HomeMy WebLinkAboutPermit Building 2002-9-13
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I Job# 02-00915-01 I
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Page 1 of 4
SEP 13 2002/11:11 AM/$ 54.60
ACCTn:100-OOOOO-425602
''',' m:01-0010600/GOODEN HARRISON
JOBn:02-00915-01
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00915-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2547 Maia Lp Spr
Assessors Map#: 17032514
Lot: Block: Addition:
Tax Lot #: 07800
Subdivision:
Owner:
Richard Thomas
1699 N Terry sp 95
Phone Number: 541-689-5431
Address:
Scope Of Work: Manufactured Home on Private Lot
City/State/Zip:
New
Eugene, OR 97402
Value: $55,085
MH on private lot with garage
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Harrison Jacobson Inc 66447 5nt2004 541-689-7762
1441 HWY 99N, Eugene, OR 97402
Electrical Contr Heritage Electric of Eugene 63137 2/15/2004 541-729-1500
1042 Horn Lane, Eugene, OR 97404
Manuf Home Install Harrison Jacobson Inc 66447 5/7/2004 541-689-7762
1441 HWY 99N, Eugene, OR 97402
Plumbing Contr Harrison Jacobson Inc 66447 5nt2004 541-689-7762
1441 HWY 99N, Eugene, OR 97402
Office Use
Quad Area: 2RNW Land Use: Mfg Home - Not in a Parf # Of Buildings: 1
# Of Units: 1 Zoning Code: LDR Occupancy Group: Dwelling
Constr. Type: (VN) Wood Frame Bedrooms: 3 Heat Source: Forced Air Electric
Water Heater: Electric Range: Electric Sq. Footage: 1404
" ' I ,,,"'~I':J(lUL~awreqUlresyoulu .
To reql,lE.l~ee,~"j,~~p'e~t1J~P0~R 1l1~1f.~ Ilql,l!if~cordiiig/at 726-3769. All inspections requested before 7:00
a.m. w, iII'be'made'the same.working,day"insp.ections,requested after 7:00 a.m. will be made the following
..... j..t::....atlonLienler IfIU;::.t;;\....Il;i"-'....I.... "..............
worklng;aay. . hOAR 952 001- 'OOnf3J
i",OAR952-001-0010thiO~g ,-.. ijO~mNnn aAVOOIHANV
uu~u. YOU '\Iay V;",Q;.. Wl-"-~:~ ~~':' ~~q'Uired Inspections ION SI lrw ~11;'9V SI ~J J;,IIV:lVVVVO:J
calling ihe center. (Note:t~eteley,.,,;::_ Building >nlOM 3Hll:l3d SIHll:l30Nn 03ZIl:lOHlnV
. b' the OrA~"n Ilhh'" Not.oIvu,,"" :11 3l:lldX311uHS 11
Footing num er .or . -:!"fter tren~~es.are excavated. v Wl:l3d Sf HI
Shea~ Wall Nailing,1tel.S 1:Befo?~g6~gfiltg'sheathing with finish materials. :3:l1l0N
Framing - Prior to cover.
Final Building -When all required inspections have been approved and the building is complete.
I Electrical I
- When blocking, setup, and plumbing inspections have been approved and the home is connect!
- Prior to cover.
MH Electrical
Rough Electrical
MH Service
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I Job# 02-00915-01 I
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Page 2 of4
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Final Electrical
Required Inspections
I Electrical I
-When all electrical work is complete.
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.
-After all required inspections are approved and porches, skirting, decks, venting, house number
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
MH Set Up
MH Final
Zoning: LOR Overlay District:
FloodPlain? 0 Wetlands? 0 # of Street Trees: 0
Journal numbers
1: 2000-08-0163 2: 3:
Comments:Needs over the counter LOAP
Land Use: Mfg Home - Not in a Park
Pave Driveway? ~
Planner:
Urban Growth Boundary?D
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:Owelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
iArea (Sq. Fe,:)
I Main: 1404 Accessory:300
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 16
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:1704
Fee
Paid On Receipt#
Plan Check
07/30/2002 10089
09/13/2002 10599
Value/Quantity
I
Fee Amount
Residential Plan Check
Residential Plan Check
Total Plan Check
7,090
6,585
$59.67
$54.60
$114.27
Building Permil
Garage/Carport
Foundation Only
State Surcharge For Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
8% Building Administrative Fee
Total Building
Buildin!!
08/26/2002 0010410
09/13/2002 10599
08/26/2002 0010410
08/26/2002 0010410
09/13/2002 10599
08/26/2002 0010410
09/13/2002 10599
4,590
1,995
2,500
$68.40
$45.00
$52.80
$8.48
$3.15
$9.70
$3.60
$191.13
Minimum Electrical Permit Fee
Electrical
08/26/2002 0010410
$.00
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Fee
Manufactured Home Service\Feeder
Branch Circuits With Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufactured Homl
Manufactured Home Administrative Fee
Total Manufactured Home
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
Manufactured Home - Willamalane
Total Willamalane SDC
Planning Plan Review
Total Planning
Address Assignment
Total Permits wlo Srchg
Gfand Total
Plan Check Type
Checked By
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Lisa Hopper
Virginia Jurasevich
Ashley Deforest
Tom Marx
Job# 02-00915-01 . Page 30f4
Paid On Receipt# Value/Quantity Fee Amount
Electrical
08/26/2002 0010410 2 $100.00
08/26/2002 0010410 1 $3.00
08/26/2002 0010410 $7.21
08/26/2002 0010410 $8.24
$118.45
Plumbing
08/26/2002 0010410 $.00
08/26/2002 0010410 $9.45
08/26/2002 0010410 20 $45.00
08/26/2002 0010410 20 $45.00
08/26/2002 0010410 40 $45.00
08/26/2002 0010410 $10.80
$155.25
Manufactured Home
08/26/2002 0010410 46,000 $160.00
08/26/2002 0010410 1 $30.00
08/26/2002 0010410 $11.20
08/26/2002 0010410 $12.80
$214.00
System Development
08/26/2002 0010410 2,250 $634.50
08/26/2002 0010410 1 $34.83
08/26/2002 0010410 1 $10.00
08/26/2002 0010410 $133.02
08/26/2002 0010410 1 $332.86
08/26/2002 0010410 1 $709.81
08/26/2002 0010410 1 $160.87
08/26/2002 0010410 20 $441.80
08/26/2002 0010410 20 $335.80
$2,793.49
Willamalane SDC
08/26/2002 0010410 1 $1,000.00
$1,000.00
Planning
08/26/2002 0010410 1 $55.00
$55.00
Permits wlo Srchg
08/26/2002 0010410 1 $8.00
$8.00
$4,649.59
Date Completed
Comment
07/31/2002
08/06/2002
08/02/2002
08/09/2002
SDC's only. Street and Sewer private.
. . . I Job# 02-00915-01 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
approv73 set o~ plans will remain on the site at all times during construction.
~/la~ '1-13-oz.
Signature Date
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DUPLICATE RECEIPT DUPLICATE RECEIPT
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CITY OF SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, DR 97477
(541) 726-3753
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WELCOME TO DEVELOPMENT
SERVICES AND PUBLIC WORKS
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REG-RECEIPT:Dl:obl0410 C:AUG 27 2002~i
. CASHIER ID:OOLdO~30 am A:AUG 26 2002
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I 1002 BUILDING PERMIT $121'>20'
JOB#:02-009i5-01
1098 (8X) ADMIN FEE
JOB#:02-00915-01
1099 STATE SURCHARGE(7X)
JOB#:02-00915-01
1004 ELECTRICAL PERMIT
J08#:02-00915-01
1098 (8X) ADMIN FEE
J08#:02-00915-01
1099 STATE SURCHARGE(7X)
JOB#:02-00915-01
1020 ADDRESS ASSIGNMENT
JD8#:02-00915-01
1231 PLAN REVIEW (POD)
2547 MALA LP
1005 PLUMBING PERMIT
J08#:02-00915-01
1098 (8X) ADMIN FEE
JOB#:02-00915-01
1099 STATE SURCHARGE(7X)
JDB#:02-00915-01
1070 SDC/STORM
JOB#:02-00915-01
1091 SOC-SAN REIMBURSEME
JOB#:02-00915-01
1092 SOC-SAN IMPROVEMENT
JOBU:02:0Q915-01
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$9.70
, $8.48
$103.00
$8.24
$7.21
$8.00
$55.00
$135.00
$10.80
$9.45
$634.50
$441. 80
$335.80
~...,.-- -
)
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1093 SDC-TRANS REIMBURSE
JOB#:02-00915-01
1094 SDC-TRANS IMPROVEME
JOBU:02-00915-01
1055 SDC/RESIDENTIAL SAN
JOB#:02-00915-01
1056 SDC/REGIONAL SEWER
'JOB#:02-00915-01
1079 SANITARY SEWER SDC
JOB#:02-00915-01
107B TRANSPORTATION SDC
JOB#:02-00915-01
1074 SDC/WILLAMALANE
JOB#:02-00915-01
1017 MOBILE HOME PERMIT
JDB#:02-00915-01
1089 MH ISSUANCE
JOB#:02-00915-01
1098 (8X) ADMIN FEE
JOB#:02-00915-01
1099 STATE SURCHARGE(7X)
JDB#:02-00915-01
TOTAL DUE
RECEIVED FROM:
GOODEN-HARRISON
CHECK:
TOTAL TENDERED
$160.B7
$709.81
$367.69
$10.00
$82.28
$50.74
$1,000.00
$160.00
$30.00
$12.80
$11.20
$4,483.57
$4,483.57
$4,483.57
CHANGE DUE $0.00
THANK VOU!!!!!!
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DUPLICATE RECEIPT DUPLICATE RECEIPT
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