HomeMy WebLinkAboutPermit Building 2001-2-26
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Job# 01.01384-01
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225 Fifth Street
Springfield, OR 97477
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01,01384,01
Office: 726-3759
Inspection Line: 726,3769
Location Of Proposed Site: 5727 Ridge Ct Spr
Assessors Map#: 18020411
Lot: 7000 Block: Addition:
Tax Lot #: 07000
Subdivision: Thurston Ridge
Phone Number: 541,747-3632
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Owner:
Address:
Larry ter Horst
1883 7th Street
City/State/Zip:
New
Springfield, OR 97477
Value: $46,486
Scope Of Work: Manufactured Home on Private Lot
MH on private lot with garage
Contractor Type Contractor Registration # Expiration Date
Electrical Contr Larry ter Horst NOTICE:
~ "" ,. '~". """,,,,,. OR/Il,WERM IT SHALL EXPIAE IF THE WORK
I' Manuf Home Install Larry ter Horst AuTHORIZED UNDER THIS PERMIT IS NOT
1883 7th Street, Springfield, Of\..~~lJENCED OR IS ABANDONED FOR
:! ~ I Plumbing Contr Larry ter Horst ANY 180 DAY PERIOD,
~ 1883 7th Street, Springfield, OR 97477
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.
~erify Ground Rod
. ~ "Footing
~ Foundation
Slab
Shear Wall Nailing
Framing
Drywall
Hold Downs Installed
Final Building
Temporary Power
Underground Electrical
MH Electrical
Electrical Service
MH Service
Final Electrical
Phone
541,747-3632
541,747-3632
541,747-3632
Required Inspections
. - Building - ---I
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated,
,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.
-Prior to taping,
_ When all required inspections have been approved and the building is complete,
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Electrical
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-Approval required prior to SUB energizing pole. '; . ,-, '<".'-! .t,-~L' ~ L' :;'r:'..~-'~ u'''~ .
-Prior to cover. _"..:;:.;:.1,--'.'" ,'_: ...)'.':~!.;~,:..,..,
,When blocking, setup, and plumbing inspections havabeen'apprOYe(l..a!W,:th.~~omidsqonn,e,ct
,Must be approved to obtain permanent power. "UI"lJ"'~:;,;~..oO.;;},\:::~;.:::,:;;;:i;c...!i;:
,When all electrical work is complete,
,After device is installed but before backfilling trench.
,When all plumbing work is complete.
'Manufactured i,icime I
- When all blocking is complete.
,After all required inspections are approved and porches, skirting, decks, venting, house numbel
Public Work-s' '1
-After forms are erected but prior to placement of concrete
,After forms are erected but prior to placement of concrete
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Job# 01-01384-01 I
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MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
Backflow Device
Final Plumbing
Required Inspections
..~. Plumbing--- --I
,After home has been connected to water and sewer.
,Prior to filling trench,
-Prior to filling trench,
-Prior to filling trench,
-After gravel and filter cloth is installed, but prior to backfill.
MH Set Up
MH Final
SW-Curbside
CC-Standard
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr,?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Page 2 of 4
Curbside - 5'
o
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees: 2
3:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X,White
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Land Use: Single Family Dwelling
Pave Driveway? [?J
Flood Plain FEMA: 1166 of 2975
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Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 2
# Of Bedrooms: 3
Handicap Access? 0
iArea (Sq. Feet)
I Main: 1296 Accessory!484
Fee
Residential Plan Check
Total Plan Check
Garage/Carport
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Manufactured Home ServicelFeeder
Branch Circuits With Feeder or Service
State Surcharge - Electrical
8% Admin Fee, Electrical
Total Electrical
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Manufactured Home Connection
8% Administrative Fee, Plumbing
Total Plumbing
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufactured Hom,
Manufactured Home Administrative Fee
Total Manufactured Home
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Residential, Single Family' Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Job# 01-01384-01 I _
Page 3 of 4
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 16
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:1780
Paid On Receipt#
Plan Check
12/17/2001 7533
Value/Quantity
Fee Amount
11,486
$79,95
$79,95
Building
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
11.486
$123,00
$8,61
$9,84
$141.45
Electrical
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
2
1
$,00
$100,00
$3.00
$7.21
$8,24
$118,45
Plumbing
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
85
85
85
1
$,00
$15,54
$59,OO
$59,00
$59,00
$45.00
$17,76
$255.30
Manufactured Home
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
35,000
1
$160.00
$30.00
$11.20
$12,80
$214,00
Public Works
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
50
1
1
$65,00
$65,00
$,30,00
$100.00
System Development
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
2,840
1
1
$775,18
$34.83
$10,00
$139,76
$332,86
1
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Job# 01-01384-01
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Fee
Paid On Receipt#
System Development
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
Value/Quantity
Residential, Improvement
Residential- Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
1
1
22
22
Manufactured Home - Willamalane
Total Willamalane SDC
Willamalane SDC
02/28/2002 8189
1
Planning Plan Review
Total Planning
Planning
02/28/2002 8189
1
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Permits w/o Srchg
02/28/2002 8189
1
Checked By
Date Completed
Comment
Initial Review,Res
Lisa Hopper
Steve Templin
Sam Gollah
12/19/2001
12/21/2001
12/19/2001
12/31/2001
Engineering,Res
Planning,Res
Structural-Res
Don Moore
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 set of plans will remain on the site at all times during construction,
Signature
Date
Fee Amount
$659.76
$1'55,13
$470,14
$357,28
$2,934.94
$1,000,00
$1,000,00
$50,00
$50.00
$8,00
$8.00
$4,902.09