HomeMy WebLinkAboutPermit Building 2003-6-5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2002-01421
ISSUED: 01/23/2003
APPLIED: 12/31/2002
EXPIRES: 12/05/2003
VALUE: $ 75,348.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2753 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251406500'
Springfield TYPE OF WORK: Manufactured Home w
Garage/Carport on Private
TYPE OF USE: Neiv Residential
PROJECT DESCRIPTION: MH with garage
Owner: GAYLORD KAMPA
Address: 2753 MAlA LP SPRINGFIELD OR 97477
Phone Number: 541-747-5217
Contractor Type
General
Electrical
Mechanical
Manuf Home Inst
Owner
Plumbing
I CONTRACTOR INFORMATION.
Contractor License Expiration Date
ROY HAROLD HAUGLAND 138110 10/18/2003
RALPH W BROWN 63137 02/15/2004
COMFORT FLOW 460 \)~~6/27/2003
EMERALD LIFE STYLE HOMES INC 66750 ,\y..~ ~ ~\)95/18/2005
GAYLORD KAMPA . ~~\'" ~\\\S
ROY HAROLD HAUGLAND . ), '\:.'1-.~~1fo~ d\ "'\)~ 10/18/2003
Pi)F'..J - . ,IF J\\.
Phone //
541-343-9030
541-729-1500
541-726-0100
541-463-2022
541-747-5217
541-343-9030
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
16.00
5.00
10.00
0.00
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Imp~vious Surface Area:
.,n\) ..
I DEVELOPMENT INFORMATION~,.o..\}\;;e~o~ \)\.\\~~~
\,c.~' O;;e~ e ~e\ CREQUlRED PARKING
ef000 \'(\e ~ '3-;; 9~?:' - '0')
Overlay Distb\~~\ ~eo. '0'1 e ;;\}\e Op..~ \}\etotal: 2
# Street 'f.rees Rg.d,9~ "'\'(\O~ O~~'(\ 1 \'(\e ;; ",c.Hli'ndicapped:
-<~ \""..... Y'~ ~ ~e;;' \'(\'\ 0' ('\\'.,,~
Pa'le(J Dnye.Rqd:a;;\\: r:::/,Q \: ~\e~, \eWY'. CGompact:
",..,\\O~ ~\O~ v (\,'\'" . f' CO ,t\e.S} ....\0\\\'\ '"
% of'LoteJoverage: 0:0\'3-\ 1\"\0'3''3.00~\ \'" A"
....\OW. Q. 9"::>'-' '3-'1 '\. v'" \)\\\"" n.t\~I'
\'" Op..'P \} ~ f'\0 Of' nf};;,;
...... '" 0 .,... ce "",~p.o; _ t).'?}"
I PUBLIC Il\n>RQM'EMiN~S\I~'\ ~ ,\,CO\jv
~v~ :I.\\::;.I
. {\IJ Ce Sidewalk Type:
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VNSpr
SETBACKS
Street Improvements:
Storm Sewer Available:
Special Instruction: Street and sewer private.
Downspouts/Drains:
Notes:
Pae:e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Foundation Onlv Use Bid Amount
Garaee Garae:e
Manuf Home Manufactured Home
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Addressing Assignment
Annexed 1979 or Before
Building Permit
Manuf Home State Issuance
Manufactured Home Connection
Manufactured Home Feeder
Manufactured Home Placement
Manufactured Home Service
Plan Review - Planning
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Willamalane Manur Home Private
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
I Valuation Descriotion I
$ Per Sq Ft
$1.00
$19.60
$1.00
Square Footae:e
5,000.00
528.00
60,000.00
Total Value of Project
~
Amount Paid
Date Paid
$100,23
$59,72
$41.80
$3.00
$8.00
$-151.81
$154.20
$30.00
$45.00
$50.00
$160.00
$50,00
$59.00
$45.00
$335.80
$441.80
$10.00
$34,83
$332.86
$99.94
$47.15
$709.81
$160,87
$1,067.65
$45.00
$45.00
$1,000.00
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
-'
12/31/02
1123/03
1123/03
1123/03
1/23/03
1123/03
1123/03
1123/03
1/23/03
1/23/03
1/23/03
1/23/03
1123/03
1/23/03
1123/03
1/23/03
1/23/03
1/23/03
1/23/03
1/23/03
1/23/03
1/23/03
1/23/03
1/23/03
1/23/03
1/23/03
1/23/03
6/5/03
6/5/03
6/5/03
6/5/03
6/5/03
6/5/03
$5,047.50
Pae:e 2 of 4
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2002-01421
ISSUED: 01/23/2003
APPLIED: 12/31/2002
EXPIRES: 12/05/2003
VALUE: $ 75,348.00
Value
$5,000.00
$10,348.80
$60,000.00
$75,348.80
Date Calculated
01103/2003
12/3112002
01103/2003
Receipt Number
1200200000000000479
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000000590
1200200000000001448
1200200000000001448
1200200000000001448
1200200000000001448
1200200000000001448
1200200000000001448
:~~~@J,t.l,@~I~~J",..",,,,,ep"".J
~.
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2002-01421
ISSUED: 01/23/2003
APPLIED: 12/31/2002
EXPIRES: 12/05/2003
VALUE: $ 75,348.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine: Review
I Plan Reviews ,
01102/2003 01103/2003 APP LLH
01103/2003 01114/2003 APP AJD Called applicant 1-7-03 to request a
revised plot plan w/ conforming
setbacks.
01103/2003 01120/2003 APP VRJ All building footings and roof
overhangs must not encroach into
an easement. Maia Park
infrastructure(street and seWer) is
private. SDC's calulated.
01103/2003 01117/2003 APP RJB
Public Works Review
Structural Review
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
1 Erosion/Grading Inspection: After all erosion measures are in place.
2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
3 Footing: After trenches are excavated.
4 Foundation: After forms are erected but prior to concrete placement.
5 Shear Wall Nailing: Before covering sheathing with finish materials.
6 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
7 Firewall: Located and constructed according to plans.
8 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector. .
9 Manuf Home Set Up: . When installation of all piers or stands is complete.
10 Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
11 Final Building: After all required inspections have been requested and approved and the building is complete.
12 Manuf Home Plumbing: After home has been connected to water and sewer.
13 MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
14 MH Service: Approval required prior to utility company energizing service.
15 Sanitary Sewer Line: Prior to filling trench and including required testing.
16 Water Line: Prior to filling trench and including required testing.
17 Storm Sewer Line: Prior to filling trench.
18 Rough Mechanical: Prior to Cover
19 Final Mechanical: When all mechanical work is complete.
Pae:e 3 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2002-01421
ISSUED: 01/23/2003
APPLIED: 12/31/2002
EXPIRES: 12/05/2003
VALUE: $ 75,348.00
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 701.005 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 at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
/~Uo_~~
Owner or Contractors S gnature
Pae:e 4 of 4
~[~ ()~
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
'Job/Journal Number
COM2002-01421
COM2002-01421
COM2002-01421
COM2002-0 1421
COM2002-01421
COM2002-0142I
Payments:
Type of Payment
Check
6/5/2003
City of Springfield. 4
Development Services Department
Public Works Department
Official Receipt ~
Receipt #: 1200200000000001448
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW
1 :23 :07PM
Received By
djb
Date: 06/05/2003
Amount Paid
Item Total:
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Check Number Confirm No
Amount Paid
How Received
In Person
Payment Total:
62.65
$62.65
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