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Home My WebLink AboutPermit Building 2000-2-29 ~ 225 North Fifth Street Springfield, OR 97477 '. .. ) I Job# 00-00005-01 I Page 1 ofl'RANS#: 01-0000762 DATE:FEB 29 2000 AMT RECD:2 $ 94.60 CHANGE: CASHIER: 003 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00005-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1256 W Fairview Dr Spr Assessors Map#: 17032731 Lot: Block: Addition: Owner: Address: Tax Lot #: 01102 Subdivision: Jill Hoyenga 1256 West Fairview Drive Phone Number: 541-726-8078 City/State/Zip: Springfield, OR 97477 New Value: $59,931 Scope Of Work: Manufactured Home on Private Lot Contractor Type General Contr Electrical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Garage included Contractor Registration # Expiration Date Gooden Harrison X,X,X Heritage Investors Inc Of Eugene 63137 12/27/2000 1042 Horn Ln, Eugene, OR 97404-2923 Gooden Harrison X,X,X Phone 541-689-7762 541-688-1600 541-689-7762 1 (VN) Wood Frame Office Use Land Use: Zoning Code: Bedrooms: 3 Range: # Of Buildings: 2 Occupancy Group: Dwelling Heat Source: Sq. Footage: 1311 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 working day, Verify Ground Rod Footing Foundation Shear Wall Nailing Framing Final Building Verify Ground Rod Rough Electrical Electrical Service MH Service Required Inspections I Building I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated, -After forms are erected but prior to concrete placement. - Before covering sheathing with finish materials, - Prior to cover. -When all required inspections have been approved and the building is complete, I Electrical I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i - Prior to cover, - Must be approved to obtain permanent power. . - DUPLICA1E RECEIP1 DUPLICA1E RECEIP1 , .-----------..------------ ------- --------- ---------------------------------------- CI1Y OF SPRINGFIELD 225 F1F1H S1REE1 SPRINGFIELD, DR 97477 (541)726-3753 --------------.------------------------- - ---------------------------------------- HAPPY NEW YEAR!!!!! !!! ---------------------------------------- ---------------------------------------- ~ REG_RECEIP1:01-0000762 C:FEB 29 2000 ~ CASfIlER 10:003 10:22 am A:FEB 29 2000 ------------------- ----- ..---------- --- ---- - ------- ---- --- -- ------ ---- -------------- 1004 ELEC1RICAL PERMI1 $86,00 J08~:00-00005-01 1099 S1A1E SURCHARGE(7%) $6.02 J08~:00-00005-0' 1098 AOI.ntl FEE(3%) $2,58 JOB~:00-00005-01 ----------------- TOTAL DUE $94,60 RECEIVeD FROM: R>'H BRmlN CHECK: $94,60 ----------------- T01AL 1ENDEREO $94 ,60 ----------------- CHANGE DUE $0,00 ==~=================~~=========:~==~===~ *Pay Name :RALPH BROWN *Mai 1 Addr : 1042 HORN LAI1E ..Cty/St/l :EUGENE OR 97404 *Site Addr :1256 FAIRVIEW --------------- ------------ ---. --~------ -------.-------------------------------- --------------------.--- -- -- --- - ------- --- -------- --------------- ...--------------- THAN~: YOU!!!!!! . '-''''; ;::===:.:::: :::==:.;.::.=== :::.::::-=::;:...=-==-::::.==:.:. =::;::; ""mp1 DUPLlCA1E RECEIPf I , " . Street Improvement: Fully Improved Curb Cut?~ Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? ~ Special Req.: Security Required: Bond Begin DateTime: Special Instructions: Other Utilities: Final Electrical MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing MH Set Up MH Final Sidewalk Project Supervisor: . . iJob# 00-00005-01 I Required Inspections I Electrical -When all electrical work is complete, Page 2 of4 I Plumbing I -After home has been connected to water and sewer. - Prior to filling trench, - Prior to filling trench, - Prior to filling trench, ,When all plumbing work is complete, I Manufactured Home - When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number I Public Works I -After excavation is complete, forms and sub base material is in place, Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: Curbside - 5' D 8 To Curb and Gutter San Sewer Tee (in): 00/00/0000 00:00 A Bond End DateTime: Install Curbside Sidewalk w/ ADA Approved Vehicle Curb Ramp Types Of Warning Devices Reqd. 6 00/00/0000 00:00 A Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 2 # Of Bedrooms: 3 Handicap Access? D iArea (Sq. Feet) I Main: 1311 Accessory960 Moving Length: # of Sections Moved: Begin Move Datetime: 00/00/0000 00:00 AM Structure Moved To: Moved To Taxlot: Fee Residential Plan Check Total Plan Check Building Permit Garage/Shed # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code: New Mfg Home Total:2271 Moving Width: Dolly Height: End Move Datetime: 00/00/000000:00 AM Paid On Receipt# !'Ian (;heck 01/05/2000 100 Value/Quantity Fee Amount 19,931 $91,33 $91.33 Building 02/03/2000 462 19,931 $140,50 . Fee State Surcharge For Building Permit Building Administrative Fee Building Administrative Fee Total Building [Jobiroil-00005-01i Paid On Receipt# I Building 02/03/2000 462 02/03/2000 462 02/24/2000 0000707 I ...___--=Electr!!:al-------...... I Manufactured Home ServicelFeeder C62/29/2000 76D2 \ Branch Circuits With Feeder or Service 02/29/2000 762 State Surcharge For Electrical Permit 02/29/2000 762 Electric Administrative Fee 02/29/2000 762 Total Electrical . Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit State Surcharge For Plumbing Permit Water Service Footage Storm Sewer Footage Manufactured Home Connection Backflow Prevention Device Plumbing Administrative Fee Plumbing Administrative Fee Total Plumbing Manufactured Home Setup Fee Manufactured Home State Issuance State Surcharge For Manufactured Horn Manufactured Home Administrative Fee Total Manufactured Home New Sidewalk Total Public Works Residential - Single Family - Storm Sanitary Sewer SDC Administrative Fee Total System Development Manufactured Home - Willamalane Total Willamalane SDC Grand Total Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Bob Barnhart Steve Templin AlWard Wendy Stanley Plumbing 02/03/2000 462 02/24/2000 0000707 02/03/2000 462 02/24/2000 0000707 02/03/2000 462 02/03/2000 462 02/03/2000 462 02/24/2000 0000707 02/03/2000 462 02/24/2000 0000707 Manufactured Home 02/03/2000 462 02/03/2000 462 02/03/2000 462 02/03/2000 462 Public Works 02/03/2000 462 System Development 02/03/2000 462 02/03/2000 462 02/03/2000 462 WiIlamalane SDC 02/03/2000 462 Date Completed 01/18/2000 01/25/2000 01/31/2000 02/03/2000 . Page 30f4 Value/Quantity Fee Amount $9,84 $4,22 $,00 $154.56 2 3 $80,00 $6,00 $6,02 $2,58 $94.60 80 80 1 1 $,00 $5,00 $6,65 $1,05 $40,00 $40,00 $15,00 $10,00 $2,85 $.45 $121.00 40,000 1 $105,00 $30,00 $7,35 $3,15 $145.50 80 $60,00 $60.00 864 9 $200.45 $434,43 $31,74 $666.62 1 $1,000,00 $1,000.00 $2,333.61 . . I Job# OD-OD005-01 I Page 4 of 4 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, /J,/l /4' wd Signature A/..4Cff7r1>tJ ~t1A'/?7) , ? -29-ell) ~~ Date . . '\I dnasl e . \ as sub1Tl\ e "f \and use ,.he to\\aW\ng pfOle~O\ require specl Ie 'ng and does zon\ ' 11 ~ approval. j..ul-~ Zoning- '1.-- /-. "I ~ O"'V ":'vJ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 974f/'fe - lure 721i.ull>p6Z}'d Signa - 1. LOCATION OF INSTALLATION / .J':; ~ tU rr1L..uv.~ LEGAL DESCRIPTION /"7t'l '? 2. '73/ 0/1 t') 'Z- JOB DESCRIPTION Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. ,;20 - LfSI - c.. 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor ~~~ " / ' ~~ Phone 7Zf-/~ c;v C;~ >- / c:Y cc> , b3/3.7 !3'P Address /0 cf z- City ~~ / Supervisor License Number Expiration Date Constr Contr. Number Expiration Date /Z-/oo f Signature of Supervising Electrician ~~ O~ners Name Address City Phone OVNER INSTALLATION The installation is being made on property I o~n ~hich is not intended for sale, lease or rent. Ovners Signature: --------------------~-~--------------- DATE: -Z/:Z'7t..dO RECEIPT #: ~n~ RECEIVED BY: I/~~",^" <--(, C./',- V'''"'<- - P.~.ECTRICAL PERMIT APPLICATION City Job Number_,t)() -(J/JOo5-o1 3, COMPLETE FEE SCHEDULE BELOY A. Ne~ Residential-Single or Multi-Family per d~elling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each <Ma~ Home, or Modula~'D~elling ~e or~ 7- 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 uni t. Cost Sum $ 85.00 $ 15.00 $ 40.00 SO,oo $ 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 100u volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above .' Ne~, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or ~ith Service or Feeder Permit ~ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2,00 ?, .a-o not included) $ $ $ $ 91;0{} ~.oL- '?.JB 91. brl_ 40.00 40.00 20.00 36.00