HomeMy WebLinkAboutPermit Building 2010-7-1
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00787
ISSUED: 07/01/2010
APPLIED: 06/18/2010
EXPIRES: o l/O l/iO 11
VALUE: $ 600.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 221 S 70th St
ASSESSOR'S PARCEL NO.: 1702353305607
TYPE OF USE:
PROJECT DESCRIPTION: Placement of Manufactured Dwelling on Private Lot
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
New
Residential
Owner: MERRELL ROBIN L
Address: PO BOX FF
SPRINGFIELD OR 97477
Owner: MURR DONALD J
Address: PO BOX FF .
SPRINGFIELD OR 97477
A- ". .
I CONT'RACTOR INFORMATION ,
Contractor Type
General
Contractor
ROY HAUGLAND
License
Expiration Date Phone
343-9030
BUILDING INFORMATION ~
# of Units: I # of Stories:
Primary Occupancy Group: R3 Height of Structure
Secondary Occupancy Group: Type of Heat:" .,'
Primary Construction Type VB Water Type:
Secondary Construction Type: .~'tWU~~e:
# of Bedrooms: ATTENTION: Orego\1:~;:~~ 8rn:mA\ltfh:
follow ruleo adopted Y I ~~lclitftuilding'
.' . Those ru es '
In OAR 952-001-001 r. ~ NFORMATlON
0090 You may obtain 0
. caliing the center. (Note:.t.he te e~ ati I)
Frontyard Setback'number for the:Qrlilllon Utility ~erYay YJ,st:
Side I Setback: CEll\ter 1Il6:uiPO0-332-23~lreet Trees Rqd:
Side 2 Setback: 19.00 Paved Drive Rqd:
Rearyard Setback: 10.00, %of L,~t CO,verage:
Solar Setbacks: 0.00 -.- .-'--.
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15.00
Lot Size:
Sq Ft 1st Floor: 1,232
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: 32
Occupant Load:
No
2
Yes
25.20
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
IPUBLICIMPROVEMENTS~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Storm water to storm water line
Sidewalk Type:
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EDownspoutsiDraons: ., TQ.Sffi'\~ Sewer
NOlIe: \. EXPIRE IflHE W;
THIS PERMIT SHAt: THIS PERMIT IS NOT ,t
i AUTHORIZED ~~~\BANDONED fOR ,i;;:.i:;::
COMMENCED , ,.;." ,.
ANY 180 DAY PERIOD. ' '
Notes:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amonnt Use Bid Amount
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Addressing Assignment
Fire SF Fee - Residential
Manuf Home State Issuance
Manufactured Home Placement
Plan Review Major - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Storm - Improvement
SDC Storm - Reimbursement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
WiIlamalane Manuf Home Private
Total Amount Paid
Plannine: Review
Public Works Review
Structural Review
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I Valuation Description ~
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
600.00
TotalVal"e of Project
~
Amount Paid
$37.70
$47.64
$30.40
$38.00,. ".,'
$63.20 'I;, .
$30.00'-::
$397.00;;:;"f
$2 I 1.001'1 ,.
$740.60 .
$1,238.32
$10.00
$22.63
$1,333.57
$101.97
$182.40
$554.30 '
$154.14
$27,9,_~1._:
$1,140.1.7'-
$96.36 },
$2,858.00
$9,566.94
Date Paid
6/18/10
7/1/10
7/1/10
7/1/10
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00787
ISSUED: 07/0112010
APPLIED: 06/18/2010
EXPIRES: 01101/2011
VALUE: $ 600.00
Value
Date Calculated
I Plan Reviews i
:.;\ .... API>
06/21/2010 ,96/2;1/2010, - . DDK
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06/24/2010 06/28/2010 APP LKW
06/21/2010 07/01/2010 APP CJC
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Paee.2 of3
$600.00
$600.00
06/18/2010
Receipt Number
2201000000000000712
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
1201000000000000790
The shed indicated on tbe plot plan -
sball be a minimum of 32 sq. ft. and
sball be located no closer tban 3 feet
to tbe back or side property lines.
Storm water directed to storm water
line
Status
Issued
'.
CITY OF SPRINGFIELD
Building/Combination Pe.omit
PERMIT NO: COM2010-00787
ISSUED: 07/01/2010
APPLIED: 06/18/2010
EXPIRES: 01/01/20 II
VALUE: $ 600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
To Request an inspection call the 24 hour r~,~~nli.!Ig 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. 'c":',:
t.
ReauiredInsDections ~
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Jylanuf Home Set Up: When installation of all piers or stands is complete.
.
Final Manuf Home Set Up: After all requir.ed inspections. are requested and approved and porches, skirting,
decks, venting, street address numbers, frees, 4riveway, etc. have been installed.
By signature, I state and agree, that I have carefnlly 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 701.005 will be used on this project.
I fnrther agree to ensure that all required inspecti~"<~;ire,.~~q.u~~ted!~t.the proper time, that each address is readable from the
street, that the permit card is located at the front of.(ne, p~,!p.e.rtY, and the approved set of plans will remain on the site at all
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times during constructIOn.
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Owner or Contractors Signature
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Date
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St uctural Permit Application
DEPARTMENT USE ONLY
Permit noe JB - 1-81-
Date: 6 - J8 --w
. This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689
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This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
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Residential 0 Government 0 Commercial
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Sign here:
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City:
Pho
E-mail:
CCB license no.:
Print name:
Signature:
;0;~4tkL~S1f;;;#fJ;~7~S_LJf?-;.G9NJ:t~A~:tOF{JN~.Q~_MArIQNr~~~~fNril$~~1-i
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
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ftttV~
Construction type:
Square feet
Cost per square foot
Other information:
l)pe of Heat:
Energy Path:
gnew 0 alteration
(b) Foundation-only permit?
Total valuation:
o addition
DYes
ONo
iI7:J~~~J.I~,~ng{f~'~~l~~~{~f~J\~~~t~~4~irit;~~,Ii;:.!;\.
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x-fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
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Jf1e.
e-oT
$
$
$
$
$
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Subtotal of fees above (3a and 3b):
(a) Seismic fee, 1 % (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $
$
S
$
,
e~winamalane
t"W Park and Recreation District
Job. No.
bt?- 1/1
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30,2010
NAME: ~LL-
ADDRESS: ? 2..-l .r:? /) ~
PHONE: Sl':> - ~ 2- r
CITY ~/hD STATE:~IP: '77Wr--
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ? 2-( .t: ?:J 1'(
Plat Name:
Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinole-Family Detached
NO. OF UNITS !
X $2,858 per unit =
$ 2 ~s-Y
B. Sino Ie-Family Attached
NO. OF UNITS
X $3,100 per unit =
$
C. Multi-Family Apartment
NO. OF UNITS
X $2,641 per unit =
$
D. Sino Ie Room Occupancy
NO. OF UNITS
X $1,321 per unit =
$
E. Accessory Dwellino Unit
NO. OF UNITS
X $1,550 per unit =
$
$
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
$
yJ
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
.~
$
tb ~, i!;Ja, .;74/4
Date
.:klicr
Development Services Department
City of Springfield .
~ Il llO(~6tlvl-1
225 Fifth Stteet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
". ~ ...
1201000000000000790
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11 :32:40AM
Date: 07/0112010
Job/Journal Number
COM20 I 0-00787
C0M20lO-00787
COM20lO-00787
COM20 I 0-00787
COM20 I 0-00787
COM20I0-00787
COM20 I 0-00787
COM20 I 0-00787
COM20 I 0-00787
COM20 I 0-00787
COM20 I 0-00787
COM20 I 0-00787
COM20l0-00787
COM20I0-00787
COM20I0-00787
COM2010-00787
COM2010-00787
COM20 I 0-00787
COM20 I 0-00787
COM20 1 0-00787
Description
Plan Review Major - Planning
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Storm - Reimbursement
SDC Storm - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration.
SDC MWMC Compliance Charge
SDC Sanitary/Storm Admin
SDC Transportation Admin
Manufactured Home Placement
Manuf Home State Issuance
Addressing Assignment
Willamalane Manuf Home Private'~;;.~-
",\t." i.-',.",
Fire SF Fee - Residential ..-<.:2: ;:.1.. :!!~'_
+ 12% State Surcharge ;i~}:~~O,~. i.HIl;
+ 5% Technology Fee ,,__
l.. "
Item Total:
Amount Due
211.00
1,238.32
740.60
154.14
554.30
279.54
1,140.17
101.97
1,333.57
10.00
22.63
182.40
96.36
397.00
30.00
38.00
2,858.00
63.20
47.64
30.40
$9,529.24
Payments:
Type of Payment
Check
cReceintl
Paid By
NORMAN SCOTT
Check Number Authorization
Received By Batch Number Number How Received
DJB 3439 In Person
Payment Total:
$9,529.24
$9,529.24
Amount Paid
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7/1/2010