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 $63<:01
1
1
I
1
1
1
1
I
I
I
1
1
1
1
I
1
I
1
I
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1
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$ (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
$
$
$
$