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Home My WebLink AboutPermit Building 2005-9-13 (2) " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line . . CITY 01< ~ndNGFIELD Building/Combination Permit PERMIT NO: COM2005-00384 ISSUED: 09/13/2005 APPLIED: 04/0412005 EXPIRES: 03/13/2006 VALUE: $ 33,120.00 SITE ADDRESS: 2716 Garson Ln ASSESSOR'S PARCEL NO.: 1703361109902 Springfield TYPE OF WORK: Manuf Home w Garage/Carport Private Lot TYPE OF USE: New Residential Manufactured Home with Carport, Lynnetes Happy Homes lot 2 ",,:- ..J '.' \ '~" .v :Sv ,- EUGENE OR 97402 '\~. ~J.. .v ,'\. _,,<, '<-- J....- '\)' (;}~~ ,<-'V's'"" 'CONTRACTOR INFORMA}10N I '\. 'v "", ~ ~Ov .~"'\ is' Contractor Type c-<CoiItra~tor .~e"'1JCiinseRl" Expiration Date General J.> <\ ~ S~~S COLUMBUS e&' ,ij,~l4ij" a;<;S f'o'<:J~ 09/0312007 Electrical "~",S., ..'\) LYNNSELECTRIC 1l eO cl023)'ti ~e >:-'0 10/14/2007 Landscape " c':{.~ .~,v"MED~LION LANDSCAPE SER)\ICE1Ncl-e'71:t8~e ~ ~O K,O~ 02/28/2006 .. - ... ~ ..) - '\. p;v '0" 0' ~ ~ -...: (Q"< f]j. Manuf Home Inst . ~.., . CHARLES COLUMBUS ,/Zi i' 0<; ,)C?i85740\.~ ~v Plumbing ~,. .... '''"PACWESTBUlLDERSIN!;!,~"o~>O::. -<..'<:.~0^Qi~7~ijl.~0"". 10/1712005 ,,_.. n. ..- " ." ..... r?:J' i'~ , DUIL1Jl1~lj""'Jt"'N'lA:nON:1 a;'l; ~' ,". 0" <::)" O. ~\, "V' ~~" '?' 0"''' n' ~ ~v '0'" Rl O~ #.6f Stories:; e~ 0' 'b<;S ~ .....,""'... ....j .,' c; (:> ,: _"o~He''''ht<!lf Structure,,,, ,,~ ::\\ae '" ,"' &'" ~ .~y-!,oe,~(JJe~e ~e Water~Type: cP v ... Range, TYpe: Energy Path: Sprinkled Building: PROJECT DESCRIPTION: Owner: Address: CHRIS ADSIT 28465 SIESTA LN # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: . Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 1 R-3 U VN 24.00 5.00 5.00 10.00 0.00 Phone Number:' 541-345-4535 Phone 541-935-1880 541-726-7895 541-933-2745 541-543-1904 1 3 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 240 5,522 1,188 Electric Electric Electric nla , DEVELOPMENT INFORMATION I REQUIRED PARKING lLotal: 2 Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 1 Yes 25.80 I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDralns: Fullv Improved Yes Setback 5' Curb and Gutter Notes: Encroachment permit for sewer hook-up In ROW, Storm piped to curb face 41712005 Paee 1 of4 " Status Issued 225 Fifth Street, Springfield, OR .. 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Carport Foundation Onlv Manuf Home . I Valuation Descriotion I $ Per Sq Ft or multiplier $18.00 $1.00 $1.00 Carport Use Bid Amount Manufactured Home Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Addressing Assignment Curbcut Permit Encroachment Permit Foundation Permit Garage/Carport Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement Plan Review Major - Planning PW Disc - 3rd Permit (Street) Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Water Line - 1st 50 Feet WlUamalane ManufHome Private + 10% Administrative Fee + 7% State Surcharge Manufactured Home Feeder Manufactured Home Service + 10% Administrative Fee + 7% State Surcharge Square Footage or Bid Amount 240.00 3,300.00 25,500.00 Total Value of Project !..Ii'PP< p'\W Amount Paid $59.67 $46.90 $32.83 $31.00 $80.00 $130.00 $60.60 $68.40 $30.00 $45.00 $160.00 $103.00 $-60.00 $45.00 $365.60 $480.80 $10.00 $865.31 $82.03 $101.48 $66.30 $772.49 $175.13 $80.00 $604.19 $45.00 $45.00 $1,000.00 $10.00 $7.00 $50.00 $50.00 $4.50 $3.15 Date Paid 4/4/05 4/27/05 4/27/05 4/27/05 4127/05 4/27/05 4/27/05 4/27/05 4127/05 4/27/05 4/27/05 4/27/05 4127/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4127/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 6/24/05 6/24/05 6/24/05 6/24/05 9/13/05 9/13/05 Paee 2 of 4 . Li1:f Ot< ~rKll~GFIELD Building/Combination Permit, PERMIT NO: COM2005-00384 ISSUED: 09/13/2005 APPLIED: 04/04/2005 EXPIRES: 03/13/2006 VALUE: $ 33,120.00 Value Date Calculated $4,320.00 $3,300.00 $25,500.00 $33,120.00 04/0412005 04/0412005 04/28/2005 Receipt Number 2200500000000000378 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 2200500000000000823 2200500000000000823 2200500000000000823 2200500000000000823 2200500000000001256 2200500000000001256 . . CITY U1' ~rKll~u1'mLJJ Building/Combination Permit PERMIT NO: COM2005-00384 ISSUED: 09/13/2005 APPLIED: 04/04/2005 EXPIRES: 03/13/2006 VALUE: $ 33,120.00 'i Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Backllow Device Minimum/Adjustment Plumbing $14.00 $31.00 9/13/05 9/13/05 2200500000000001256 2200500000000001256 Total Amount Paid $5,695.38 I Plan Reviews I Initial Review 04/0712005 04/07/2005 APP SKG Plannlnl! Review 04/07/2005 04/22/2005 APP TAJ Public Works Review 04/07/2005 04/07/2005 APP CAS Storm drainage piped to curb face 4/7/2005 CAS Structural Review 04/07/2005 04/26/2005 APP RJB 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. I Rpouired 'n~np{'tion~ I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Encroachment: After item{s) have been removed to Inspect condition of public right of way. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Setback: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed. Urer Electrical Ground: Install ground rod at footing and call for Inspection in conjunction with footing and/or foundation Inspection. Slab: To be made after all Inslab building service equipment, conduit piping and other equipment Items are In place but prior to concrete. Foundation: After forms are erected but prior to concrete placement. Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough In Inspections have been approved. Manuf Home Set Up: When Installation of all piers or stands is complete. 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. Final Building: After all required Inspections have been requested and approved and the building Is complete. Water Line: Prior to filling trench and Including required testing. Sanitary Sewer Line: Prior to filling trench and Including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Manuf Home Plumbing: After home has been connected to water and sewer. Pal!e3of4 . . CITY OF ~rKmGFIELD Building/Combination Permit PERMIT NO: COM2005-00384 ISSUED: 09/13/2005 APPLIED: 04/04/2005 EXPIRES: 03/13/2006 VALUE: $ 33,120.00 Status Issued 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line MH Electric: When blocking, setup and plumbing Inspections have been approved and the bome Is connected to the panel, MH Service: Approval required prior to utility company energizing service. MH Pedestal: Approval required prior to utility company energizing service. Backllow Device: Prior to covering and provide a copy of the test report on site at the time of Inspection. 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 construction. :~ c_-~ ?- /3 ~ .?S Owner or Contractors Signature Date Paee40f4 225 Fifth Street . .' I Springfield, Oregon 97477 i 541-726-3759 Phone Job/Journal Number COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 Payments: Type of Payment CreditCard T " - 9/13/2005 . RECEIPT #: J~~P-::~ ~,',"'~ , WiL.: ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001256 Date: 09/13/2005 Description Backflow Device Minimum! Adjustment Plumbing + 7% State Surcharge + 10% Administrative Fee Paid By KENNETH R CORNELIUS Item Total: Check Number Authorization Received By Batch Number Number How Received jmp 041462 In Person Payment Total: Page 1 of I 9:16:21AM Amount Due 14.00 31.00 3.15 4.50 S52.65 Amount Paid S52.65 S52.65