HomeMy WebLinkAboutPermit Building 2001-2-9 (2)
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225 North Fifth Street
Springfield, OR 97477
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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.
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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
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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
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\- 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
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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.
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Date