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Home My WebLink AboutPermit Building 2005-2-4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . * .. CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-01600 ISSUED: 02/04/2005 APPLIED: 12/30/2004 EXPIRES: 08/0412005 VALUE: $ 59,077.00 SITE ADDRESS: 2421 MAlA LP ASSESSOR'S PARCEL NO.: 1703251408800 Springfield TYPE OF WORK: Manuf Home w Garage/Carport Private Lot New Residential TYPE OF USE: PROJECT DESCRIPTION: Maia park lot 65 - Manufactured home with carport Contractor License Expiration Date HARRISON JACOBSON INC 66447 05/0712005 ROBS ELECTRIC INC 156678 08/14/2005 HARRISON JACOBSON lN~IT:=.NT!ON: ore~ltliHJw requires yWQi1{2005 HARRISON JACOBSON Il~c..~", co 01,,- "rlr.nj~66~~7th" Oreoon Q.Ii\"i'i2005 BUlLDING:lNFORMA:1fl(l)N.,;e rules are set forth In UflH :oJ:J""UU '-uu' U ,,,rough OAR 952-001. #(of,Stoiies: may obtain copies of theu~~~ Heig!!tlof~(ru_ctur.eter. (Note: the tele$41Bt1~st Floor: TYP.Mflff.~",t.;r the Oregon Utility NotS~d Floor: Water TYPl;ienter is 1-800-332-2S44):>q Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Owner: HENRY BRUNKOW Address: PO BOX 91913 EUGENE OR 97404 , Contractor Type General Electrical Manuf Home Inst Plumbing # 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 A vaiIable: Special Instruction: Notes: Overlay Dist: Total: # Street Trees Rqd: 1 Handicapped: Paved DriWl~d:'E' Yes .Co~'tlcfli:. % of Lot CovbU~e:RM\T SHALL~!l(jRE IF THt K T THIS rt UNDER THIS PERMIT IS NO ^' ,TwnRIZED _ ~..rn enD I PUBLIC IMPRO~'-:MEN'I1S'iD UK I~~D""UV"~- ' - , "NY I QU uiN PERI . . n Sidewalk Type: Fully Improved Yes R-3 U Vlhr 15.00 5.00 10.00 62.00 0.00 Phone Number: 541-689-0946 I CONTRACTOR INFORMATION I Phone 541-689-7762 541-686-5444 541-689-7762 541-689-7762 I DEVELOPMENT INFORMATION I REQUIRED PARKING 2 DownspoutslDrains: Curbside 5' Curb and Gutter Pa!!e I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Carport Foundation Onlv Manuf Home Carport Use Bid Amount Mauufactured Home Fee Description Plan Review Residential + 10% Administrative Fee + 70/0 State Surcharge Addressing Assignment Building Permit Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Plan Review Major - Planning Sanitary Sewer - 1st SO Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sauitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Water Line - 1st SO Feet Willamalane Manuf Home Private Total Amount Paid Initial Review Planning Review Public Works Review 01/06/2005 01/06/2005 0110612005 . . CITY OF SPRINtJ1<lt<.,LD Building/Combination Permit PERMIT NO: cOM2004-01600 ISSUED: 02/04/2005 APPLIED: 12/30/2004 EXPIRES: 08/04/2005 VALUE: $ 59,077.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $16..60 $1.00 $1.00 Square Footage or Bid Amount 336.00 3,500..00 50,000.00 Value Date Calculated $5,577..60 $3,500.00 $50,000.00 $59,077..60 12130/2004 12130/2004 12130/2004 Total Value of Project Fpp< PiilLI Amount Paid $69.81 $84.97 $59.48 $31.00 $409.65 $30.00 $45.00 $50.00 $160.00 $50.00 $103.00 $45.00 $365.60 $480.80 $10.00 $865.31 $82.03 $94.69 $67.26 $772.49 $175.13 $487.64 $45.00 $45.00 $1,000.00 $5,628.86 Date Paid Receipt Number 12130/04 2/4/05 2/4/05 2/4/05 2/4/05 2/4/05 2/4/05 2/4/05 214/05 214/05 214/05 214/05 214/05 2/4/05 214/05 2/4/05 214/05 2/4/05 214/05 2/4/05 214/05 214/05 214/05 214/05 214/05 2200400000000001559 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 1200500000000000158 I . Plan Reviews I 01/06/2005 01/1712005 01/0712005 OK RJB APP TAJ APP CAS storm drainage piped to curb face 1/712005 CAS Pa!!e 2 00 . . CITY OF :SrK11~GFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2004-01600 ISSUED: 02/04/2005 APPLIED: 12/3012004 EXPIRES: 08/04/2005 VALUE: $ 59,077.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Structural Review 01106/2005 02102/2005 OK RJB To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. Uenuired Insnf'etions I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Manuf Home Set Up: When installation of all piers or stands is complete.. Final ManufHome Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc.. have been installed.. 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. MH Service: Approval required prior to utility company energizing service. Erosion/Grading Inspection: After all erosion measures are in place. Framing Inspection: Prior to cover and after all rough in inspections have been approved.. Final Building: After all required inspections have been requested and approved and the building is complete. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all . information hereon is true and correct, and 1 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. KJ f1aMM~ 2.-'1-65 Owner or Contractors Signature Date Pa!!e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726..>3759 Phone . &J:an;alii Mi"'.','...".,'~ ,.,.- ~- ,'., !. ! ...-...- , L ' ,. ~ t ~, ',' ~""/' ",,' I of Springfield Official Receipt elopment Services Department Public Works Department .. Job/Journal Number COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-01600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-0 1600 COM2004-01600 COM2004-0 1600 Payments: Type of Paymeut CrcditCard ,\ 2/4/2005 RECEIPT #: 1200500000000000158 Date: 02/0412005 Description Addressing Assignment Willamalanc ManufHome Private Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit Plan Review Major. Planning Manufactured Home Placement Manuf Home State Issuance Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1st 50 Fcet Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Service + 7% State Surcharge + 10% Administrative Fee Paid By WILLIAM HARRISON Item Total: Check Number Authorization Received By Batch Number Number How Received djb 024779 In Person Payment Total: Page I of I 2:40:44PM Amount Due 31.00 1,000.00 487.64 480.80 365.60 175..13 772,,49 82.03 865.31 10..00 94.69 67.26 409..65 103.00 160.00 30.00 45.00 45..00 45.00 45..00 50.00 50.00 59,,48 84.97 $5,559.05 Amount Paid $5,559.05 $5,559..05