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HomeMy WebLinkAboutPermit Building 2001-5-24 , 225 North Fifth Street Springfield, OR 97477 . . Page 1 of4 I Job# 01-00343-01 I CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00343-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1040 Oak Meadows PI Spr Assessors Map#: 17033422 Lot: 13 Block: Addition: Owner: Address: Tax Lot #: 06300 Subdivision:Oak Breeze Billie L Fairbanks 2174 Lamar Lane Phone Number: 541-344-2342 City/State/Zip: New Eugene, OR 97401 Value: $62,569 Scope Of Work: Manufaclured Home on Private Lol Contractor H Gordon Construction Inc Po Box 781, Veneta, OR 97487 Contraclor - ROW Dennis Cole Excavating Co Po Box 40846, Eugene, OR 97404 Contractor Type General Contr Quad Area: # Of Units: Constr. Type: Water Heater: M.H. & attached garage on panhandle lot Registration # Expiration Date 140516 1/24/2002 Phone 541-935-8906 103037 11/25/2002 541-689-6009 1RNW 1 (VN) Wood Frame Electric Office Use Land Use: Mfg Home - Not in a ParI # Of Buildings: 1 Zoning Code: LDR Occupancy Group: Dwelling Bedrooms: 3 Heat Source: Forced Air Eleclric Range: Electric Sq. Footage: 1512 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 working day. Verify Ground Rod Footing Foundation Shear Wall Nailing Framing Drywall Final Building MH Electrical Rough Electrical Electrical Service Final Electrical Required Inspections I Building I -Install ground rod at footing, and call for inspection in conjuction with footing andlorfoundation i -After trenches are excavated. -After forms are erected but prior 10 concrete placement. - Before covering sheathing with finish male rials. -Prior to cover. -Prior to taping. -When all required inspections have been approved and the building is complete. I Electrical - When blocking, setup, and plumbing inspections have been approved and the home is connect - Prior to cover. - Must be approved to obtain permanent power. -When all electrical work is complete. J'" . . Page 2 of 4 I Job# 01-00343-01 I Required Inspections I Plumbing I -After home has been connecled to water and sewer. -Prior 10 filling trench. -Prior 10 filling Irench. -Prior to filling Irench. - When all plumbing work is complele. ! Manufactured Home - When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house numbel I - Public Works -I MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing MH Set Up MH Final Sidewalk Sidewalk Type: Curbside - 5' Additional ROW? 0 Size Of Line (in): 8 Downspouts/Drains: To Curb and Gutter Enchroachment Permit: San Sewer Tee (in): 4 Bond End DateTime: 00/00/000000:00 AM Street Improvement: Fully Improved Curb Cut?O Improvement Agr.?O San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/0000 00:00 AM Special Instructions: Other Utilities: Project Supervisor: Planner: Liz Miller Urban Growth Boundary?O Glenwood Area? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 ,Area (Sq. Feet) I Main: 1512 Accessoryll40 Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: Types Of Warning Devices Reqd. Overlay District: # of Street Trees: Land Use: Mfg Home - Not in a Park Pave Driveway? 0 3: Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: Panel 1141 of 2975 Accessory Structure # Of Stories: 1 Height(feet): 15 Current Units: Proposed Units:1 Census Code: New Mfg Home Total:1952 . Job# 01-00343-01 . Page 3 of 4 .- Fee Paid On Receipt# Value/Quantity Fee Amount I Plan Check 1 Residential Plan Check 04/09/2001 4884 12,569 $64.03 Total Plan Check $64.03 Building Building Permit 04/26/2001 0005073 12,569 $98.50 State Surcharge For Building Permil 04/26/2001 0005073 $6.90 Building Administralive Fee 04/26/2001 0005073 $2.96 Total Building $108.36 Plumbing Minimum Plumbing Permit Fee 04/26/2001 0005073 $.00 Slale Surcharge - Plumbing 04/26/2001 0005073 $7.35 Water Service Footage 04/26/2001 0005073 30 $25.00 Sanitary Sewer Footage 04/26/2001 0005073 30 $25.00 Storm Sewer Footage 04/26/2001 0005073 70 $40.00 Manufactured Home Connection 04/26/2001 0005073 1 $15.00 Administrative Fee - Plumbing 04/26/2001 0005073 $3.15 Total Plumbing $115.50 Manufactured Home Manufaclured Home Setup Fee 04/26/2001 0005073 50,000 $105.00 Manufactured Home Stale Issuance 04/26/2001 0005073 1 $40.00 Slale Surcharge For Manufactured Hom 04/26/2001 0005073 $7.35 Manufactured Home Administrative Fee 04/26/2001 0005073 $3.15 Total Manufactured Home $155.50 Public Works Sidewalk Repair 05/24/2001 5505 1 $10.00 Total Public Works $10.00 System Development Residenlial - Single Family - Storm 04/26/2001 0005073 3,811 $1,032.78 Sanitary Sewer 04/26/2001 0005073 23 $371.45 Residential Transportation 04/26/2001 0005073 1 $656.02 Residential Sanitary MWMC 04/26/2001 0005073 1 $285.91 Residential Improvement MWMC 04/26/2001 0005073 1 $24.33 MWMC Administrative Fee 04/26/2001 0005073 1 $10.00 Sanilary Sewer SDC Reimbursement 04/26/2001 0005073 23 $488.75 SDC Administrative Fee 04/26/2001 0005073 $150.32 Property Annexed 1997 04/26/2001 0005073 30 $-17.02 Transportation SDC Reimbursement 04/26/2001 0005073 1 $154.27 Total System Development $3,156.81 Willamalane SDC Manufactured Home - Willamalane 04/26/2001 0005073 1 $1,000.00 Total Willamalane SDC $1,000.00 Grand Total $4,610.20 Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper 04/12/2001 Engineering-Res Steve Templin 04/13/2001 Planning-Res Liz Miller 04/25/2001 . . Page 4 of 4 Job# 01-00343-01 I Date Completed " Plan Check Type Checked By Comment Slruclural-Res Tom Marx 04/12/2001 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 correcl, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and Ihe Laws of the State of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made of any struclure without permission of the Community Services Division, Building Safely. I further certify Ihat 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, thai the permil card is located at the front of the propery, and the approved set of plans will remain on the site al all times during construction. Signature Date :D :3: -i -i <:::l ::u :D:D ~rM~ n.. ** ("") l::I:3:: .. D .. DC) ClJ ........ -<....... ::c , t-tC"J~I"VO rrl ::c ..p.. <::) ::0 :D ........ 0 ..:zot'-Jtn OG'). oc..n o--rTlOOO I'..J.. 0........01