HomeMy WebLinkAboutPermit Building 2000-01-26SPFINGFIELD
Job# 99-01710-01 Paoe 1 of4- TRANES
DATE:
AHT RE[D:
:01
JAN
2$
*0000165
26 ?000
3t?t.47
IHANEE:
CASHiER:059
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 477 00048th St Spr
AssessorsMap#: 17023200
Lot:4 Block: 1 Addition
Job Number: 99-01 71 0-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01700
Subdivision: Lynn Lee Estates
ctTY oF SPR7NGFIELD, OREGO^
Owner: Richard Lee
Address: 575SA St
Scope Of Work: Manufactured Home on Private Lot
Phone Number:
City/State/Zip:
New
541-726-5508
Springfield, OR97474
Value: $48,950
Contractor Type
GeneralContr
Contractor
Hardacker and Lee
PO Box 686, Creswell, OR 97426
Registration # Expiration Date Phone
541 -895-4307
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNC
1
(VN)Wood Frame
Electric
Office [Jsg
-
Land Use: Mfg Home - Not in aPar # Of Buildings: 1
Zoning Code: LDR Occupancy Group: Dwelling
Bedrooms: 3 Heat Source: Forced Air Electric
Range: Electric Sq. Footage: 1 188
To request an inspection call the 24 hour recording at726-3769. 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.
Site
Footing
SIab
Framing
FinalBuilding
MH Electrical
MH Service
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Required lnspections
Building
-To be made after excavation but prior to setting forms.
-After trenches are excavated.
-To be made after all inslab building service equipment, conduit piping, and other equipment ite
-Prior to cover.
-When all required inspections have been approved and the building is complete.
Electrical
-When blocking, setup, and plumbing inspections have been approved and the home is connect
Plumbing
-After home has been connected to water and sewer
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
Manufactured Home
MH Set Up -When all blocking is complete.
Job# 99-01710-01 Page 2 ol 4
Required Inspections
Manufactured Home
-After all required inspections are approved and porches, skirting, decks, venting, house number
Public Works
-After forms are ereceted but prior to placement of concrete.
-After excavation is complete, forms and sub base material is in place
MH Final
Curbcut
Sidewalk
Street lmprovement:
Curb Cut?[l
San Sewer Depth (Ft):
Storm Sewer Available?
SpecialReq.:
Security Required:
Bond Begin DateTime:
Special lnstructions:
Other Utilities:
Project Supervisor:
Fully Improved
lmprovement Agr.?
6-4
V)
Sidewalk Type:
AdditionalROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Curbside - 5'
I
To Curb and Gutter
4
00/00/0000 00:00 A Bond End DateTime: 00/00/0000 00:00 A
No occupancy or sewer hookup until city accepts infrastructure
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? fl
Overlay District:
# of Street Trees:
Land Use: Mfg Home - Not in a Park
Pave Driveway? Y)Wetlands?
Journal numbers
1:
Comments:
Planner:
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Additional Requirements:
i l Glenwood Area? -l Required Attachments:
Source Locn:
Material:
2
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access?
(sq.
Main:1188 Accessory:
Accessory Structure
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:1
Gensus Code: New Mfg Home
Total:1188
Fee Paid On Receipt# Value/Quantity Fee Amount
Residential Plan Check
Total Plan Check
12123t1999 36514 2,100 $25.03
$25.03
Garage/Carport
State Surcharge For Building Permit
Building
01t26t2000
01t26t2000
365
365
$56.50
$3.96
5,950
1
3:
Flood Plain FEMA:
tr
Job# 99-01710-01 Page 3 of4
Fee Paid On Receipt# Value/Quantity Fee Amount
Buildinr
Building Administrative Fee
Total Building
0'U26t2000 365 $1.70
$62.16
Manufactured Home Service\Feeder
State Surcharge For Electrical Permit
Electric Ad ministrative Fee
Total Electrical
Electrical
01t26t2000
01t26t2000
01t26t2000
2365
365
365
$80.00
$5.60
$2.40
$88.00
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Manufactured Home Connection
Plumbing Administrative Fee
Total Plumbing
Plumbing
01t2612000
01t2612000
01t26t2000
01t26t2000
01t26t2000
01t26t2000
01t26t2000
50
50
50
1
365
365
365
365
365
365
365
$.00
$6.30
$25.00
$25.00
$25.00
$15.00
$2.70
$99.00
Manufactured Home Setup Fee
Manufactured Home State lssuance
State Surcharge For Manufactured Hom
Manufactured Home Administrative Fee
Total Manufactured Home
Manufactured Home
01t26t2000
01t26t2000
01t26t2000
01126t2000
365
365
365
365
43,000
1
$105.00
$30.00
$7.35
$3.1 5
$145.50
New Sidewalk
New Curbcut
Total Public Works
Public Works
01t26t2000
01t26t2000 365
40
1
365 $60.00
$60.00
9120.00
tstem Development
01t26t2000
01t26t2000
01t26t2000
01t26t2000
01t26t2000
01t2612000
01126t2000
01t26t2000
365
365
365
365
365
365
365
365
2,324
18
1
1
1
1
15
$539.1 7
$868.86
$491.60
$242.76
$22.05
$10.00
$105.37
$-67.05
$2,2',12.76
Manufactured Home - \A/illamalane
TotalWillamalane SDC
Willamalane SDC
01t26t2000 365 1 $1,000.00
$1,000.00
Grand Total
Plan Check Type
Engineering-Res
Structural-Res
Ghecked By
Steve Templin
Don Moore
Date Completed
01t25t2000
01t25t2000
$3,752.45
Residential- Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential lmprovement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
Total System Development
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.
Job# 99-01710-01 Page 4 ol 4
/^2c-?/
Date
I further
ble from the street, that the
ensure that all required inspections are
card
requested at the proper
is located at the front of the propery, and the
time, that each
address
agree to
is reada permit
at all tiofllremainthe site mes during construction
Sign
Willamal a
Di
ne
Job.uo. 11\ItPark & Recreation strict
SYSTEM DEVELOPMENT CHARGE
wonKsneer
NAME:
ADDRESS: E?S,E \N
LOCATION OF PROPOSED BUILDING SITE:
PHONE:€so B
STATE: O^ zP 'tH
Street Address:
Plat Name: \ Zb)3& CD Tax Lot Number:Ot? q)
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelftng t
ype delinitions are on the back")
s (r
A Single-Family Detached
Single Family home
NO. OF UNITS \
K Manufactured home not in a park
X $1,000 Per unit = $\
B. Single-Famity Attaehed
NO. OF UNITS X $924 per unit = $
C. Multi-Familv Aoartment
-
NO. OF UNITS X $692 per unit = $
D. Mant{ac'tured Home Park
NO. OF UNITS
WLLAMALANE SDC
2. SDC CREDIT (u appncaOte) SDOaayer must fumlsh proof of
Willamalane Credit approval. See SDC Credit Wottcsheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced forCreditt $
(E
X $699 per unit E $
-
$
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