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Home My WebLink AboutPermit Building 2001-10-15SPRINGFIELD Job# 01-01050-01 RESIDENTIAL PERMIT City Of Springfield Commun ity Services Division Building Safety Page 1 of 3 Job Number: 01 -01 050-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 01402 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1166 00036th St Spr AssessorsMap#: 17023043 Lot:1402 Block: Addition: crrY oF sPR nrGFtELD, OREGON Owner: Rodney Hayles Address: 1 166 36th Street Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541-746-2336 Springfield, OR 97478 Value: $37,500 Contractor Type General Contr ElectricalContr Replace existing MH with new MH Contractor Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Heritage Electric 1042 Horn Lane, Eugene, OR 97404 Registration #Phone 541-689-7762 541-729-1500 Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: Occupancy Group: Dwelling Heat Source: Sq. Footage: 1404 To request an inspection call the 24 hour recording a1726-3769. All inspections 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 working day. Required lnspections Building - lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. Electrical -When blocking, setup, and plumbing inspections have been approved and the home is connect -Prior to cover. -When all electricalwork is complete Plumbing -Prior to cover or placement of concrete - Prior to filling trench. -Prior to filling trench. 'l Verify Ground Rod Footing Foundation MH Electrical Rough Electrical MH Service Final Electrical Underfloor Drain Water Line Sanitary Sewer Line Job# 01-01050-01 Required lnspections Plumbin Storm Sewer Line -Prior to filling trench. MH Set Up MH Final Zoning: LDR FloodPlain? [ Wetlands? ! Journal numbers 1: 2: Comments: Overlay District: # of Street Trees 2 3: Planner: Additional Requirements: Urban Growth Boundary?fl Glenwood Area? fl Required Attachments: Quantity Of Fill: Source Locn: Supplier: Material: Drainage: Floodway FEMA: 1161 o12975 Flood Plain FEMA: Page 2 of 3 Manufactured Home -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number Land Use: Single Family Dwelling Pave Driveway? g X-white Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main: 1404 Accessory: # Of Stories: Height (feet): Current Units: Proposed Units:1 Census Gode: New Mfg Home Total:1404 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 0912612001 6815Residential Plan Check Total Plan Check 2,500 $34.32 $34.32 Building Foundation Only State Surcharge For Building Permit Building Administrative Fee Total Building 10t15t2001 1011512001 1011512001 6986 6986 6986 2,500 $52.80 $3.70 $4.22 $60.72 Electrical Minimum Electrical Permit Fee Man ufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 10t15t2001 1011512001 1011512001 1011512001 10t15t2001 6986 6986 6986 6986 6986 2 1 $.00 $100.00 $3.00 $7.21 $8.24 $118.45 Plumbing Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage 10115t2001 1011512001 10t15t2001 10115t2001 6986 6986 6986 6986 $.00 $12.60 $45.00 $45.00 10 10 Job# 01-01050-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbi Storm Sewer Footage Manufactured Home Connection Administrative Fee - Plumbing Tota! Plumbing 1011512001 10t15t2001 10t15t2001 6986 6986 6986 $4s.00 $45.00 $14.40 $207.00 Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Tota! Manufactured Home 10t15t2001 1011512001 1011512001 10t15t2001 6986 6986 6986 6986 35,000 1 $160.00 $30.00 $11.20 $12.80 $214.00 System Development Residential - Single Family - Storm SDC Administrative Fee Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 10t15t2001 10t15t2001 10115t2001 1011512001 6986 6986 6986 6986 1,020 $278.46 $36.49 $256.44 $194.88 $766.27 12 12 Planning 1011512001 6986 1Planning Plan Review Tota! Planning $50.00 $s0.00 Grand Total Plan Check Type Checked By Date Gompleted Comment lnitialReview-Res Bob Barnhart 0912712001 Engineering-Res Steve Templin 1010412001 Planning-Res Sam Gollah 1011012001 Structural-Res Tom Max 1010412001 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 $1,450.76 address is readable from approved set of plans will the street, on that the permit card is located at the front of the propery, and the the site at alltimes during construction. -15-o I Signature Date 20 1