HomeMy WebLinkAboutPermit Building 2010-7-29
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00942
ISSUED: 07/2912010
APPLIED: 07/14/2010
EXPIRES: 01129/201 I
VALUE: $ 3,800.00
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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: 1175 37TH ST
ASSESSOR'S PARCEL NO.: 1702304303502
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
New
Sidewalk Type:
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. Downspouts/Drains: . ". .', '. . \NO"'\<. :;
!N01\CC: Nlli S'"'t\U. fi,I'I"'t ~~~i \S N01,f
1\1\5 I't'" lED UNDER 1\'11S l' NtD fOR /;,[;c:
r>,Ul\10RI OR IS f>.'OF>.NDO . 0-' Hi' ....
COM\\I\EONCD~~ PERIOD....'.. ,
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TYPE OF USE:
PROJECT DESCRIPTION: Manufactured Home replacement of existing MH.
Owner: LASLEY HAROLD D & KATHY A
Address: 1175 37TH ST
SPRINGFIELD OR 97478
Owner:
Address:
LASLEY HAROLD D & KATHYA .
1175 37TH ST
SPRINGFIELD OR 97478
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I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of S(ories;. ..' ..,
R-3 Height.of Strdli\~YOU to
o i~JIJ~t. gOl1 UtilitY
p.;\\1B'.N\\Ol'1'. d~'Ptl1d~~ ~?~eare set lorth
10\lo~ r'.1,eSC~l1t~n'gle ~\"IeOJl-R 952'OO~-.
Noti\leat'0~_001_ei\~~ atN]s 01 t\"le rules bY
III O~ ~;u may Sptfn ~2tij~~lWrl~le~~~~~1l n/a
calli i "IroR ATION
llUm
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
bverla" Dist: .
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. #'sireet Trees Rqd:
: P~ved Drive Rqd:
0/0 of Lot Coverage:
18.00
6.00
22.00
19.00
5.00
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
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Residential
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft ~asement:
Sq Ft qarage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
2
No
28.00
Total:
Handicapped:
Compact:
2
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
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Manuf Home State Issuance
Manufactured Home Placement
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
SDC Storm - Improvement
SDC Storm - Reimbursement
Total Amount Paid
Plan nine. Review
Public Works Review
Structural Review
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I Valuation Descripti~n ~
$ Per S,q Ft
or multipl!er
$1.00
" ,
t Square Footage
"or Bid Amount
3,800.00
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00942
ISSUED: 07/29/2010
APPLIED: 07/14/2010
EXPIRES: 01/29/2011
VALUE: $ 3,800.00
Value
Date Calculated
Total Value of Project
~
Amount Paid
$50.38':i~,!:c
$47.64i: S'I 'f',
$25.80'p!:~+' .'
$30.00)
$397.00
$119.00
$198.22
$331.44
$35.59
$142.51
$39.64
Date Paid
$3,800.00
$3,800.00
07/14/2010
7/14/10
7/29/10
7/29/10
7/29/10
7/29/10
7/29/10
7/29/10
7/29/10
7/29/10
7/29/10
; 7/29/1 0
$1,417.22
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Receipt Number
1201000000000000823
1201000000000000848
1201000000000000848
1201000000000000848
1201000000000000848
1201000000000000848
1201000000000000848
1201000000000000848
1201000000000000848
1201000000000000848
1201000000000000848
Existing trees may be used to satisfy
street tre'e requirement. Street is
unimproved. driveway is not
required to be paved.
7-14-2010 For SDC credit- previous
MH 2bath, kitchen and laundry per
applicant.lCalled Kathy Lasly, she
stated that 2 bathrooms were in
previous but only 1 tub/shower on
7-26-2010.
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
work day. ;
07/21Iio10
1"]"13n Reviews ~
07/23/2010 DON DDK
07/2312010
07/27/2010
APP LKW
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07/1412010
07/2812010
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00942
ISSUED: 07/29/2010
APPLIED: 07/14/2010
EXPIRES: 01/29/2011
VALUE: $ 3,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Reriui~ed InsDections ~
Site Inspection: To be made after excavation but prior to setting forms.
ManufHome Set Up: When installation of all piers or stands is complete.
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.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Ufer Electrical Ground: Install ground rod at footing and'call'for inspection in conjunction with footing and/or
foundation inspection.
..
By signature, 1 state and agree, that 1 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.
1 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 alldress 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
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Date
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07/13/2010 09:44
3508540535
SITE SERVICES LLC
PAGE 01/01
CITY OF SI'RfNGHELD, OREGON
2Z5FtflhS,,'OOt . SDIino:!i.ld.OR974T1 . P1!154n72&-37S3 . PAXIS41mG-Ja9
Manufactured, Dwelliogi'Recttaaonal-Park Trailer
Placement Permit Application,
,This permit is iQued under OARs 9J8.600-01OS and 9lS-S2S-0370. Permiu I!Xplre if Work is not started within 180 clays or
issuBnce or iCWtlrk ill sospended for 180 days. ,
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: LOCAL ,GOVEMM~NT 'AF'PR.liJVA[;S , , , .
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ZoniD!! approval vorified: !!!;IY"" DNo "
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Prapcrl)> is within flooo plain: , Dyes jgJ No n..'rlp~o. Qty. Cos...cl1 Totsl
Saoillltion OJlprt>VllI verified: ~Yos DNo (1) MJlDllfactunld .n..Ui02 ,
, CATEGOF,lY OF CONStRIJC:tIIlN: ' (a) Plaoelllent [Include> placement,
, ' oloclrlcal feoder, wm:,.r/""""" ' 1 $397.00 $ 397.00
" ,
~ Residential , I 0 Clovemm""t I 0 CommerciAl ~,
'! JOBsrteINFOR*'TlON 'ANI) ,.LaC~'l10N (b) Rainspectiori (no, ofM, x reo"" hr.): 1 $58.00 S 58.00
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Job ,no addreo.. 1175 37th s~ PL....mllht l"'f'Ult COD 0Il!y be obmlned by bGmeowner or o..goo-
llcensed~'*"elliogiostallet.
City: Springfield (Aunty: Lane (2) Rec:..llllo.w.park inlier
Slatt:.OR ZIP: e74/~ -.,
(a) Ins",llition (inclO<las _d !Uld
Subdivision: 1st Add Adams ~n. Splice/lotno.: lot 7 Blk 10 lot preparation; SUpport blocltins: .$397.00 S
aocho<ing; cem-""""" 0!epG; plumbing,
Reftm!ce, j70Z '3'''3' T3xlot: 1702304~ 0 3 S"( mecbMiclll, ..<I e~ctrical);
Di$CRIP'T-I~N.~JOF,WORK (b) ~inspection (110. oflu" x fre ptIr hr,): $58.00 $
Prepare siw for and install new 27' x 52' 3-bedroom manufae- (e) Eaoh additibn'l inspcetiOlt (I) $58.00 $
lured home to replace old 14' x 7rJ 3BR MH being demolished. EI""".ica/ servi.. perma 10 ". o""'inld 011(v by ,.",..,"""" porfomling
, PRPPl:.~:rv OWNER :::r: ar J:lgnl"ll $lIpt"'iMr ifOreg""..JI"""..d ./acblcal coo/7oolor
ot'1Ilingworl:
NOtn/!: Harofd & Kalfly Lasley " nE':~~~EOlJli;e " 'j'
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Addr",,: 1175 37th Slrnet (3) SIl/l;!wge, 12% (.12 x lOW, equal 10 ] or 2): $ 54.60
City: Springfield I State: OR I ZJl>: 97478 (4) S_ wImlnistrmive tee fo, .
..... m_turcd dwcll~ (llcw 1) $30.00 I $30,00
Phon.: 54 '.741-5263 I Fax: . . aoly, OAR 9l8-soo.010S(S):
E-mail: Iasleyl:a1hy@yahoo.eom (5) Teobno]o~ Fee, 5% $ 22.75
Thill ioslalIaIioo js baing made on n::ridcndol or furm propeety """'Dd by TOTAl. h SlId .nrclull"gos (3 + 4-kS), $ 562.35
Ille or a member ofIl\Y tmmed~ IlIUlls exmpt from Iirensin2 "ft+H ~'\IItw $ 5"0. '18
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Business Dl\Il1C: Site Services, LtC
Mdress: 1500 E. CoO"ge Way Ste, A-2ag ,
City: Mount Vernon I Slltt~: WA . I ZIP: 98273
Phone: 360-542-830 1 ' I F8X: 300-a54-0s36 .
!;-mai[: john@slteseMcesllc.us
CCllli<:eose 00_: 178860 MDlliceme no.: 192aMDI
Print name: JoIll'I H. lee
SigoAlW"e: (J..:r/~J
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
PUJ)lic Works Department
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RECEIPT #:
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1201000000000000848
Date: 07/29/2010
1:53:4IPM
Job/Journal Number
COM20 I 0-00942
COM2010-00942
COM20 1 0-00942
COM20 I 0-00942
COM2010-00942
COM20 I 0-00942
COM20 I 0-00942
COM20 I 0-00942
COM20 I 0-00942
COM20 10-00942
Payments:
Type of Payment
Check
CreditCard
Description
Plan Review Minor - Planning
SDC Storm - Improvement
SDC Storm - Reimbursement
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Manufactured Home Placement
Manuf Home State Issuance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
KATHERINE ANN LASLEY
JOHN LEE
Item Total:
Check Number Authorization
Received By Batch Number . Number How Received
NJM
DJB
1392
In Person
165454 In Person
Payment Total:
Amount Due
119,00
142.51
39.64
331.44
198,22
35.59
397.00
30.00
47.64
25.80
$1,366.84
Amount Paid
$801.00
$565.84
$1,366.84
Job/Journal Number
COM20 I 0-00942
COM2010-00942
COM20 I 0-00942
COM2010-00942
COM20 I 0-00942
COM20 1 0-00942
COM20 I 0-00942
COM20 I 0-00942
COM2010-00942
COM20 1 0-00942
Payments:
Type of Payment
Check
CreditCard
cReceintl
Description
Plan Review Minor - Planning :,.,;i,;~~t-
. 1,..,)" \', ~'
SDC Storm - Improvement ii,j.O!l,
SDC Storm - Reimbursement
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Manufactured Home Placement
ManufHome State Issuance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
KATHERINE ANN LASLEY
JOHN LEE
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Item Total:
Check Number Authorization
Received By Batch Number Number How ~eceived
NJM
DJB
In Person
165454 In Person
Payment Total:
1392
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Page 1 of I
Amount Due
119.00
142.51
39.64
331.44
198.22
35.59
397.00
30.00
47.64
25.80
$1,366.84
Amount Paid
$801.00
$565.84
$1,366.84
'7/29/2010
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000823
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Date: 07/14/2010
1:19:58PM
Job/Journal Number
COM20 I 0-00942
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Amount Due
50.38
$50.38
Payments:
Type of Payment
CreditCard
-~
cReceintl
Description
Plan Review Residential
Paid By
SITE SERVICES LLC
l~em Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 843700 In Person
. Payment Total:
Amount Paid
$5038
$50.38
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Page I of I
7114/2010