HomeMy WebLinkAboutPermit Building 2001-07-16SPRINGFIELD
Job# 01-00487-0'l
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of4
Job Number: 01-00487-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00204
Subdivision:Maia Park
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1919 00022nd St 33 Spr
AssessorsMap#: 17032500
Lot:33 Block: Addition
ctTY oF SPRTNGF7ELD, OREGOTV
Owner: Ed Stonecypher
Address: 2541 Marcola Rd
Scope Of Work: Manufactured Home on Private Lot
Phone Number:
City/State/Zip:
New
541-741-1184
Springfield, OR97477
Value: $65,290
Contractor Type
GeneralContr
ElectricalContr
Plumbing Contr
Address is subject to change due to recent land use decision to change property from mobile
home nark to subdivision.
Contractor Registration # Expiration Date Phone
Gooden-Harrison Construction 541-689-7762
1441 hwy 99n, Eugene, OR 97402
Heritage Electric 541-729-1500
1042Horn Lane, Eugene, OR 97404
Gooden-Harrison Construction 541-689-7762
1441 hwy 99n, Eugene, OR 97402
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
2RNW
1
(VN) Wood Frame
Electric
Office Use
-
Land Use: Mfg Home - Not in a Par] # Of Buildings: 2
Zoning Code: LDR Occupancy Group: Dwelling
Bedrooms: 3 Heat Source: Forced Air Electric
Range: Electric Sq. Footage: '1512
To request an inspection call the 24 hour recording at 726-3769. 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
euilqus
Verify Ground Rod
Footing
Foundation
Shear Wall Nailing
Framing
Drywall
Special
FinalBuilding
U nderg round Electrical
MH Electrical
- lnstall ground rod at footing, and call for inspection in conjuction with footing andlot'foundation i
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Before covering sheathing with finish materials.
- Prior to cover.
-Prior to taping.
-See Plan Review and/or lnspectors Notes, or prior to cover if applicable.
-When all required inspections have been approved and the building is complete.
Etectrical I
- Prior to cover.
-When blocking, setup, and plumbing inspections have been approved and the home is connect
MH Service
Underfloor Drain
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
FinalPlumbing
Rough Mechanical
FinalMechanical
MH Set Up
MH Fina!
Zoning: LDR
FloodPlain? [ Wetlands? [
Journal numbers
1:
Comments:
Planner: Liz Miller
Urban Growth Boundary?[
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Overlay District:
# of Street Trees:3
3
Additional Requirements:
Gtenwood Area? [ Required Attachments:
Source Locn:
Materia!:
Flood Plain FEMA:nla
Land Use: Mfg Home - Not in a Park
Pave Driveway? V
Job# 01-00487-0'l Page2 of 4
Required lnspections
Electrical
Plumbing
-Prior to cover or placement of concrete.
-After home has been connected to water and sewer
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
-When all plumbing work is complete.
Mechanical
-Prior to cover.
-When all mechanicalwork is complete
Manufactured Home
-When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house numbet
2
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 2
# Of Bedrooms: 3
Handicap Access? [
Accessory Structure
# Of Stories: 1 Height (feet): 15
Current Units: Proposed Units:1
Census Gode: New Mfg Home
Area (Sq
Main: 1512 AccessoryS72 Total2084
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Additional Plan Check
Total Plan Check
05t11t2001
0611212001
5300
5792
4,800
43
$32.83
$42.90
$75.73
Building
Garage/Carport
Foundation Only
State Surcharge For Building Permit
06112t2001
0611212001
0611212001
5792
5792
5792
10,490
4,800
$86.50
$50.50
$e.5e
Job# 01-00487-01 Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Building Administrative Fee
Total Buitding
0611212001 5792 $4.11
$150.70
Electrical
Manufactured Home Service\Feeder
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
06t1912001
06t19t2001
06t19t2001
5863
5863
5863
2 $80.00
$5.60
$2.40
$88.00
Plumb
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Manufactured Home Connection
Administrative Fee - Plumbing
Total Plumbing
0611212001
06t12t2001
06t1212001
0611212001
06t1212001
06t1212001
0611212001
5792
5792
5792
5792
5792
5792
5792
50
50
80
1
$.00
$7.35
$25.00
$25.00
$40.00
$15.00
$3.1 s
$115.s0
Mechanical
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
07t16t2001
07t1612001
07t16t2001
0711612001
0711612001
6149
6149
6149
6149
6149
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
Manufactured Home
Manufactured Home Setup Fee
Manufactured Home State lssuance
State Surcharge For Manufactured Hom,
Manufactured Home Administrative Fee
Total Manufactured Home
06t12t2001
06t1212001
06t12t2001
06t12t2001
5792
5792
5792
5792
50,000
1
$105.00
$40.00
$7.35
$3.15
$15s.s0
System Development
Residential- Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential lmprovement MWMC
MWMC Administrative Fee
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Residential Sanitary MWMC
Transportation SDC Reimbursement
Total System Development
06t12t2001
0611212001
06t1212001
06t12t2001
06t1212001
06t1212001
06t12t2001
06t12t2001
0611212001
5792
5792
5792
5792
5792
5792
5792
5792
5792
3,238
20
1
1
1
20
$877.50
$323.00
$656.02
$24.33
$10.00
$425.00
$137.80
$285.91
$154.27
$2,893.83
1
1
Manufactured Home - Willamalane
TotalWillamalane SDC
Willamalane SDC
1 $1,000.00
$1,000.00
Grand Total
0611212001 5792
$4,505.76
PIan Check Type
lnitial Review-Res
Checked By
Lisa Hopper
Job# 01-00487-01
Date Completed
0511712001
Comment
address is subject to change due to recent
land use approval to change property from
mobile home park to a subdivision.
-16'o(
Engineering-Res Steve Templin 0512212001
Planning-Res Liz Miller 06/05/2001
Structural-Res Tom Max 0512412001
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certifo 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
fr,)iloo*-
Signature Date
Page 4 of 4
CITY OF
.PCIINGFIELD
\rgo
OFBICE: 726-3759
,Ot"t*5rst
OF
JOB
Permits a non-transferable and lreif vork is not started within 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATTON ONLY B.
Electrical Contractor e-b
Address /A/Z .4-r*
ciw ,L4o,^? phone o
ELECTRICAL PERHIT APPLICATION
City Job ltunber Ot..o\
3. COMPT,ETE FEE SCBEDT'LE BELOV
A. Nev Residential-Single orMulti-Family per dvelling unit.
Service Included:
l'
I tems
1000 sq.ft. or less.
Each additional 500sq. ft or portion
thereof
Each Hanuf'd Home. or
-Modular'Dvelling A
SerVice or Feeder 3,
Services or FeedersInstallation, Alterationsor Relocation:
200 amps or less
Cos t
$ 8s.00
$ 1s.00
$ 40.00
$300.
$ 40.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
8()
Su
i\
ffi-r-00
00
00
00
00
00
$ so.
s 60.
s100.
$130.Supervisor License Number ?f5-s
201 amps
401 amps
601 amps
Over 1000
Reionnec t
to 400 amps
-to 600 amps
-to 1000 amps-
amps/voIts
-0nIyExpiration Date
Bxpiration Date L//5/Y-
C. Temporary Services or FeedersInstallation, Alteration or Relocation
a
Signature of Supervising Electrician
Ovners Name
:
Add
200 amps'^or less S201 amps to 400 amps
-
$0ver (01 to 600 amps
-
$' 0ver 600 amps or 1000-E-fis s
D. Branch Circuits
/7-40.00
55.00
80.00
ee nBtr aE66
ci ,nonl-l$\,'\\KL
,ON
The installation is being made onproperty I ovn vhilh is not intendedfor sa1e, lease or rent.
Orners Signature:
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each AdditionalCircuit or vith Service, .j11or Feeder Permit I S 2.00 +
E. Hiscellaneous (Service/feeder not include<
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limi ted Energy/Res
-Limited Energy/Comm
5 SUBToTAL 0F ABoVB
1 fl State Surcharge' 3Z Administrative Fee
TOTALRBCEIVED
I
i
225 FIFTS
SPRINGFIEI,D,
INSPECTION
\-t
consrr conrr . Nunber 6 7/97 B- _
:
I
I
I
I
I
DATE:
Job# 01-00487-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Buitding Safety
Page 1 of3
SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1919 00022nd St Spr
AssessorsMap#: 17032500
Lot:33 Block: Addition:
Job Number: 01-00487-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00204
Subdivision:Maia Park
ctTY oF SPRINGFIELD, OREGO^
Owner: Ed Stonecypher
Address: 2541 Marcola Rd
Scope Of Work: Manufactured Home on Private Lot
Phone Number:
City/State/Zip:
New
541-741-1184
Springfield, OR97477
Value: $65,290
Gontractor Type
GeneralContr
ElectricalContr
Plumbing Contr
Address is subject to change due to recent land use decision to change property from mobile
home nark to srrhdivision.
Contractor Registration # Expiration Date Phone
Gooden-Harrison Construction 541-O89-7762
1441 hwy 99n, Eugene, OR 97402
Heritage Electric 541-729-1500
1042Horn Lane, Eugene, OR 97404
Gooden-Harrison Construction 541-689-7762
1441 hwy 99n, Eugene, OR 97402
Office Use
-
in a Parl # Of Building s:2Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
1
(VN) Wood Frame
Electric
Land Use: Mfg Home - Not
Zoning Code: LDR
Bedrooms: 3
Range: Electric fou n
hone
ication
To request an inspection call the 24 hour recording at 726-3769. All
a.m. will be made
working day.
the same working day, inspections requested after
Required !nspections
Buildi
Verify Ground Rod
Footing
Foundation
Shear Wall Nailing
Framing
Drywall
FinalBuilding
Underfloor Drain
MH Plumbing
Water Line
-lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated. R;CTlCtr"
-After forms are erected but orior to concrete blace-ment.
-Before covering sheathing with finish rridibridisjlilil- SiIALL EXPIRL lF THE WoRK
-prior to cover' ALrTl"ltiiii*'Htl UNDE* THrs pEHMrr rs N'T-Prior to taping. ni.,n
- w h e n a r r re q u i red,.', "1I111ifryf fffi ffi,,PP&Bo
l$E& n0 Bte
Plumbing I
-Prior to cover or placement of concrete.
-After home has been connected to water and sewer.
-Prior to filling trench.
rires you to
tt
I
Sanitary Sewer Line
Storm Sewer Line
FinalPlumbing
MH Set Up
MH Final
Zoning: LDR
FloodPlain? [ Wetlands? [
Journa! numbers
1=
Comments:
Planner: Liz Miller
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Job# 01-00487-01 Page 2 of 3
Required lnspections
Plumbing I
- Prior to filling trench.
- Prior to filling trench.
-When all plumbing work is complete.
Manufactured Home
-When allblocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house number
Overlay District:
# of Street Trees:
Land Use: Mfg Home - Not in a Park
Pave Driveway? g3
2:3:
Additional Requirements:
tr Gtenwood Area? [ Required Attachments:
Source Locn:
Material:
Flood PIain FEMA:nla
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 2
# Of Bedrooms: 3
Handicap Access? [
Area (Sq.
Main: 1512 Accessory572 Total2084
Fee Paid On Receipt# Value/Quantity Fee Amount
PIan Check
Residential Plan Check
Additional Plan Check
Total Plan Check
05111t2001
06t12t2001
5300
5792
4,800
43
$32.83
$42.90
$75.73
Building
Garage/Carport
Foundation Only
State Surcharge For Building Permit
Building Administrative Fee
Total Building
06t1212001
06t12t2001
0611212001
0611212001
5792
5792
5792
5792
10,490
4,800
$86.s0
$50.s0
$9.se
$4.11
$1s0.70
Plumbing
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Manufactured Home Connection
06t1212001
0611212001
06t12t2001
0611212001
0611212001
06t12t2001
5792
5792
5792
5792
5792
5792
50
50
BO
1
$^oo
$7.35
$25.00
$25.00
$40.00
$15.00
Accessory Structure
# Of Stories: 1 Height (feet): 15
Current Units: Proposed Units:1
Census Code: New Mfg Home
Job# 01-00487-01 Page 3 of 3
Paid On Receipt# Value/Quantity Fee Amount
Plumbi
Administrative Fee - Plumbing
Total Plumbing
06t12t2001 5792 $3.1 5
$115.s0
Manufactured Home
Manufactured Home Setup Fee
Manufactured Home State lssuance
State Surcharge For Manufactured Hom,
Manufactured Home Administrative Fee
Total Manufactured Home
06t1212001
06t12t2001
06t1212001
0611212001
5792
5792
5792
5792
50,000
1
$105.00
$40.00
$7.35
$3.15
$155.50
System Development
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential lmprovement MWMC
MWMC Administrative Fee
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Transportation SDC Reimbursement
Total System Development
0611212001
06t1212001
0611212001
06t12t2001
0611212001
0611212001
06t1212001
0611212001
06t12t2001
5792
5792
5792
5792
5792
5792
5792
5792
5792
3,238
20
1
1
1
1
20
$877.50
$323.00
$656.02
$28s.91
$24.33
$10.00
$425.00
$137.80
$154.27
$2,893.83
1
Manufactured Home - Willamalane
TotalWillamalane SDC
Willamalane SDC
0611212001 5792 1 $1,000.00
$1,000.00
Grand Tota!
Plan Check Type
lnitial Review-Res
Checked By
Lisa Hopper
Date Completed
0511712001
$4,391.26
Comment
address is subject to change due to recent
land use approvalto change property from
mobile home park to a subdivision.
Engineering-Res Steve Templin 0512212001
Planning-Res Liz Miller 06/05/2001
Structural-Res Tom Max 0512412001
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
Signature Date
Fee
,,[,3ntrmainonthesiteatalltimesduringconstruction.
t
The following proiect as submitted has the following
zoning. and does not require specific land use
3
w
225 FITTE STPJEET Ds1.
uDrL
PERHTT APPLICATION
ty Job Nu:uber 0( - Oo zi 7-O(
3. COI{PI.ETE FEE SCEEDIII.E BELOV
Nev Residential-Single or
i.lulti-Family per dvelling uni t.
Service Included:
i r- ens Cos t
approval.
Zoning
- r.f -or
SPEIiGFfEI"O, CREG0N 97{i,|'Arzect siqnature
INSPECf,ION REQLTEST: 726-3769 "
OFFTCE: 725-3759
t LOCAiloii
rq\4 +(A
:."i,1-a<.-,*r -SA31
. a= n^.: G-.t u
s 40.00
)r.L,u.('t ?o
s 40.
Sun
5o!'e
IJGAI DESC?JPTION
1703 zls6o oo?4{
inI] ntrCr/-D'I-EyT;al\;iVs vsJvlu^ l*vrr
Ar1 -
:.UvU sQ. r i. o: .iess
Each adcitional. 50C
sq. ft o: po:t1o:i
thereof
Each Hanuf 'C liome. or
-Hodular Dveiiing
servlce or leeoer
Services or Feed'ers
instaLlation, iLtei'aiions
cr Reioca:ion:
200 amps or iess
a.ar ,'1,a --- ^;u- .:1..u5 lL q'J- -,,.1Jtoi amp-. to 5C0 a;;Ps
-601 amps to 1.0C0 an.Ds_
0ver 1000 anps/volis
Reco;:nec t 0n1y
Dn ca
00
00
nc.: -_39,31h8_L
.,,.--'.{ -.-.-'iF = r ! r \":cense Nunbe:\<.
(i ma trr ^ nf (rrnorrriqino Fr'anl'rici:n
L v - ve^v-
r,.'-^-- i';--^L' - i i-_- _\ r.4...=
Tenpcra::v Se:r':ces o: Feeder-.
insial.laiio:r, Slteration or Relocatir:rr
4U\f ctlr!J: lJl l=5:
2Ci amps to 4CO a;ps
-ovar' 4o] tn 5o0 enDs
-Over 600 amps o:: i0C0 voits
., l
q:
SB
see
0.00
po
Adcres-< lltq Z?,*,{-
Li r)S /rA :io.=98L:JJ3A3
=r:Frll I t-ra.r:uxnEi. .i-it-1 I ll.:,I-'i I :ui\
The instaLl-aticn is be:.ng naie on
property.I oirn ghicn is not i.ntendeC
for sale, lease or re!'lt.
0L'ilers Si5::atiire:
rra.rrD.
E. !'{isceiianecus {Servicez'feeder net inclutieC)
-Feah i netel 'l a !'i an
Pump or irrigation
Signloutiine Lighting'-
iimi ted Energ;v'r'F.es
-i !F! +6- -na-ry\,i, nmh!*.!. !us s..L- 5J
s 35.00 3g-
s 2.0c
*
!. !ra:lLlt u:;!ui tJ
One Circuit ' /
!-^h 6-at ?tAn=:
Circui t er vi th Service
^- Fo-r{ar D-r=i t
s 40.00
c lr'i nn
-- {Lr. v-il
s 20.00ct(nnW tv.rv
5. SUBTOTAL 0F AB0'.'E
7t State Surcharge
3tr Administrative Fee
TOTAL
n.. ++3."
-(F
i
F.T C)
PGCEI!:gD
;t5-ol
oLrliSTALHTAoNt ) -fSx]r,1
Perrni t s are ncn- t rarrs f erabie and expi re
i f ',rork i s no t s tar ted vi thin 180 days
of issuance ct- i f 'j'cri: is suspenCed f or
180 daY-..
z- coh-T?3cTOF. INSTIJ-l-4,fl0ii 0h-1,Y 9-
l\Oa* <iiec::i :a: Cc: t :e: tc
Expira:::: l'ate )Cl -O | - Ot
U.
Cons:r Co::l-. Xu;ber .€COl
C'TY OF
225 FIFTE STREET
sPRrNGFrEt D, OREGON 97477
INSPECTI0N REQUEST.t 726-3769
OFFICE: 726-3759
1 OF
RINGFIELD
ELECTRICAL PERHIT APPLICATION
city Job Number Dt .Cn 48r.or
3. COT{PI,ETE FEE SCEEDTILE BELOV
Nev Residential-Single or
Mu1ti-Family per dvelling unit.
Service Included:
I tems Cos t
$ 8s.001000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
-Hodular'Dvelling n
SerVice or Feeder 'l-.
Services or Feeders
Installation, Alterations
or Relocation:
$ 1s.00
$ 40.00
$'
A
Su
i JOB DESCRIETIONf,Nt\I\rr L.Nocrrg-
t*r* .* \)n-,r"n"ferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI{IBACTOR INSTALI,ATTON ONLY B.
te"Tu>
s0
!
I
I
Electrical Contractor
Address 2/L ,4e ffi*-
{Le* Phone 22 - /Soc:
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect 0n1y
-Each installation
Pump or irrigation
Sign/OutIine Lighting_
Limi ted Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOVE
1 l?" state Surcharge' 3Z Administrative Fee
TOTAL
Ci ty
Supervi-sor License Number
s s0.00
s 60.00
$100.00
Expiration oarc /L/ al
constr contr. Number 6 zt=z EF- --
Expiration Date z/ tg/t{
signaturq ", ,,;;;a; /r"-.-'r.r'o
$130.00
s300.00s 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
Over {01 to 600 amps
-
$ 80.00' Over 600 amps or 1000l6lfEs see rrBn above
D. Branch Ci rcui ts ; ..
Nev, Alteration or Extension Per Panel
one circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E Miscellaneous (Service/feeder not include<
?F5_-S
0vners Name
Address
Ci ty \orld.--Phone -1A\'\\K
Mo*
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
i-00 : HilH,qU0ners Signa ture:
:]5NUHX
a\n'nn .tUUOOiDT
T00i 6I
t?88000-
$ 40.00
$ 40.00
s 20.00
$ 36.00
5
RECEIVED
d)
l'
DI