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HomeMy WebLinkAboutPermit Building 2001-2-9 (2) r/ ~' '. 225 North Fifth Street Springfield, OR 97477 ,="e e. -', Page 1 of4 TRANS#:01-0004418 DATE:FEB 09 2001 AMT RECD:2 $ 49.50 CHANGE: CASHIER: 005 I Job# 99-01591-01 I CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01591-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1615 Dotie Dr Spr Assessors Map#: 17033422 Lot: 21 Block: Addition: Owner: Address: Tax Lot#: 07100 Subdivision: Oakbreeze Fred Hample 3426 Brookview Drive Phone Number: 541-484-7076 City/State/Zip: New Eugene, OR Value: $45,408 Scope Of Work: Manufactured Home on Private Lot Contractor Type General Contr Electrical Contr MANUFACTURED HOME & GARAGE Contractor Gooden Harrison X,X,X Heritage Investors Inc Of Eugene 63137 1042 Horn Ln, Eugene, OR 97404-2923 Registration # Expiration Date Phone 541-689-7762 12/27/2000 541-688-1600 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. Site Footing Verify Ground Rod Foundation Slab Shear Wall Nailing Framing Firewall Special Bolts installed in concrete Final Building Rough Electrical Pedestal MH Service Final Electrical Required Inspections I Transfered Records I - To be made after excavation but prior to setting forms. -After trenches are excavated. -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i I Building I -After forms are erected but prior to concrete placement. - To be made after all inslab building service equipment, conduit piping, and other equipment iter - Before covering sheathing with finish materials. - Prior to cover. - Located and constructed according to plans. -See Plan Review and/or Inspectors Notes. - To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildir -When all required inspections have been approved and the building is complete. Electrical - Prior to cover. - Prior to cover. -When all electrical work is complete. Required Inspections I Plumbing I -After home has been connected to water and sewer. - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. I Manufactured Home - When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house numbel I Public Works I -After forms are ereceted but prior to placement of concrete. _.' je MH Plumbing Water Line Sanitary Sewer Line Storm Sewer Line MH Set Up MH Final Curbcut Sidewalk Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: I Job# 99-01591-01 I - Page 2 of4 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? D ,Area (Sq. r Htl I Main: Accessory: Fee Plan Check Fee Total Transfered Records Additional Plan Check Total Plan Check Garage/Carport State Surcharge For Building Permit State Surcharge For Building Permit Renew Permit - Building Building Administrative Fee Flood Plain FEMA: Garage/Shed # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code: New Mfg Home Total:1378 Paid On Receipt# Transfered Records 11/22/1999 36251 Value/Quantity I Fee Amount 48 $48.43 $48.43 Plan Check 01/04/2000 155 20 $20.00 $20.00 Building 01/04/2000 155 01/04/2000 155 02/09/2001 4418 02/09/2001 4418 01/04/2000 155 9,408 $80.50 $5.64 $.45 $15.00 $2.42 15 >c' ~, \- Job# 99-01591-01 - Page 3 of 4 " Fee Paid On Receipt# Value/Quantity Fee Amount r Building Building Administrative Fee 02/09/2001 4418 $1.05 Total Building $105.06 Electrical Manufactured Home ServicelFeeder 01/04/2000 155 2 $80.00 Branch Circuits W/O Feeder or Service 01/04/2000 155 $.00 Branch Circuits With Feeder or Service 01/04/2000 155 1 $2.00 State Surcharge - Electrical 01/04/2000 155 $5.74 Administrative Fee - Electrical 01/04/2000 155 $2.46 Total Electrical $90.20 Plumbing Minimum Plumbing Permit Fee 01/04/2000 155 $.00 State Surcharge - Plumbing 01/04/2000 155 $6.30 State Surcharge - Plumbing 02/09/2001 4418 $.45 Water Service Footage 01/04/2000 155 50 $25.00 Sanitary Sewer Footage 01/04/2000 155 50 $25.00 Storm Sewer Footage 01/04/2000 155 50 $25.00 Manufactured Home Connection 01/04/2000 155 1 $15.00 Renew Permit - Plumbing 02/09/2001 4418 15 $15.00 Administrative Fee - Plumbing 01/04/2000 155 $2.70 Administrative Fee - Plumbing 02/09/2001 4418 $1.05 Total Plumbing $115.50 Manufactured Home Manufactured Home Setup Fee 01/04/2000 155 36,000 $105.00 Manufactured Home State Issuance 01/04/2000 155 1 $30.00 Renew Permit - Manufactured Home 02/09/2001 4418 15 $15.00 State Surcharge For Manufactured Hom 01/04/2000 155 $7.35 State Surcharge For Manufactured Hom 02/09/2001 4418 $.45 Manufactured Home Administrative Fee 01/04/2000 155 $3.15 Manufactured Home Administrative Fee 02/09/2001 4418 $1.05 Total Manufactured Home $162.00 Public Works New Sidewalk 01/04/2000 155 48 $60.00 Total Public Works $60.00 Svstem Development Manufactured Home - Storm 01/04/2000 155 2,088 $484.42 Sanitary Sewer 01/04/2000 155 18 $868.86 Residential Transportation 01/04/2000 155 1 $491.60 Residential Sanitary MWMC 01/04/2000 155 1 $242.76 Residential Improvement MWMC 01/04/2000 155 1 $22.05 MWMC Administrative Fee 01/04/2000 155 1 $10.00 SDC Administrative Fee 01/04/2000 155 $105.32 Property Annexed 1997 01/04/2000 155 34 $-13.34 Total System Development $2,211.67 Willamalane SDC Manufactured Home - Wi llama lane 01/04/2000 155 1 $1,000.00 Total Wi llama lane SDC $1,000.00 Grand Total $3,812.86 . ../ '.- I Job# 99-01591-01 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 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 from the street, that the permit card is located at the front of the propery, and the approved se! of plans will remain on the site at all times during construction. "~1\~\I "~r.i~ I~l',cl Signature ~ ~l~ \I'fuO /w c? q .() I Date