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Home My WebLink AboutPermit Building 2001-05-10SPRINGFIELD Job# 01 -00297-01 Addition: Page 1 of4 S1"0r-rC.1IT? AY lfi :00i : I $ irr.50 li{AtiE[: [f,EHitft:: riri 225 North Fifth Street Springfield, OR974TT Location Of Proposed Site: 1919 00022nd St AssessorsMap#: 1TO32SOO Lot:8 Block: RESIDENTIAL PERMIT City Of Springfietd Community Services Division Buitding Safety spr Job Numbe r: 01 -00297 -01 Office: 726-3T59 lnspection Line: 726-3769 Tax Lot#: 00204 Subdivision:Maia park Owner: Bernard T Booye Address: 480 Douglas Ave Scope Of Work: Manufactured Home in park MH & carport Phone Number: Gity/State/Zip: New 541-342-9141 Bandon, OR 9741 1 Value: $58,91S Contractor Type GeneralContr ElectricalContr MechanicalContr Plumbing Contr Contractor Gooden-Harrison Construction 1441 hwy 99n, Eugene,ORgT4O2 Heritage Electric 1042Horn Lane, Eugene, OR 97404 Home Comfort lnc 706 Oscar Street, Eugene, OR 97402 Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Registration # Expiration Date Phone 541-689-7762 s41_729_1500 NSTIGE: 8fi1 ff r Ei',1,1 lr s HTEPB|FE I F THE tsOBf45-2838 AUTHOPIZED UNDER THIS PERMIT IS NOT C0lll,lffi0ED 0R lS ABAND0NED FgRl-68e-7762 ^NIV 1QN NAY PE OD Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW (VN)Wood Frame Office Use - Land Use: Zoning Code: LDR Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: 1130 To request an inspection call the 24 hour recording at716-376g a.m. will be made the same working day, inspections requested working day Required Inspections Footing Foundation Framing FinalBuilding Building -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to cover. -When all required inspections have been approved and the building is complete - MH Electrical Rough Electrical Electrical Service Electrical -When blocking, setup, and plumbing inspections have been approved and the home is connect - Prior to cover. -Must be approved to obtain permanent power. OREGONCITYOF ility rthin OAR 9s2-00 f -0010 through OAR 952-001- You me the telephone rforthe Oregon Uti Iity Notification -800-332-2344). center. MH Service Final Electrical MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Rough Mechanical Gas Service Final Mechanical MH Set Up MH Fina! Zoning: LDR FloodPlain? [ Wetlands? [ Journa! numbers 1:2000-08-163 2: Comments:Jim Donovan - Planner Land Use: Pave Driveway? Z Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA:Zone X White Job# 01-00297-01 Page2 of 4 Required lnspections Electrical -When all electricalwork is complete Plumb -After home has been connected to water and sewer. -Prior to filling trench. - Prior to filling trench. -Prior to filling trench. Mechanical -Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When all mechanicalwork is complete. Manufactured Home I -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number Overlay District: # of Street Trees Planner: Liz Miller Urban Growth Boundary?[ Glenwood Area? Quantity Of Fil!: Supplier: Drainage: Floodway FEMA: panel 1 153 of 2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? # Of Stories: 1 Height (feet): Current Units: Proposed Units Census Code: New Mfg Home (Sq. Feet) Main: 1130 Accessory283 Total:1413 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 0312812001 4787 10,419 $56.23 $56.23 Buildinq Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 04t19t2001 04119t2001 0411912001 4985 4985 4985 $86.50 $6.06 $2.60 $9s.16 10,418 3: Job# 01-00297-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Manufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 04119t2001 04t19t2001 0411912001 04t19t2001 4985 4985 4985 4985 2 1 $80.00 $2.00 $5.74 $2.46 $e0.20 Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Manufactured Home Connection Administrative Fee - Plumbing Total Plumbing Plumbing 04119t2001 04t19t2001 0411912001 0411912001 0411912001 0411912001 04t19t2001 4985 4985 4985 4985 4985 4985 4985 20 20 75 1 $.00 $7.35 $25.00 $25.00 $40.00 $15.00 $3.15 $115.50 Mechanical Minimum Mechanical Permit Minimum Mechanical Permit Administrative Fee - Mechanical Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance Mechanical lssuance State Surcharge - Mechanical State Surcharge - Mechanical Total Mechanical 04t27t2001 0511012001 0412712001 0s11012001 0511012001 04t27t2001 05t10t2001 04t2712001 0511012001 5079 5277 5079 5277 5277 5079 5277 5079 5277 1 $15.00 $9.00 $.45 $.45 $6.00 $10.00 $10.00 $1.05 $1.05 $s3.00 1 Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home Manufactured Home 04t19t2001 04t19t2001 0411912001 04119t2001 498s 4985 4985 4985 48,500 1 $105.00 $40.00 $7.35 $3.1 5 $15s.s0 Residential - Duplex - 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 System Development 04119t2001 0411912001 04t19t2001 0411912001 04t19t2001 0411912001 04119t2001 0411912001 04t19t2001 4985 4985 4985 4985 4985 4985 4985 4985 4985 1,952 21 1 1 1 1 21 $s28.99 $339.1 5 $656.02 $285.91 $24.33 $10.00 $446.25 $122.25 $154.27 $2,567.17 1 Manufactured Home - Willamalane TotalWillamalane SDC Willamalane SDC 0411912001 4985 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Checked By Bob Barnhart Date Completed 03/30/2001 Comment $4,132.76 1 PIan Check Type Engineering-Res Planning-Res Checked By Steve Templin Liz Miller Job# 01-00297-01 Date Completed 0410912001 04t11t2001 Page 4 of 4 Comment OK to issue building permit per Jim Donovan. Final plat not returned yet although is already approved as park. J-td'a/ Structural-Res Bob Barnhart 0411712001 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 property, and the approved set of plans will un ng construction. Signature Date Job# 01-00297-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 SPRINGFTELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1919 00022nd St Spr AssessorsMap#: 17032500 Lot: B Block: Addition Job Number: 01 -00297-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 00204 Subdivision:Maia Park crrY oF SPRTNGFIELD, OREGOTV Owner: Bernard T Booye Address: 480 Douglas Ave Scope Of Work: Manufactured Home in Park MH & carport Phone Number: City/State/Zip: New 541-342-9141 Bandon, OR 9741 1 Value: $58,918 Contractor Type GeneralContr ElectricalContr Plumbing Contr Contractor Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Heritage Electric 1042Horn Lane, Eugene, OR 97404 Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR97402 Registration # Expiration Date Phone 541-689-7762 541-729-1500 541-689-7762 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW (VN) Wood Frame Office Use - Land Use: Zoning Code: LDR Bedrooms: Range: # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Sq. Footage: 1130 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. Required Inspections Buildin Footing Foundation Framing Final Building MH Electrical Rough Electrical Final Electrical -After trenches are excavated. -After forms are erected but prior to concrete placement. -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 - Prior to cover. -When all electricalwork is complete. Plumbinq MH Plumbing -After home has been connected to water and sewer Job# 01-00297-01 Page 2 of 3 Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing MH Set Up MH Final Zoning: LDR FloodPlain? [ Wetlands? [ Journal numbers 1:2000-08-163 2: CommentsJim Donovan - Planner Land Use Pave Driveway? g Zone X White Additional Requ irements Required Attachments: Source Locn: Material: Flood PIain FEMA: Required lnspections Plum - Prior to filling trench. -Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete Manufactured Home -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number Overlay District: # of Street Trees: Planner: Liz Miller Urban Growth Boundary?[ Glenwood Area? [ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: panel 1 153 ot 2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? Area (Sq Main: 1130 Accessory283 # Of Stories: 1 Height (feet): Current Units: Proposed Units: Census Code:New Mfg Home Total:1413 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total PIan Check 03t28t2001 4787 10,419 $56.23 $56.23 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 04119t2001 0411912001 0411912001 4985 4985 4985 10,418 $86.50 $6.06 $2.60 $95.16 Manufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Tota! Electrical Electrical 04119t2001 04t19t2001 0411912001 0411912001 4985 4985 4985 4985 2 1 $80.00 $2.00 $5.74 $2.46 $90.20 Plumbing Minimum Plumbing Permit Fee State Surcharge - Plumbing 0411912001 0411912001 4985 4985 $.oo $7.35 3: Job# 01-00297-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Plumb Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Manufactured Home Connection Administrative Fee - Plumbing Total Plumbing 04t19t2001 0411912001 0411912001 04t19t2001 04t1912001 4985 4985 4985 4985 4985 20 20 75 1 $25.00 $25.00 $40.00 $15.00 $3.15 $115.50 Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home Manufactured Home 04t19t2001 0411912001 04t19t2001 04t19t2001 4985 4985 4985 4985 48,500 1 $105.00 $40.00 $7.35 $3.15 $155.s0 Residential- Duplex - 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 System Development 04t19t2001 0411912001 04t19t2001 041191200'l 0411912001 04t19t2001 0411912001 0411912001 0411912001 4985 4985 4985 4985 4985 4985 4985 4985 4985 1,952 21 $528.99 $339.15 $656.02 $285.91 $24.33 $10.00 $446.25 $122.25 $154.27 $2,567.',17 1 1 1 1 21 1 Manufactured Home - Willamalane TotalWillamalane SDC Willamalane SDC 04t19t2001 4985 1 $1,000.00 $1,000.00 Grand Tota! PIan Check Type lnitial Review-Res Engineering-Res Planning-Res Checked By Bob Barnhart Steve Templin Liz Miller Date Completed 03/30/2001 0410912001 04t11t2001 $4,079.76 Comment OK to issue building permit per Jim Donovan. Final plat not returned yet although is already approved as park. the Structural-Res Bob Barnhart 0411712001 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 property, and approved set of plans will remain on the site at all times during construction. fi^.t /'t-s,tLt-^ Signature Date -ol CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET l07 c) lo9t to 1L to 13 lo ?Ll 'o55 lo> l? SF SINGLE FAMILY RESIDENCE LANE couNTY ASSESSED VALUE (LAND) JOURNAL OR JOB NUMBER: 0l-00297-01 I9I9 I 22ND STREET #8 t7 -03-25-00-00204 LOCATION: TAX LOT N{JMBER: ANNEXATION YEAR DEVELOPMENT TYPE: NAME OR COMPANY: BOOyE DWELLINGIINITS: I BUILDING SzE SF LOT SIZE: IMPERVIOUS S.F.COST PER S.F 1952.00 s0.271 $528.99 I. STORMDRAINAGE x ITEM I TOTAL - STORM DRAINAGE SDC $528.99 NIIMBER OF DFU'S COST PER DFU 2l $l6.ls $339. l s NUMBER OF DFU's 2t COST PERDFU $21.2s $446.25 B.IMPROVEMENT COST: x x A. REIMBURSEMENTCOS T: 2. SAMTARY SEWFR - CITY ITEM 2 TOTAL - CITY SANITARY SEWER SDC $785.40 ADT TRIP RATE NUMBEROFUMTS COST PER TRIP NEW TRIP FACTOR 9.57 I $68.55 1.00 s656.02 ADTTRIP RATE 9.s7 NUMBEROF LTNITS I COST PER TRIP $ 1 6.12 NEWTITIP FACTOR 1.00 $154.27 B. MPROVEMENT COST: x x x x x x A.REIMBURSEMENT COST: $810.29 ITEM 3 TOTAL - TRANSPORTATION SDC $0.00 $10.00 NUMBER OF FEU's I COSTPERFEU $28s.91 $285.91 NUMBEROF FEU's I COSTPERFEU $24.33 $24.33 B.IMPROVEMENT COST: x x A.REIMBURSEMENT COST: MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATIVE FEE 4. SANTT{RY SFWFR - MWMC $320.24 ITEM 4 TOTAL - II{WMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4) SUBTOTAL ADM. FEE RATE $2 .92 s%122.25 5. ADMIMSTRATIVE FEE: x $2,567.17 Slr4/r,T.4.1^l;4- SDC COORDINATOR 4/9/01 TOTAL SDC CHARGESDATE lo13 DI'U NUMBER OF NEW FIXTURES X UNIT EQUTVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FXTURES DRAINAGE FXTURE UNITSFXTURE TYPE ( +xew - #oLD )^ UNIT EOUTVALENT BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 2 )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x 3 6 DRINKING FOUNTAIN I 0 FLOORDRAIN 3 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS IETC.J 0 INTERCEPTORS FOR SAND / AI.TTO WASH / ETC.6 0 LALINDRYTUB 2 0 CLOTIIESWASMR / MOP SINK J J cLort{ESwASmR- 3 ORMORE (EA)6 0 MOBILE HOME PARK TRAP (1 PER TRAILER)t2 0 RECEPTq4]IOB TEEBIq/ wArER slr4]lqrylrc-. RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 3 0 SHOWER, SINGLE STALL 2 0 sHowE& GANG (NUMBER OF HEADS)2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN J J SINK: COMMERCTALBAR 2 0 SINK:DOMESTIC BAR I 0 WASHBASIN 2 0 LAVATORY J 1 J URINAL, STALL/WALL 5 0 TOILET, PUBLIC INSTALLATION 6 0 TOILET PRTVATE INSTALLATION 2 J 6 MISCELLANEOUS DFU TYPE NLIMBER OF EDU'S* 0 TOTAL DRAINAGE FIXTURE T]NITS *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day DRAINAGE FIXTURE UNIT CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $0.00 IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCTILATE CREDIT FORLAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) YEAR ANNE)(ED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNE)(ED CREDIT RATE PER $1,OOO ASSESSED VALUE I979 OR BEFORE $4.74 I 990 $ 1.96 I 980 $4.65 l99l $ l.ss 1981 $4.59 1992 $ 1.36 1982 $4.46 l 993 $r.23 1983 $4.30 1994 $1.0s 1 984 $4. l4 1995 $0.90 1985 $3.93 1996 $0.7s 1986 $3.63 1997 $0.57 1987 53.26 1998 $0.3s 1 988 $2.8s 1999 $0.1 s I 989 $2.40 $0.00 .00 TOTALIVIWMC CREDIT = x 0.000 x $4.74 CREDIT SEPARATELY VALUE / IOOO 0.000 CREDIT RATE s4.74 I I C'TY OF SPRINGFIELO amps 0n1y DftTI: ffFtFl i9 IilC]-HIII:I $ 40I].Ii IHANEE: [*$HitR: fiil] The following proiect as submitted has the following .""i.s.l"d",ioei not require specific land use l- aPProval 225 FIFTE STREET Zonins LD'/?- - t1-c) 769 Signature 1. LOCATION OF INSTALI,ATION4 I,EGAL DESCRIPTION JOB Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COI{TRACTOR INSTALI.,ATTON ONLY Electrical Contractor Address 2/Z ,4'*fr---e- Ci ty {;.r^,--- Phone 73 f - lSoc: ELECTRTCAL PERHIT APPLICATION City Job Nunbe, O/- 00 9vO/ 3. COHPI,ETB FEE SCEEDIILE BELOV A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less. Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or -Modular 'DveIIing SerVice or Feeder fu $ 8s.00 $ 1s.00 $ 40.00 B.Services or FeedersInstallation, Alterations or Relocation: Su i \ & 200 amps or 201 amps to 401 amps to 601 amps to 0ver 1000 Reconnec t less 600 amps 1000 amps?f5-s /vo1 ts $ s0.00 $ 60.00 $100.00 s130.00 $300.00 $ 40.00Expiration Date aI Constr Contr. Number 6Zt=Z EF^ 4/s./o r_ Temporary Services or FeedersInstallation, Alteration or Relocation Supervi-sor License Number Sxpiration Date Signature of Su pervising Electrician 200 amps"or less $ 201 amps to 400 amps - $ Over 401 to 600 amps - $ Over 600 amps or 1000Elf[s se Branch Circuits c D. 40.00 55.00 80.00 e trB( a6ffi Ovners Name Address ciry BhililD Phonet4/ Jfz-?/tt OIINER INSTALIdTION The installation is being made on property I ovn vhich is not intendedfor sale, Iease or rent. Orners Signature: DATE: Nev, Alteration or Extension Per Panel One Circuit Each AdditionalCircuit or vith Serviceor Feeder Permi t I E. Hiscellaneous (Service/feeder not include< $ 3s.00 $ 2.00 fa ^_2.4- gz."o. =.7+zlh l- -Each installation Pump or irrigation Sign/outline Lightine- Limited Energy/Res Limited Energy/Comm S!,BToTAL 0F ABoVE 7 ilY State Surcharge' 3Z Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 s 36.00 5 RBCETVED DI:-:7U. SPRINGFIEI,D, INSPECTION REQIIEST.: OFFICE: 726-3759 I i A.CrVfrl f l fi ( VUiI Park &Iamalane Recreation District Job. No. PHoNE: O{Z -q t'{ r STATE:(Lzt 9rq lt SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: I ADDRESS: LOCATION OF PROPOSED BUILDTNG SITE: P: Street Address:lq lq J.}nA S 1. DEVELOPMENT TYPE (cr,."$ appropriate dwelling(s). SDC calculations and dwening rypc de(initions are on the back.) A. Single-Family Detached single Family home -_l_ Manufactured home not in a park Plat Name:lAo-ir., NO. OF UNITS B. Singte-Family Attached NO. OF UNITS C. Multi-Family Apartment NO. OF UNTTS D. Manufac,tured Home Park NO. OF UNITS WILLAMALANE SDC P*.n,t -._ Tax Lot Number:103 2q oo oo "1o ,{ X $924 per unlt = $ X $692 per unlt = $ X $699 per unlt E $ 2. sDc cREDtr ([ appricabre) sDCpayor musr (umrsh proof of Willamalane Credil approvat. See SOC Crodt Wotkshoot. 3. TOTAL WILLAMALANE NET SDC ASSESSED (lf SDC reduoed for Credit) (_\,J l* $ $ $t tl I ol City of ngfield s Department Date e [- t^ ^1]-c/ X $1,000 per unit = $ ,OoO. - ,I II rl , : . '. Job# 01-00297-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 SPRII'.'GFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1919 00022nd St Spr AssessorsMap#: 17032500 Lot: B Block: Addition: Job Number: 01 -00297-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00204 Subdivision:Maia Park ctTY oF SPRINGFIELD, OREGOTV Owner: Bernard T Booye Address: 480 Douglas Ave Scope Of Work: Manufactured Home in Park MH & carport Phone Number: City/State/Zip: New 541-342-9141 Bandon, OR 9741 1 Value: $58,918 Contractor Type GeneralContr Electrical Contr Plumbing Contr Contractor Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Heritage Electric 1042 Horn Lane, Eugene, OR 97404 Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Registration # Expiration Date Phone 541-689-7762 541-729-1500 541-689-7762 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW (VN)Wood Frame Office Use - Land Use: i '":'r'5'3Ut # of Buirdings: 1 Zoning Coddi ;, l*DR.i,, i i "i' CHALL E)(P I ilEdE[UfaWQ!6roup: Dwelling Bedrooms: I g.rulr':11.;[D UNDER THIS F6qtll$@lqgT Range:i.rri.,i-;FJ 0R rs ABANoftS$SRn"' 1130 To request an inspection callthe 24hour 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 I Footing Foundation Framing FinalBuilding obtain copies of the rules by MH Electrical Rough Electrical Electrical Service MH Service Final Electrical -When blocking, setup, and plu - Prior to cover. power.-Must be approved to obtain permanent -When all electricalwork is complete. is 1-800-332-2944) the home is connect MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Gas Service MH Set Up MH Final Zoning: LDR FloodPlain? [ Wetlands? Planner: Liz Miller Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Journal numbers 1:2000-08-163 2: CommentsJim Donovan - Planner Overlay District: # of Street Trees: Glenwood Area? Land Use: Pave Driveway? Z 3 Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA:Zone X White Job# 01-00297-01 Page2 ot 4 Required lnspections Plumbin -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 -After line is installed and line has been connected to a minimum of one appliance. Pressure ter Manufactured Home -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number Floodway FEMA: panel 1153 of 2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? # Of Stories: 1 Height (feet): Current Units: Proposed Units Gensus Code: New Mfg Home Area (Sq. Main: 1 130 Accessory283 Total:1413 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 03128t2001 4787 10,419 $56.23 $56.23 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Buildinq 04t19t2001 0411912001 04t19t2001 4985 4985 4985 10,418 $86.50 $6.06 $2.60 $95.16 Manufactured Home Service\Feeder Branch Circuits With Feeder or Service State Surcharge - Electrical Electrical 0411912001 04t19t2001 04t19t2001 2 1 $80.00 $2.00 $5.74 4985 4985 4985 Job# 01-00297-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Etectrical 04t19t2001 4985 $2.46 $90.20 Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Manufactured Home Connection Administrative Fee - Plumbing Total Plumbing Plumbinq 0411912001 0411912001 04t19t2001 04t19t2001 04119t2001 0411912001 0411912001 4985 4985 4985 4985 4985 4985 4985 20 20 75 1 $.00 $7.35 $25.00 $25.00 $40.00 $15.00 $3.1 5 $115.50 Mechanical Minimum Mechanical Permit Administrative Fee - Mechanical Mechanical lssuance State Surcharge - Mechanical Total Mechanical 0412712001 0412712001 04t27t2001 04t2712001 5079 5079 5079 5079 1 $15.00 $.45 $10.00 $1.05 $26.50 Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home Manufactured Home 0411912001 0411912001 0411912001 04t19t2001 4985 4985 4985 4985 48,500 1 $105.00 $40.00 $7.35 $3.15 $15s.50 Residential - Duplex - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee Sanitary Sewer SDC Reimbursement SDC Administrative Fee Transportation SDC Reimbursement Tota! System Development System Development 0411912001 04119t2001 04t19t2001 0411912001 04t19t2001 0411912001 04t19t2001 0411912001 04t19t2001 4985 4985 4985 4985 4985 4985 4985 4985 4985 1,952 $528.99 $339.15 $656.02 $285.91 $24.33 $10.00 $446.25 $122.25 $154.27 $2,567.17 21 2 Manufactured Home - Willamalane TotalWillamalane SDC Willamalane SDC 04t19t2001 4985 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Checked By Bob Barnhart Steve Templin Liz Miller Date Completed 03130t2001 0410912001 0411112001 $4,106.26 Comment OK to issue building permit per Jim Donovan. Final plat not returned yet although is already approved as park. Structural-Res Bob Barnhart 04t17t2001 Administrative Fee - Electrical Total Electrical 1 1 Job# 01-00297-01 Page 4 of 4 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 property, and the approved set of plans will remain on the site at alltimes during construction. frJ il^,,,-I-n-o t Signature Date