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Home My WebLink AboutPermit Building 2003-04-30Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ftx 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00236ISSUED: 0413012003 APPLIEDz 0410412003 EXPIRES: 10/3012003YALUE: $ 6,000.00 SITE ADDRESS: 1179 32ND ST ASSESSOR'S PARCEL NO.: 1702303406400 PROJECT DESCRIPTION: MH onprivate lot replacing demo'd mh Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New Residential Owner: Address: LYMAN WILLIAM L TE 1179 N 32ND ST SPRINGFIELD OR 97478 Contractor Type General Electrical Manuf Home Inst Owner # of Buildings: Primary Primary #of SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Fullv Improved No Contractor ROB'S $ INC INC # of Stories: Height of Structure Type of Heat: Water Type: Range 1$ Overlay # Street Trees Paved Drive Rqd: oh of Lot Coverage: Expiration Date 05t07t2004 09tzst2004 05t07t2004 Phone 541-689-7762 541-686-5444 541-689-7762 License 66447 146149 66447 L LTE o\ I VN 3 $ ., Yes 15.00 Sidewalk Type: Downspouts/Drains: Other: Surface Area: REQUIRED PARIflNG Total: 2 Handicapped: Compact: 1,620 Curbside 5r Curb and Gutter 23.00 15.00 s.00 90.00 15.00 PUBLIC IMPROVEMENTS Notes: Pase I of3 % '\ L(JI\ I I(AL l(rt\ I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00236ISSUED: 0413012003 APPLIEDz 0410412003 EXPIRES: 10/3012003VALUE: $ 6,000.00 Description Tvpe of Construction Foundation Onlv Use Bid Amount Fee Description PIan Review Residential + l0o/o Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Manuf Home State Issuance Manufactured Home Connection Manufactured Home Placement Manufactured Home Service Plan Review - Planning Sanitary Sewer - lst 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Water Line - lst 50 Feet Total Amount Paid $ Per Sq Ft Square Footase $1.00 6,000.00 Total Value of Project Value $6,000.00 $6,000.00 Date Calculated 04t04t2003 Amount Paid Date Pai Receipt Number 1200200000000000948 1200200000000001 104 1200200000000001 104 1200200000000001104 1200200000000001r04 1200200000000001104 1200200000000001 104 1200200000000001104 1200200000000001 104 1200200000000001 r04 1200200000000001104 1200200000000001104 1200200000000001104 1200200000000001104 1200200000000001 104 1200200000000001 104 1200200000000001 104 $49.s3 s46.92 $32.84 $3.00 $76.20 $30.00 $4s.00 $160.00 $50.00 $s9.00 $45.00 $167.90 $220.90 $34.44 $300.05 $45.00 $4s.00 4t4t03 4t30103 4t30t03 4t30t03 4t30103 4t30t03 4t30103 4t30t03 4t30t03 4t30t03 4t30t03 4t30103 4t30t03 4t30t03 4t30t03 4t30103 4t30t03 $1,410.78 ['ees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 04t07t2003 04t07t2003 APP LLH 04t07t2003 04t06t2003 APP EMM Called General Contractor and told them we do not have electrical applications on file for Robs Electric Manufacture Home Setup Agreement enclosed. Two 9 X 18 parking spaces are required. 04t07t2003 04t07t2003 04n0t2003 04t25t2003 DJW TCM APP APP To Request an inspection call the24 hour recording at 726-3769. All inspection 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 work day. Paee 2 of3 ral Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fa'x 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00236ISSUED: 0413012003APPLIEDz 0410412003EXPIRBS: 10/3012003VALUE: $ 6,000.00 leouired Insnections I 2 3 4 5 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Manuf Home Set Up: When installation of all piers or stands is complete. Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting' decks, venting, street address numbers, trees, driveway, etc. have been installed. Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is requested and approved, and all debris is removed from the site. Underfloor Drain: Prior to coyer or placement of concrete. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Manuf Home Plumbing: After home has been connected to water and sewer. MH Service: Approval required prior to utility company energizing service. MH Service: Approval required prior to utility company energizing service. 6 7 8 9 10 l1 t2 tut 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 Springlield 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 701.005 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 at the front of the property, and the approved set of plans will remain on the site at all times Y-,c- or Owner or Contractors Signature Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt #z 120020000000000 1 I 04 Date: 0413012003 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 coM2003-00236 Plan Review - Planning Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Manufactured Home Placement Manuf Home State Issuance Sanitary Sewer - 1st 50 Feet Water Line - lst 50 Feet Storm Sewer - lst 50 Feet Manufactured Home Connection Manufactured Home Service Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0o/o Administrative Fee 59.00 300.05 220.90 167.90 34.44 76.20 160.00 30.00 45.00 45.00 45.00 45.00 50.00 3.00 32.84 46.92 Payments: Item Total:$1,361.25 Check GOODEN HARzuSON djb In Person Payment Total: 1,361.25 $1,361.25 4t30/2003 l:26:4lPM Page I of I cReceipt.rpt (, 225 F'IFTH STREET . SPRINGFIELD, OR97477 . ELE CTRI CAL P ERMIT APPLICATION City Job Number -6)236 Date 1 ltl 1 32-c 5t LEGAL DESCRIPTION lTot 3o sy o6voo JOB DESCRIPTION t(E A Q-*-u-',? Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ) Electrical Contractor Address Lt rs-ot/,b S /. City Q-7e.t^t Phone /36 Supervisor License Number \) Expiration Date B. ,%LS E/../r;.200 Amps or less PIJz(541)726-3 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder to 400 Amps to 600 Amps to 1000 Amps AmpsA/olts Only $r06.00 $ 19.00 I $s0.00 5c $ 63.00 $ 7s.00 $r25.00 $ 163.00 $375.00 $ s0.00 Constr. Contr. Number Expiration Date ?-t o/ Signature of Supervising Electrician C. Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or see "B" above. D. New $ 43.00 $ 3.00 -{,$ 50.00 $ 50.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 5) '7%o State Surcharge 3zr l0% Administrative Fee 5:" TOTAL Qat (\a h%'l( ownersName G, tl Lvr^NwAddress City =(fU phone t$ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-37 69 4. Shared Drive(T:)iBuilding Forms/Electrical Permit Application l -03.doc I nate 3. A. CITY OF SPRINGFIELD, OBEGO'V SPR\-/FIELD D EV ELO P M ENT SER V I C ES D E PARTMENT perfonnance standards which reduce heat loss to levels for single family dwellings at the time of construction. afr,225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www. ci. springf ie ld. or. u s MANI.]FACTURED HOME SET-UP AGREEMENT As required by the Ciry of Springfield Development Code, I understand and agree that with the approval of the attached permits. one of the following manufactured homes will be placed at Springfield, Oregon, City Job Number Type I Manufactured Home: A multi sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting equivalent to Type II Manufactured Home: A unit of not less than 12 feetin width enclosing a minimum floor area of 500 square feet, that has a nominal roof pitch of 2 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has bien certified by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce heat loss to levels equivalent to the performance standards required for single family dwellings at the time of construction.initials I further state, by my signature below, that I have been provided with the following information: Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection, Electrical Connection, and Minimum requirements for permanent steps. I also understand that the manufactured home shall be placed on an excavated and backfilled foundation not to exceed 6 percent slope within l0 feet of the perimeter enclosure, enclosed at the perimeter with stone, brick or other concrete or masonry materials approved by the Building Official and with no more than 24 inches of the enclosing material exposed above grade. Date standards required initials Y')o - or