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Home My WebLink AboutPermit Building 2002-08-15225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 924 Water St Spr AssessorsMap#: 17033411 Lot:9 Block: Job# 02-00801 -01 RESIDENTIAL PERMIT Gity Of Springfield Community Services Division Building Safety Addition: Page 1 of4 Job Number: 02-00801 -0'1 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #: 05300 Subdivision : Emerald Heights SPFINGFIELD €n ctTY oF SPR7NGFIELD, OREGOTV Owner: Larry Norris Address: 3841 Monroe Street Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541 -687-0s88 Eugene, OR 97405 Value: $32,000 Contractor Type GeneralContr ElectricalContr Plumbing Contr Contractor Travess Construction Llc 5050 Main St, Springfield, OR 97478 Heritage Electric of Eugene 1042 Horn Lane, Eugene, OR 97404 Travess Construction Llc 5050 Main St, Springfield, OR 97478 Registration # 1 38060 Expiration Date 111112003 Phone 541-746-6399 541-729-1500 541-746-6399 631 37 1 38060 211512004 11t1t2003 Office Use - Land Use: Mfg Home - Not in a Par! # Of Buildings: 1 Zoning Code: LDR Occupancy Group: Quad Area: # Of Units: Constr. Type: Water Heater: 1 RNW 1 (VN)Wood Frame Electric Bedrooms: 2 Range: Electric Heat Source sq.F ing Electric To request an inspection call the 24 hour recording at726-3769. a.m. will be made the same working day, inspections working day.ss \T g Required s -lnstall ground rod at footing, and call for i -After trenches are excavated. in conjuction with footing and/or foundation ir Electrical -When blocking, setup, and plumbing inspections have been approved and the home is conneck Plumbing - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. Verify Ground Rod Footing MH Electrical MH Service Water Line Sanitary Sewer Line Storm Sewer Line Buildi r.\N;€ a(\. MH Set Up MH Final SW-Curbside CC-Standard Street lmprovement: San Sewer Depth (Ft): Storm Sewer Available? SpecialReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Fully lmproved lmprovement Agr.? 6-4 00/00/0000 00:00:00 Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' 27 To Curb and Gutter Other 4 00/00/0000 00:00:00 Job# 02-00801-01 Page2of 4 Required lnspections Manufactured Home -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Encroachment Permit needed for Sanitary Sewer Tap. !trCore drill2T-incl Types Of Warning Devices Reqd. Zoning: LDR FtoodPlain? [ Wetlands? [] Journal numbers 1:2002-07-0203 2: Comments;Over Counter LDAP Overlay District: # of Street Trees:1 3: Additional Requirements Required Attachments: Source Locn: Material: Flood Plain FEMA: Planner: Urban Growth Boundary?! Glenwood Area? [l Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Land Use: Mfg Home - Not in a Park Pave Driveway? 14 Panel 1 142 ot 2975 Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 2 Handicap Access? Area (Sq. Feet) Main: 1067 Accessory36 Accessory Structure # Of Stories: 1 Height (feet): 16 Current Units: Proposed Units:1 Census Code: New Mfg Home Tota!:1103 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check ResidentialPlan Check Total Plan Check 0710312002 9839 2,000 $29.25 $29.25 Building Foundation Only State Surcharge For Building Permit 08t15t2002 08115t2002 10314 1 0314 $45.00 $3.1 5 2,000 Curb Cut? / Job# 02-00801-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount 8% Building Administrative Fee Total Building Buildinq 0811512002 10314 $3.60 $51.75 Electrical Minimum Electrical Permit Fee Manufactured Home Service\Feeder State Surcharge - Electrical B% Admin Fee - Electrical Total Electrical 0811512002 0811512002 08115t2002 0811512002 1 0314 10314 10314 10314 2 $.00 $100.00 $7.00 $8.00 $11s.00 Plumbi Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage San Sewer Line Footage w/Bath Permit 8% Administrative Fee - Plumbing Total Plumbing 0811512002 08115t2002 08115t2002 0811512002 08115t2002 08115t2002 1 0314 10314 10314 10314 10314 10314 50 50 80 $.00 $7.28 $45.00 $45.00 $14.00 $8.32 $119.60 Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Homr Manufactured Home Administrative Fee Total Manufactured Home 08115t2002 0811512002 0811512002 0811512002 10314 10314 10314 1 0314 30,000 1 $160.00 $30.00 $11.20 $12.80 $214.00 Public Works New Sidewalk New Curbcut Encroachment Permit - Residential Total Public Works 0811512002 08115t2002 08115t2002 10314 10314 10314 28 1 1 $75.00 $7s.00 $120.00 $270.00 System Development Residential- Single Family - Storm Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 0811512002 08115t2002 08t15t2002 0811512002 08115t2002 08t15t2002 08t15t2002 08115t2002 08115t2002 10314 10314 10314 10314 10314 10314 10314 10314 10314 $495.76 $34.83 $10.00 $126.09 $332.86 $709.81 $160.87 $441.80 $335.80 $2,647.82 758 1 I 1 1 1 20 20 1 Willamalane SDC Manufactured Home - Willamalane Total Willamalane SDC 08t15t2002 10314 1 $1,000.00 $1,000.00 Planning Plan Review Total Planning 1 $5s.00 $5s.00 08t15t2002 10314 Job# 02-00801-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Permits w/o Srch Address Assignment Total Permits do Srchg 0811512002 10314 $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Virginia Jurasevich Date Completed 0710812002 0711712002 Liz Miller $4,510.42 Comment Encroachment permit application needs to be completed by applicant to tap sanitary sewer main. Application included in building permit. See enclosed deeds regarding lots 9 and 10. 8/tr/o > Date 0711712002 Tom Marx 0711012002 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 approved set of plans will remain on the site at all times during construction. <-,G --.''7L Signature 1 CRIPTI Multi-Family per drvelling unit. Senice lncluded: Items Cost 1000 sq.ft. or less $106.00 s r9.00 Service or Feeder $ 50.00 Permits are if work is ofissuance 180 dap. Electrical Date Authorized Signature ONLY . B. Services or Feedersg,ea fuD^* rnstallationr Relocation: 200 amps or 201 anrps to 401 amps D. Branch 7Yo 8Yo with Fee is $45.00 + TOT.AL \\ within days Zoning for - o/L Home or Electrician