HomeMy WebLinkAboutPermit Building 2010-12-23
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: COM2010-00381
IVR Number: 811000053566
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
12/23/2010
ISSUED:
APPLIED:
12/23/2010
03/30/2010
EXPIRES:
VALUE:
06/21/2011
$5,000.00
SITE ADDRESS: 5712 A St, Springfield
ASSESOR'S PARCEL NO: 1702334104400
SCOPE: MFG"
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
OWNER:
ADDRESS:
Manufactured home on private lot
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION I
Lic Type
Lie No
Lic Exp
Phone
Construction Type
Occupancy Type
Occupancy
Comments
VB
R-3
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Lot Size: 6163
Sq Ft 1 st Floor: 1232
. Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupa,ncy load:
# of Units:
# of Bedrooms:
,
Sprinkled Building:
Fire Alarms:
Energy Path:
3
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required: ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notilication Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
NOTICE: ,- ,-,.<..t'<
THIS PERMIT SHAll EXPIRE IF THE WORK.
AUTHORIZEO UNDER THIS PERMIT IS NOT "
COMMENCED ORIS ABANDONED FOR <.; .
ANY 180 DAY PERIOD,
Springfield Building Permit,
12/23/201 11;15:43AM.
Page 1 of 5
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: COM2010-00381
IVR Number: 811000053566
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield,or.us
SITE ADDRESS: 5712 A St, Springfield
ASSESOR'S PARCEL NO: 1702334104400
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
\
EXPIRES!
VALUE: I
I
MFG
I
NEW
RES
.06/21/2011
$5,000.00
PROJECT STATUS:
STATUS DATE: '
Issued
12/23/2010
ISSUED:
APPLIED:
12/23/2010
03/30/2010
PROJECT DESCRIPTION:
Manufactured home on private lot
DEVELOPMENT INFORMATION I
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
.20.50
8.00
13.00
10.00
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure
to north property line:
Yes
21.00
REQUIRED PARKING
Total: 2
Han~icapped:
I
Compact:
0.00
PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
FI
Sidewalk Type:
Yes
Downspout/Drains:
Valuation Description ~
Descriotion
TVDe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
Springfield Building Permit
12/23/201 11:15:43AM
Page 2 of 5
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~OReGON
W~.ci,5prjngfield,or,us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: COM2010-00381
IVR Number: 811000053566
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541"726-3676
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
12/23/2010
03/30/2010
EXPIRES:
VALUE:
06/21/2011
$5,000.00
12/23/2010
SITE ADDRESS: 5712 A St, Springfield
ASSESOR'S PARCEL NO: 1702334104400
SCOPE: MFG
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
Manufactured home on private lot
FEES PAID
I
Amount Paid
$56.71
$38.00
$211.00
$30.00
$47.64
$931.65
$80.93
$22.63
$515.94
.~-~-
$666.84
$1,044.54
$10.00
---------
$507.07
$101.97
$119.66
$30.40
$61.60
$397.00
$2,858.00
$211,21
Total Amount Paid $7,942.79
Date Paid Recio! #
03/30/2010 1201000000000000274
..--.-..'----.--------
12/23/2010 2010001140
12/23/2010 2010001140
12/23/2010 2010001140
12/23/2010 2010001140
12/23/2010 2010001140
12/23/2010 2010001140
12/23/2010 2010001140
12/23/2010 2010001140
12/2:i72010-' 2010001140
...._-~.-~.
12/23/2010 2010001140
._-----
12/23/2010 2010001140
-- .---
12/23/2010 2010001140
12/23/2010 "-2010'001140
12/23/2010 2010001140
12/23/2010 2010001140-
12/23/2010 2010001140
12/23/2010 2010001140
12/23/2010 2010001140
12/23/2010 2010001140
Descriotion
Plan Review Residential
-~._._-
Addressing Assignment
Plan!i-eview Major - Planning
Manuf Home State Issuance
:!: 12% State Surcharge
SDC Trans Improvement-Resident
SDC Transportation Admin
SDC MWMC Compliance Charge
~_~~~~.,.:. Improvem~.~,~_~__,_
Sanitary Sewe:...: Reimburs_emenJ
SD,f MWMC Improvement
SDC MWMC Administration
Sanitary Se,,:,:er - Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
+ 5% Technolo~y Fee
Fire SF Fee - Residential
Manufactured Home Placement
WilJamalane Manuf Home Private
SDC Tran Reimburs-Residential
Springfield Building Permit
12/23/201 11:15:43AM
Page 3 of 5
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'"M.",',","' OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: COM2010-00381
IVR Number: 811000053566
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
Issued
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
12/23/2010
03/30/2010
12/23/2010
SITE ADDRESS: 5712 A St, Springfield
ASSESOR'S PARCEL NO: 1702334104400
EXPIRES:
VALUE:
06/21/2011
$5,000.00
SCOPE: MFG
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
Manufactured home on private lot
Plan Review
I
DeDartment
Initial Review
Received Due Date Comoleted
04/06/2010
Result
APP
Reviewer
LLH
Planning Review 04/19/2010 WE DDK
Comments: Orientation of structure is required to calculate setbacks. Off street parking not shown on plot plan. Left Message for
Public Works Review 04/29/2010
Comments: Requested fixture count from Vern Benson
10
--y- - - -- ..-......
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LKW
Application Acceptance 08/09/2010 08/09/2010 Over the Counter Chris Carpenter
Comments: See workflow history
Ilriitfal Review: '>" >c~ , ': "-08/09/201 0;, '08/09/2010,,08/09/201 D'-',; Over ttieCouriiiii~'-' ". Chris-Carpen~' . . ': '
k:~~;~~~.2i;:-~>})~~~t~~;9~~~t8"~~l(: ","~,~,,;,.' ..~~~~"::~~~=~~~~..-~;:.~'~'r"'~~:&~::;:~i:,:tI.~,,_'y:~~~..,__:::'~:.
Planning Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter Chris Carpenter
Comments: Over the counter permit
Public Works Review
08/09/2010
08/09/2010
Over the Counter
Comments: Over the counter permit
permit,lssuance': :':\;:<~i~~.. ,,,' ;,;>08/09/20'16'~$08/.o91-?010/':1212312010::7:Z _lssuedl,:{,;"~:~,;Jii;
1.7'~}:;;, '<~~- ~,:,.. ~~ 04; ;t ,-~_.:~~~ ~>J_"' ~w_:"~?','"' <:,'!':i~- ;;,'~,!ij_:>'. ':' '1r.~fJ1 :~:":~. ,-, >:"i~' 'i,~;~' :;,,"f; ,,"..:
- ... ~. -'C""" " . ::....
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..u _-......._.__ .__.
Chris Carpenter
~>. _ f '. . '" ", "
,..; s.,' Qavid"Bowlsby..... .
;. :'r~" _21/tJ'H-"~S ~r;:~, ,-cotC: ';:i~
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INSPECTIONS REQUIRED I
Inspections
Springfield Building Permit
12/23/201 11:15:43AM
. Page4of5
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~OREGOH
www.cj.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: COM2010-00381
IVR Number: 811000053566
225 Fifth Sf
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
12/23/2010
03/30/2010
EXPIRES:
VALUE:
06/21/2011
$5,000.00
12/23/2010
SITE ADDRESS: 5712 A St, Springfield
ASSESOR'S PARCEL NO: 1702334104400
SCOPE: MFG
WORK INVOLVED: NEW
lYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
Manufactured home on private lot
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who an~ in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
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Owner or Contractor Signature
Date
Springfield Building Permit
12/23/201 11:15:43AM
Page 5 of 5
,. '~ . . . . . ~ .
~ <:ITY OKSP}UNGFIELD, OIU:GON:
225 Fifth Street. Sorin2field. OR 97477 . PHI5411726-3753 . FAXI5411n6-3689
Manufactured DwellingfRecreational-Park Trailer
Placement Permit Application
~~~
i:S:D~!'~I'iT.MENtV$(QNL:Yt.
Pennitno'~CID -D03$ J
"-
OateJ- 30' /0
.s.\t)
This permit is issued under OARs 918-500-0105 and 918-525-0370. Permits expire if work is not started within 180 days of 11.L
issuauce or if work is suspended for 180 days. . . . . '. '0"'"
,"LQCAL,..(jOV.ERNM ENTjAF>p'rto'YA.LS;;j;:~}\i,
--E:rYes. D No
D YesQ-No
Sanitation approval verified: es D No
. CATEGORY OFCONSTROctli:jr:f.:::'
. "'-. ""> -.' ".....,. ....,.. .,'- . ."......
D Government
D Commercial
'. JpSSITE INFORMA TI()NANR;LdcATION ...
Jobsiteaddress:~ >7/2.. . ~+-. .
County: L v\ ;.., .-<
City:
~
State: D .'Z., ZIP:
Subdivision: Space/lot uo.:
Reference: 1/02. 3. S 4 \ Taxlot: 0 l{'fDO
, DESCRIPTIONOFWORI(.
"1,-\-1 I
Year Manufactured: \ q ~ -,
# Bedrooms:.:3 Sq. FIg: I J.3 2.. Value: I C) Cl\:l <.l
. .. . "PROPERTY OWN~R
Name: " \?-. N . W \3 E. .
Address: 0, '-\ = \\ '-'-..> "'\ a" c0 <:.)
City: E ." ~ ZIP:q, '-I C
Phone:Y'JI-L,\,y, hUCf)<c
E-mail: IT\ -.e.>(.s @ 1\ '-' L. . C '" ..,...
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under OAR 918-515-0010.
S. '-- Go ~ ~
Ignature: .
CONTRACTOR INSTALLATION
Business name: \3 l'. '" ~ .-..) Cl ~ \.l C 0
Address: "l L; <;:, ~\ '""- 0, 9.' A:;, 0
City: E. _~. State: O'l.. ZIP: '1 ' 'i ~
Phone;SL}\- (.,. 8'15 . '!? 1s"11 Fax:.~ 41 b n-. <\ :)0'-\
E-mail: M s-e..>c ': G 1\. c,\., C~ .
CCB license no.: MDllicense no.:
Print name: "'-,~ ," W
..,.,
\~~ ......./i.-or-:,J
Signature:
'-- ~
.....;,'t,............::;";.. ..:F,gE.' 'S9l:iE[)l,JI.;Ei'\;'.X;!2'i.!:-,io'n;.:;.lLl;':!;
Description Total
(1) Manufactured dwelling
(a) Placement (includes placemen~
electrical feeder, water/sewer
connectio'n):
$397.00 $.
(b) Reinspection (nn. ofhrs. x fee per hr.): $58.00 $'
Placement permit can only be oQtained by homeowner or Oregon- . .
licerised manufactured dwelling installer.
(2) Recreational-pa~k'trailer.
(a) Installation (includes stand and
lot preparation: support blocking;
'anchoring; temporary steps; plumbing,
mechanical, and electrical):
$397.00 $
(b) Reinspeclion (no. ofhrs. x fee po; hr.): $58.00 $
(c) Each additional inspection: (I) $58.00 $
Electrical service permit to be obtained only f!y homeawner performing
work or signing supervisor a/Oregon-licensed electrical contractor
performing work.
','"
......'-.
.... ,"FI;ESCI-IEbli~E':.'
(3) Surcharge, 12% (.12 x tntal, equal to 1 or 2): $
(4) State administrative fee for
manufactured dwelling (item I) $30.00 $30.00
. only, OAR 918-500-0105(5):
(5) Technology Fee, 5% $
TOTAL fees and surcharges (3 + 4+5): $
~t~ 1!.-
r\Jt^- 17 b
~~ willamalane
t'W Park and Recreation District
Job. No.
0,\0 .~~\
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30, 2010
NAME:~~ffi ~~O\\ PHONE: \Qe6-~
ADDRESS: C\~ \\uu.~atN ~TATE:~P:~~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ~ l \ f) - A ~~-\te:et
Plat Name: f\ l ~ Tax Lot Number: \:t D'1..1...;n4. t
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. SinQle-Family Detached
\
NO. OF UNITS
X $2,858 per unit =
$ 'l.tf:;'S5. ctJ
B. SinQle-Family Attached
NO. OF UNITS
X $3,100 per unit =
$
C. Multi-Family Apartment
NO. OF UNITS
X $2,641 per unit =
$
D. SinQle Room Occupancy
NO. OF UNITS
X $1,321 per unit =
$
E. Accessory DwellinQ Unit
NO. OF UNITS
X $1,550 per unit =
$
WILLAMALANE SDC
$ ~~~CD
$kJ
$ 'L~izg~
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
.
3. TOTAL WILLAMAlANE NET SDC ASSESSED
(if SDC reduced for Credit)
t..-
~271
Date
Ie:::.
Development Services Depa
City of Springfield
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www.ci.springfield.or.us
TRANSACTION RECEIPT
COM2010-00381
5712 A St
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenter@cLspringfield,or.us
RECORD NO, COM2010.00J81 DAn;, 12/23/2010
.,:,~\t C>'s',: ,,',-';.'. ",' ., .) .,:: ',C'A'C"CO-U'NTC"O'O"E"; ',0i:Y' >.:.'A'MOU'NT"OUEC', '. :.,. T>: ..... J
*~__.___..___.~., .-.. ...,,'....... "',---~"'T-~~___~_ ---. '--'--.--. -___~ .
224-00000-425602 $38.00
100-00000-425002 $211.00
821-00000-215009 $30.00
821-00000-215004 $47.64
447-00000-448027 $931.65
719-00000-426604 $80.93
444.00000-426607 $22.63
~--"'-"""--"-"'~-""'--'-"-""- .-.--.-.-"'.--,,----
440-00000-448029 $515.94
442-00000-448024 $666.84
445-00000-448025 $1,044.54
-~--
611-00000-426604 $10.00
443-00000-448025 $507.07
._,"-'-'~----,"~---'~"-
444.00000-448024 $101.97
."T._____.__._...
719-00000-426604 $119.66
~_~'_'''''_''___''r__....._H'H_'.''____''''''____
100-00000.425605 $30.40
100-00000-424005 $61.60
224-00000-425602 $397.00
~ ~-----_..-
821-00000-215023 $2,858.00
446-00000-448026 $211.21
TOTAL OUE: $7,886.08
Ie 'PA'(I..ILE~Nj...J'YPE"~*'-(p1Sr~'-l3t";f-cAsHiER,DB6VvLsi3Y, j![<;.QMIII1E:R(s;;;'~i' >:,,;.; :..:;:i~~:;;J:AM~tUNtMf[)"'c ~fi'2.;;;' .. '1
RECEIPT NO, 2010001140
lQg~<::'RlP-.!1Q~;;::';;;,:,,;,'";' .':"
Addressing Assignment
Plan Review Major - Planning
Manuf Home State Issuance
+ 12% State Surcharge
SDC Trans Improvement~Resident
SDC Transportation Admin
SDC M,WMC Compliance Charge
SDC Storm - Improvement
Sanitary Sewer - Reimbursement
~DC MWMC Improvement
SDC MWMC Administration
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
.SDC ~n!!ary/S~.Admin
+ 5% Technology Fee
Fire SF Fee ~ Residential
Manufactured Home Placement
Willamalane Manuf Home Private
SDC Tran Reimburs-Residential
Check
1345
BENSON DEVELOPMENT CO
LLC
$7,886.08
$7,886.08
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 #:
1201000000000000274
Date: 03/30/2010
8:52:10AM
Job/Journal Number
COM2010-00381
Payments:
Type of Payment
Check
cRcceintl
Description
Plan Review Residential
Paid By
BENSON DEV CO LLC
Amount Due
56.71
$56.71
Item Total:
Check Number Authoriz<ltion
Received By Batch Number Number How Received
djb
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Page 1 of 1
Amount Paid
1176
$56.71
$56.71
In Person
Payment Total:
3/30/2010