HomeMy WebLinkAboutPermit Building 2001-7-9
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1 Job# 01-00343-01 I
225 North Fifth Slreet
Springfield, OR 97477
Page 1 of 4
CITY OF SPRINGFIELD, OREGON
Billie L Fairbanks
2174 Lamar Lane
Address:
Scope Of Work: Manufactured Home on Private Lot
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
M.H. & attached garage on panhandle lot
Contractor
H Gordon Construction Inc
Po Box 781, Veneta, OR 97487
Binns Electric Co
210 Wallis St Unit C, Eugene, OR
97402-5328
Home Comfort Heating
706 Oscar Street, Eugene, OR 97402
Dennis Cole Excavaling Co
Po Box 40846, Eugene, OR 97404
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:
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Tax Lot #: 06300
Subdivision: Oak Breeze
Phone Number: 541-344-2342
City/State/Zip:
New
Eugene, OR 97401
Value: $62,569
Registration # Expiration Date
140516 1/24/02
Phone
541-935-8906
Owner:
Contractor Type
General Contr
Electrical Conlr
Mechanical Contr
Contractor - ROW
73762 6/6/01
541-687-1362
84164 6/1/03
541-345-2838
103037 11/25/02
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 Electric
Range: Electric Sq. Footage: 1512
To request an inspeclion 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
Required Inspections
I Building I
-Install ground rod at footing, and call for inspection in conjuction with footing andlor foundation i
-After trenches are excavated.
- After forms are erected bul prior to concrete placement.
- Before covering sheathing with finish materials.
- Prior to cover.
- Prior to taping.
- When all required inspections have been approved and the building is complete.
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 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
jI'
,
MH Electrical
Rough Electrical
Electrical Service
Final Electrical
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Rough Mechanical
Final Mechanical
MH Set Up
MH Final
Sidewalk
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I Job# 01-00343-01 I
Page 2 of 4
Required Inspections
I Electrical I
- When blocking, setup, and plumbing inspections have been approved and the home is connecl
- Prior to cover.
- Musl be approved to obtain permanent power.
-When all eleclrical work is complele.
I Plumbing
-After home has been connected to water and sewer.
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
- When all plumbing work is complete.
Mechanical
-Prior to cover.
-When all mechanical work is complete.
I Manufactured Home
- When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house numbel
Public Works
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
o
8
To Curb and Gutter
4
00/00/0000:00 AM
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:
Planner: Liz Miller
Urban Growth Boundary?O Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Flood Plain FEMA: Panel 1141 of 2975
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Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1512 Accessory~40
Fee
Residenlial Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Manufactured Home ServicelFeeder
Branch Circuits With Feeder or Service
Stale Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permil Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Manufactured Home Connection
Administrative Fee - Plumbing
Total Plumbing
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufactured Hom,
Manufactured Home Administrative Fee
Total Manufactured Home
Sidewalk Repair
Total Public Works
Job# 01-00343-01 I
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Accessory Structure
# Of Stories: 1 Height (feet): 15
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:1952
Paid On Receipt#
Plan Check
04/09/2001 4884
Building
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
Electrical
06/27/2001 5997
06/27/2001 5997
06/27/2001 5997
06/27/2001 5997
Plumbing
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
Mechanical
07/09/2001 6090
07/09/2001 6090
07/09/2001 6090
07/09/2001 6090
07/09/2001 6090
Manufactured Home
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
Public Works
05/24/2001 5505
ValuelQuantity
Page 30f4
12,569
12,569
2
1
30
30
70
1
1
50,000
1
1
Fee Amount
$64.03
$64.03
$98.50
$6.90
$2.96
$108.36
$80.00
$2.00
$5.74
$2.46
$90.20
$.00
$7.35
$25.00
$25.00
$40.00
$15.00
$3.15
$115.50
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$105.00
$40.00
$7.35
$3.15
$155.50
$10.00
$10.00
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Job# 01-00343-01
Paid On Receipt#
System Development
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
04/26/2001 0005073
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Page 4 of4
ValuelQuantity Fee Amount
I
Fee
Residential- Single Family - Slorm
Sanitary Sewer
Residenlial Transportalion
Residential Improvement MWMC
MWMC Adminislrative Fee
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Property Annexed 1997
Residential Sanitary MWMC
Transportalion SDC Reimbursement
Total System Development
3,811 $1,032.78
23 $371.45
1 $656.02
1 $24.33
1 $10.00
23 $488.75
$150.32
30 $-17.02
1 $285.91
1 $154.27
$3,156.81
Manufactured Home - Willamalane
Total Willamalane SDC
Grand Total
Willamalane SDC
04/26/2001 0005073
1
$1,000.00
$1,000.00
$4,726.90
Plan Check Type
Checked By
Date Completed
Comment
Inilial Review-Res
Engineering-Res
Planning-Res
Struclural-Res
Lisa Hopper
Steve Templin
Liz Miller
04/12/2001
04/13/2001
04/25/2001
04/12/2001
Tom Marx
By signature, I state and agree, that I have carefully examined Ihe 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 Ihe Ordinances of the City of Springfield and Ihe Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure wilhout permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance wilh 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, that the permit card is located al the front of the propery, and the
appro~ 2~main on the s' ,,' "II ti~onstruction.
S1,,,"ro U C
7 -9-0 /'
Date
lItU SPRINGFIELD ,...".,
~_ ....u..
~~~
LOCATION OF PROPOSED WORK: \(jL\ ()___()()....~ M f> (1 c\rlr 1)" PILL l' .Q
~"1 n3 ~.1.~ _ ____ TAX LOT: Db YJO
OWNER' {; I \ \ i f ~a i .rbrl I\,k:' <;
ADDRESS,s ~ l'
CITy:.J3..?-l/( A ,4r aJ!dJ,
DESCRIBE WORK: "loi\.h-t (~UA.f fA
NEW REMODEL ADDITIOr: X
RE'SIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759 '
ASSESSORS MAP:
LOT'
BLOCK:
STATE: _rrf'L,
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1"\ l-oO~t.f~-o I
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MH \0'1 YIf
JOB NUMBER
225 Fiftll Street
Sprlnglleld, Oregon 97477
SUBDIVISION'
.a.-rr J '-, ~VI6'~)
PHONE: _",';:; I" "1- -rl-LQ"::D '-' c
ZIP:
Q7v, '7
do- 'id-- ton \-l,le-tr'\- Mv[J);~JlJ ~;.
DEMOLISH
OTHER
ADDRESS
CONST.
CONTRACTOR'
EXPIRES '." PHONE
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAL~~ r(,)\,^.Q.+.\.\~_'lDI~l>.V'S\C~>l\,^' c.\'1.ltDL
ELECTRICA' .
't-.'-\\l.J>'-\
Nn J "-' I {~Ll~'-\""_ "2.R;"IR
'-
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN:
. OF BLDGS' . OF UNITS' ZONING CODE:_
OCCY GROUP: CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: ~ SQUARE FOOTAGE:
To request an Inspectlon, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 3.m. will be
made the same working day, Inspections requested aHer "1:00 a.m. will bo made the following work day.
o Temporary Eloctrlc
O Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrical/
Mechanical - Prior to cover.
o Fooling - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trencll.
O Underlloor Plumbfng/Mechanlcai
_ Prior to Insulation or decking.
o Post and Boom - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
deckln9.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sower - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough MechanIcal - Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facIng
materials and framing Insp.
o Framing - Prior to cover.
o Wall/e'olling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approvlll
and Installation of unit.
o Curbcut & Approach - Arter
forms are erected but prior to
placement of concrete.
o SIdewall( & Drlvcw.IV - After
excavation is compiete. forms
and sub.base mat~rlal In place.
o Fence - \Nhen cOinpletcd.
o Stroot Trees - When all required
trees are planted.
D Flnul Plumbing - When all
plumbing wf!>rl( Is complet!3.
D Final Electrical - When all
electrical work Is complete.
o Final Mechanical - Wilen all
mechanical work Is complete.
o Final Building -.Wllen all
required Inspections have been
approved and building Is
comploted.
r
OOtller
, ,
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - Wilen all
blocklnlJ Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking. set.up, and I!!umblng
Inspections have beea~~ed
and the Ilome Is C~%~~
the service panel. :c rn IT1 co
DC"J..#
("")::zt:::l~ ..
DG1..CO
o Final - After anao!)jl1illiC-.....
Inspections are ;rlp~~
porches, sklrtlnO!iq~~~."''3~
venting have been if'Jisa~-c~
o. . 00
'=",V"'--',-']
FI.;...Jw')-L)
(-
I
J'
Lot faces
Lot Type' .
Lot sq. flg.
Interior
Lot coverage
Corner
Topography
"
Panhandle'
Total height
Cul.de-::;ac
BUILDING PERMIT I
" '{
ITEM
SO. FT.
X $/SO. FT. =
Main
Garage
Carport
Total Value
Building Permit Fcc
Slate Surcharge
Total Fcc
(A)
I P.L.
IN
Is
_"Y.__
~_.1--_"
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing permll
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
DrycM ~
. LM'VVp
MechanIcal Permit
Issuance
Stale Surcharge
Total Permil
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
fl
Demolition
State Surcharge
Total Miscellaneous Permits
(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
Setbacks.
HSE GAR
. l;: 1, ~'"i\:~.
.. " ,..' 1.':'.'~'iN:):'
'( eTHEPROPOSED WORK IN T~E."-:.
HISTOAICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
" yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
ACC'I
APPROVEn.
.,.
BUILDING VALllE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conlorm to the Ordinance
adopted by the City ,of Sprlnglleld, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordInances.
Plan Check Fee:
Dale Paid:
Receipt Number:
Received By:
Plans Reviewed By
Dale
Systems Development Charge Is due on all undeveloped
properlles within Ihe City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carofully 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 perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees whO
arc In compliance with OAS 701.055 will be used on thIs
project. '
I further agree to ensure that all required Inspections a.re
requested at tho proper time, that oach address Is readable
from the street, that the permit card Is located at the front
of the property, and the approved set 01 plans will remain
on the site at all times during construction.
SIgnature
Datp
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY