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Home My WebLink AboutPermit Building 2002-07-22Job# 02-00381-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 Job Number: 02-00381-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 01500 Subdivision: SPRINGFIELD 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 1584 00016th St Spr AssessorsMap#: 17032531 Lot: Block: Addition crrY oF SPRTNGFTELD, OREGO^ Owner: Address: Scope Of CarlMathews 1584 16th Street . Phone Number: City/State/Zip: New 541-747-1977 Springfield, OR97477 Value: $74,000 O'r I tity follow rules ado set fort Contractor Type General Contr hose ruies are copies Note: the telePhone Notificatior Registration # 45710 Expiration Date 8t11t2003 Phone 541-942-7258 Notili e size) nu ,oR ElectricalContr Carl Mathews 1584 16th Street, Springfield, OR97477 Manuf Home lnstall Sunburst Contemporary Homes lnc Po Box 21605, Eugene, OR 97402-0410 Plumbing Contr Durflinger & Sons lnc 32399 Lynx Hollow Rd, Creswell, OR 97426-9351 541-747-1977 58756 N0TlcE:3/e/2003 541461-6541 THIS PERMIT SHALL EXPIRE IF THE WORK 457 10 AUTH0R tftU' 8flmR THIS pEntft?gfrffir COMMENCED OR IS ABANDONED FOB ANY 180 DAY PERIOD. 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 Verify Ground Rod Foundation Underground Electrical MH Electrical MH Service - lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir -After forms are erected but prior to concrete placement. Electrica! - Prior to cover. -When blocking, setup, and plumbing inspections have been approved and the home is connectt MH Plumbing Water Line Storm Sewer Line Plumbinq -After home has been connected to water and sewer, - Prior to filling trench. -Prior to filling trench. Job# 02-00381-01 Page 2 of 3 Required lnspections Manufactured Home -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number MH Set Up MH Final Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: 8 To Curb and Gutter 4 00/00/0000 00:00:00 Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? f] Wetlands? ! Journal numbers 1= Comments: Planner: Sam Gollah Urban Growth Boundary? f-l Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White Glenwood Area? l 2 3: Additiona! Requirements: Required Aftachments: Source Locn: Material: Flood Plain FEMA:1153 of2975 Overlay District: # of Street Trees Land Use: Single Family Dwelling Pave Driveway? g Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 2 # Of Bedrooms: 3 Handicap Access? [ ] Area (Sq. Feet) Main:1494 Accessory: Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 16 Current Units:1 Proposed Units: Census Code: New Mfg Home Total:1494 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Gheck 04t05t2002 8530 4,000 $39.39 $39.39 Building Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building 05t21t2002 05t21t2002 05121t2002 9182 9182 9182 $60.60 $4.24 $4.85 $69.69 4,000 Street lmprovement: Fully lmproved Curb Cut?[ lmprovement Agr.?[ San Sewer Depth (Ft): 9 - 7 Storm SewerAvailable? [ SpecialReq.: Security Required: Bond Begin DateTime: 00/00/0000 00:00:00' Special lnstructions: Other Utilities: Project Supervisor: 2: Job# 02-00381-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Minimum Electrical Permit Fee Manufactured Home Service\Feeder State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 05t21t2002 05t21t2002 05t21t2002 05t21t2002 9182 9182 9182 9182 1 $.00 $50.00 $3.50 $4.00 $57.50 Plu State Surcharge - Plumbing Water Service Footage Manufactured Home Connection 8% Administrative Fee - Plumbing Total Plumbing 07t22t2002 07t22t2002 07t22t2002 07t22t2002 10003 10003 10003 1 0003 30 1 $6.30 $45.00 $45.00 $7.20 $103.s0 Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Homt Manufactured Home Administrative Fee Total Manufactured Home Manufactured Home 05t21t2002 05t21t2002 05t21t2002 05t21t2002 9182 9182 9182 9182 70,000 1 $160.00 $30.00 $11.20 $12.80 $214.00 Manufactured Home - Storm SDC Administrative Fee Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 05t21t2002 05t2112002 05t2112002 05t21t2002 91 82 9182 9182 9182 308 $84.08 $7.97 $42.74 $32.48 $167.27 2 2 Planning 05t21t2402 9182Planning Plan Review Tota! Planning $55.00 $55.00 Grand Tota! Plan Check Type Checked By Date Completed Gomment lnitialReview-Res Lisa Hopper 0410812002 Engineering-Res Bob Kettwig 0412312002 Planning-Res Sam Gollah 0411612002 Structural-Res Tom Max 0411712002 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 set of $706.35 Signature will remain on the site at alltimes during construction. Date Svstem Development 1