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Home My WebLink AboutPermit Building 2005-04-07Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00251ISSUED: 0410712005APPLIED: 03/0312005EXPIRES: 1110912005VALUE: $ 64,500.00 SITE ADDRESS: 1363 32ND ST ASSESSOR'SPARCELNO.: 1702303405401 PROJECT DESCRIPTION: Manufactured Home on private lot Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New Residential PhoneNumber: 541-746-1668Owner: Address: Contractor Type General Electrical Mechanical Manuf Home Inst Plumbing THOMAS HUTCHINSON 1363 N 32ND ST SPRINGFIELD OR 97478 Contractor License HARRISON JACOBSON INC 66447 ROBS ELECTRIC INC 156678 HOME COMFORT HEATING & AIR 84164 HARRISoX+|E$?ffII Bifron hw requhefffl#to HARRISo*#Af,qIllgHd&&ea bv the oreooffCIttitv Expiration Date 05107t2007 08n4t200s 06t25t2007 05t07t2007 05t07t2007 Phone 541-689-7762 541-686-5444 541-345-2838 541-689-7762 541-689-7762 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: h OAR 00S. You mapobUampies of the rules by 1 Rafling the cEdtht Ootfi aheaelephone numb€r lor UBqogUr{rtilitfLl'otiloilo3lectYN Cent3fibASDEp-A*4). Electric Range Type: Electric 4 Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 9,680 2,082 r0.00 5.00 23.00 70.50 0.00 Fully Improved Yes Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: Curbside 5' Curb and Gutter Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: 2 30.10 n A DEVELOPMENT INFORMATION Notes: Storm drainage piped to curb face 3/4/2005 CAS Page I of3 F PRIN Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00251ISSUED: 0410712005APPLIED: 03/0312005EXPIRES: 1l/0912005VALUE: $ 64,500.00 Description Tvpe of Construction Foundation Onlv Use Bid Amount Manuf Home Manufactured Home $ Per Sq Ft or multiplier $1.00 $r.00 Square Footage or Bid Amount 4,500.00 60,000.00 3t3t05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/0s 3/30/05 3/30/05 3/30/05 3/30/05 3/30/0s 417t05 4t7t05 417t05 sn2t0s 5nzt05 sfi2t05 sn2t0s 5n2t05 Value $4,500.00 $60,000.00 $64,500.00 Date Calculated 03/03/200s 03/03/2005 Amount Paid Total Value of Project Date Paid Fee Description Plan Review Residential + l0oh Administrative Fee + 7o/o State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Plan Review Major - Planning Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Water Line - lst 50 Feet + l0%o Administrative Fee + 7Yo State Surcharge Manufactured Home Service -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7o/o State Surcharge Boiler/Comp Up To 100,000 btu Minimum/Adj ustment Mechanical Total Amount Paid $44.46 $39.00 $27.30 $30.00 $45.00 $s0.00 $160.00 $103.00 $4s.00 $219.36 $288.48 $42.12 $334.ss $4s.00 $4s.00 $5.00 $3.s0 $s0.00 $10.00 $4.50 $3.1s $12.00 $33.00 Receipt Number r200s00000000000286 220050000000000036r 2200500000000000361 2200500000000000361 2200500000000000361 2200500000000000361 2200500000000000361 2200500000000000361 2200500000000000361 2200500000000000361 2200500000000000361 2200s00000000000361 220050000000000036r 2200500000000000361 2200500000000000361 220050000000000040r 2200s00000000000401 2200500000000000401 1200500000000000617 1200s00000000000617 1200500000000000617 1200500000000000617 1200s00000000000617 $1,639.42 tr'pps Pnid Plan Reviews Initial Review Planning Review Public Works Review 03t04t200s 03t04t2005 APP LLH No address fee or willamalane sdc. This home replaces an existing home that is being demolished. Storm drainage piped to curb face 3/4/200s cAS 03t04t2005 03t04t2005 03t28t2005 03t04t2005 APP APP TAJ CAS 0312412005 0K Page 2 of3 Structural Review 03t04t2005 RJB Valuation Descriotion I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00251ISSUED: 0410712005APPLIED: 03/0312005EXPIRES: 11/0912005VALUE: $ 64,500.00 To Request an inspection call the24 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. 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 lilling trench. Manuf llome Plumbing: After home has been connected to water and sewer. 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. MH Pedestal: Approval required prior to utility company energizing service. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 Springlield 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 times during construction. Owner or Contractors Signature O ltG t rvt{ ='nU'O"' OC-- lcf r ,>rtc{>6 Paee 3 of3 Date t(eourreo lnsDecuons I 05/OS/05 UON 08:25 FAI 5417'43689 CITY OF SPRINGFIELD @ ooe Status Issued 225 Fifth Street, SPrirrgfield, OR 5/.t-726-3753 Phone 541-726-3676Ftx 541 :7 26-37 69 f nspection Line Buildin g1C ombination Permit PERI{IT NO: COM2005-00251ISSUED: 041071200s APPLIED: 03/032005EXPIRES: Lll09l200sVALfiE: $ 64,500.00 Footing; Aftertrenches are excnvated. f,'ouudatlou: After forus arc crcctcd but prior to concrcte placemelL Manuf Home Set Up: When installatlon of all piers or stauds ls complete- Fiusl Mauuf Ilome Set Up; After all required intpections are reque$ted and approved and porches, skrrting, decks, venting, street sddress numbers, treer, driveway, etc' have been inetalled' Wster Lhe: Prior to lilling trcuch aud including rcquircd tcsting. Sanitary Sewer Line: Prior to fiIling trench and lncluding required testing. Storm Sewer Line; Prior to Iillirg trench. Manuf llome Plumbing; After home hat been connected to wEter snd sewer. ME Electric; Wheu blockirg, setup aud plumbing inspections have been spproved sud thc homc is conncctcd to tlre prucl. ME Scrvicc: Approval rcquircd prior to utility company energizing servlce- MII Pedestal: Approvf,l required prior to utility compeny energizing *rvice. Rough Mechsnical; Prior to Covcr Fioal Mecbanical: Wher all mechtnlcal work is complete. By signaturg I ststc snd agrcg that I hrvc carcfully cramincd thc completcd appllcadon and do hereby cerdfy thlt f,II inform*tion hcrcon is Euc and corrcct, and I further cert$ that any and all work perforrred shall be doue ln accordance rvlth thc Ordintnces of the City of Springficld and thc Lgws of tha State of Oregon pertalnlng to the work de$ribed herein, trrd &at NO OCCIIPANCY will bc made of any shucture wlthout permisslon of trte Community Servicet Ilivision, Building Safety. I further certlfy that only contrsctors and employees who 8re in compliance with ORS 701.005 will be used on this projcct I further agree to ensure that all required inspectiont nre requested rt the proper time, thtt cach address ls rcsdsble fron the street, that the permit csrd is locstcd st the front of thc property, and the approved set of plans wlll remaln on the site at all times during construction Drte rerl Insnections Paec 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt _. revelopment Services Department Public Works Department RECEIPT #: 1200500000000000617 Date: 0511212005 3:56:2ePM Job/Journal Number coM2005-00251 coM2005-00251 coM2005-00251 coM2005-00251 coM2005-00251 Description + 7o/o State Surcharge + l0% Administrative Fee Boiler/Comp Up To 100,000 btu Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 12.00 33.00 10.00 Item Total:$62.6s Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check HOME COMFORT djb 13376 In Person 562.65 PaymentTotal: ffi slt2t200s Page I of I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ftx 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00251ISSUED: 03/30/2005APPLIED: 03/0312005 EXPIRES: 09/3012005VALUE: $ 4,500.00 SITE ADDRESS: 1363 32ND ST Springfield TYPE OF WORK: Manufactured Home on ASSESSOR'S PARCEL NO.: 1702303405401 Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: MH on private lot - Demolish existing manufactured home on property. Phone Number: 541-746-1668Owner: Address: THOMAS HUTCHINSON 1363 N 32ND ST SPRINGFIELD OR 97478 Contractor Type General Electrical Manuf Home Inst Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Contractor HARRISON JACOBSON INC ROBS ELECTRIC INC HARRJSON JACOBSON INC HARRISON JACOBSON INC License 66447 Expiration Date 05107t2005 Phone 541-689-7762 541-686-5444 541-689-7762 541-689-7762 iICN rle': ad law requ by the O through OAR 30.10 1 R-3 VN #of \ou maY obtai n cop ies ol the rules bY the center'(Notd:tl.,etJotq*Ene UtilitY $@iDdlth0or: -2sit4lr 2nd Floor: Water Type:Sq Ft Basement: Range Type: Electric Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: 9,680 2,082 4 10.00 5.00 23.00 70.s0 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh oflot Coverage: ) REQUIRED PARKING Total: 2 Handicapped: Compact: IT SHAI.L EXPIRE IF THE ERMIT IS NOT Fully Improved Yes COMMENCE ANY 1BO D 0NED tOR Curbside 5'AUTHORiZED A ,l\l CONTRACTORINF( DEVELOPMENT INFORMATION Notes: Storm drainage piped to curb face 3/4/2005 CAS Pase I of3 Curb and Gutter tl Height Type I F Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00251ISSUED: 03/30/2005APPLIED: 03/0312005EXPIRES: 09/3012005VALUE: $ 4,500.00 Description Tvpe of Construction Foundation Onlv Use Bid Amount Manuf Home Manufactured Home $ Per Sq Ft or multiplier $1.00 $r.00 Square Footage or Bid Amount 4,500.00 60,000.00 Value $4,500.00 $60,000.00 $64,500.00 Receipt Number 1200500000000000286 1200500000000000286 1200500000000000286 1200500000000000286 1200500000000000286 220050000000000036r 2200500000000000361 2200500000000000361 2200500000000000361 2200500000000000361 2200500000000000361 2200s00000000000361 2200500000000000361 2200500000000000361 2200500000000000361 2200500000000000361 2200500000000000361 220050000000000036r 2200500000000000361 Date Calculated 03/03/2005 03/03/2005 Amount Paid Total Value of Project Date Paid Fee Description + l0o/o Administrative Fee + 77o State Surcharge Demolition Plan Review Residential Sanitary or Storm Sewer Cap + l0Yo Administrative Fee + 1oh State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement PIan Review Major - Planning Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Water Line - lst 50 Feet Total Amount Paid $9.00 $6.30 $45.00 $44.46 $4s.00 $39.00 $27.30 $30.00 $45.00 $s0.00 $160.00 $103.00 $4s.00 $219.36 $288.48 $42.r2 $334.5s $45.00 $45.00 3t3t05 3/3/0s 3/3/05 313105 3/3/0s 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/0s $1,623.57 ['ees Pa Plan Reviews Initial Review Planning Review Public Works Review 03t04t2005 03t0412005 03t04t2005 03/04/2005 APP LLH No address fee or willamalane sdc. This home replaces an existing home that is being demolished. Storm drainage piped to curb face 3/4/200s cAs 03128t2005 03t04t2005 APP APP TAJ CAS OK RJBStructural Review 03t04t200s 03t24t2005 Pase 2 of3 Valuation Descriotion I F Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00251ISSUED: 03/30/2005APPLIED: 03/0312005EXPIRES: 09/3012005VALIJE: $ 4,500.00 To Request an inspection call the24 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. 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. 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. MH Pedestal: 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 Springlield 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,Iocated at the front of the property, and the approved set of plans will remain on the site at all times 9 sr-a-r Owner or Contractors Signature Date Page 3 of3 Keourreo lnsDecttons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone tFttltotrlto City of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200500000000000361 Date:03/30/2005 11:33:39AM Job/Journal Number coM2005-00251 coM2005-002s1 coM2005-00251 coM2005-00251 coM2005-00251 coM2005-00251 coM2005-00251 coM2005-00251 coM2005-00251 coM2005-00251 coM2005-00251 CoM2oos-oo25l coM200s-00251 coM200s-00251 Description Manufactured Home Feeder Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Manufactured Home Placement Manuf Home State Issuance Sanitary Sewer - lst 50 Feet Water Line - lst 50 Feet Storm Sewer - lst 50 Feet Manufactured Home Conn - Plmb + 7Yo State Surcharge + l0% Administrative Fee Plan Review Major - Planning Amount Due 50.00 334.5s 288.48 219.36 42.12 160.00 30.00 45.00 45.00 45.00 45.00 27.30 39.00 103.00 Item Total:$1,473.81 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard WILLIAM HARzuSON djb 000416 In Person $1,473.81 Payment Total: -Si7mf 31301200s Page I of I CITY OF SPRINGFIELD, OREG ON 225 FIFTH STREET ' SPRINGFIELD, OR 97417 o PH:(5a1)72G3753 o FAX: EIfrCTRICAL TION DateCity Job Number 3. A. $zo Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 AmPS Over 1000 AmpsA/olts Reconnect OnlY New Alteration or Exteusion Per Panel One Circuit Each Additional Circuit or with or Feeder Permit Pump or inigation Sigr/Outline Lighting Limited Energy/Residential Limited Energy/Commercial 7o State I 0% Adminiqqqgytffglet e TOTAL r r_'irtrty NotificatiOn a S}P'II,{O'tELD 19 $ 63.00 $ 75.00 $ 125.00 $ 163.00 $375.00 $ 50.00 $ 43.00 $ 3.00 w JOB DESCRIPTION Permits rre and exPire if work is not started wlthin days of issuance or if work is Suspended for 180 daYs. ,, Electrical Contractor B. Address Po br,x I T Supervisor License Number qrq \s C. Expiration Date ID 5t Constr. Contr. Number \%_l^]R Expiration Date t lr 5 Signature of Supervising Elect'ician D. Owners Name Address E. City OWNER INSTALLATION The installation is being made on property I own which is not interded for sale, lease or rent. Owners Signature: Inspection Request: 72G37 69 City %e,e Ph"" bgb'S{44 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. hwrnquiFrttlulb is $45.00 * surcharges of the 952-@1. rules by phonE $ 50.00 $ 50.00 $ 25.00 $ 45.00 V$r( \o(\o5* 1 4. Shared Dnve(T:)/Building Forms/Electrical Permit Application I -03.doc a t ) Status Issued 225 Fifth Street, Spring{ield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00251ISSUED: 0410712005APPLIED: 03/0312005EXPIRES: 1010712005VALUE: $ 64,500.00 SITE ADDRESS: 1363 32ND ST Springfield TYPE OF WORK: Manufactured Home on ASSESSOR'S PARCEL NO.: 1702303405401 Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: MH on private lot - Demolish existing manufactured home on property. PhoneNumber: 541-746-1668Owner: Address: Contractor Type General Electrical Manuf Home Inst Plumbing THOMAS HUTCHINSON 1363 N 32ND ST SPRINGFIELD OR 97478 Contractor HARRISON JACOBSON INC ROBS ELECTRIC INC HARRISON JACOBSON INC HARRISON JACOBSON INC License 66447 155578 66447 66447 Expiration Date 0st07t200s 08n4t2005 05t07t2005 05t0712005 Phone 541-689-7762 541-686-5444 541-689-7762 541-689-7762 CONTRACTOR INFORMATION m # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # ofStories: I Height of Structure Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I R-3 VN 9,690 2,082 4 Notes: Storm drainage piped to curb face 3/4/2005 CAS REQUIRED PARI(NG Total: 2 Handicapped: Compact: 30.10 Sidewalk Type: . ATTENTIoN:dibgbiiiawrequtresroufiou1rf 09s' lo I I ow rutAgWBptEU$lttfft! o re g olr Uft ftY " uu tte r Notification Center. Those rules are set forth ln OAR 952-001-0010 through OAR 952-001. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification center is 1 -800-332 -2344). 10.00 s.00 23.00 70.50 0.00 2 Fully Improved Yes rf DEVELOPMENT INFORMATION PUBLIC IMPROYEMENTS Pase I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00251ISSUED: 0410712005APPLIED: 03/0312005 EXPIRESz 1010712005VALUE: $ 64,500.00 Description Type of Construction Foundation Onlv Use Bid Amount Manuf Home Manufactured Home $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 4,500.00 60,000.00 Value $4,500.00 $60,000.00 $64,500.00 Date Calculated 03/03/200s 03/03/2005 Fee Description Plan Review Residential + l0o Administrative Fee + 7%o State Surcharge Manuf Home State Issuance Manufactured Home Conn - PImb Manufactured Home Feeder Manufactured Home Placement Plan Review Major - Planning Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Water Line - lst 50 Feet + l0%o Administrative Fee + 7oh State Surcharge Manufactured Home Service Total Amount Paid Amount Paid $44.46 $39.00 $27.30 $30.00 $45.00 $s0.00 $160.00 $103.00 $45.00 $219.36 $288.48 $42.12 $334.55 $45.00 $45.00 $5.00 $3.50 $s0.00 $1,576.77 Total Value of Project Date Paid 3t3t05 3/30/05 3/30/05 3/30/05 3/30/05 3/30/0s 3/30/05 3/30/05 3/30/0s 3/30/05 3/30/05 3/30/0s 3/30/0s 3/30/0s 3/30/05 4t7t05 417105 4t7t05 Receipt Number 1200500000000000286 2200500000000000361 2200500000000000361 2200s00000000000361 2200s00000000000361 2200500000000000361 2200500000000000361 2200500000000000361 2200500000000000361 220050000000000036r 2200500000000000361 2200s0000000000036r 2200500000000000361 2200s00000000000361 220050000000000036r 2200500000000000401 2200500000000000401 2200s00000000000401 Fees Paid PIan Reviews Initial Review Planning Review Public Works Review Structural Review 03t04t2005 03t04t2005 APP LLH No address fee or willamalane sdc. This home replaces an existing home that is being demolished. Storm drainage piped to curb face 3/4/200s cAs 03t04t2005 03t04t200s 03t28t200s 03104t2005 APP APP TAJ CAS 03t04t200s 03t24t200s oK RJB 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. Paee 2 of3 Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00251ISSUED: 0410712005APPLIED: 03/0312005EXPIRES: 1010712005VALUE: $ 64,500.00 Reouired Insnect Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. 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. 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. MH Pedestal: 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 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 times during construction. Owner or Contractors Signature Date Page 3 of 3 225 Fifth Street Sprin#eld, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200500000000000401 Date: 0410712005 tzz7z3ePM Job/Journal Number coM2005-00251 coM2005-002s 1 coM2005-00251 Description Manufactured Home Service + 7o/o State Surcharge + l0% Adminishative Fee Amount Due 50.00 3.50 5.00 Item Total:$s8.50 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard ROBS ELECTRIC lth 015410 Phone $58.50 Payment Totat: -558.5-6- 4/7/2005 Page I of I ma Building/C ombination Permit coM2005-00251 03/03/200s 03/03/200s 09/03/2005 $ 4,500.00 Manufactured Home on Private Lot Residential PhoneNumber: 541-746'1668 Status Issued 225 Fifth Street, SPringfield, OR 541-726'3753 Phone 541-726-3676Fax 541-7 26-37 69 InsPection Line PERMIT NO: ISSUED: APPLIED: EXPIRES: VALUE: SITE ADDRESS: 1363 32ND ST lisr-sson'S PARcEL No': 1702303405401 Springfield TYPE OF WORK: TYPE OF USE: New PROJECTDESCRIPTIoN:DemolishexistingMHreplacewithnewMHonprivatelot Owner: Address: THOMAS HUTCIIINSON 1363 N 32ND ST SPRINGFIELD OR 97478 Contractor TvPe General Electrical Manuf Home Inst Plumbing # of Units: PrimarY OccuPancY GrouP: SecondarY OccuPancY GrouP: Primary Construction TYPe SecondarY Construction TYPe: # of Bedrooms: FrontYard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street ImProvements: Storm Sewer Available: Special Instruction: Contractor HARRISON JACOBSON INC ROBS ELECTRIC INC -00 HARRISON JACOBSON IIARRISON Expiration Date 05/07/2005 08/14/2005 05/07/2005 05/07/2005 Phone 541-689-7762 541-686-5444 541-689-7762 541489-7762 car $u( of Stories: Height of Structure Type of Heat: Water TYPe: Range TYPe: EnergY Path: Sprinkled Building: OverlaY # Street Rqd: Paved Drive Rqd: ,h Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarPort Sq Ft Other: Occupant Load: R-3 VN nla t-F1 F V{ORK its uoi REQUIRED PARKING Total: HandicaPPed: Compact: LE) [o ron Sidewalk TYPe: Downspouts/Drains: Notes: Page 7 of 2 IC'*D b\J tne ER' AN\]U D ? SPRIN Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00251ISSUED: 03/03/2005APPLIED: 03/0312005EXPIRES: 09/0312005VALUE: $ 4,500.00 Description Tvpe of Construction Foundation Onlv Use Bid Amount Manuf Home Manufactured Home $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 4,500.00 60,000.00 Value $4,500.00 $60,000.00 $64,500.00 Date Calculated 03/03/2005 03/03/2005 Fee Description + l0oh Administrative Fee + 7oh State Surcharge Demolition Plan Review Residential Sanitary or Storm Sewer Cap Total Amount Paid Amount Paid $9.00 $6.30 $45.00 $44.46 $4s.00 $149.76 Total Value of Project Date Paid 3t3t05 3/3/05 3t3t05 3/3/0s 3/3/05 Receipt Number 1200500000000000286 1200500000000000286 r200s00000000000286 1200500000000000286 r200500000000000286 Fees Paid Plan Reviews To Request an inspection call the24 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. 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 701.005 will be used on this project. I further agree to that all required inspections are requested at the proper time, that each address is readable from the located at the front of the property, and the approved set of plans will remain on the site at allstreet, times 3 j-or Owner or Contractors Signature Pase 2 of 2 Date I Valuation Description I Kequrreo lnsDecuons I ,5 Fifth Street ipringl^eld, Oregon 97 477 541-726-3759 Phone Cify of Springfield OfficiatReceipt _ - .velopment SeryicesDepartment Public Works D ep artlnent RECEIPT#: 1200500000000000286 Date:03/03/2005 9:28:754M Job/Journal Number coM200s-00251 coM2005-00251 ccM2005-00251 coM2005-00251 coM2005-00251 Description Plan Review Residential Demolition Sanitary or Storm Sewer Cap + 7o/o State Surcharge + l0%o Administrative Fee Amount Due 44.46 45.00 45.00 6.30 9.00 Item Total:$149.76 Payments: Type ofPayment Received By Check Number Batch Number Number How Received Amount PaidPaid By CreditCard WILLIAM HARRISON djb 025171 In Person Payment Total: s149.76 -mltzi' 31312005 Page 1 of 1