HomeMy WebLinkAboutPermit Building 2002-2-22
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I Job# 02-00057-01 I
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SPRINQFIELD
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Page 1 of 4
TRANS#:01-0008120
DATE:FEB 22 2002
ANT RECD:2 $ 61.75
CHANGE:
CASHIER:003
225 Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00057-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site:
Assessors Map#: 17032514
Lot: 19 Block:
I(Ofj
2438 Maia Lp ~/8 JCt,.
4(Jl'.1t. 't11#lr Tax Lot #: 04200
.COM,.,~J1fl9,'}j ,$;';4/ I ~ Subdivision: Maia Park
'1lVy lQ~~i:rr~I(JQ~~~1t:746-5671
~J;;~/i!rffl1J.q;~ /J~Hl, ~>>p01
Scope Of Work: Manufactured Home on Private Lot New '!J. OlVtD i'J~f$61 ,956
'Ii .
Owner:
John & Phyllis Myers
P.O. Box 70344
Address:
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Contractor to~;:E:IVIION" Registration # Expiration Date
AI"".. Wrl1l ..One
Gooden Harris9,rf"'dil!1lw,Clia!laa: '{}On1.66447 5/7/2002
1441 hwy 99n 'e~~fqe~9PteC/bl,:~requln
0090 'S'~:oO er, Ih r "'!}.f) es ~
Heritage Elec~~. You Tn 1-0010 oSe9tJl'j"lagon (iu t02/15/2004
1042 Horn La IfJiIrt~e~~ Ill7/WA throUgh aes are 8 tilit)!
erl. ent COp' ~ etto
Gooden Harrison c~sH\Mi9() er, (IVOt :e~Q11h", 9s<-00 rtlf,17/2002
1441 hwy 99n, EUgen~?~gl7~fl20n u~: ~he tet.ee rUles b 1_
7-800 dlifJ1d/(, 'Plio ~
Gooden Harrison Construction -33<_<3<i~t!f~7;ca,?e 517/2002
1441 hwy 99n, Eugene, OR 97402 4). Ian
Phone
541-689-7762
541-729-1500
541-689-7762
541-689-7762
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.
Site
Footing
Foundation
Slab
Shear Wall Nailing
Framing
Hold Downs Installed
Final Building
Verify Ground Rod
MH Electrical
MH Service
Final Electrical
Required Inspections
I BuildinR I
- To be made after excavation but prior to selling forms..
-After trenches are excavated.
-After forms are erected but prior to concrete placement
- To be made after all inslab building service equipment, conduit piping, and other equipment iter
-Before covering sheathing with finish materials.
- Prior to cover.
- When all required inspections have been approved and the building is complete.
I Electrical
-Install ground rod at footing, and call for inspection in conjuction with footing andlor foundation i
,- When blocking, setup, and plumbing inspections have been approved and the home is connect
- When all electrical work is complete..
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I Job# 02-00057 -01 I
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Page 2 of 4
Required Inspections
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.
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Rough Gas
Gas Service
, Final Gas
Mechanical
-After line is installed and line has been connected to a minimum of one appliance. Pressure te:
- When all gas work is complete.
I Manufactured Home I
- When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house numbel
MH Set Up
MH Final
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1 :
,Comments:
2:
Overlay District:
# of Street Trees:
3
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner: Sam Gollah
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 2
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. r ..1)
I Main: 1458 Accessory520
Fee
Residential Plan Check
Total Plan Check
Garage/Carport
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Manufactured Home ServicelFeeder
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Flood Plain FEMA: 1161 of 2975
Private Garage/Carp/Stor
# Of Stories: 1 Height(feet): 16
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:1978
Paid On Receipt#
Plan Check
01/16/2002 7789
Value/Quantity
Fee Amount
12,956
$85.02
$8s..o2
Building
02/04/2002 7939
02/04/2002 7939
02/04/2002 7939
12,956
$130.80
$9..16
$10,46
$150..42
Electrical
02/04/2002 7939
02/04/2002 7939
02/04/2002 7939
2
1
$100.00
$3.00
$7.21
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Job# 02-00057 -01 Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
r Electrical
8% Admin Fee - Electrical 02/04/2002 7939 $8.24
Total Electrical $118.45
Plumbing
State Surcharge - Plumbing 02/04/2002 7939 $15.54
Water Service Footage 02/04/2002 7939 100 $59.00
Sanitary Sewer Footage 02/04/2002 7939 100 $59.00
Storm Sewer Footage 02/04/2002 7939 100 $59.00
Manufactured Home Connection 02/04/2002 7939 1 $45.00
8% Administrative Fee - Plumbing 02/04/2002 7939 $17.76
Total Plumbing $255.30
Mechanical
One to Four Outlets 02/22/2002 8120 1 $4.00
Minimum Mechanical Permit 02/22/2002 8120 $41.00
8% Administrative Fee - Mechanical 02/22/2002 8120 $3.60
Mechanical Issuance 02/22/2002 8120 $10.00 '
State Surcharge - Mechanical 02/22/2002 8120 $3.15 '
Total Mechanical $61.75
Manufactured Home
Manufactured Home Setup Fee 02/04/2002 7939 49,000 $160.00
Manufactured Home State Issuance 02/04/2002 7939 1 $30.00
State Surcharge For Manufactured Hom, 02/04/2002 7939 $11.20
Manufactured Home Administrative Fee 02/04/2002 7939 $12.80
Total Manufactured Home $214..00
System Development
Residential - Single Family - Storm 02/04/2002 7939 2,953 $806.16
Residential Improvement MWMC 02/04/2002 7939 1 $34.83
MWMC Administrative Fee 02/04/2002 7939 1 $10.00
SDC Administrative Fee 02/04/2002 7939 $145.07
Residential Sanitary MWMC 02/04/2002 7939 1 $332.86
Residential - Improvement 02/04/2002 7939 1 $659.76
Residential- Reimbursement 02/04/2002 7939 1 $155.13
Sanitary Sewer SDC Reimbursement 02/04/2002 7939 24 $512.88
Sanitary Sewer SDC Improvement 02/04/2002 7939 24 $389.76
Total System Development $3,046.45
Willamalane SDC
Manufactured Home - Willamalane 02/04/2002 7939 1 $1,000.00
Total Willamalane SDC $1,000.00
Planning
Planning Plan Review 02/04/2002 7939 1 $50.00
Total Planning $50..00
Permits wlo Srchg
Address Assignment 02/04/2002 7939 1 $8.00
Total Permits wlo Srchg $8.00
Grand Total $4,989..39
Plan Check Type Checked By Date Completed Comment
Initial Review-Res Lisa Hopper 01/17/2002
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Job# 02-00057-01 I Page 4 of 4
Plan Check Type Checked By Date Completed Comment
Engineering-Res Steve Templin 02/04/2002
Planning-Res Sam Gollah 01/29/2002
Structural-Res Bob Barnhart 01/29/2002
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 Ore90n 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~ are to ens e that
address is ~a e f I the
approved et pi, inS
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Signature
I required inspections are requested at the proper time, that each
eet, that the permit card is located at the front of the propery, and the
" on the site at all times during construction.
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2-2:Z-01-
Date
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