HomeMy WebLinkAboutPermit Miscellaneous 2009-6-2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-007I4
ISSUED: 06/02/2009 "
APPLIED: OS/21/2009
EXPIRES: 12102/2009
VALUE: $ 69,489.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 327 S 52ND PL
ASSESSOR'S PARCEL NO.: 1702333400207
Springfield
TYPE OF WORK: Manuf Home w
Garage/Carport Private Lot
New Residential
PROJECT DESCRIPTION:
TYPE OF USE:
Replacement manufactured home and garage
Owner:
. Address:
RODNEY DUNLAP
5120 MAIN ST
SPRINGFIELD OR 97478
AIIā¬
fo//ow IVIION.
Noe,. rille . Ore
.. I,I""~~. S ~"'_ '{JOn I
(1: vAA 0,...'"'..1/ Up'",.~lJted hl:~v reOlJ' ' .
I CONTRACTORi1Ni10RMATI0Nr.;reS YOII t
nil ~"mg th~""Y obI"" [I1roll . ~'~S ;:eon UtilitO
Contractor rnber far cel1ter ClII1 CL,i~in~A 9~xp.if.ltion Date
HARRISON JACOBSON INCCent the Or;/NCCl'i,4ffr Of the r 2,o00k10712010
ROBS ELECTRIC INC er IS .1-80~" iJ,5,flJJJ:eleph~es 198/14/201 I
HARRISON JACOBSON INC . '3il6~4 OlifiCCla"e 05/07/2010
HARRISON JACOBSON INC 664474). . 011 05/07/2010
Phone Number:
541-520-7026
Contractor Type
General
Electrical
Manuf Home Inst
Plumbing
Phone
541-689-7762
541-686-5444
541-689-7762
541-689-7762
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path:
ND'T/~rinkled Building:
Tb' ..-
X "'V,4li);l.P..MENT INFORMATION I
(, rHOR/ZEb' oJj'jALL Exp .
10.00 COMMEruIIUAtll~ T. IRE /F iHE
5.00 ANy 180 Hef.lRfi8~ilJ~~ PERM/i /SWOR~
5.00 "e8ffR)mJ<i(c/. DONED F, Nares
10.00 % of Lot Co~erage: OR 26.60
0.00
VB
I
R-3
I
Lot Size: 6,970
Sq Ft 1st Floor: 1,188
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport 676
Sq Ft Other:
Occupant Load:
3
n/a
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm'Sewer Available:
Special Instruction:
Fully Improved
No
Sidewalk Type:
Downspouts/Drains:
. Curb and Gutter
Storm water to curb
'-
Notes: Replacement MF home
Paee I of 3
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-007I4
ISSUED; 06/02/2009
APPLIED; OS/21/2009
EXPIRES; 12/02/2009
VALUE: $ 69,489.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Bid Amount
Manuf Home
Tvpe of Construction
Use Bid Amount
Manufactured Home
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
19,489.00
50,000.00
Value
Date Calculated
Description
Total Value of Project
$19,489.00
$50,000.00
$69,489.00
OS/21/2009
OS/26/2009
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $170.79 5/2 1109 1200900000000000517
+ 12% State Surcharge $115.16 6/2109 1200900000000000603
+ 5% Technology Fee $53.93 6/2/09 1200900000000000603
Fire SF Fee - Residential $54.80 6/2/09 1200900000000000603
Garage/Carport $562.65 6/2/09 1200900000000000603
Manuf Home State Issuance $30.00 6/2/09 1200900000000000603
Manufactured Home Placement $397.00 6/2/09 1200900000000000603
Plan Review Minor - Planning $II9.00 6/2/09 1200900000000000603
Sanitary Sewer - Improvement $252.44 6/2109 1200900000000000603
Sanitary Sewer - Reimbursement $331.98 6/2109 1200900000000000603
SDC Sanitary/Storm Admin $38.14 6/2/09 1200900000000000603
Storm Drainage Impervious Area $178.37 6/2/09 1200900000000000603
Total Amonnt Paid $2,304.26
I Plan Reviews I
Initial Review OS/22/2009 OS/26/2009 APP LLH
Planniue: Review OS/26/2009 OS/28/2009 APP . DDK Pave first 18' of driveway from the
sidewalk.
Public Wor,ks Review OS/26/2009 05/28/2009 APP LKW Storm water to curb
Structural Review OS/26/2009 06/01/2009 APP CJC As noted on plans
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.
I Rp'\W.irprllnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Manuf Home Set Up: When installation of all piers or stands is complete.
Page 2 of 3
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CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-007I4
ISSUED: .06/02/2009
APPLIED: OS/21/2009
EXPIRES: 12/02/2009
VALUE: $ 69,489.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final ManufHome Set Up: After all required inspections are requested and approved and porches,skirting,
decks, venting, street.address numbers, trees, driveway, etc. have been installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Fnimiug Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the b~i1ding is complete.
Storm Sewer Line: Prior to filling trench.
By signature, I state and agree, that 1 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 o((he Community Services Division, BuildingSafety.
1 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 card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
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Owner or Contractors Signature
Date.
Page 3 of 3
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DATE -I ct.~rn
SOURCE lV.. ~
225 FIFIlI STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
.ELECTRICAL PERMITAPPLICATION
City Job Number --C.o-'1\ 4
1. l::fi:~~ff!L~l~,l!JT'~~
~~f"\ ~., 'Dfl.nrL VL
Service Included
JOB DESCRIPTION: ' 1000 sq. ft. or less
~L (n \ "" Q...",,';,.+ \Each additional 500 sq. ft. or
t\\~..O..ld-- \ ~"\0I 0..... _Y 0 .o~\\Il-\lL )portion thereof
Permits are non-tb}.sferable and expire if\ork is Each Manufact'd Home or
not started within 180 days of issuance or if work is ModuIarDweIIing Service or
Suspended for 180 days. Feeder
LEGAL DESCRIPTION:
\f\ (""0 ~?13::A
nO'lO<1
Date
3.
anFF':jf~iC4ill'iit'1i'1~~jlO~:"7>~m'''?1~.W~'''!~'~IlF~>'~~!:\;;Ii;;iiiimilir;III
A. ~1l1Ydi,B~jl~~ijjg!~~Qr~Mi!lJi~~&2iYYdP,~r~\!~~!'j!lg\!l!lit:,::"
$II7.00
$21.00
l
$55.00
'~~reONTIDt~croR*1NsTJ.rnmHoNJ:toNEi4I~^ B.
2 rdl~,__, """~~c<k"""'-='^""'---'d""'"'''''"'''~'YYfll'''Hh'ihi";'''K~L"'--''h,,,"''_'}1JR
. ~'"'' - ="",""~-"~~'~""=~,.'" .-,~",~~- --- .....--'''',,,"==--''
Electrical Contractor l?19 h ; S /:.-/ utY' I L rn ( .
Address f. () , f],., X 2 '? 2- I
City EVJ."ji!.'1.!...
Phone (ie/I) {, 9(, n";ly'
Supervisor License Number '(7'1 i.f S
Expiration Date / {J - CJ / - 2 0/ D
Constr. Contr. Number
is-Ct. 78
Expiration Date
(j-/y-UJI/
Signature of SuperVising Electrician
~~' <---
Owners Name ~
Address 5 VUl tv.:a".t ao
City~Phone 1Y}J).1f1Uo
,
OWNER INST PLLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
.
Inspection Request:
. ..'~~
~ \~. :--..\.
726-3769 ecJ~
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNoIts
Reconnect Only
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
c.
Installation, Alteration or Relocation
200 Amps' or less
20 I Amps to 400 Amps
40 I Amps 10 600 Amps
$ 55.00
$ 76.00
$IIO.OO
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
E. l~l;r(l2.mf,p~~r:fa=vm~d1llt@9)~E1i[lirn::~n~'hri';
',' """"--",,--.,.~ '.""E;:;;,jjf--=0j;=:01',0~"Wii;*"__"!_,.,.., ,,' ,,^--,
Pump or inigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Rifth Sweet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00714
COM2009-00714
COM2009-00714
COM2009-00714
COM2009~00714 .
COM2009-007I4
COM2009-00714
COM2009-00714
COM2009-007I4
COM2009-007I4.
COM2009-00714
Payments:
Type of Payment
CreditCard
cRcceiotl
RECEIPT #:
1200900000000000603
Date: 06/02/2009
3:01 :05PM
Description
Fire SF Fee ~ Residential
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Manufactured Home Placement
Manuf Home State Issuance
Garage/Carport
Plan Review Minor - Planning
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
54.80
178.37
331.98
252.44
38,14
397.00
30.00
562.65
119.00
53.93
115.16
$2,133.47
raid By
RODNEY DUNLAP
Item Total:
Check Nun-aber Authorization
Received By Batch Number Number How Received
Amount Paid
djb
150202 In Person
Payment Total:
$2,133.47
$2,133.47
Page I of I
6/2/2009