HomeMy WebLinkAboutPermit Building 2002-5-20
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225 Fifth Street
Springfield, OR 97477
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I Job# 02-00522-01 I
Page 1 of 4
TRANS#:01-0009166
DATE:11AY 20 2002
ANT RECD:2 $ 4896.55
CHANGE:
CASHIER: 003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00522-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1032 Oak Meadows PI Spr
Assessors Map#: 17033422
Lot: 16 Block: Addition:
Owner:
Address:
Fred Hample
3426 Brookview Drive
Tax Lot #: 06600
Subdivision: Oak Breeze
Phone Number: 541-484-7076
City/State/Zip: Eugene, OR
Scope Of Work: Manufactured Home on Private Lot New
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
MH on private lot with garage
Contractor
Harrison Jacobson Inc
1441 HWY 99N, Eugene, OR 97402
Heritage Electric
1042 Horn Lane, Eugene, OR 97404
Harrison Jacobson Inc
1441 HWY 99N, Eugene, OR 97402
Value: $53,089
Registration ~ " ~xpiratio.~ ~,i..I('<." '"4J,','!~IJl!J,V,~~l
66447 ':"') I ,~17Jg\l~YoythE~1;E?B9'7-762Y
;~,.;i,\i~t\tlon Center. Those rules are set forlh
A"'~~" M" r.010throUC1hOARB52-001-
63137 ",0 n l2l15/2004. .-541 729-1500 b
v000. You may ootalrl cople;" of "ow r ~,-- y
eolllnn tho center. (Note: ,~~e ~?~~'~~~~:n
66447 numb<?nl2, 0))2', iifl...]on Ut54,1-689"7762
C21"t('. i~ V-~'1"-'1<l?-2344).
Office Use
Quad Area: 1RNW Land Use: Mfg Home - ~~~f # Of Buildings: 2 ORK
# Of Units: 1 Zoning Code: LOR IS PERIIffilf~J~lF ~ti~ ~% T
Constr. Type: (VN) Wood Frame Bedrooms: 3 THUTHORI2~~~l(i'~eH\!Fg~~1;: ~CPriC
Water Heater: Electric Range: Electric A ml=l\lcrb 5W>reIMANOOl)ED F J
t:~ An DA'i PERIUIJ.
To request an inspection call the 24 hour recording at 726-3769, All inspMt\~n\~Cl1Jesteobefore 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
Framing
Final Building
MH Electrical
Rough Electrical
Electrical Service
Final Electrical
Required Inspections
I BuildinR I
-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.
- Prior to cover,
- When all required inspections have been approved and the building is complete,
I Electrical I
-When blocking, setup, and plumbing inspections have been approved and the home is connectE
- Prior to cover.
-Must be approved to obtain permanent power.
-When all electrical work is complete,
I Job# 02-00522-01 I
Required Inspections
I Plumbing I
-After home has been connected to water and sewer,
- Prior to filling trench,
- Prior to filling trench,
- Prior to filling trench,
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MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
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Page 2 of 4
MH Set Up
MH Final
I Manufactured Home
-When all blocking is complete,
-After all required inspections are approved and porches, skirting, decks, venting, house number
Planner:
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: 2
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1080 Accessory576
Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Fee
Residential Plan Check
Total Plan Check
Building Permit
Foundation Only
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Manufactured Home Service\Feeder
Branch Circuits With Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
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
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 16
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:1656
Paid On Receipt#
Plan Check
05/07/2002 8894
Value/Quantity
Fee Amount
13,089
$90.09
$90.09
BuildinA
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
110289
1,800
$123,00
$45,00
$11,76
$13.44
$193.20
Electrical
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
2
1
$,00
$100,00
$3,00
$7,21
$8,24
$118.45
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Fee
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufactured Homl
Manufactured Home Administrative Fee
Total Manufactured Home
Manufactured Home - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SOC Administrative Fee
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SOC Reimbursement
Sanitary Sewer SOC Improvement
Total System Development
Manufactured Home - Willamalane
Total Willamalane SDC
Planning Plan Review
Total Planning
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Denny Wright
Liz Miller
Engineering-Res
Planning-Res
Structural-Res
Tom Marx
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Job# 02-00522-01
Paid On Receipt#
Plumbing J
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
Manufactured Home
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
System Development
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
OS/20/2002 9166
Willamalane SDC
OS/20/2002 9166
Planning
OS/20/2002 9166
Permits w/o Srchll
OS/20/2002 9166
Date Completed
Comment
05/08/2002
05/10/2002
05/09/2002
05/16/2002
Page 3 of 4
Value/Quantity Fee Amount
$.00
$12,39
140 $59,00
140 $59,00
140 $59,00
$14,16
$203.55
400000
1
$160,00
$30,00
$11,20
$12,80
$214.00
3,706
1
1
$1,011,74
$34,83
$10,00
$147,83
$332,86
$659,76
$155,13
$427.40
$324.80
$3,104.35
1
1
1
20
20
1
$10000.00
$1,000.00
1
$55,00
$55.00
1
$8,00
$8.00
$40986.64
I Job# 02-00522.01 I Page 4 of 4
By signatureo I state and agreeo that I have carefully examined the completed application and do
hereby certify that all information hereon is true and correcto 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 hereino 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 will be used on
this project.
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I further agree to ensure. "'l.t all r quired inspections are requested at the proper timeo that each
address is rrrrbl m th~ str . that the permit card is located at the front of the propery, and the
approved se 0 pi Ii rer alil 'alUimes during construction,
s- , ., - O'\.,..
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Signature ~ Date