HomeMy WebLinkAboutPermit Building 2002-8-13 (2)
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I Job# 02-00924-01 I
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TRANS#:Ol-0Cl0278
DATE ~ AUG 13 ~~OOt':
AMT RECD:2 $ 833<.88
CHANGE;
CASH:t Ef~ ~ OOj
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CITY OF SPRINGFIELD, OREGON
RESIDENtiAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00924-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 5243 Daisy St Spr
Assessors Map#: 17023334
lot: Block: Addition:
Tax lot #: 04624
Subdivision:
Owner:
Address:
Glen Steger
5243 Daisy Street
Phone Number:
City/State/Zip: Springfield, OR 97478
New Value: $50,000
Scope Of Work: Manufactured Home on Private Lot
MH replacing fire damaged MH. Increased size and number of baths.
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Roy Haugland 13811 10/18/2003 541-343-9030
2535 Henderson Avenue, Eugene, OR
97403
Electrical Contr Heritage Electric of Eugene 63137 2/15/2004 541-729-1500
1042 Horn Lane, Eugene, OR 97404
Manuf Home Install Roy Haugland 13811 10/18/2003 541-343-9030
2535 Henderson Avenue, Eugene, OR
97403
Office Use
land Use: Mfg Home - Not in a Par~ # Of Buildings: 1
Zoning Code: LOR , 'r'Elgccup'anlcy,gGr:louP.i1:r~J?wlelling/ou to
J1\ " IIUI ~.U t.:: VI Id. "".'1U, I t::~ r .
Bedrooms: 3 follow (HI eat Soupr:ced' ".F.\,o"IC~c:l'~llrgElectncl'ty
JIl::::> dl.lV ll:l U l I" V 1::/ VII VLlI
Water Heater: Electric Range: Electric Notificat~9i EgRt~~.etho-$~i~leS are set forth
in OAR 952-001-0010 through OAR 952-001-
To request an inspection call the 24 hour recording at 726-3769. All inspecti0~,re~,uested..blefprer?:OQ'\'les of the rules by
. h . d" d ft 700 vUvv'II'l5uulI'OaY ~~IC}1 IVv,v
a.m. Will be made t e same working ay, inspections requeste a er: a.m. WI e ,Q1a ~etl,e ~ol oWlggthe telephone
k' d calling 1I1~ c Ill~. \1\10{ .
war Ing ay. numberforthe Oregon Utility Notification
_ . . 6 ___ _....._ __ A A\
Quad Area:
# Of Units:
Constr. Type:
3RSC
(VN) Wood Frame
Foundation
Final Building
Required Inspections
I Building I
-After forms are erected but prior to concrete placement.
- When all required inspections have been approved and the building is complete.
I Electrical I NOTICE:, T SHALL EXPIRE IF THE WORK
-When blocking, setup, and plumbing inspectiol~!fH~R~~~~'tft~~~arf{l~ tpef4l~mel~ mF~~tE
I Plumbing I COMMENCED OR IS ABANDONED FOR .
-After home has been connected to water and ~r180 DAY PERIOD.
"CiII!.OI Iw I -uvv-uv". c-v-r. ,.
MH Electrical
MH Plumbing
I Job# 02-00924-01 I
Required Inspections
I Manufactured Home I
- When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house number
Street Improvement: Fully Improved
Curb Cut?D Improvement Agr.?D
San Sewer Depth (Ft): 5 3
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00 '
Special Instructions:
Other Utilities:
Project Supervisor:
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MH Set Up
MH Final
Zoning: ' LOR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
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Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drai ns:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
D
8
To Curb and Gutter
4
00/00/0000 00:00:00 '
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees:
land Use: Mfg Home - Not in a Park
Pave Driveway? D
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
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? 0
-Area (Sq. Feet)
Main: 1458 Accessory:
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Flood Plain FEMA:
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 16
Current Units: 1 Proposed Units:
Census Code: New Mfg Home
Total:1458
Paid On Receipt#
Plan Check
07/31/2002 10117
Value/Quantity
Fee Amount
5,000
$44.46
$44.46
Building
08/13/2002 10278
08/13/2002 10278
08/13/2002 10278
5,000
$68.40
$4,79
$5.47
$78.66
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Fee
Minimum Electrical Permit Fee
Manufactured Home Service\Feeder
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Manufactured Home Connection
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
Residential - Single Family - Storm
SDC Administrative Fee
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
Planning Plan Review
Total Planning
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Virginia Jurasevich
Engineering-Res
Planning-Res
Ashley Deforest
Structural-Res
Don Moore
Job# 02-00924-01
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Value/Quantity Fee Amount
Paid On Receipt#
Electrical
08/13/2002 10278
08/13/2002 10278
08/13/2002 10278
08/13/2002 10278
1
$.00
$50.00
$3.50
$4.00
$57.50
Plumbing
08/13/2002 10278
08/13/2002 10278
08/13/2002 10278
08/13/2002 10278
1
$.00
$3.15
$45.00
$3.60
$51.75
Manufactured Home
08/13/2002 10278 45,000 $160.00
08/13/2002 10278 1 $30.00
08/13/2002 10278 $11.20
08/13/2002 10278 $12.80
$214.00
System Development
08/13/2002 10278 308 $86.86
08/13/2002 10278 $17.95
08/13/2002 10278 7 $154.63
08/13/2002 10278 7 $117.53
$376.97
Planning
08/13/2002 10278 1 $55.00
$55.00
$878.34
Date Completed
Comment
08/01/2002
08/08/2002
Applicant received SDC credit for old mobile
home. No PW permits required.
Called applicant 8/2/01 for information
regarding stair landing projecting into sys.
08/05/2002
08/09/2002
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 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 fro~ the st~eet, that t~e permit. card is I?cated at the, front of the propery, and the,
appr?~ set of plans ~ill remain on the site at all times dunng construction.
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Multi-Family per dwelling u'nit.
SerVice Included: ' . '
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Items Cost
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1000 sq.ft. or less
Each 'additional 500
, '
sq. ft or portion
,'tlwreof
Each Manufd Home or
Modular Dwelling
Service or Feeder '.
$106.00 "li_ '0,
$19.001
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$SO~OO '..",
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Perinits are,lbn-transferable and expire
, ifwork is not~tarted within 180 days
of issuance work is suspended for
180 days.
Address
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ORI:ST ALLAnON ONLY
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B. 'Services or. Feeders '
Ins,tallation, Altern
~ ' Relocation: '
CItY
TOTAL