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Home My WebLink AboutPermit Building 2000-3-2 225 North Fifth Street Springfield, OR 97477 . . I Job# 99-01629-01 I Page 1 of4 TRANS#:01-0000798 DATE:HAR 02 2000 AHT RECD:2 $ 1620.00 CHANGE: CASHIER:003 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01629-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5780 FORSYTHIA ST Spr Assessors Map#: 18020411 Lot: 2 Block: Addition: Replat Owner: Address: Tax Lot #: 00119 Subdivision: Spring Oak Margaret Burdge 365 52nd Place Phone Number: 541-746-2377 City/State/Zip: Springfield, OR 97478 New Value: $67,384 Scope Of Work: Manufactured Home on Private Lot Contractor Type General Contr Electrical Contr First unit of two required units on this lot Contractor Heirloom Construction Inc 1705 Minda Dr, Eugene, OR 97401 Margaret Burdge 365 52nd Place, Springfield, OR 97478 Registration # 104911 Expiration Date 3/7/01 Phone 541-343-5033 541-746-2377 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 Slab Shear Wall Nailing Framing Final Building MH Electrical Electrical Service Pedestal MH Service MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line MH Set Up 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. - To be made after all ins lab building service equipment, conduit piping, and other equipment ite - Before covering sheathing with finish materials, -Prior to cover. -When all required inspections have been approved and the building is complete, I I:lectrical I -When blocking, setup, and plumbing inspections have been approved and the home is connect - Must be approved to obtain permanent power, - Prior to cover, 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, . MH Final . I Job# 99-01629-01 I Page 2 of 4 Required Inspections ,Manufactured Home I -After all required inspections are approved and porches, skirting, decks, venting, house number Curbcut Sidewalk I Public Works I -After forms are ereceted but prior to placement of concrete, -After excavation is complete, forms and sub base material is in place, Street Improvement: Curb Cut?D Improvement Agr,?D San Sewer Depth (Ft): Storm Sewer Available? D Special Req,: Security Required: Bond Begin DateTime: DO/DO/DO 00:00 AM Special Instructions: Other Utilities: Project Supervisor: Sidewalk Type: Additional ROW? D Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: DO/DO/DO 00:00 AM Types Of Warning Devices Reqd. Zoning: MDR FloodPlain? D Wetlands? D Journal numbers Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? ~ 1: 99-06-163 2: 3: Comments:private access easement recorded 1/10/2000 Planner: AI Ward Urban Growth Boundary?O Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Flood Plain FEMA: Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? D iArea (Sq, Feet) I Main: 1179 Accessory: # Of Stories: 1 Current Units: Census Code: Does not apply Height (feet): 17 Proposed Units:1 Total:1179 Fee Paid On Receipt# Building 01/19/2000 298 03/02/2000 798 01/19/2000 298 03/02/2000 798 01/19/2000 298 Value/Quantity Fee Amount I Building Permit Building Permit State Surcharge For Building Permit State Surcharge For Building Permit Building Administrative Fee 5,500 11,884 $56,50 $92,50 $3,96 $6.48 $1.70 . Fee Building Administrative Fee Total Building Manufactured Home ServicelFeeder State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Manufactured Home Connection 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 New Curbcut Total Public Works Manufactured Home - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1979 or Before Total System Development Manufactured Home - Willamalane Total Willamalane SDC Deposit Total Deposit/Copies/Mis Grand Total Plan Check Type Initial Review-Res Engineering-Res Checked By Bob Barnhart Job# 99-01629-01 I Paid On Recelpt# Building 03/02/2000 798 Electrical 01/19/2000 298 01/19/2000 298 01/19/2000 298 Plumbing 01/19/2000 298 01/19/2000 298 01/19/2000 298 01/19/2000 298 01/19/2000 298 01/19/2000 298 01/19/2000 298 Manufactured Home 01/19/2000 298 01/19/2000 298 01/19/2000 298 01/19/2000 298 Public Works 01/19/2000 298 01/19/2000 298 System Development 01/19/2000 298 01/19/2000 298 01/19/2000 298 01/19/2000 298 , 01/19/2000 298 01/19/2000 298 01/19/2000 298 01/19/2000 298 Willamalane SDC 01/19/2000 298 Deposit/Copies/Mis 03/02/2000 798 Date Completed 02/28/2000 . Page 3 of 4 Value/Quantity Fee Amount 2 50 20 70 1 50,000 1 65 1 3,036 20 1 1 1 1 21 1 1,620 $2,78 $163,92 $80,00 $5,60 $2.40 $88,00 $,00 $7,35 $25,00 $25,00 $40,00 $15,00 $3,15 $115.50 $105,00 $30,00 $7,35 $3,15 $145,50 $60,00 $60,00 $120,00 $704,35 $965.40 $491,60 $242,76 $22,05 $10,00 $117,20 $-92,23 $2,461.13 $1,000,00 $1,000.00 $1,620,00 $1,620.00 $5,714,05 . . Plan Check Type Planning-Res Structural-Res 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 Job# 99-01629-01 I Checked By Date Completed Page 4 of4 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, Signature Date '1 ; ---- ----------------..------------------- ------------------------- - --------..- - --- CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 ( 541)726-3753 ----------------------- -- -.._------- - ---- ---------------------------------------- HAPPY NEW YEAR!!!!!!!! ---------------------------------------- ----.- - --- - --- -- --- ---- - ----.-------------- REG-RECEIPT:Ol-0000798 C:MAR 02 2000 CASHIER 10:00311:20 am ,~:H,~R 02 2000 ---------------------------------------- ___________________n____________________ 1280 DEPOSIT (PLANNING) $1,620.00 PAVING DEPOSIT FOR REQ'O PARKING TOT I\L OUt RECEIVED FROM: MI\RGARET BURDGE CHECK: $1,620,00 $1,620,00 TOTAL TENDERED $i.620,OO CHAilGE [JUE $0,00 -- --------- - ------.. -- --..----------------- --, -------------- -- - ---....----..---------..- *Pay Name *Ma i 1 Addr -Ciy/St/Z *Site Addr :MARGARET BURDGE :5729 NAIN STREET :SPRINGFIELD OR 97478 :5780 FORSYTHIA ST, ---------------------------------------- ---------------------------------------- ---------------------------------------- -- -- ----- --- -- ---- -,-------- -- -- ----.,---.. THANK VOU!!!!!! ---------------------------------------- --- ---_._------ - ----- - ------ - - --- - --- ----