HomeMy WebLinkAboutPermit Building 2007-8-7
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00294
ISSUED: 08/07/2007
APPLIED: 03/15/2005
EXPIRES: 02/07/2008
VALUE: $ 24,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5684 A St
ASSESSOR'S PARCEL NO.: 1702334101602
Springfield
TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Manufactured Home on Lot
Owner: BENSON VERN W
Address: 940 HWY 99 N
EUGENE OR 97402
Phone Number: 541688-8897
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Manuf Home Inst
Plumbing
Contnictor
OWNER
ROBS ELECTRIC INC
JERRY OTT
OWNER
License
Expiration Date Phone
156678
69455
08/14/2007 541-686-5444
09/26/2008 541-935-2696
BUILDING INFORMATION I .
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat: orced Air Electric
VN Water Type: Electric
Range Type: to Electric
ATTEt4TION: Ore~~nm!lres YOUT
,~~I~~;~a~~~?~ts~~~~\~fi~;o~ n/a
inOAR95 wm~~~p~~ N
OO~~~ii~Y,~o~he center. (Note: the telepho~e
ndi r for the O~9Uj!,.-.~W~:Notlficatlon
. Center is ~.tl~:
12.00 Paved Drive Rqd:
10.00 % of Lot Coverage:
0.00
2
Yes
36.10
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
1
R-3
1
Lot Size: 3,986
Sq Ft 1st Floor: 1,296
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Partially Improved
Yes
Sidewalk Type:
Setback 5'
Curb and Gutter
.,..
IJ\1Dm~~S/Drains:
THIS PERMIT SHAll EXPIRE IF THE WOR (
AUTHORIZED UNDER THIS PERMIT IS NO"
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes: Storm drainage piped to curb face 3/21/2005 CAS
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Foundation Onlv Use Bid Amount
Manuf Home Manufactured Home
Fee Description
Plan Review Residential
Refund - Plan Review Residenti
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Curbcut Permit
Foundation Permit
ManufHome State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
Plan Review Major - Planning
PW Disc - 2nd 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
Willamalane Manuf Home Private
Miscellaneous Copy Chgs
Replacement Plans per Hour
+ 10% Administrative Fee
+ 8% State Surcharge
Manufactured Home Feeder
Manufactured Home Service
+ 10% Administrative Fee
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
4,500.00
20,000.00
Total Value of Project
~
Amount Paid
$44.46
$-44.46
$44.46
$40.84
$28.59
$31.00
$80.00
$68.40
$30.00
$45.00
$160.00
$103.00
$-30.00
$45.00
$383.88
$504.84
$10.00
$865.31
$82.03
$106.33
$65.66
$772.49
$175.13
$80.00
$646.04
$45.00
$45.00
$1,000.00
$6.00
$22.50
$10.00
$8.00
$50.00
$50.00
$1.40
Date Paid
3/15/05
3/15/05
3/17/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
9/27/05
2/7/06
2/7/06
3/31/06
3/31/06
3/31/06
3/31/06
4/5/06
Pae:e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00294
ISSUED: 08/0712007
APPLIED: 03/15/2005
EXPIRES: 02/07/2008
VALUE: $ 24,500.00
Value
Date Calculated
$4,500.00
$20,000.00
$24,500.00
03/15/2005
03/15/2005
Receipt Number
1200500000000000327
1200500000000000332
2200500000000000305
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
1200500000000001400
2200600000000000181
2200600000000000181
2200600000000000409
2200600000000000409
2200600000000000409
2200600000000000409
2200600000000000426
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00294
ISSUED: 08/07/2007
APPLIED: 03/15/2005
EXPIRES: 02/07/2008
VALUE: $ 24,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 8% State Surcharge
Storm Sewer Each AddtI 100'
+ 10% Administrative Fee
+ 5% Technology Fee
Renew Building Permit
$1.12
$14.00
$5.00
$2.50
$50.00
4/5/06
4/5/06
8/7/07
8/7/07
8/7/07
2200600000000000426
2200600000000000426
1200700000000001006
1200700000000001006
1200700000000001006
Total Amount Paid
$5,648.52
I Plan Reviews I
Initial Review
03/18/2005
03/18/2005
APP
LLH
Left message for Vern Benson 4:20
p.m. we needed the value of the
manufactured home. His office said
he would call with the information
on Monday.
Plannin2 Review
Public Works Review
Structural Review
03/18/2005
03/18/2005
03/18/2005
04/08/2005
03/21/2005
04/01/2005
APP
APP
APP
TAJ
CAS
RJB
Storm drainage into stub 3/21/2005
Electrical permit not included.
Electrical contractor information
not included with application.
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
work day.
Ul-eouiredJnsnections I
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
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.
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.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
MH Service: Approval required prior to utility company energizing service.
Pa2e 3 of 4
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-00294
ISSUED: 08/07/2007
APPLIED: 03/15/2005
EXPIRES: 02/07/2008
VALUE: $ 24,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
MH Pedestal: Approval required prior to utility company energizing service.
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. .
'-
r
2~
----
J - 7-7
c...---
Owner or Contractors Signature
Date
Pae:e 4 of 4
225 Fifth ~tfeet
Sprin'gfleld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00294
COM2005-00294
COM2005-00294
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
Description
Renew Building Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
BENSON DEV
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001006
Date: 08/07/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
5364
In Person
Payment Total:
Page 1 of 1
10:04:32AM
Amount Due
50.00
2.50
5.00
$57.50
Amount Paid
$57.50
$57.50
8/7 /2007