HomeMy WebLinkAboutPermit Building 2000-6-12
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Job# 99-01508-01
<'" Page 1 of 4
. TRANS#: 01-0002119
DATE:JUN 12 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD? OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 99-0150~-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Li~e: 726-3769
Location Of Proposed Site: 3374 Hayden Bridge Rd Spr
Assessors Map#: 17021900
Lot: Block: Addition:
Tax Lot #: 00600
Subdivision:
Owner:
Address:
Mike Miller
2828 Hayden,Bridge Road
Phone Number:
City/State/Zip:
New
Springfield, OR 97478
Value: $102,564
Scope Of Work: Manufactured Home on Private Lot
and Garage
.; ....~ Id'H~} \/O~ b.'
Electrical Contr
, >:' I' : ,,;.,.<;.../' ,;!:!..'" ,~P " Ort:>Qon Utility
Contractor ' ib\;\~~; rLlI~~9.i~1r,at~~~'1~~~~fJMrjWo,PJP'C!teh Phone,
Great Western Homes Inc ~,\'~t\t\CctH A6~?'~~~\ . L; :~~~1l~~I(t~/,O;Ho2-~~i ~, 541-385-3151
62939 Hwy 97, Bend, OR 97701., OP,\-' :.I:'l'~"" II vO I ir, copiee otthe rule~ b')
'090 Yrll \ (naV obta . ".....P,1elepllone
Eastside Electric Inc u ' "\'r"c'1:,17.,7:Z0nel.lNot€1.d/t4'l011"t'\"lcat'\on 541-741-1499
, ca I 1 .. ~- , - Utili '. \'\\" I
~~~~~ Boscage Ln, Springfield, OF\,umbef;;~,~~~;?,:~;~?:I"!",,..,.{,..?r;,,~,4t
Contractor Type
General Contr
Office Use
. Quad Area:5RNC Land Use: Mfg Home - in a Park # Of Buildings: 1
# Of Units: 1 Zoning Code: LDR Occupancy Group: Dwelling
Constr, Type: ' (VN) Wood Frame Bedrooms: 3 Heat Source: Forced Air Electric
Water Heater: Electric Range: Electric ' Sq. Footage:, 1951
, '. NOTICE:, E FTHEWUH~
To request an inspection call the 24 hour recording at 726~~rAlIM\$J5iM~Jq~es e.Q.l~.W~vd\O
a.m. will be made the same working day, inspections requestM'~m'l.E13<U~nE.wm~Jftaa&~~e"Mnowing
working day. ,AU 0 OR IS ABANDONED FOR "
. ' ' COMMENCE
Required In~R1~c~lRMA'1 ~d\i<)D.
I TransferedRecords I'..'"
- When all blocking is complete.
- Prior to cover.
- Prior to cover.
- Prior to filling trench.
-Prior to filling trench.
\
Footing
Foundation
Slab
Framing
Drywall
Final Building
I Building
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- To be made after all inslab building service equipment, conduit piping, and other equipment iter
- Prior to cover.
- Prior to taping.
:.. When all required inspections have been approved and the building is complete.
MH Set Up
Rough Electrical
Rough Mechanical
Water Line
Storm Sewer Line
Zoning: LDR .
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage: '
Floodway FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
-,-Area (Sq. Feet)
Main: 1951 Accessory576
,Temporary Power
MH Electrical
Rough Electrical
MH Service
Final Electrical
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Drywell
Rough Mechanical
Final Mechanical
MH Set Up
MH Final
Fee
Plan Check Fee
'Total Transfered Records
Residential Plan Check
Total Plan Check
I Job# 99-01508-01 I
. Required Inspections'
I Electrical I
-Approval required prior to SUB energizing pole.
-When blocking, setup, and plumbing inspections have been approved and the home is connect
- Prior to cover.
Page 20f 4
- 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.
- Prior to filling trench.
- Engineered Drywell is required.
'I 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
Overlay District:
# of Street Trees:
Land Use: Mfg Home - in a Park
Pave Driveway? D
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Store
# Of Stories: 1
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:1
Total:2527
Paid On Receipt#
Transfered Records
12/07/1999 36369
Value/Quantity
Fee Amount
$.00' ,
$.00
Plan Check
12/07/1999 36369
,15,564
$75.73
$75.73
Job# 99-01508-01 I Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Building
Garage/Carport 12/07/1999 36369 15,564 $116.50
, State Surcharge For Building Permit 12/07/1999 36369 $8.16
Building Administrative Fee 12/07/1999 36369 $3.50
Total Building $128.16
Electrical
Manufactured Home Service\Feeder 12/07/1999 36369 2 $80.00
Branch Circuits With Feeder or Service 12/07/1999 36369 2 $4.00
State Surcharge For Electrical Permit 12/07/1999 36369 $5.88
Electric Administrative Fee 12/07/1999 36369 $2.52
Total Electrical $92.40
Plumbing
Minimum Plumbing Permit Fee 12/07/1999 36369 $.00
State Surcharge For Plumbing Permit 12/07/1999 36369 $6.30
Water Service Footage. 12/07/1999 36369 25 , $25.00
Sanitary Sewer Footage 12/07/1999 36369 25 $25.00
Storm Sewer Footage 12/07/1999 36369 25 $25.00 '
Manufactured Home Connection 12/07/1999 36369 1 '$15.00
Plumbing Administrative Fee 12/07/1999 36369 $2.70
Total Plumbing $99.00
Mechanical
Minimum Mechanical Permit 06/12/2000 2119 $9.00
Mechanical Administrative Fee 06/12/2000 2119 $.45
Less than 100,000 BTU 06/12/2000 2119 ' 1 $6.00
Mechanical Issuance 06/12/2000 2119 $10.00
State Surcharge For Mechanical Permit 06/12/2000 2119 $1.05
Total Mechanical $26.50
Manufactured Home
Manufactured Home Setup Fee 12/07/1999 36369 87,000 $105.00
Manufactured Home State Issuance 12/07/1999, 36369 1 $30.00
State Surcharge For Manufactured Homl 12/07/1999 36369 ,$7.35
Manufactured Home Administrative Fee 12/07/1999 36369 $3.15
Total Manufactured Home $145.50
System Development
Residential - Single Family - Storm 12/07/1999 36369 2,496 $579.07
Residential Transportation 12/07/1999 36369 1 $491.60
SDC Administrative Fee 12/07/1999 36369 $53.53
Total System Development $1,124.20
Willamalane SDC
Manufactured Home - Willamalane 12/07/1999 36369 $1,000.00
TotalWillamalane SDC $1,000.00
Grand Total $2,691,49
I Job# 99-01508-01 I Page 4 of 4
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 Springfi.eld and the Laws of
the State of Oregon pertaining to the"'iNork described herein, and that N.o 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. '
,I further agree to ensure that all required inspections are requested at the proper time, that each
add~ readable~~ the street, that the permit card is located at the front of the propery, and the
ap:~ ~~~I~~I~:~i~~ ~~ite at ~II times during construction h/ I?! Ip
Signature ' ~ Date
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I Job# 00-00951-011
Page 1 of 2
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00951-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3374 Hayden Bridge Rd Spr
Assessors Map#: 17021900
Lot: Block: Addition:
Tax Lot #: 00600
Subdivision:
Owner:
Phone Number:
City/State/Zip:
Alteration
Value: $0
Address:
Scope Of Work: Electrical Only
add circuit for hea,t pump
Quad Area:
# Of Units: .
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq, Footage:
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.
Required Inspections
Electrical
Rough Electrical
Final Electrical
- Prior to cover.
- When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
06/16/2000 2187
06/16/2000 2187
Value/Quantity
Fee Amount
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
1
$35.00
$2.45
Job# 00-00951-01
Fee
Paid On Receipt#
Electrical
06/16/2000 2187
Electric Administrative Fee
Total Electrical
Grand Total
, Signature
Page 2 of 2
Value/Quantity Fee Amount
Date
$1.05
$38.50
$38.50