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HomeMy WebLinkAboutPermit Building 2001-2-26 " " ~ - Page 1 of 4 Job# 01.01384-01 :."-J~~'{;:_~: O~~ . ,]OO~:;' Cq T C ; ::: ~,~I >:c: ',J>j \::!~r" FEL~; ~~: }: !+ 3:"<: :. 225 Fifth Street Springfield, OR 97477 CH;:~i\;'~~:-:' :~~~S~'i~ ER~ '.'~.- 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 .~ N () "- . \CJ 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, , . ~:. c:. :; ( : ~; () . c.:. {) ::'.' : ~ 11 .", , '., ' Electrical . , \, ':;':':"', t n.... .:.i-- : ~I",~ .' . -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 " . - Job# 01-01384-01 I - 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 ...~ ' - 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 ,..- - Job# 01-01384-01 ~ Page 4 of 4 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