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Home My WebLink AboutPermit Building 2001-09-04Job# 01-00826-01 RESIDENTIAL PERMIT Gity Of Springfield Community Services Division Building Safety Page 1 of 3 Job Number: 01-00826-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 05800 Subdivision: SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1274 00033rd St Spr AssessorsMap#: 17023034 Lot:5800 Block: Addition: ctrY oF SPRTNGFIELD, OREGOTV Owner: CarrollBriley Address: 3545 Sisters View Ave Scope Of Work: Manufactured Home on Private Lot MH on private lot Phone Number: City/State/Zip: New 541-345-5079 Eugene, OR 97401 Value: $44,346 ContractorType Contractor Manuf Home lnstall Travess Construction Llc 5050 Main St, Springfield, OR 97478 Registration # 1 38060 Expiration Date 11t1t2001 Phone 541-746-6399 Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN)Wood Frame Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Sq. Footage: 1129 To request an inspection call the 24 hour 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 Verify Ground Rod Footing Foundation Underfloor Drain MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Drywell FinalPlumbing MH Set Up MH Final and/or foundation i -After -After -After - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. - Engineered Drywell is required. -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 I Buildins I - lnstall ground rod at footing, and call for inspection in ae - Prior to cover or placement of and Zoning: LDR FloodPlain? [ Wetlands? [ Journal numbers 1= Comments: Planner: Sam Gollah Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White Job# 01-00826-01 Overlay District: # of Street Trees: Glenwood Area? [ Page 2 of 3 Land Use: Single Family Dwelling Pave Driveway? Z 2 3 Additional Requirements: Required Attachments: Source Locn: Material: FIood PIain FEMA:1161 ot2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: I # Of Bedrooms: Handicap Access? # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code:New Mfg Home (Sq. Feet) Main:1129 Accessory:Total:1129 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total PIan Check 08t0112001 6317 2,220 $29.2s $29.2s Building Foundation Only State Surcharge For Building Permit Building Administrative Fee Total Building 0910412001 09t04t2001 09t04t2001 6593 6593 6593 2,220 $45.00 $3.15 $3.60 $51.75 Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Administrative Fee - Plumbing Total Plumbing Plumbing 09t04t2001 09t04t2001 09t04t2001 0910412001 09104t2001 09to412001 6593 6593 6593 6593 6593 6593 40 40 60 $.00 $10.43 $45.00 $45.00 $59.00 $11.92 $171.3s Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 09t04t2001 0910412001 09t04t2001 09t04t2001 6593 6593 6593 6593 42,126 1 $160.00 $30.00 $11.20 $12.80 $214.00 Svstem Development Residential- Single Family - Storm SDC Administrative Fee Sanitary Sewer SDC Reimbursement 0910412001 0910412001 0910412001 6593 6593 6593 431 $117.66 $19.05 $149.597 3: Job# 01-00826-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Deve Sanitary Sewer SDC lmprovement Total System Development 0910412001 6593 7 $1 13.68 $399.98 Planning 0910412001 6593 1Planning Plan Review Tota! Planning $50.00 $s0.00 Grand Total Plan Check Type Checked By Date Completed Comment lnitialReview-Res Bob Barnhart 08/03/2001 Engineering-Res Steve Templin 0811712001 Planning-Res Sam Gollah 0812712001 Structural-Res Tom Max 0812312001 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 allwork 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. $916.33 g/4/o/I oai{ l rrc toituwtng proleci as submitleo rta$ the tollowing ioning, ano-doei nol require specilic land use approval Date o?- PIrINGF!ELD amps/vo1 ts 0n1y l- 225 FIFTE STREEf, SPRTNGFTELD, oREGoN INSPEGTION REQIIEST.: OFFICE: 726-3759 1 PERHIT APPLICATION Ci ty Job Nunber 'oa624'o 3. COHPI,gTE FEE SCBEDTIIJ BELOV A Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: Items Cost IJGAL DESCRTPTION l70z 7o )'/o 'tro9 JOB PTION Permits are non-transferable and expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COT{]3.ACTOR INSTALI,ATTON ONLY 97, LOCATIONtLa/ i \ 1000 sq.ft. or less. Each additional 500 sq. ft or portion thereof Each Hanuf'd Home, or -Modular 'DveIIing SerVice or Feeder 5<) , r-t L) S /0.00 t" Su $ 8s.00 $ 1s.00 ee trBtr a56G Electrical Contractor B. e.m,L Services or Feeders InstaIIation, Alterations or Relocation: i I I I Address Qt'L ,4e ffi-P{A**Phone 73f-/Soc:Ci ty 200 amps or 201 amps to 401 amps to 601 anps to Over 1000 Reconnec t Iess 600 amps s s0.00 $ 60.00 s100.00 $130.00 $300.00 $ 40.00 40.00 40.00 20.00 36.00 a:' > -vSupervi-sor License Number ?f5-s Expiration oarc /Z/ al constr Contr. Number 6Zt=Z EF^-- Expiratio" o^r. 1 %Of Signaturq of Supervising Electrician c D Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 201 amps to 400 amps - $ over {01 to 6oo amps - $ Over 600 amps or 10008-fEs s Branch Circuits 40.00 55.00 80.00 :l Address ?5,/ f 3;r/^-t/,-,/L-Nev, Alteration or Extension Per Panel ci L-XO-rzua Phone 3 c/ 5-' - ;O7 7 One Circuit Each Additional Circuit or vith Service or Feeder Permi t I Owners Name (l OVNER INSTALII\TION The installation is being made on property I ovn vhich is not intendedfor sale, Iease or rent. Onners Signature: DATE: E. Hiscellaneous (Service/feeder not includer -Each instalLation Pump or irrigation _Sign/OutIine Lighting_ Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE d fl State Surcharge,;;l" 8"/, Adninistrative Fee:- TOTAL $ 3s.00 s').oo ) $ $ $ $ I r:!: -{ ' Cl'.$-t!. c:) r..J LJr l-.-r [[] RECEIVED B OF INSTALI^ATION-- i-'{zr-----il /I i