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HomeMy WebLinkAboutPermit Building 2009-05-06 Stat lis Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-004I9 ISSUED: 04/08/2009 APPLIED: 03/30/2009 EXPIRES: 11/04/2009 VALUE: $ 70,000.00 SITE ADDRESS: 359 S 52ND PL ASSESSOR'S PARCEL NO.: 1702333400206 Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Demo and replace manufactured home Owner: HONODEL CHARLES S Address: 359 S 52ND PL SPRINGFIELD OR 97478 COli tractor law r.6i51w.l'lJou tcExpiration Date CONKRAFT CONS'ffi"ff6.' fl~l: Qf~;!J:t.th;litnWl>n Utility 09/15/2009 SIMPSON ELECTlU'ffi\ltr~ ,Y.~~~ 1\.A~88IV set forth 03105/2011 CONKRAFT CO~'l'~\g'J:::tIj)., -.vi1O 1hrouglWlA18 95~~~0~~ 09/1512010 (.I.~ffirnN'@Y1NVtl"~il'{l~.I;Ph;;~e ' callMg tllb X r6r~~on'Utility Notification . . numliiElirt9fo\lJ~s: 1_800-332-2344). 1 Lot SIZe: He\t1lljl\W"Sfruclure . Sq Ft 1st Floor: . Type of Heat: orced Air Electric Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: . n/a Occupant Load: Contractor Type General Electrical Manuf Home Inst # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 26.00 9.50 15.00 47.00 5.00 I CONTRACTOR INFORMA'~ION I Phone 503-580-1736 503-472-2530 (503) 209-1373 1 R-3 7,841 1,512 VB 3 I DEVELOPM~NT INFORMATION I REQUIRED PARKING 2 lIlist: Total: . 91Att EXPIRE IfMWO"~andicapped: ~~~.flpER THIS PERM"'- IS tlOlcompact: <Au.nIWJZ~W:I. . .t.~.~O~ COMMENCED OR IS ABANDONtlH . . .\!;\, ~~~ _'].^~ DI:Olnn' I PUBLIC IMPROVEMENTS I Sidewalk Type: Downsponts/Drains: Fully Improved Yes Curh and Gutter Storm water to cnrb Notes: Page 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Mannfactured Home Manuf Home Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee Manuf Home State Issuance Manufactured Home Placement Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC SanitarylStorm Admin Storm Drainage Impervious Area + 12% State Surcharge + 5% Technology Fee Manufactured Home Service Total Amount Paid Initial Review 03/3112009 Public Works Review Structural Review 03/3112009 03/3112009 Plan nine: Review 03/31/2009 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 70,000.00 CITY OF SPRINtJf<lELD Building/Combination Permit PERMIT NO: COM2009-00419 ISSUED: 04/08/2009 APPLIED: 03/30/2009 EXPIRES: 11/04/2009 VALUE: $ 70,000.00 Value Date Calculated Total Value of Project Fppo. P. irl I Amount Paid Date Paid $70,000.00 $70,000.00 03/31/2009 $88.40 $47.64 $25.80 $30.00 $397.00 $119.00 $189.33 $248.99 $28.34 $128.43 $7.56 $3.15 $63.00 3/30/09 4/8/09 4/8/09 4/8/09 4/8/09 4/8/09 4/8/09 4/8109 4/8/09 4/8/09 5/6/09 5/6/09 5/6/09 Receipt Number 2200900000000000309 1200900000000000252 1200900000000000252 1200900000000000252 1200900000000000252 1200900000000000252 1200900000000000252 1200900000000000252 1200900000000000252 1200900000000000252 2200900000000000481 2200900000000000481 2200900000000000481 No fire fee, willamalane fee, or addressing fee is applicahle on this permit. This is a replacement home. Storm water to curb Non-structural CMU skirting, Pre-fab piers. APP as noted on plans. Existing street trees may be used to satisfy street tree requirement. To Request an inspection call the 24 hour recording at 726-3769. 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 work day. $1,376.64 I Plan Reviews I 03/3112009 APP LLH 04/03/2009 04/03/2009 APP LKW APP CJC 04/06/2009 APP DDK Pa2e 2 of 3 _~Ij!II.I~!l1lF!I"'''D, r ? CITY VI:< ~rRINGFIELD . Building/Combination Permit Status Issued PERMIT NO: COM2009-00419 ISSUED: 04/08/2009 APPLIED: 03/30/2009 EXPIRES: 11104/2009 VALUE: $ 70,000.00 225 fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 fax 541-726-3769 Inspection Line Rellllired Insnections I 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, streetaddress numbers, trees, driveway, etc. have been i~stalled. Manuf Home Plumbing: After home has been connected to water and sewer. MH Electric: .When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. MH Service: Approval required prior to utility com.pany energizing service. 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 he made of any strncture 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 the permit cud is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Page 3 of 3 225 Fifth 'Street Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: cReceintl ~.:IitRINQF.lanji. .. i A... :- . K......... .. . r .' . . , ".- --. -~.'. ,. -.- City of Springfield Official Reccipt Development Services Department Public Works Department 2200900000000000481 Date: 05/06/2009 9:32:44AM Amount Due 63.00 3,15 7.56 $73.71 Amount Paid $70.56 $4.00 ($0.85) $73.71 . Amount Due 63.00 3.15 7.56 $73.71 Amount P:tid $70.56 $4.00 ($0.85) $73.71 Amount Due 63.00 '3.15 7.56 $73.71 . Amount Paid $70.56 $4.00 ($0.85) $73.71 Page I of I 5/6/2009 1 1 I $ 32.00 $ I $ 63.00 $63<:01 1 1 I 1 1 1 1 I I I 1 1 1 1 I 1 I 1 I I 1 I I I $ (9300 I $ 1501 $ ~-'I $~ 7; ?!- .\ .' Electrical Permit Application I'.' DEPARTMENT USE.ONLY ~ ~I ~;"ZOOc;-0041 " _ Permit no.: I Da;e: sib;O I _ 0 _ . _ CrFY OF'SPRtNCF~i~Lp/OR,EGON:..' 225 Fifth Strftt+Springfil'ld,OR 97477. PH(541)726-3753+ FAX(S41)726-3689 This permit is issued noder OAR 918-309-0000. Permits are Dootraosferahle..Permits expire if work is Dot started within 180 days of issuance or if work is suspended for l~O days. . I LOCAL GOVERNMENT APPROVAL I I. . FEE, SCHEDULE 1 Zoning approval verified? 0 Yes 0 No I I. Nun1.her ofinspeCtil(ns per item 0' IQty.1 Cost . ~~~~I I CATEGORY OF CONSTRUCTION .1 ea. I Residential, per unit: service included: Il;i(Residential 1 0 Government I 0 Commercial I 11,000 sq. ft, or less (4) r'JOB SITE INFORMATION AND LOcATION .." 1 3ra (J 0 Each additional 500 sq. ft. or portion Joh site address: . ::> I' 5. 5~...,v\' ~ la ceo thereof 1 City:SPI';o'j h-e.I j. j State: 02-. 1 ziP: "11'-1'11 Limited ene:gy (2) I SUhdiv.i;ion: '.'. 023."5 J '-{ .. I Lot. n. 0.: f:}. 0 Zo$I Each manufactured home or modular I ~ . ,'\ .",,, DESCRIPTION:OF .WORK,',: ., '. . ,,', dwelhng servIce or feeder (2) , I 1> I '/1 I L"'L; v" Services. or feeders: .installation, alteration, relocation mClr1tAr&ct-"..-....v 11.rl"\e -,'-'..v 1(L '" - I' 2no.!'lJlP~or less (2) $ 81.00 $ I . F'ROPERry' OWNER. ,;, f"',,,non}"'~~J~ :;;~ ~b~~s (2) . $ 95.00 $ 1 Name: CJt,.{ a...lE"-s H-z>~~'<!\~~~fdO?\e~:~~~, ~\E 5~ttQ;\W~~; (2) $158.00 $ 1 Address: -:s S- 'i S \~~':Lce(\\B~,O \\1\0\.' ~\19P~'i9 l\.i\O.l!,'!l"PS (2) $205.00 $ I City: Sf:>~l\ 1 Sta&!:O~511.zy.e::~17.tj,70iJ?~\\Q~:]:Qko;i'!IlJ5'orvOItS(2) 1 $469.00 $ I Phone: _ _ 1 F~;O. jO~-.~~"~e(\\;,I;D~O(\ j~I,\~e~'11I~ct only (2) 1 $ 63.00 $ \ E-mail: ca.\"""'J -\O~ \\le.'-J \ _SOO ,J....j?femporary senrices or feeders: installatIOn, alteratIOn, relocatIon _"pI -,'~ 1 1 1 1 This installation is'being made on residelliiai ..or fann' property 200 amps or less (2) . $ 63.00 $ owned by' me or a member of my immediate family. This 1'201 to 400 amps (2) I I $ 8700 $ property IS not mtended for sale, exchange, lease, or rent. OAR 1 1 I . 1 479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $ Signature: lOver 600 amps or 1,000 volts, see services or feeders section above ,... C.ONTRACTOR .INST ALLA;rION .1 1 Braneh circuits: new. alteration. extensian per panel I Business name: S'imP50-" t.= Ie ~_.f.r.. 'c ~( (o,..5+--", c..,.--h' v--I. I a Fee for branch circuits with purchase of a service or feeder fee: 1 Address: ~/4S AlE. Mc.j)o,.,,,,l') L..... <;k c... 1 1 Each branch circuit . I I $ 6.001 $ 1 City: Me 1Yl,'l)llv ; t 1'(' 1 State: D ((.. I' ZIP: (-i7IZlf lib. Fee for branch circuits without purchase of a service or feeder fee, 1 Pho';e'5iJ~.in.2.. -"2..5 30 1 Fax5""tb-/{,:>;" _ 0/57 1 1 First branch circuit (2) I. $ 55,00 I $ [ E-mail: I I Each additional branch circuit $ 6.00 $ I CCB license no.: 13.3SS"~ I BCD license no.: '3b-~X 1 1 Miscellaneous fees: service ar feeder not included 1 Signing supervisor'~ license no.: 5LI13 S . 1 1 Each ptunp or irrigation circle (2) I $ 63.00 1 Print name of signing supervisor: ',/~€.v;." S''''F'Se>.'1 ~. ,I EaChSignOrOUtlinel.ighting(2) 1 $ 63.00 I Signature of signing supervisor: Il". /'... /" NOTI\; '.:#~~tr~~<eI1f\!I.EP\lllgH" $ 63.00 I $ IV - - IHIS f1~' e. s -~;-:~TI~l\lrlT n 1 AUTHORlZ.~'lJN\lJlil?n~Ih\l;Pfclr'rr ~0Q 1 $58.00 l, $ ~~ &- CaMMEr r.FO OR IS AI:i61~~~~t CANT 'USE . \\! n. ANY +8011!>>'h'Iji\li:~alofabovefees ..' (i:).~'i(J .0'--.~1J'v"' (Minimum Permit Fee $58.00) f .~\\.<J?,~ ~~ ' 1 (B) Enter 12% surcharge (/2 x [A)) ("\ ~~~_.f;J \y 1 (C) Technology Fee (5% of[AJ) J C1l '- I)j . I TOTAL fees and snrcharges (A through C): $134.00 $ 25.00 440-2584-J (9/08/COM) 'I ., I I $ $ $ $