HomeMy WebLinkAboutPermit Building 2004-12-20 (2)
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2588 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251405200
'*
.' CITY OF SPKlI'\j\.o-N~LD -
Building/Combination Permit
PERMIT NO: cOM2004-01411
ISSUED: 12/20/2004
APPLIED: 11/16/2004
EXPIRES: 06/20/2005
VALUE: $ 55,716.30
Springfield TYPE OF WORK: Manufactnred Home on
Private Lnt
TYPE OF USE: New Residential
PROJECT DESCRIPTION: . MH Placement + Garage.
Owner: GREGORY COTA
Address: 2455 MAlA LOOP SPRINGFIELD OR 97477
Phone Number: 541-744-1053
Contractor License Expiration Date Phone
HARDACKER & OLEARY DEVELOPMENT 79496 02119/2005 541-895-4307
SCOTTY'S ELECTRIC INC 156062 07/09/2005 541-382-6142
HARDACKER & OLEARY DEVEU0PMENt 79496 02119/2005 541-895-4307
HARDACKER & OLEARY THIS PERrv79.4~IHALL EXPIRp7l~9;'7.110~l/I'lQ" 541-895-4307
BUILDING INFORMXiioN;,NDER THIS PERMIT IS NOT
-_.."..~"v~u oR IS ABANDONED FOR
# ofStorief:NY 180 DAY PERIO[), Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Forced Air Elect Sq Ft 2nd Floor:
Water Type: Electric Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
12.00
5.00
20.00
22.00
0.00
-. ATTe.J?'''''' ...-- - -- f '
- .LE_9"JlI'"
fonow rules lid~t . Y~lVv,,, J " I
Notifi
Street Improvements: In Q cation Center. ose rules are set forth
. AR 952-dlv1lYJtJw1~IWo'bgh OAR 952-001-
Storm Sewer Ava.lable4lO9O. You mayobtaln cOf,les f th I
Special Instruction: UJ the. fJ 0 e ru es by
ca ng~.....~ (Note: the telephone
Notes: number for the Oregon Utility Notification
Center Is 1-800-332-2344). .
Contractor Type
General
Electrical
Manuf Home Inst
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R3
VN
Front yard Setback:,
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:; .
I CONTRACTOR INFORMATION I
5,663
1,188
441
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total: 2
Handicnpped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverlige:
o
Yes
29.30
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Pace I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Foundation Onlv
Garaee
Manuf Home
Use Bid Amount
Garaee
Manufactured Home
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 70/0 State Surcharge
Add, Alter, Extend Circ Ea Add
Manufactured Home Feeder
Manufactured Home Service
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Garage/Carport
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
Plan Review Major - Planning
Plan ReviewIResidential Hourly
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st SO Feet
Water Line - 1st 50 Feet
Willamalane Manuf Home Private
Total Amou.nt Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-01411
ISSUED: 12/20/2004
APPLIED: 11/16/2004
EXPIRES: 06/20/2005
VALUE: $ 55,716.30
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$1.00
$24.30
$1.00
Square Footage
or Bid Amount
3,000.00
441.00
42,000.00
Value
Date Calculated
$3,000.00
$10,716.30
$42,000.00
$55,716.30
11/16/2004
11/16/2004
12/0212004
Total Value of Project
!?pp< ~
Amount Paid
$90.09
$10.60
$7.42
$6.00
$50.00
$50.00
$47.86
$33.50
$31.00
$138.60
$30.00
$45.00
$160.00
$103.00
$67.50
$45.00
$365.60
$480.80
$10.00
$865.31
$82.03
$109.20
$65;29
$772.49
$175.13
$738.42
$45.00
$45.00
$1,000.00
$5,669;84
Date Paid
Receipt Number
11/16/04
12/6/04
1216/04
12/6/04
12/6/04
12/6/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
,12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
2200400000000001413
1200400000000001696
1200400000000001696
1200400000000001696
1200400000000001696
1200400000000001696
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
1200400000000001765
Paee 2 of 4
. CITY OF SPKll'it....J<..L1J
Building/Combination Permit
PERMIT NO: cOM2004-01411
ISSUED: 12/2012004
APPLIED: 11116/2004
EXPIRES: 06/20/2005
VALUE: $ 55,716.30
-'~~o ~
~~
.... ..
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan Reviews
I '
Initial Review
Plannine Review
11/17/2004
11/17/2004
SKG
TAJ
11/17/2004
12/03/2004
APP
DON
Plan nine Review
12/09/2004
12/09/2004
APP
TAJ
Public Works Review
11/17/2004
.11/22/2004
CAS
APP
Revised Plan Review - Str
12/09/2004
12/13/2004
APP
DLM
Structural Review
11/17/2004
12/02/2004
APP
DLM
On Hold until garage setback issue
worked nut. Have been in touch
with Ralph Hardacker and he said
he would have Artie Mae call me.
'Revised site plan received from
Ralph Hardacker I2n/04.
Received Information 11/22/2004 &
completed CAS
Revised garage due to setback
issues. Revisions to original plan
review, but comments still apply.
Used standard comments for M.H.
w/ garage and added extra
comments - See documents for extra
comments.
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. '
~tlIn.~
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prinr to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Manuf Home Set Up: When installation of all piers or stands is complete.
Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Final Building: After all required inspections have been requested and approved and the building is cnmplete.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench. ,
Manuf Home Plumbing: After home has been connected to water and sewer.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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.
Paee 3 of 4
.
. CITY OFlllrKll"lj\j1<1ELU
Building/Combination Permit
. PERMIT NO: cOM2004-01411
ISSUED: 12120/2004.
APPLIED: 11/16/2004
EXPIRES: 06/20/2005
VALUE: $ 55,716.30
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thnt 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 701.005 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
~JCO~rtiO:Q, L- tL_ ~~O ~
Owner ckJ)ontractors Signature Date
Pa2e40f4
.
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that with the approval of the attached.
permits, one of the following manufactured homes will be placed at '2. ..,~g . ~
Springfield, Oregon, City Job Number /'(1I/4,p-4-0/1-I1
, -X.. Type I Manufactured Home, A multi-sectional (double wide or wider) unit with an enclosed
floor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12
feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to
have an exterior thermal envelope meeting performance standards which reduce heat loss to levels
equivalent to the performance standards required of single family dwellings constructed under the State
Specialty Codes,
_ Type 11 Manufactured Home. A unit of not less than 12 feet in width with an enclosed fioor area
of not less than 500 square feet, that has a nominal roof pitch on feet in height for each 12 feet in width
and that has no bare metal siding or roofing,
The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6
percent slope within 10 feet of the perimeter enclosure. The perimeter foundation wall surrounding the
home shall be constructed of stone, brick or other masonry materials, and with no more than 24 inches of
the enclosing material exposed above grade,
I further agree to meet all land use and City Code requirements of the above mentioned parcel within 60
days of the date of ISsuance of the manufactured home set up permit. These requirements may include, but
are not limited to the items listed below, Specific land use requirements regarding your parcel are noted on
your approved set up plans and/or permit and your partition approval if applicable:
. Street Trees
. Paving Driveway
. Minimum 32 square foot storage structure
. Completion of partition approval
. Removal of any existing structures as noted on your partition approval
. Signing and recording of any required partition, easement, improvement agreements, etc.
. Final lot grading
.. City Sidewalk and curbcut installation
. Any outside agency approval as required Le" Division of State Land approva1.
By my signature below, 1 agree to complete the above mentioned land use requirements,
7-- , f
VL ~Slfnature I
-V I~A \...., ",:J..
r'- con~r Signature
Date
12_ 2.G--6J
Date
.J
errv OF SPIGFIELD SYSTEMS DEVELOPMENaRKSHEET
JOURNAL ORJOB NUMBER: COM2004-01411
NAME OR COMPANY: Gre~o_ry Cola
LOCATION: 2588 Maia Loop
TAX LOT NUMBER: 1703251405200
DEVELOPMENT TYPE:
NEW DWELLING UNITS BUILDING SIZE (SF: 1749 LOT SIZE (SF):
5547
L STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F. x I COST PER S,F. CHARGE
I 2382,00 I $0.310 = I $738.42 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F. I x I COST PER S,F. I x I DISCOUNT RATE I I
I 0,00 I I $0.310 I I 50% I
ITEM I TOTAL - STORM DRAINAGE SDC
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 20 I
COST PER DFU
$24,04
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 20 $18,28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
DISCOUNT
$0,00
$738.42
$738.42
-r-
I'"
""
10
10
u
I~
I""
E-<
'"
,I G
gj
1070
I
11091
I
11092
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE I x
I 9,57 I
I NUMBER OF UNITS I x I
I I I
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I
I 9,57 I I I I
ITEM 3 TOTAL - TRANSPORTATION SDC = ,
4 SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
I I I
ICOST PER FEU
I $82,03
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
I I I
ICOST PER FEU
I $865,31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL- MWMC SANITARY SEWER SDC =,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
~. ADMlNISTRATIVP PP~
I SUBTOTAL x I ADM, FEE RATE I~
I $3.489,78 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
11/22/2004
PREPARED BY
DATE
$480.80
$365.60
= ,
$846.40
COST PER TRlP
$18.30
x !NEW TRIP FACTORI
I 1.00
$175.13
COST PER TRIP
$80,72
$947.62
x INEWTRlPFACTORI
I 1.00 I
$772.49
=
$82.03
11093
1-
11094
I
11054
= $865.31 J055
$0.00 1054
$10.00 1056
$957.34
$3,489.78
CHARGE
$174.49
109.20 1079
$65,29 11078
TOTAL SDC CHARGES =, $3,664.27
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
- II
NUMBER OF NEW FIXTIiRES x UNIT EQUIV ALENT ~ DRAINAGE FIX11JRE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
I BATHTUB 2 0 3 = 6
~DRlNKlNG FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
~INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER. SINGLE STALL 0 0 2 = 0
I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISlNK: COMMERCiAURESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2
IURlNAL. STALL! WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS , 20
~EDU (Equivalent DwcllinR Unit) is a discharJtC equivalent to a sincle family dwelling unit (20 DFlfs) set at 167 WJllons ocr day ,/
l
r
I
I
I
I
I
I
I
I
I
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MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
nr
2
CREDIT RATE/$I,OOO
ASSESSED V AWE
$5,29
$5,29
$5.19
$5.12
$4.98
$4.80
$4.63
$4,40
$4,07
$3,67
$3,22
$2,73
$2,25
$1,80
$1,59
$1.45
$1.25
$1.09
$0,92
$0,72
$0,48
$0,28
$0,09
$0,05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0,00 . x $5,29
~ ,
$0,00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0,00 x $5,29
o
=
$0.00
TOTAL MWMC CREDIT
225 Fifth Street
Springfield, Oregon 97477
541-7.26-3759 Phone
.
8"~N<!"_.:.
u...-.
...... '
Job/Journal Number
COM2004-0l41l
COM2004-0l41l
COM2004-0l41l
COM2004-0l41l
COM2004-0l41l
COM2004-0l41l
COM2004-0l41l
COM2004-0l41l
COM2004-0l41l
COM2004-0l41l
COM2004-0l41l
COM2004-0l4ll
CtlM2004-0141l
COM2004-0l411
COM2004-0l411
C:OM2004-0l411
COM2004-0 1411
COM2004-01411
COM2004-01411
COM2004-0l411
COM2004-0l411
COM2004-0l41l
COM2004-0l41l
Payments:
Type of Payment
Check
12/20/2004
RECEIPT #:
1200400000000001765
Description
Addressing Assignment
Wi llama lane Manuf Home Private
Manufactured Home Placement
Manuf Home State Issuance
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sariitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm 'Admin
SDC Transpo Admin
Garage/Carport
Sanitary Sewer - 1 st 50 Feet
Water Line - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Manufactured Home Conn - Plmb
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
Plan ReviewIResidential Hourly
Paid By
HARDACKER OLEARY
Check Number
Batcb Number
Received By
djb
Page I of I
o
..JIi..ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 12/20/2004
Item Total:
Authorization
Number How Received
~315
In Person
Payment Total:
11:25:02AM
Amount Due
31.00
1,000,00
160.00
30.00
738.42
480.80
365.60
175,13
772.49
82.03
865.31
10,00
109.20
65.29
138.60
45.00
45.00
45.00
45.00
33.50
47.86
103.00
67,50
$5,455.73
Amount Paid
$5,455.73
$5,455.73
.-
. - ,
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
.
".
.,
ELECA P~~PLlCATION
o ~~ "'0' ~..ol':
City Job Number {fO'il1 ,.~o~l'<o /~ II
-""0 '''''0; '.I(; VoS'
.:~_ ~ ~....6) l$'G-6
3, COMPLETE FEE SCHEDum:: R 0 . 9",.~;..
\Sf" / ....61 V"&
~':> 1<"'" ~O''\\
A New Residential-Single or ~"""" i?" R "c;.),;.~~ ~
Multi-Family per dwelling'1. ~ "~^" <0//
. ... -'0" '0
Semce Included: ~ G<~ ...~
urn 61 :.9
,-
1. l;OCATION OF INSTP,.LLATIqN
,.;I. S ,ff( -Y;1o /~ r7-..0 lH1z-.
- v
LEGAL DESCRIPTION
, /703 Z.s 1'1 052do
JOB DESCRIPTION .
1](1 a) ,90" VIII....€./
1000 sq,ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 19,00
Z $ 50,00' /00
Electrical Contractor
~=1/'-I S floOLT
B, Services or Feeders
Installation, Alterations or
Relocation:
2, CONTRACTOR INST ALLA TION ONLY
Address 90 no... 7/'"
Signature of Supervising Electrician
~/f4A .
/71 /i _ /l.. + D, Branch Circuits
/' c(,vners Name~ rt? a.:-&../ a _ New Alteration or E>.1ension Per Panel
Addre~ tf f )ft r:lI.A-- ~~ r
Citv~ Phone 7.L/J/ -j f)f)~
OWp$'tNSTALLATlON "
200 amps or less $ 63,00
201 amps to 400 amps $ 75,00
City R<./V.,{ Phone 3 ~::t- b / to.. 401 amps to 600 amps $125,00
,_ __ __' 601 amps to 1000 amps $163,00
Supervisor License Number : \i':':'.::"~ . -: fI-,;J. ttJ-e,. i~~~f~gon law reql ,1,,,_ .,$3:??>00 =
R iftlWi'fu're~Yad t d by the O-~-'-' $ 50,00
ExpirationDate~;: '~':~-'_~~; 7-1-~b owz,esna opeTh le~-;" ,"Ih-
I$'(;, Ot,';z. C, Tem~~m!l, 'f ose ru " . "
Constr Contr, Number"":' '_'0- , : 1nstlhl~~\l.Q,1 ~jllilfc\hqh 0.,," ,..
-'.- 0090, You may obtain COpieS 0' '8 f',lh... Y
Expiration Date--.::'-. -: ":7- 'l~.2 oos: 2oo~d\lteSll3nter. (Note: thf 18::" $50:00
2~1t6olUll11IrliP~gon Utili,)' "\i::'. $69,00 -
Over 401 (jl~aiIl:pl-800-332-:'~".,). $100,00 =
Over 600 amps or 1000 volts see
liB" above
One Circuit
$43.00
Each Additional Circuit or with Service I
or Feeder Permit C- $ 3 ,00 ~
~
. E.Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $50.00
Sign/Outline Lighting $50.00
Limited Energy/Res $25,00
NOTICE'. EXP\~Wt1j4~~gjf7&mm = $45,00_
-. ".~ ['~QMn SHf:ll~ , ~ I'RMIT IS NOT
I \J'1'HORIZEO lJNOWilli\\:uJ EIec{Jifl3'Rrmit Inspection Fee is $45.00 + Surcharges
f:I CEO OR IS f:lBf:lNOUNt b
COMMEN ER\~D'iUBTOTAL OF ABOVE 10
f:lNl' 180 Of:ll' P 7% State Surcharge 7'tl...
I U,% Administrative Fee 10 ---
1'Z-'1 ~
TOTAL
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINunJ!,LD
Building/Combination Permit
PERMIT NO: cOM2004-01411
ISSUED:
APPLIED:
EXPIRES:
VALUE:
11/16/2004
06/06/2005
$ 13,716.30
SITE ADDRESS: 2588 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251405200
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: MH Placement + Garage.
Owner: GREGORY COTA
Address: 2455 MAlA LOOP SPRINGFIELD OR 97477
Contractor ATTENTION: dri~!n\law r~~p!.lla,t!.onDate
HARDACKER & OLEARY DE*1i1h9I;M&\'Iifd~2~ by the Ore\9~/19j2005
SCOTIY'S ELECTRIC INC Notification cenk.Sf.i~71ose rules c.O~/l!~~005
HARDACKER & OLEARY DlhV~1<R~OI:rl-Wl'~ through OA\l7mm005-
HARDACKER & OLEARY nnqn Vnll mRV ~M.!lfh eDDies of t.O~/11l/2005./
BUlLDIN......"~~.dM1\"f~(')I)" (Note:the t~I:.~hr'-'J
Hl.lHu"IIUf tI,,, U,,,gon Utility t\.,,,,!,_c .,..,1.
# of Stories: Center is 1-800-3:t2-2ZIJot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Forced Air Elect Sq Ft 2nd Floor:
Water Type: Electric Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Contractor Type
General
Electrical
Manuf Home Inst
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Speciallnstructinn:
Notes:
Phnne Number: 541-744-1053
I CONTRACTOR INFORMATION'
Phone
541-895-4307
541-382-6142
541-895-4307
541-895-4307
1
R3
5,663
1,188
VN
441
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
F II 'I' n T 1('.Eo' Sidewalk Type:
u y mpro!~' IF THE WORK .
THIS ;Ye~MIT SHALL EXPIRE D.oWDSp'outs/Drains:
AUTHORIZED UNDER THIS PERMIT I:' I~U I
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Curbside 5'
Curb and Gutter
Page I of3
.
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Foundation Onlv
Garaee
Manuf Home
Use Bid Amount
Garaee
Manufactured Home
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 70/0 State Surcharge
Add, Alter, Extend Circ Ea Add
Manufactured Home Feeder
Manufactured Home Service
Total Amount Paid
Initial Review
Plan nine Review
11/17/2004
11/17/2004
Public Works Review
11/17/2004
Structural Review
11/1712004
. CITY OF SPRINGFIELD,
Building/Combination Permit
PERMIT NO: cOM2004-01411
ISSUED:
APPLIED:
EXPIRES:
VALUE:
11116/2004
06106/2005
$ 13,716.30
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$24.30
$1.00
Square Footage
or Bid Amount
3,000.00
441.00
42,000.00
Total Value of Project
Value
$3,000.00
$10,716.30
$42,000.00
$55,716.30
Date Calculated
11/16/2004
11/16/2004
12/02/2004
F PPt PllilLI
Amount Paid
Date Paid
. Receipt Number
2200400000000001413
1200400000000001696
1200400000000001696
1200400000000001696
1200400000000001696
1200400000000001696
$90.09
$10.60
$7.42
$6.00
$50.00
$50.00
11/16/04
12/6/04
12/6/04
12/6/04
12/6/04
12/6/04
$214.11
I Plan Reviews I
11/17/2004
12/03/2004
APP SKG
DON TAJ
On Hold until garage setback issue
worked out. Have been in tnuch
with Ralph Hardacker and he said
he would have Artie Mae call me.
Received information 11/22/2004 &
completed CAS
Used standard comments for M.H.
w/ garage and added extra
comments - See documents for extra
comments.
11/22/2004
APP CAS
12/02/2004
APP DLM
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.
L...ig'1i t"I~lrI Tn,snections I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation Inspection.
. Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in Inspections have been approved.
Paee 2 of3
-1It"rl~~f.lliLq, "
, .. -.'0'.
,~ . .
(
'- ~
. .--..".,-.--.,,".
.
. CITY OF SPRIr~ljt<IELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fnx
541-726-3769 Inspection Line
PERMIT NO: cOM2004-01411
ISSUED:
APPLIED:
EXPIRES:
VALUE:
11/16/2004
06/06/2005
$ 13,716.30
Drywall: Prior to taping.
Manuf Home Set Up: When installation of all piers or stands is complete.
Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Final Building: After all required inspections have been requested and approved and the building is cnmplete.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Manuf Home Plumbing: After home has been connected to water and sewer.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
MH Electric: When blocking, setup and plumbing inspections bave been approved and the home is connected to
the panel.
MH Service: Approval required prior to utility company energizing service.
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 pertahiing 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 cnntractors and employees who are in cnmpliance with ORS 701.005 wll1 be nsed 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 wlll remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 3 00
225 Fifth Street
Spfirrgfield, Oregon 97477
541-726-3759 Phone
.
~~.'.-..-:.~...
~
....'
Job/Journal Number
COM2004-0l4l1
COM2004-0141l
COM2004-0l411
COM2004-014l1
COM2004-0141l
Pnyments:
Type of Payment
Check
12/6/2004
RECEIPT #:
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200400000000001696
Date: 12/06/2004
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Manufactured Home Feeder
Manufactured Home Service
Add, Alter, Extend Circ Ea Add
Paid By
GREGORYCOTA
Received By
djb
Page 1 of I
Item Total:
Check Number Authorization
Batch Number Number How Received
2156
In Person
Payment Total:
2:05:19PM
Amount Due
7.42
10.60
50.00
50.00
6,00
$124.02
Amount Paid
$124.02
$124.02