HomeMy WebLinkAboutPermit Miscellaneous 2009-5-22
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CITY OF SPRIN(jl'lELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00624
ISSUED: OS/22/2009
APPLIED: 05/07/2009
EXPIRES: 11122/2009
VALUE: $ 56,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 400 52ND PL
ASSESSOR'S PARCEL NO.: 1702333102300
SPRINGFIETYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF,USE: New Residential
PROJECT DESCRIPTION: Manllfactured home on private lot
Owner:
Address:
CHRISTOPHE FILLMORE
317 30TH ST 137 D '
SPRINGFIELD OR 97478
I CONTRACTOR INFORMA nON I
Contractor Type
Manuf Home Inst
Contractor
CONKRAFT CONSTRUCTION INC
License
172108
Expiration Date
09/15/2010
Phone
(503) 209-1373
r BUILDING INFORMATION I
# of Units:
Primary Occllpancy Group:
Secondary Occupallcy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
4
# of Stories:
Height of Structure
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path:
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 211d Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq lit Other:
Occupant Load:
11 ,250
1,548
I
R-3
VB
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
'45.00
7.50
7.50
79.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
2
Yes
14.40
. REQUIRED PARKING
-Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Partiallv Improved
No
Sidewalk Type: ,
Downspouts/Drains:
Notes:
I Valuation DescrilJtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of3
Status, Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Foundation Onlv Use Bid Amount
Malluf Home Manllfactured Home
Fee Description
Plan Review Residential
Addressing Assignment
Curbellt Permit
Manuf Home State Issuance
Manufactured Home Placement
Pia II Review Major - Planning
Sanitary Sewer - Improvement
Sallitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement'
SDC Sanitary/Storm Admin
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportatioll Admin
Storm Drainage Impervious Area
Willamalane Manuf Home Private
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00624
ISSUED: 05/22/2'009
APPLIED: 05/07/2009
EXPIRES: 11/22/2009
VALUE: $ 56,500.00 .
$1.00
$1.00
6,500.00
50,000.00
$6,500.00
$50,000.00
$56,500.00
05/07/2009
05/1112009
Total Value of Project
III'''' P~idJ
Amoullt Paid
Date Paid
Receipt N limber
$69.39
$38.00
$88.00
$30.00
$397.00
$211.00
$504.88
$663.96
$10.00
$1,009.17
$97.90
$130.42 '
$201.54
$888.98
$74.90
$729.90
$2,858.00
5/7/09
5/22/09
5/22/09
~/22/09
5/22/09
5/22/09
5/22/09
5/22/09
5/22/09
, 5/22/09
5/22/09
5/22/09
5/22/09
5/22/09
5/22/09
5/22/09
5/22/09
1200900000000000362
1200900000000000526
1200900000000000526
1200900000000000526
1200900000000000526
1200900000000000526
1200900000000000526
1200900000000000526
1200900000000000526
,1200900000000000526
1200900000000000526
1200900000000000526
1200900000000000526
1200900000000000526
1200900000000000526
1200900000000000526
1200900000000000526
$8,003.04
I Plan Reviews ,
Structural Review 05/11/2009
Initial Review 05/11/2009 05/11/2009 APP LLH
Public Works Review 05/11/2009 05/12/2009 APP LKW
Structural Review 05/12/2009 05/12/2009 WE KLK
Plannine: Review 05/11 /2009 05/14/2009 APP DDK Approved as shown on plans.
Structural Review 05/14/2009 05/14/2009 APP KLK
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.
L..\Vf1r1irf':~nsnections I
Manuf Home Set Up: When installation of all piers or stands is complete.
Paee 2 of 3
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
,PERMIT NO: COM2009-00624
ISSUED: OS/22/2009
APPLIED: 05/0,7/2009
EXPIRES: 11122/2009
VALUE: $ 56,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lille
Final Manuf Home Set Up: After"1I required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Manllf Home Plumbing: After home has been cOllllected to water and sewer.
MH Electric: When blocking, setup and plumbillg inspections have been approved and the home is connected to
the panel.
MH Service, Approval required prior to utility company energizing service.
Erosio~/Grading IlIspection: Prior to groulld disturbance and after erosion measures are installed.
By sigllature, I state and agree, that I have carefully examined the completcd application and do hereb}' certify that all
information hereoll is true and correct, alld I further certify that any and all work performed shall be done ill accordance with
the'Ordinallces 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 permissioll of the Community Services Division, Buildillg Safety.
I further certify that ollly cOlltractors and employees who are in compliance with ORS 701.005 will be IIsed 011 this project.
I further agree to ensllre that all required inspections are reqllested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, alld the approved set of plans will remain on the site at all
times during construction.
t1-1-~t-
V
Owner or Contractors Signature
or - 'L'Z - 0 .,
Date
~
Page] of 3
Willamalane
Park & Recreation District
Job. No. M - ( o?. 4
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR2009
NAME: . \i~. \~P>-.. . PHONE:5Cf6.~.\Q.\S
ADDRESS: 4\ S 5'?_ncArv ~.'~STATEc;g,zIP: q-rtIB
LOCATION OF PROPOSED BUILDING SITE:
.of) - _I \>
a\O..... ' L
"\00
l\\~
Tax Lot Number:
\\()~ 3. OD \tJL3cf:J
Street Address:
Plat Name:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s), Dwelling type definitions are on the
back,)
A. Sinale-Familv Detached
NO. OF UNITS . \
X $2,858 per unit =
$ 26Sg.CO
B. Sinale-Familv Attached
NO. OF UNITS
X $3,100 per unit =
$
C. Multi-Familv'Aoartment
NO. OF UNITS
X $2,641 per unit =
$
D. Sinale Room Occuoancv
, NO, OF UNITS
X $1,321 per unit =
$'
E. Accessorv Dwellina Unit
NO. OF UNITS .
X $1,550 per unit =
$
WILLAMALANE SDC
$ 1B58.Cb
ft
2. . SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
$
. 3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC' reduced for Credit)
.~~\ 0\~;~
Development Services ~~rtment
City of Springfield
$ 2-&:> Si3~~
_ 5,151 a:A.
Date ~'
5
225 Fifth 'Street
Springfield, Oregon 97477
541-726-3759 Phone
City .of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number.
LDP2009-00041
LDP2009-00041
COM2009-00624
COM2009-00624
COM2009-00624
COM2009-00624
COM?009-00624
COM2009-00624
COM2009-00624
COM2009-00624
COM2009-00624
COM2009-00624.
COM2009-00624
COM2009-00624
COM2009-00624
COM2009-00624
COM2009-00624
COM2009-00624
Paymellts:
Type of Payment
Check
cReceintl
RECEIPT #:
1200900000000000526
Date: 05/22/2009
Description
LDAP Short Form
+ 5% Technology Fee
Manufactured Home Place'ment
Manuf Home State Issuallce
Addr~ssing Assignment
WilJamalane Manuf Home Private
Curb cut Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursemellt
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Trans lmprovemellt-Resident
SDC MWMC Reimbllrsemellt
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stoml Admill
SDC Transportation Admin
Plall Review Major - Planning
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
CONKRAFT CONSTRUCTION, njm
1861
In Person
Payment Total:.
Page I of I
1:51:40PM
Amount Due
450,00
22,50
397,00
30,00
38,00
2,858,00
88,00
729.90
663,96
504,88
201.54
888,98
97,90
1,009,17
10,00
130.42
74,90
211,00
$8,406,15
Amount Paid
$8,40615
$8,406.15
(
5/22/2009