2014 DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE Structural Plan Review Fee Residential 224-00000-425602 1061 142.21 TOTAL DUE: 142.21 PAYMENT TYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID Check Chatwood 5378 142.21 TOTAL PAID: 142.21 CITY OP SPRINGFIELD LI�NGFIELD �TRANSACTION RECEIPT 225 Fifth S Spr 9feld,OR97477 ONEGOrJ 811-SPR2014-01781 541-726-3753 mm.springfield-or.gov 4055 REDWOOD DR permit"nter@spnngfield-ocgov RECEIPT NO: 2014001783 RECORD NO: 811-SPR2014-01781 DATE: 08/15/2014 DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE Structural Plan Review Fee Residential 224-00000-425602 1061 142.21 TOTAL DUE: 142.21 PAYMENT TYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID Check Chatwood 5378 142.21 TOTAL PAID: 142.21 '• rI ",el- • DEPARTMENT USE ONLY Permit no.: -941/- 17 Date: r ms permit is issuea Witter VAR 5116-40u-uusu, Fermnts expire it work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land -use approval. Signature: Date; This project has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes ❑ No Property is within flood plain: ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: Rel- 1J)e-J17rJ Da, City: S5 prl'rlState: ZIP: q%if Subdivision: i I Lot no.: Reference: PROPERTY OWNER Name: Address: r, City: c.5 r i ' State6if ZIP: % Phone: -1 - E-mail: O OG(/ O Building Owner or Owner's agent authorizing this application: Sign here: [14is installation is being made on residential orfarrn property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION` Business name: i Address: City: State: ZIP: 7W4? Phone: 771, alp ax: - E-mail: odea - CCB license no.: Print name: Signature: $ SUBCONTRACTOR INFORMATION $ Name CCB License g Phone Number Electrical (a) Plan review (65% x permit fee [2a]): $ 1-12- Z(b) Plumbing $ (c) Subtotal of fees above (3a and 3b): Mechanical 4. Miscellaneous fees FEE SCHEDULE 1. Valuation information (a) Job description: �//WY4l�` Occupancy L( Construction type: VK Square feet: `- Cost per square foot_ Other information: Type of Heat: EneKgy Path: new []alteration ❑ addition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation: 2. Building fees (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): (number of hours x fee per hour) $ (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (c) Subtotal of fees above (2a through 2d): S 3. Plan review fees (a) Plan review (65% x permit fee [2a]): $ 1-12- Z(b) (b)Fire and life safety (40%x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): S 4. Miscellaneous fees (a) Seismic fee, 1%(.01 x permit fee [2a]): $ (b) Technology fee, 5% (.05 x permit fee[2a]): $ 60 (e) Continuing Education Fee $2.50 S2.50 TOTAL fees and surcharges (2e+3c+4a+4b+4c): S SPRINGFIELD -- OREGON www, spdngfield-or.gov AN • ' - ► _ §J Building / Residential Permit PERMIT NO: 811-SPR2014-01779 PROJECT STATUS: Issued ISSUED: 09/09/2014 STATUS DATE: 09/09/2014 APPLIED: 08/15/2014 SITE ADDRESS: 4055 REDWOOD DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802061100601 PROJECT- DESCRIPTION,.---- MFH- -Now -Maufactured- 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcente r@spdngfield-ocgov EXPIRES: 03/07/2015 SCOPE: Manufactured Home w Garage/ Car TYPE OF STRUCTURE: Residential OWNER: CHATWOOD CRAIG E & DULICE Phone Number: ADDRESS: RE9MGN 35� l'Ut�,e�dSa� CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lie Exp Phone General Contractor HARRISON JACOBSON INC CCB 66447 05/07/2016 541689-7762 Manufactured Home Installer HARRISON JACOBSON INC CCB 66447 05/07/2016 541-689-7762 INSPECTIONS REQUIRED Inspections 5370 MH Installation 5999 Final Manufactured Dwelling 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 or 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. Owner or Contractor Signature Date NIO T€CE: TI uS PERMIT SHALL EXPIRE IF THE WORI< AllII-IORIZED UNDER THIS PERMIT IS NOT COMINWNCED OR IS ABANDONED FOR ANY 1 SO DAY PERIOD, reLII-6113S YOU 10 h; the Oregon Utility (hose rules are setiorth C;YIO through OAR 052.001- out<+ir1 copies of the rules by n±cI. (Note: the telephone he Oregon Utility Notification ;;r liar is 1-1300-332-2344), - Spdngfield Building Permit 9/9/2014 10:29:19AM Page 1 of 1 SPRINGFIELD -'-- CITY OF SPRINGFIELD 225 FiSt TRANSACTION RECEIPT Spnng(e1d,OR97477 , OREGON 541-726-3753 811-SPR2014-01779 Yr i.spnngfieldnr.gov 4055 REDWOOD DR permitunter@spdngfield-ocgov RECEIPT NO: 2014001967 RECORD NO: 811-SPR2014.01779 DATE: 09/09/2014 Continuing Education Fee 224-00000-425606 2.50 Manufactured Home Placement 224-00000-425602 1017 447.00 Manufactured Home State Issuance 821-00000-215009 1089 30.00 Planning - Major Review - City 100-00000-425002 1231 211.00 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 1189 81.22 SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 1113 22.58 ---- SDC Improvement- Transportation SDC ___-- --- _-- -- ---447:00000-448027-----1174--- - 2015.25 -- SDC: Improvement Cost- Local Wastewater 443-00000-448025 1184 1,144.32 SDC: Improvement Cost - MWMC Regional Wastewater SDC 445-00000-448025 1187 1,474.57 SDC: Improvement Cost - Storm Drainage 440-00000-448028 1176 616.50 SDC: Reimbursement - Transportation SDC 446-00000-448026 1173 552.95 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 1183 2,344.48 SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 1186 117.24 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 1177 424.15 SDC: Total MWMC Administration Fee — Local 719-00000-426604 1121 10.00 SDC: Total Sewer Administration Fee 719-00000-426604 1175 174.44 SDC: Total Storm Administration Fee 719-00000-426604 1180 52.03 SDC: Total Transportation Administration Fee 719-00000-426604 1190 128.41 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 53.64 Technology fee (5% of permit total) 100-00000-425605 2099 22.35 5382 TOTAL PAID: 9,924.63 225 Filth Street ♦ Sminefield. OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 Manufactured Dwelling/Recreational-Park Trailer Placement Permit Application DEPARTMENT USE ONLY 9PRINpFIELp Permit no.: Date: This permit is issued under OARS 918-500-0105 and 918-525-0370. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVALS Zoning approval verified: ❑ Yes ❑ No Property is within flood plain: ❑ Yes ❑ No Sanitation approval verified: ❑ Yes ❑ No CATEGORY OF CONSTRUCTION " Residential ❑ Government ❑ Commercial =JOB—SITE .INFORMATION AND LOCATION Job site address: YS — Re dw 0, city: 'S r ' ie County: Lan State: ZIP: 7h1 Subdivision: Space/lot no.: Reference: % 56 7,09(( Taxlot. DESCRIPTION OF WORK .. N6V _ 3a L4 v/ •r,L 6r. Year Manufactured: Z01 3 #Bedrooms: 3 Sq.Ftg: 115 Value:,5/f (� PROPERTY T.OWNER Name: Address:, a City: Stare., ZIP: % Phone: 6-111 Fax: - E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements on OAR 918-515-0010. Signature: CONTRACTOR INSTALLATION Business name: 66aden _ Address: City• Uq,LIWState: OR ZIP: C7 % Phone: S l- —7 16J Fax: - E-mail: randutpgooden CCB license no.: MDI license no.: Print name: Signature: FEE SCHEDULE Description Qty. Cost each Total (1) Manufactured dwelling (a) Placement (includes placement, electrical feeder, water/sewer connection): ' $447.00 $��<-t� (b) Reinspection (no. of hrs. x fee per hr.): $82.00 $ Placement permit can only be obtained by homeowner or Oregon - licensed manufactured dwelling installer. (2) Recreational -park trailer (a) Installation (includes stand and lot preparation; support blocking; anchoring; temporary steps; plumbing, mechanical, and electrical): $447.00 $ (b) Reinspection (no. of hrs. x fee per hr.): $82.00 $ (c) Each additional inspection: (1) - $82.00 $ Electrical service permit to be obtained only by homeowner performing work or signing supervisor ofOregon-licensed electrical contractor performing work FEE SCHEDULE (3) Surcharge, 12% (.12 x total, equal to 1 or 2): $ i (4) State administrative fee for manufactured dwelling (item 1) only, OAR 918-500-0105(5): $30.00 1 $30.00 (5) Technology Fee, 5% $ 23i (6) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (3 + 4+5): $ Co. 61�