HomeMy WebLinkAboutPermit Building 2002-7-25
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I Job# 02-00709-01 I
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Page 1 of 4
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Registration # Expiration ~ Phone
66447 51712~~~~~~~ 541-689-7762
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63137 .()~~~~~~~~~'b~c:ill~'729-1500
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66447 ~()~ ~~ 541-689-7762
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~~~~ ~ ~ ~~ 5n12004 ,0 541-689-7762
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Office Use e,f$. ?J~ 0'O!}.: 'Q"
.,,5 O~ q} o,,'=' 00"
Land Use: Single Family Dwelling #'OfJlilildiilos?- 1 \~ ~~0 ^
:\.' ...... ~'- ~'c 0 oJ" ...v
Zoning Code: LDR ~e,~bcc'up-incy~GroUp'~{Dw~lilng
Bedrooms: 3 _,,9 ~H':,afsou~e:,Oi;;b"'~~ ..cl'-~ir Electric
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Water Heater: Electric Range: Electric ,~'':''~c, ~:~s,g:;f.~~tj'9,..!z";;S,,{!:\~ ",.
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To request an inspection call the 24 hour recording at 726-3769. AII\in~IlJi~\)?-i'i<S'ffq~#iEtQ!tieto[~\:oO
a.m. will be made the same working day, inspections requested after "7.;O~;a.!?t'?'W~{ie nfade:tlie:following
working day. ~0"'0'?' -1.0 ;s-0 ~;s-0 .,c,'
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ReqUired Inspections \)' cr <0- \.r
I Buildinfl I ~~f:'
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- Before covering sheathing with finish materials.
-Prior to cover.
- Located and constructed according to plans.
225 Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 1045 Oak Meadows PI Spr
Assessors Map#: 17033422
Lot: 7 Block: Addition:
Owner:
Fred Hample
3426 Brookview Drive
Address:
Scope Of Work: Manufactured Home on Private Lot
M.H. w/ Garage
Contractor Type
General Contr
Contractor
Harrison Jacobson Inc
1441 HWY 99N, Eugene, OR 97402
Heritage Electric of Eugene
1042 Horn Lane, Eugene, OR 97404
Harrison Jacobson Inc
1441 HWY 99N, Eugene, OR 97402
Electrical Contr
Manuf Home Install
Plumbing Contr
Harrison Jacobson Inc
1441 HWY 99N, Eugene, OR 97402
Quad Area:
# Of Units:
Constr. Type:
1RNW
1
(VN) Wood Frame
Verify Ground Rod
Footing
Foundation
Shear Wall Nailing
Framing
Firewall
Hold Downs Installed
Final Building
Job Number: 02-00709-01
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 05700
Subdivision:Oakbreeze
Phone Number: 541-484-7076
City/StatelZip: Eugene, OR
New Value: $61,340
-When all required inspections have been approved and the building is complete.
Street Improvement: Fully Improved
Curb Cut?~ Improvement Agr,?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00 .
Special Instructions:
Other Utilities:
Project Supervisor:
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
,
Rough Electrical
Final Electrical
MH Plumbing
Water Line
Sanitary Sewer Line
Perimeter Foundation
Drains
Final Plumbing
MH Set Up
MH Final
SW-Curbside
CC-Standard
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I Job# 02-00709-01 I
Required Inspections
Electrical I
Page 2 of 4
- Prior to cover.
- When all electrical work is complete.
I Plumbing I
-After home has been connected to water and sewer.
-Prior to filling trench.
- Prior to filling trench.
-After gravel and filter cloth is installed, but prior to backfill.
-When all plumbing work is complete.
I Manufactured Home
- When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house number
I Public Works I
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
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
6
00/00/0000 00:00:00 .
Types Of Warning Devices Reqd,
Overlay District:
# of Street Trees: 2
Land Use: Single Family Dwelling
Pave Driveway? ~
3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Planner:
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Flood Plain FEMA: Panel 1141 of 2975
. Job# 02-00709-01 I . Page 3 of 4
~. Construction Types~VN) Wood Frame
Occupancy Groups: Dwelling Private Garage/Carp/Stor
# Of Buildings: 1 # Of Stories: 1 Height (feet): 16
# Of Bedrooms: 3 Current Units: Proposed Units:1
Handicap Access? 0 Census Code: New Mfg Home
rArea (Sq. Feet)
Main: 1620 Accessory:400 Total:2020
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check I
Residential Plan Check 06/13/2002 9560 11,340 $79.95
Total Plan Check $79,95
Building
Garage/Carport 07/25/2002 10043 11,340 $123.00
State Surcharge For Building Permit 07/25/2002 10043 $8.61
8% Building Administrative Fee 07/25/2002 10043 $9.84
Total Building $141,45
Electrical
Minimum Electrical Permit Fee 07/25/2002 10043 $.00
Manufactured Home Service\Feeder 07/25/2002 10043 2 $100.00
Branch Circuits With Feeder or Service 07/25/2002 10043 1 $3.00
State Surcharge - Electrical 07/25/2002 10043 $7.21
8% Admin Fee - Electrical 07/25/2002 10043 $8.24
Total Electrical $118,45
Plumbinq
Minimum Plumbing Permit Fee 07/25/2002 10043 $.00
State Surcharge - Plumbing 07/25/2002 10043 $3.15
Manufactured Home Connection 07/25/2002 10043 1 $45.00
8% Administrative Fee - Plumbing 07/25/2002 10043 $3.60
Total Plumbing $51,75
Manufactured Home
Manufactured Home Setup Fee 07/25/2002 10043 50,000 $160.00
Manufactured Home State Issuance 07/25/2002 10043 1 $30.00
State Surcharge For Manufactured HomE 07/25/2002 10043 $11.20
Manufactured Home Administrative Fee 07/25/2002 10043 $12.80
Total Manufactured Home $214,00
Public Works
New Sidewalk 07/25/2002 10043 40 $75.00
New Curbcut 07/25/2002 10043 1 $75.00
Multiple Permit Discount - 2nd Permit 07/25/2002 10043 1 $-30.00
Total Public Works $120,00
System Development
Residential - Single Family - Storm 07/25/2002 10043 2,521 $688.23
Residential Improvement MWMC 07/25/2002 10043 1 $34.83
MWMC Administrative Fee 07/25/2002 10043 1 $10.00
SDC Administrative Fee 07/25/2002 10043 $133.53
Residential Sanitary MWMC 07/25/2002 10043 1 $332.86
Residential-Improvement 07/25/2002 10043 1 $659.76
Residential - Reimbursement 07/25/2002 10043 1 $155.13
Sanitary Sewer SDC Reimbursement 07/25/2002 10043 21 $448.77
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Job# 02-00709-01
Paid On Receipt#
System Development
07/25/2002 10043
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Page 4 of4
Value/Quantity Fee Amount
~
Fee
1
Sanitary Sewer SDC Improvement
Total System Development
21 $341.04
$2,804,15
Manufactured Home - Wiilamalane
Total Willamalane SDC
Willamalane SDC
07/25/2002 10043
1
$1,000.00
$1,000,00
Planning Plan Review
Total Planning
Planninll
07/25/2002 10043
1
$55.00
$55.00
Address Assignment
Total Permits w/o Srchg
Grand Total
Permits w/o Srchll
07/25/2002 10043
1
$8. 00
$8.00
$4,592,75
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Denny Wright
Liz Miller
06/17/2002
06/21/2002
06/19/2002
Engineering-Res
Planning-Res
Structural-Res Bob Barnhart 06/24/2002 Need to have Manufactured Home Land Use
Agreement signed.
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 be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify that.only contractors and employees who are in compliance with ORS 701.055 wiil 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 propery, and the
appned s~t of plans will remain on the site at all times during construction.
~r/J/.lA~ {, z.s -at,.
Signature Date