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Home My WebLink AboutPermit Building 2004-12-20 (2) -Wt~:;~1!l1lU) l"i. . ,- -*' ...- . 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 =, $3,664.27 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE - II NUMBER OF NEW FIXTIiRES x UNIT EQUIV ALENT ~ DRAINAGE FIX11JRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS I BATHTUB 2 0 3 = 6 ~DRlNKlNG FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 ~INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISlNK: COMMERCiAURESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2 IURlNAL. STALL! WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS , 20 ~EDU (Equivalent DwcllinR Unit) is a discharJtC equivalent to a sincle family dwelling unit (20 DFlfs) set at 167 WJllons ocr day ,/ l r I I I I I I I I I ,I MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED nr 2 CREDIT RATE/$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