HomeMy WebLinkAboutPermit Building 2003-5-15
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00165
ISSUED: 05/15/2003
APPLIED: 03/1312003
EXPIRES: 11/15/2003
VALUE: $ 7,417.40
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 89 Shady Loop
ASSESSOR'S PARCEL NO.: 1703262300411
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: MH on grivate lot,
Air El\IlIOi\f:Uregon law reqUires you to
. I _ .~.... __I 1__. "-l-.... r\v""'''''tI"H"'\ I Hit;hl
lUIIUVVIUlvv"."...Vt"',v~-J ...- -'-oJ '
Owner: 1\1lJ~~!l\~N~RlE~ JRtose rules are set fort
Address: F"i4''f~'f,.5,SRRTNc..FIEuDaOR!, h97.4,lIr1i 952-00'
In UAn '" ;C-VUT-"O"u, V 1I11 ....~. oJ .
I". -"-- _f...a.L-._ ""ldl"'"\C" Y"
uu~u. TuulllayuuLClIlIVV....'vvv. ...- ".' - .
calling the center. (Note: .l~ 'reo~}RicTOR IN~JON .
nUlTlber for the. Oregon Utlht ,,,,,""'-~"-" H L EXPIRE IlTHE WORK
Contractor Type C~hlltvacfor8-332-2344). THIS Ernh~~ S ~~~.~ ~v~" IS ~~qne
Electrical BUILDERS ELECTRIC INC AUT~ijfL UN /~~M: Forr41-485-0922
ManufHome Inst MELS BUDGET HOMES COM~~~ED OR IS A 7~'tHrD 541-747-9585
Owner BRASHNYK GREG JR ANY 180 DAY PERIOD.
BUILDING INFORMATION'
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
# of Stories: 1
Height of Structure 15.00
Type of Heat: Forced Air Elect
Water Type: Electric
Range Type: Electric
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
7,841
1,015
1
R-3
VN
SETBACKS
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
55.00
5.00
40.00
10.00
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
o
Total:
Handicapped:
Compact:
2
No
17.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS'
Fully Improved
No
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes:
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Dwellin2s
Foundation Only
Manuf Home
Tvpe of Construction
V Wood Frame
Use Bid Amount
Manufactured Home
$ Per Sq Ft
$74.60
$1.00
$1.00
SQuare Foota2e
19.00
6,000.00
13,000.00
Date Calculated
04/1612003
03/13/2003
03/17/2003
Total Value of Project
~
CITY OF SPRI~ljJ.11ELD'
Building/Combination Permit
PERMIT NO: cOM2003-00165
ISSUED: 05/15/2003
APPLIED: 03/13/2003
EXPIRES: 11/15/2003
VALUE: $ 7,417.40
Value
$1,417.40
$6,000.00
$13,000.00
$20,417.40
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $49.53 3/13/03 1200200000000000823
+ 10% Administrative Fee $45.82 5/5/03 1200200000000001130
+ 7% State Surcharge $32.07 5/5/03 1200200000000001130
Addressing Assignment $8.00 5/5/03 1200200000000001130
Annexed 1979 or Before $-54.57 5/5/03 1200200000000001130
Building Permit $76.20 5/5/03 1200200000000001130
Manuf Home State Issuance $30.00 5/5/03 1200200000000001130
Manufactured Home Connection $45.00 5/5/03 1200200000000001130
Manufactured Home Placement $160.00 5/5/03 1200200000000001130
Plan Review - Planning $59;00 5/5/03 1200200000000001130
Plan Review Residential $10.14 5/5/03 1200200000000001130
Plan Review/Residential Hourly $45.00 5/5/03 1200200000000001130
Sanitary Sewer - 1st 50 Feet $45.00 5/5/03 1200200000000001130
Sanitary Sewer - Improvement $335.80 5/5/03 1200200000000001130
Sanitary Sewer - Reimbursement $441.80 5/5/03 1200200000000001130
Sanitary Sewer Each Addtl ~OO' $14.00 5/5/03 1200200000000001130
SDC MWMC Administration $10.00 5/5/03 1200200000000001130
SDC MWMC Improvement $34.83 5/5/03 1200200000000001130
SDC MWMC Reimbursement $332.86 5/5/03 1200200000000001130
SDC Sanitary/Storm Admin $64.94 5/5/03 1200200000000001130
SDC Transpo Admin $50.61 5/5/03 1200200000000001130
SDC Transpo Improvement $709.81 5/5/03 1200200000000001130
SDC Transpo Reimbursement $160.87 5/5/03 1200200000000001130
Storm Drainage Impervious Area $339.53 5/5/03 1200200000000001130
Storm Sewer - 1st 50 Feet $45.00 5/5/03 1200200000000001130
Storm Sewer Each Addtll00' $14.00 5/5/03 1200200000000001130
Water Line - 1st 50 Feet $45.00 5/5/03 1200200000000001130
Water Line - Each Addtll00' $14.00 5/5/03 1200200000000001130
WilIamalane Manuf Home Private $1,000.00 5/5/03 1200200000000001130
+ 10% Administrative Fee $5.30 5/15/03 1200200000000001218
+ 7% State Surcharge $3.71 5/15/03 1200200000000001218
Add, Alter, Extend CircEa Add $3.00 5/15/03 1200200000000001218
Manufactured Home Service $50.00 5/15/03 1200200000000001218
Total Amount Paid $4,226.25
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2003-00165
ISSUED: 05/15/2003
APPLIED: 03/13/2003
EXPIRES: 11/15/2003
VALUE: $ 7,417.40
Status
Issued ' "
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 I
03/17/2003 APP
APP
LLH
EMM
03/17/2003
03/17/2003
Public Works Review
Revised Plan Review - Pia
03/17/2003
04/16/2003
04/24/2003
, 04/1712003
APP
APP
DJW
EMM
Revised Plan Review - Str
Revised Plans Received/Ro
Structural Review
Structural Review
04/16/2003
04/16/2003
03/26/2003
04/16/2003
APP
OK
NOK
LLH
TCM
TCM
03/17/2003
04/16/2003
Structural Review
04/14/2003
04/17/2003
APP
DLM
Waiting for information from
applicant regarding the size of
manufactured home. Applicant
submitted engineering for additional
9 X 3 bay area meeting
manufactured home size
requirement. Needs to sign
Manufactured home set-up
agreement. Driveway width
minimum is 12 feet, paved for the
first 18' from street.
cales for bay window. See plan
review comments above. Needs to
sign Manufactured Home set-up
agreement.
cales for bay window
Received cales for bay window
Engineered bay not designed to
current requirements. Talked with
engr. and he will submit revised
plan.
Added M.H. extension to qualify for
min. 1000 s.f. for M.H. on lot.
Engineering by Mortier for
extension - OK. dim
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.
~eolliredJ nsnectiQns I
1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
2 Footing: After trenches are excavated.
3 Manuf Home Set Up: When installation of all piers or stands is complete.
4 Final ManufHome Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
5 Final Building: After all required inspections have been requested and approved and the building is complete.
6 Water Line: Prior to filling trench and including required testing.
7 Sanitary Sewer Line: Prior to filling trench and including required testing.
8 Storm Sewer Line: Prior to filling trench.
9 Manuf Home Plumbing: After home has been connected to water and sewer.
10 MH Service: Approval required prior to utility company energizing service.
Paee 3 of 4
~~:~~!~~it~l!~~" -,""" ,
~
"
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00165
ISSUED: 05/15/2003
APPLIED: 03/13/2003
EXPIRES: 11/15/2003
VALUE: $ 7,417.40
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
11 Foundation: After forms are erected but prior to concrete placement.
12 Post and Beam: Prior to floor insulation or decking.
13 Floor Insulation: Prior to decking.
14 Shear Wall Nailing: Before covering sheathing with finish materials.
15 Framing Inspection: Prior to cover and after all rough in inspections have been approved. '
16 Wall Insulation: Prior to cover.
17 Ceiling Insulation: Prior to cover.
18 Drywall: Prior to taping.
19 Rough Electric: Prior to Cover
20 Final Electric: When all electrical work is complete.
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 con.strUcjon..
h / ./l. / Q C[)!\AQ_,---.
Own~r ':'c';;n~r;C~~Signature
':)
5- ;5,-, {j~
Date
Paee 4 of 4
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PII:(54I)726-3753 . .RJAIXg,(5r4d ~:t~~?su~mitted h,a,s the tal/owing
eqUlre specifIC land u
ELEC11UC4 PERMIT APPLICA170N approval se
City .lob Number ~ 'd--Oo 3 -Q) I CeS;atc 6 } I sl ()~ _ Zoning 6 ():)rL _
1. ";LdfffXlwN;oEIN~i:Ai41fON;::' '! 3. .CO~l'tE~I~~;~;lEzSt~lJJ,Ji; ~~~~l~"." ~;;j,;' " ': :~. ;'1,
~q S hOt ~ ./ ('xrD
LEG~L DESCRIPTIOJ I
) J 0 3 ~(" ?-3 CXJ 4' / /
JOB DESCRIPTION
Permits are non-transferable and expire if work is
not started within 180 days (If issuance or if work is
Suspended for 180 days.
2. rz'~~~ .ff~~1M~t.ll~~DB,~i~
NotlflCgtlon Center ,T.hfi)~e "ulelG:ir~S'=J' (,'0 I
ElectEicaM:(mtrac,tor. ,.. '12'.l:l(.r'"r .~, 1;:,'1,-,- ~1.11", r ((
III VAN ::1::>~-001-0u (0 1I1luugn UAH ~o~-OO'
Add' 009~rY,ou IljIc;'tY-O~.!J.cqojes of the rules b.
I ess aItnI~ ,r~Jc..., . '.r'!\,,J:.I.
Cg ";:) th", ~,",\1;, . i.1~VLC. Li,t:: ldt::fJllune
. ?~m~~r,f~rth,e Grego, n U,Wf,ljt~l::Nqtifi"'at~111
CIty w ~ j~t~r ic: -: -ml,0!!~:l?:f? ~"21~.1Y." r -:J."",
Supervisor License Number ~ J. Cj 0- ~"')
Expiration Date 10 ,- / . (I /1
Constr. Contr. Number ,/ ;J q (p
Expiration Date J']' in - 0 .~
. .
Owners Name G'(ft~' '12.., r 0. s ht l I L
{) . .:.r
Address <;<g S cJ~J /t"YlD
-~
City ~J~e1cL PhO! e
OWNER INSTALLATION
Thc installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
c.~. :.~ ,. '_"'C'''' " _, ..;-. '.',.:.... .., .,."-!....~ .,. '''~~-',., ~-':' ,-- . "" .:;':':'''':',..''~.''"''^:':''.^'~~,.:..,.....~'' :..\ "~"~'::-r:':"':
A. 'NcwResideutial-, Silwle ()r MUlti~F~~lil)rpc~' dWcllh~g'u,~it,::~j~
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
Each Manufact'd I-Iome or
Modular Dwclling Service or
Feeder
c:.... /"l .-
$50.00 ~
!',_ -, ':. _,' ,..,-_......._,'~;:. 'i.;, t"_'" ~'. ..~' .-~:'...~ .?'~.,~-::r..:..'~-',\,-'...l"..':".-:;!'P.:-~;
B.Services or,Feedel's .:..!,lilstallatiou, A1teJ;atiollsoJ~ R(~h)cation:':::' ':
:'l, . :_'~'..",.'. - . ,~/:>:' ~""~.,, ',:-'_...:':"".. :',' ."':.d> .. :.":,:),,
200 AmJHlUCE: dt _ $ 63.00 J1:i1W(t
201 AmJ;,~b~@ij:)3lN1ir SHALL EXPIRE IF lH€.~'IDOkK
401 Am~~Jm0fJl.~ij-Q UNDER IHIS PERMh1i!SltWOT
60 I Am~QM~tQ OR IS ABANDONEPI ~~&
Over 10~Xn~~~gfWPERIOD. $375.00
Reconnect Only $ 50.00
;v_ -""'1>"- '-, " -,- ,.- """'t>t:r<<:- .'I".....t-.~"<:w..::>.-Y'-l~.I-...
C. ,.Tenlponlry Servi~es or..t:eeders' ,';:; ~'.:; ,
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D. ~B;:;;';,I.?cil:~u~i~~'7'~:;:T'
New Altel"ation or Extension Pel' Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Pellnit
$ 43.00
$ 3.00
I
3' c)
.0
f';' '~:'~~~,:ry"'~~'TW:'~:'7"';' w.,....~."Tn-:-'T.'.'.~ '-l'l'_'~W~-~'l;';,'-::r~:-::~~::';:";::_~:v~rf'~~w~~~;?rt"~::"":''''~''~~':t,--,''';:~n~' ~.''''r;:--rt.w:, _ _ ' .~_: -: _~"'''
E. t i\llscel~alieous' (Se'rvi~e/feed~,r:'ilOl incJ~ided)~:S:E:ich, i iis"tallil ti~11,i
. ': ; ,. - ". '. . . . , ': . - .. ,":"';'. "', :.:.L' : :'~ ~!;- ..... . ~ . ~.: . > I; -"': .:'. -;. _' ::'
Pump or ill'igation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50,00
'$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
r":' ~.~ ::~: ,~~..., '~:-~ < :':''''' .,~ ~"'\'.~ ':W";".~:~" - ~~!.;.,;- '-n.!"~,: r~";rF;.~,v:,.::-~'~: \~'r:~f:.~':'r.:'1:-:~, : .':-'-:F;i:'t"':}j
4. :l SU!1}/)T,LlL, ,~rAl!.g,VIf~>:~:}\;[~;:<f,:';;-.:;:~'?;J
C)&~
7% State Surcharge
10%1 Administrative Fee
.~ ;<?~~...
- .-
TOTAL
?:>-II
, 30
5.
Shared Drivc(T:)/Building Fonns/ElcctricaI Pcnnit Application I -03.doc I
, ~?cJ
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000001218
Date: 05/15/2003
'Job/Journal Number
COM2003-00165
COM2003-00 165
COM2003-00 165
COM2003-00 165
Description
Manufactured Home Service
Add, Alter, Extend Cire Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Item Total:
Amount PaiJ
50.00
3.00
3.71
5.30
$62.01
Payments:
Type of Payment
Check
Paid By
BUILDERS ELECTRIC
Received By
nJm
Check Number Confirm No
68252
How Received
In Person
Payment Total:
Amount PaiJ
62.01
$62.01
5/15/2003
9:39:36AM
Page I of 1
cReceipt.rpt