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Home My WebLink AboutPermit Building 2000-02-17Job# 00-00121-0'l Pase 1 or ?nRNgtrot-oooo6l4 DATE:FEB t? 2000 AHT RECD:Z $ ]-80.9& CHANEE: IASHiER:05? SFRTNGFIELD RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1163 00033rd St Spr AssessorsMap#: 17023034 Lot: Block: Addition Job Number: 00-00121-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 08100 Subdivision: ctTY oF SPRINGFIELD, OREGON Owner: Shirley Eubank Address: 1163 33rd Sreet Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541-343-5033 Springfield, OR 97478 Value: $34,000 Replacing existing single wide Mobile Home with pop-out. Contractor Type GeneralContr Plumbing Contr Contractor Heirloom Construction lnc 1705 Minda Dr, Eugene, OR 97401 Heirloom Construction lnc 1705 Minda Dr, Eugene, OR 97401 Registration # '104911 Expiration Date 3nt01 Phone 541 -343-5033 541-343-50333t7t01 Quad Area: # Of Units: Constr. Type: (VN) Wood Frame Water Heater: Office Use - Land Use: Single Family Dwelling Zoning Gode: LDR Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: 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. Footing Foundation MH Plumbing MH Set Up MH Final Required lnspections Building -After trenches are excavated. -After forms are erected but prior to concrete placement. -After home has been connected to water and sewer Manufactured Home -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number Plumbint 104911 Zoning: LDR FloodPlain? - Wetlands? |L ---i Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: Additional Requ irements: L- GIenwood Area? I- Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Page 2 of 3 Land Use: Single Family Dwelling Pave Driveway?'{ Journal numbers 1: 2: 3: Comments2 paved 9'x18'off-street parking spaces are required Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? (sq. Main Accessory # Of Stories: 1 Current Units: Census Code: Does not apply Total: Height (feet): Proposed Units: Fee Paid On Receipt# Value/Quantity Fee Amount Residential Plan Check Total Plan Check 01t26t2000 374 4,000 $28.93 $28.93 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Buitding 02t17t2000 02t17t2000 02t17t2000 634 634 634 4,000 $44.50 $3.12 $1.34 $48.96 Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Manufactured Home Connection Plumbing Administrative Fee Tota! Plumbing Plumbing 02t17t2000 02117t2000 02t17t2000 0211712000 634 634 634 634 1 $.00 $1.05 $15.00 $.45 $16.50 Manufactured Home Setup Fee State Surcharge For Manufactured Hom Manufactured Home Administrative Fee Total Manufactured Home Manufactured Home 02t17t2000 02t17t2000 02t17t2000 634 634 634 30,000 $105.00 $7.35 $3.1 5 $115.50 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Bob Barnhart Steve Templin AlWard Wendy Stanley Date Completed 01t2712000 02t03t2000 02t14t2000 02t17t2000 $209.89 Job# 00-00121-O1 Job# 00-00121-01 Page 3 of 3 the Date By signature, I state and agree, that I have carefully examined the completed application and do hereby certity 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 arid 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 address agree to is readal ensure that all required ble from the street, that will remain on the inspections are requested at the proper time, that each the permit card is located at the front of the propery, and site at all times during construction" Signature CITY OF OREGON sPRttrlitiFlELo EIJ TRICAL PERHIT APPLICATION t DEV ELO PM ENT S E RVI C E S DE PARTM E N T 225 FITTE SIBEET SPRTNGFTELD, OREGON 97477 INSPECTION REQUEST: 726-3769 0FFICE: 726-3759 $ UN 1 TOCATION OF INSTALI,ATION City Job Nunber 3. COUPI,ETE FEE SCffiDt'IJ BELOS A Services or Feeders Ins tallation, Alterations or Relocation: Nev Residential-Single or Multl-FamilY Per dvelling unit' Service Included:Items Cost L000 sq.ft. or less $ 85'00 Each additional 500 sq. ft or Portionitiereof $ 15'oo Each Manuf 'd llome or Modular Dvelling Service or Feeder $ 40'00 lla.\3?., zt-o .00 .00 .00 .00 .00 .00 IJGALlzc 3C^3 q XloO Sum JOB DESCRIPTION 2. COI{TRACTOR INSTALLATION OT{LY Electrical Contractor Address Ci ty Phone 195 -e+7 z- Supervisor License Number ." 8*/k 5 ExpirationDale /b- Oi Constr Contr. Wunber aZ'S 7 5 !' Exp iration Date c'z - )O - A)L./ e of Supervi sing E1ec.clan /o Ovners Name Address ,-l,r'- o-/l ue 33", L Ci Phone' 74/- 7t lf INSTALLATION Permits are non-transferable and expire lf vork is not started vithin 180 days oi it".rrce or if vork is suspended for L80 days. The installation is being made on piop"tty I ovn vhich is not intended for sale, ]ease or rent' Orners Signature: Temporary Services or Feeders rnsiallaiion, Alteration or Relocation 200 amps or less ZOi i*i," to 400 amPs -Over 401 to 600 amps - Over 600 amPs or 1000 volts Branch Circuits B rtL 200 amps 20L amps 401 amps 601. amps 0ver 1000 Reconnect or to to to less 2- 400 amps 600 amps L000 amps /vol t s t 1 $ $ $ $ $ $ $ $ $ s $ $ $ $ 50 60 00 30 loo amps 0n1y 300 40 c D, E 40.00 5s.00 80.00 New, Alteration or Extension Per Panel SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL ee rBu a666 $ 3s.00 $ 2.oo J_ - /- I oL{z 1tz Miscellaneous (Service/feeder not included) One Circuit Each Additional Circuit or vith Service or Feeder Permi t 2' -Each installation Pump or irrigation sign/Outline Lighting- Limited EnergY/Res - Limited EnergY/Comm 40.00 40.00 20.00 36.00 5 DATE: Of RECEIVED Oot I t,/ 70 Dc) d SPRINGF!ELD Job# 00-00121-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 Job Number: 00-00121-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 08100 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1163 00033rd St Spr AssessorsMap#: 17023034 Lot: Block: Addition: ctTY oF SPRfiNGF1ELq OREGON Owner: Shirley Eubank Address: 1163 33rd Sreet Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541-343-5033 Springfield, OR 97478 Value: $34,000 Replacing existing single wide Mobile Home with pop-out. Contractor Type GeneralContr Plumbing Contr Contractor Heirloom Construction lnc 1705 Minda Dr, Eugene, OR 97401 Heirloom Construction lnc 1705 Minda Dr, Eugene, OR 97401 1 0491 1 317101 Registration # 104911 Expiration Date 3t7t01 Phone 541-343-5033 541-343-5033 Quad Area: # Of Units: Constr. Type: (VN) Wood Frame Water Heater: Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: 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 lnspections Buildin Footing Foundation Special MH Electrical MH Service MH Plumbing MH Set Up MH Fina! -After trenches are excavated. -After forms are erected but prior to concrete placement. -See Plan Review and/or lnspectors Notes. Electrical -When blocking, setup, and plumbing inspections have been approved and the home is connect Plumbin -After home has been connected to water and sewer Manufactured Home I -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number Job# 00-00121-01 Page 2 of 3 Required lnspections Permits w/o Srch 180 Day Extension Zoning: LDR FloodPtain? [ Wetlands? [ Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? Journal numbers 1: 2: 3: Comments2 paved 9'x1B'off-street parking spaces are required Additional Requirements tr Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory # Of Stories: 1 Height (feet): Current Units: Proposed Units Gensus Code: Does not apply Total Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 01t26t2000 374Residential Plan Check Total PIan Check 4,000 $28.93 $28.93 Foundation Only State Surcharge For Building Permit Building Administrative Fee Total Building Buildins 02117t2000 0211712000 02t17t2000 634 634 634 4,000 $44.50 $3.12 $1.34 $48.s6 Manufactu red Home Service\Feeder State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Electrical 0310212000 03t02t2000 0310212000 795 795 795 1 $40.00 $2.80 $1.20 $44.00 State Surcharge - Plumbing Manufactured Home Connection Administrative Fee - Plumbing Total Plumbing Plumbinq 02t17t2000 0211712000 02t17t2000 634 634 634 1 $1.05 $1s.00 $.4s $16.s0 Manufactured Home Setup Fee State Surcharge For Manufactured Hom, Manufactured Home 02117t2000 02117t2000 634 $105.00 $7.35634 30,000 Job# 00-00121-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Manufactured Home Administrative Fee Total Manufactured Home Manufactured Home 02t1712000 634 $3.15 $11s.50 Grand Total Plan Check Type Checked By Date Completed Comment lnitialReview-Res Bob Barnhart 0112712000 Engineering-Res Steve Templin 0210312000 Planning-Res AlWard 0211412000 Structural-Res Wendy Stanley 0211712000 By signature, I state and agree, that I have carefully examined the completed application and do here6y 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 approved set of plans will remain on the site at all times during construction. Signature Date $2s3.89