HomeMy WebLinkAboutPermit Building 2003-1-13
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: C0M2002-01416
ISSUED: 01113/2003
APPLIED: 12/27/2002
EXPIRFS: 07/13/2003
VALUE: $17,853.00
*
SITE ADDRESS: 2555 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251407700
Springfield' TYPE OF Manufactured Home w
GaragelCarport on Private
TYPE OF USE: Nolv Residential
PROJECT DESCRIPTION: MH with garage
Owner: MANUEL MACHADO
Address: 90290 HILL RD SPRINGFIELD OR 97478
Contractor
HARRISON JACOBSON INC
RALPH W BROWN
HARRISON JACOBSON INC
MANUEL MACHADO
HARRISON JACOBSON INe ,,,'I> \.~."li6~47
I BUILDING IN:FOR~~I(')'fiI'
.., \ "
\'<'-0\'<)'" ~0'" f.)'l/'" '0-'
1 # ~f,'St~QeS~0'" 'b' ~ qj ,..s.0'" 0 1
R-3 .~JlIehlrit o!''V ......O~, ...~0 ......0"'.14;,00
0" ~~ ....'CJ ",,' it" 0,,"' ..~v
U-l _-..:. ~!\Of'Heat: ~(orced~j\j~lectric
O'-..\.O ,. ...'\v . rll~ ,'U ~~'
VNSpr~'I: ",'I>"" &'" te~'FYp.s\l~ .'S'0 ~O Electric
:0~ ,..s.0 (j0"~!I9g1~~b\.0' ~I$A ~Electric
't- 'SI-3.:J~ ~o~ .l:fEne!llYJ~tIib~~ ~'1:<J;:
~~(\'~~:~~'~~;(j~~()\0~~tr~
.~ ~bDE.V.EL"'r.'''Ll".r INFORMATION'
<:s (jv ~",. (j'?F
~~
'" Overlay Dist: ~ital:
# Street Trees l ,,<,'t. ~ !lffdicapped:
Paved Drive Rqd: \\l-~ \'< ~~ ~ ~mpact:
% of Lot Cov~age: ~t>-\..\.. 't.~~(t~;~'t.~ '(~
\1~'\\'\; (.~~~ ~,~~'t.~ b.~~~~
!pUBLIC IMPR8;~ ()~~()~.
~C:6~~~~ <v~ \l Sidewalk Type: .
~~'l Downspouts/Drams
Contractor Type
General
Electrical
Mechanical'
Owner
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frootyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Stree t
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-746-0925
Phone Number: 541-746-0925
I CONTRACTOR INFORMATION'
License
66447
63137
66447
Expiration Date
05/07/2004
02/15/2004
05/07/2004
Phone
541-689-7762
541-729-1500
541-689-7762
541-746-0925
541-689-7762
05/07/2004
Lo"fSize:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport:
Sq Ft Other:
Impervions Surface Area:
7,044
1,727
768
REQUIRED PARKING
15.00
6.00
9.00
2
10.00
26.00
Private Street and Sewer.
1 of 3
.
. CITY OF SPKll~ul'u.,LD '
Building/Combination Permit
PERMIT NO: cOM2002-01416
ISSUED: 01113/2003
APPLIED: 12127/2002
EXPIRFS: 07/1312003
VALUE: $ 17,853.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description Type of Construction
Foundation Onlv Use Bid Amount
Garaee Garaee
Manuf Home Manufactured Home
$ Per Sq Ft
$1.00
$19.60
$1.00
Square Footaee
2,800.00
768.00
58,000.00
Value
$2,800.00
$15,052.80
$58,000.00
$75,852.80
Date Calculated
12130/2002
12127/2002
12/30/2002
Total Value of Project
Fee~ Paid I
Fee Description Amount Paid Date Receipt Number
Plan Review Residential $11 0.37 12127102 1200200000000000471
Add, Alter, Extend Circ Ea Add $3.00 1/13/03 1200200000000000537
Building Permit $169.80 1/13/03 1200200000000000537
Manuf Home State Issuance $30.00 1/13/03 1200200000000000537
Manufactured Home Connection $45.00 1/13/03 1200200000000000537
Manufactured Home Feeder $50.00 1/13/03 1200200000000000537
Manufactured Home Placement $160.00 1/13/03 1200200000000000537
Manufactured Home Service $50.00 1113/03 1200200000000000537
Plan Review - Planning $59.00 1/13/03 1200200000000000537
Sanitary Sewer - Ist 50 Feet $45.00 1113/03 1200200000000000537
Sanitary Sewer - Improvement $335.80 1/13/03 1200200000000000537
Sanitary Sewer - Reimbursement $441.80 1/13/03 1200200000000000537
SDC MWMC Administration $10.00 1/13/03 1200200000000000537
SDC MWMC Improvement $34.83 1/13/03 1200200000000000537
SDC MWMC Reimbursement $332.86 1/13/03 1200200000000000537
SDC SanitarylStorm Admin $95.22 1/13/03 1200200000000000537
SDC Transpo Admin $47.26 1/13/03 1200200000000000537
SDC Transpo Improvement $709.81 1/13/03 1200200000000000537
SDC Transpo Reimbursement $160.87 1/13/03 1200200000000000537
Storm Drainage Impervious Area $976.85 1/13/03 1200200000000000537
Storm Sewer - Ist 50 Feet $45.00 1/13/03 1200200000000000537
Water Line - Ist 50 Feet $45.00 1/13/03 1200200000000000537
Willamalane Manuf Home Private $1,000.00 1/13/03 1200200000000000537
+ 10% Administrative Fee $61.28 1/30/03 1200200000000000627
+ 7% State Surcharge $42.90 1/30/03 1200200000000000627
Total Amount $5,061.65
Initial Review
12130/2002
I Plan Reviews I
12/30/2002 APP LLH
2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2002-01416
ISSUED: 01113/2003
APPLIED: 12/27/2002
EXPIRFS: 07/13/2003
VALUE: $17,853.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannine Review
12/30/2002
01/02/2003
APP EMM
OK to consider lot as panhandle per
Jim Donovan and Mel Oberst. OK
to consider door next to garage on
west side as front door for
orientation purposes per Mel
Oberst 1/2103.
Public Works Review
Structural Review
Structural Review
12130/2002
12130/2002
01/13/2003
01/07/2003
01/13/2003
01/13/2003
APP
APP
OK
VRJ
TCM
TeM
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.
I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
2 Footing: After trenches are excavated.
3 Foundation: After forms are erected but prior to concrete placement.
4 Shear Wall Nailing: Before covering sheathing with finish materials.
5 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
6 Drywall: Prior to taping. ,
7 Final Building: After all required inspections have been requested and approved and the building is complete.
8 Water Line: Prior to filling trench and including required testing.
9 Sanitary Sewer Line: Prior to filling trench and including required testing.
10 Storm Sewer Line: Prior to filling trench.
11 Manuf Home Plumbing: After home has been connected to water and sewer.
12 Rough Electric: Prior to Cover
13 MH Service: Approval required prior to utility company energizing service.
14 MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
15 Final Electric: When all electrical work is complete.
16 Manuf Home Set Up: When installation of all piers or stands is complete.
17 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.
By signature, I state and agree, that I have carefuDy 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 mlrk 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 wiD 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.
Owner or Contractors Signature
Date
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2002-01416
COM2002-01416
Payments:
Type or Payment
Check
Paid By
Descriotion
+ 7% State Surcharge
+ 10% Administrative Fee
GOODEN HARRISON
Receipt #: 1200200000000000627
Date: 01/30/2003
Received By
Check Number Confirm No
djb
Page I or I
1/30/2003 ~
8:21:2IAM
<
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
42.90
61.28
Line Item Total:
$104.18
How Received
Amount Paid
In Person
104.18
$104.18
Pavment Total:
.
cReceipLrpt