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Home My WebLink AboutPermit Building 2001-12-20Job# 01-01264-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page of1 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 151 S 00037th St Spr AssessorsMap#: 17023142 Lot: Block: Addition Job Number: 01 -01264-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 06600 Subdivision: ctTY oF SPRINGFIELD, OREGON Owner: Terry Travess Address: 1495 Cheek Street Scope Of Work: Manufactured Home on Private Lot Phone Number: City/State/Zip: New 541-747-9940 Springfield, OR97477 Value: $35,000 New M.H. to replace home demolished in 2000. Old address cannot be reused for this mfgd. Home. Gontractor Registration # Expiration Date PhoneContractor Type GeneralContr ElectricalContr Travess Construction Llc 5050 Main St, Springfield, OR 97478 Heritage Electric 1042 Horn Lane, Eugene, OR 97404 1 38060 631 37 11t1t2003 746-6399 1 500 :ro\ii\ Quad Area: # Of Units: Constr. Type: Water Heater: 3RSC 1 (VN) Wood Frame Electric Office Land Use: Zoning Code: Bedrooms Range:Electric oJ' 1 ncy Group: Dwelling Source: Forced Air Electric Sq. Footage: 1080 To request an inspection callthe 24hour recording at 726-3769. All inspections requested before 7:00a.m. will be made the same working day, inspections requested after 7:OO a.m. will be made the followingworking day. Required lnspections Footing Foundation Buildinq j -After trenches are excavated. -After forms are erected but prior to roR MH Electrical MH Plumbing MH Set Up MH Finat Electrical -When blocking, setup, and plumbing and the home is connect Plum Dh{-After home has been connected to water Manufactured Home -When allbtocking is complete. -After all required inspections are approved and porches, Public WorksCC-Ctose & Replace -After forms are erected but prior to placement of concrete skirting, decks, venting,house numbet 1',I'!!'trlii ht-I-l t Job# 01-01264-01 Required lnspections Public Works -After forms are erected but prior to placement of concrete Page 2 of 3 CC-Standard Street lmprovement: Curb Cut?! San Sewer Depth (Ft): Storm Sewer Available? SpecialReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: lmprovement Agr.?[ 00/00/0000 00:00 AM No net increase in SDC charges Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime:00/00/0000 00:00 AM Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? [ Wetlands? [ Overlay District: # of Street Trees:4 Land Use: Mfg Home - Not in a Park Pave Driveway? Z Panel 1161 of2975 Journat numbers 1z Comments: 2:3: Planner: Additional Requirements Urban Growth Boundary?[ Glenwood Area? [ Required Attachments: Quantity Of Fill: Source Locn: Supplier: Material: Drainage: Floodway FEMA: Zone X White Flood Plain FEMA: Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 2 Handicap Access? [ Area (Sq. Main: 1080 Accessory Accessory Structure # Of Stories: 1 Height (feet): 16 Current Units: Proposed Units:1 Census Code: New Mfg Home Total:1080 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 1111512001 7259Residential Plan Check Total Plan Check 5,000 $44.46 $44.46 Building Foundation Only State Surcharge For Building Permit Building Administrative Fee Total Building 12t20t2001 1212012001 1212012001 7576 7576 7576 $68.40 $4.79 $s.47 $78.66 Manufactured Home Service\Feeder 12120t2001 7576 5,000 $50.00 Electrica! 1 Job# 01-01264-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 12t20t2001 1212012001 7576 7576 $3.50 $4.00 $57.s0 Plumbing State Surcharge - Plumbing Manufactured Home Connection Administrative Fee - Plumbing Total Plumbing 12t20t2001 12t2012001 12t20t2001 7576 7576 7576 1 $3.15 $4s.00 $3.60 $51.75 Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 1212012001 1212012001 1212012001 12t20t2001 7576 7576 7576 7576 30,000 1 $160.00 $30.00 $11.20 $12.80 $214.00 Public Works New Curbcut Curbcut Repair Total Public Works 1212012001 1212012001 7576 7576 1 1 $65.00 $30.00 $9s.00 Planninq 12120t2001 7576 1Planning Plan Review Total Planning $50.00 $s0.00 Address Assignment Total Permits w/o Srchg Permits w/o Srchg 1212012001 7576 1 $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Checked By Lisa Hopper Steve Templin Date Completed 11t20t2001 1212012001 $s99.37 Comment MUST SIGN ROW DEDICATION & IMPROVEMENT AGREEMENT PRIOR TO PERMIT ISSUANCE. SEE DOCUMENTS INSIDE PERMIT. NO NET INCREASE IN SDC'S. Planning-Res Liz Miller 1112612001 Structural-Res Bob Barnhart 1210512001 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 approved set of plans will remain on the site at all times during construction. 7@ /**, aC'TY OF 225 FIFTE STREET SPRINGFIELD, oREGoN INSPECTION REQIIEST.: 0FFICE: 726-3759 1 OF INST. I.EGAL JOB Permits are transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALLATION ONLY Electrical Contractor te.iTu- Address /a/L ,4-,* Ci ty /*r** Phone 73 ? - lSoc> PGlINGFIELO ELECTRTCAL PERHIT APPLICATION City Job COHPLSTE FEE SCEEDUI^E BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less $ 85.00gach additional 500 sq. ft or portion thereof S 15.00 Each Hanuf'd Home. or -Hodular'Dvelling ^ qh SerViceorPeeder A $800 Services or Feeders Installation, Alterations or Relocation: tntto*'I:gf,{;rhi 726cP3769 ?ootsg rro 3 A Su i \ EOp I I I / Supervisor License Number 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect 0nly Hiscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/outline Lighting- $ Limi ted Energy/Res - $ Limited Energy/Comm $ SUBTOTAL OF ABOVE f/. State Surchargep aaministrative Fee TOTAL fr--"- B. C. D. E $ s0.00 s 60.00 $ 100. 00 s 130. 00 s300.00s 40.00 ?f5-s Expiration Date /z/ at cons rr conrr. Number 6 7/97 EF^ - - f,xpiratio " o^re / /6-/ of Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 Over 401 to 600 amps - $ 80.00 Over 600 amps or 1OO0 voTts see rrgrr s[!ft- Branch Circui ts ; .- Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Serviceor Feeder Permit $ 2.00 T-----/-', Signature of Supervising Electrician hre Ovners Name Address Ci ty Soro r\-,non"IHil9Sdo_ o*I\-'"ALII\TION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: not include( 40.00 40.00 36.00 5 DATE: eRECEIVED B Y: .oo I' a l\.IiUfrlf r lt