HomeMy WebLinkAboutPermit Building 2008-2-19
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2008-00142
ISSUED: 02/19/2008
APPLIED: 01/3112008
EXPIRES: 08/19/2008
VALUE: $ 12,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6893 MAIN ST
ASSESSOR'S PARCEL NO.: 1702353306201
Springfield TYPE OF WORK: Modular Unit
PROJECT DESCRIPTION: Modular building
TYPE OF USE: Addition Public
Owner: CITY OF SPRINGFIELD
Address: 225 FIFTH STREET
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
MODERN BUILDING SYSTEMS INC
License
4637
BUILDING INFORMATION I
# of Units: 1 # of Stories: 1
Primary Occupancy Group: B Height of Structure
Secondary Occupancy Group: Type of Heat: Electric
Primary Construction Type VB Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: ATTENTION: Oregon law reqIlllM8~ttl:
follow rules adopted by the ~MIJiiIB)filding n/a
..1...,lf;f,,,"'+;,,.... t""''''+'''F Thnc.o Flllol:' <=Iro I:'ot fnrth
In OAR 952-001-0010t~rg~tW~INFORMATlON I
0090. You may obtain vtJ..;;" VI \I'" I ..I.... b,
calling the center. (Note: the telephon~
Frontyard Setback: number for the Oregon Utility<NmlftoalUm:
Side 1 Setback: Center is 1-800-332-2~~eet Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE: I PUBLIC IMPROVEMENTS I
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Phone Number: 541-726-3652
Expiration Date
10/02/2008
Phone
503-749-4949
Lot Size:
Sq Ft 1st Floor: 2,160
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: 19
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2e 1 of3
Value
Date Calculated
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00142
ISSUED: 02/19/2008
APPLIED: 01/31/2008
EXPIRES: 08/19/2008
VALUE: $ 12,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Foundation Only Use Bid Amount
Modular Unit Modular
$1.00
$1.00
12,500.00
50,000.00
Total Value of Project
~
$12,500.00
$50,000.00
$62,500.00
01/31/2008
01/31/2008
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $44.04 2/19/08 2200800000000000217
+ 12% State Surcharge $52.85 2/19/08 2200800000000000217
+ 5% Technology Fee $22.02 2/19/08 2200800000000000217
Fixture $16.00 2/19/08 2200800000000000217
Foundation Permit $144.38 2/19/08 2200800000000000217
Manufactured Home Conn - Plmb $50.00 2/19/08 2200800000000000217
Plan Review Comm/lnd/Public $93.85 2/19/08 2200800000000000217
Sanitary Sewer - 1st 50 Feet $50.00 2/19/08 2200800000000000217
Sanitary Sewer Each Addtll00' $16.00 2/19/08 2200800000000000217
Storm Sewer - 1st 50 Feet $50.00 2/19/08 2200800000000000217
Storm Sewer Each Addtll00' $32.00 2/19/08 2200800000000000217
Water Line - 1st 50 Feet $50.00 2/19/08 2200800000000000217
Water Line - Each Addtll00' $32.00 2/19/08 2200800000000000217
Total Amount Paid $653.14
I Plan Reviews I
Fire Department Review
01/31/2008
Initial Review
01/31/2008
01/31/2008
APP LLH
Public Works Review
01/31/2008
01/31/2008
APP JHJ
Plannin2 Review
01/31/2008
02/07/2008
APP SPH
Structural Review
01/31/2008
02/08/2008
POK RWC
Pa2e 2 of3
Fire Fee and Addressing fee not
applicable. This building will be
removed once the new fire station is
constructed. This building will use
the existing address of the fire
station (6853 Main).
Attached SDC Worksheet. No New
SDC's. (JHJ)
Approved by Steve Hopkins,
Planner. This structure is being
placed on tax lot 17023533-6201
which is lot to the south of this lot.
Pave first 18 feet of driveway.
** Permit for placement of State
approved modular building.**
Plans do not include deck for ingress
and egress. Plans to follow. Building
ok to issue will field verify
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00142
ISSUED: 02/19/2008
APPLIED: 01131/2008
EXPIRES: 08/1912008
VALUE: $ 12,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
02/0812008
02/08/2008
APP DJP
** Permit for placement of State
approved modular building.**
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.
I Reouired Insoections I
Manuf Home Plumbing: After home has been connected to water and sewer.
Storm Sewer Line: Prior to filling trench.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Water Line: Prior to filling trench and including required testing.
Site Inspection: To be made after excavation but prior to setting forms.
Foundation: After forms are erected but prior to concrete placement.
Footing: After trenches are excavated.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Modular Set Up: After all required inspections have been requested and approved and project is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
Final Building: After all Conditions have been completed as required on Development Agreement.
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 pertaming 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 em loyees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all require . spe ions are requested at the proper time, that each address is readable from the
street, that the permit card is I ated a the fro of the roperty, and the approved set of plans will remain on the site at all
limes du"ng con,',"ction. \. ~__ ~ ! (_ tJ r
~- /,hMt V v
Owncr or cont7' Signature Date
Pa2e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726.3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00142
COM2008-00 142
COM2008-00142
COM2008-00 142
COM2008-00142
COM2008-00 142
COM2008-00142
COM2008-00142
COM2008-00142
COM2008-00 142
COM2008-00 142
COM2008-00142
COM2008-00 142
Payments:
Type of Payment
INT CHGS
cRecemt I
RECEIPT #:
2200800000000000217
Date: 02/19/2008
DescriptIOn
Plan Review Comm/lnd/Pubhc
Foundation PermIt
Manufactured Home Conn - Plmb
FIxture
SanItary Sewer - 1st 50 Feet
Samtary Sewer Each Addtl 100'
Water Lme - 1st 50 Feet
Water Lme - Each Addtl 100'
Storm Sewer - 1 st 50 Feet
Storm Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
100-35200-647009P20534#16
Item Total:
Check Number AuthorizatIOn
ReceIved By Batch Number Number How Received
dJb
INT CHGE
In Person
Payment Total:
Page 1 of 1
1l:27:05AM
Amount Due
9385
14438
5000
1600
5000
1600
5000
3200
5000
3200
2202
5285
4404
$653.14
Amount Paid
$653 14
$653.14
2/19/2008