HomeMy WebLinkAboutPermit Building 2002-4-9
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SPRINGFIELD
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225 Fifth Street
Springfield, OR 97477
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Page 1 of 4
TRANS~;01-00035~6
DA TE 'AP~ Oc:' 2002
AMT REeD,l $ SO.JO
CHANGE $ 5.00
CAS:-!ItR:061
I Job# 01-01384-01 I
CITY OF SPRINGFIELD, OREGON
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:
Owner:
Address:
Tax Lot #: 07000
Subdivision:Thurston Ridge
Larry ter Horst
1883 7th Street
Phone Number: 541,747,3632
City/State/Zip:
New
Springfield, OR 97477
Value: $46,486
Scope Of Work: Manufactured Home on Private Lot
Larry ter Horst
1883 7th Street, Springfield, OR 97477 ~(\:R\'4.
Manuf Home Install Larry ter Horst ~ W ,'(\t. ~ \\()'t 541,747-3632
1883 7th Street, Springfield, OR 97477 ~ ~\. t.i-.'?\~ '?t.\\~\' \~
Larry ter Horst ~()"\\t ~\ot.\' ~'(\~~t.\\ ,'(\\~ ~(:S~.t.~ 'i
1883 7th Street, Springfield, OR ~f.6 '?~ ,,\"It.~ U~.., \~ t>-Y>t>-~
~,;\"!'\,,,~~\S' ::~\\lV'
To request an inspection call the 24 hour recording at 7 .'A ~~lOns requested before 7:00
a,m, will be made the same working day, inspections req <\1 7:'00 a,m, will be made the following
working day. t>-~ \0
'I . ._~",'lo\}.,,,-.J
ReqUired nspectlons eu.v' I'v" l\(\
l,&.<l'Il e~O \\0
I Building I . Ie#:: \'(\eOl '3-le'Oe 2..00'-
-Install ground rod at footing, and call for inspectiPl\<ill''c~~OttoW~t;t.W~~gR<<(\!&toi\ndation i
-After trenches are excavated, p,-(\'i:.~ u\0S 'ai \0\,1;'(\~IOu~'(\ 0\\'(\0 \ i{\ol'e
-After forms are erected but prior to concret~iPJilc~\~n~\_oO'~~ co<;ile'O \e\e?c'lJ.\\OI'
,To be made after all inslab building serviC~6\IlUi~~!)Ilt9g0rI9Yjf>~~~'itqUlll}ieqUiPment iter
- Before covering sheathing with finish mate&.~ '{ou 1I''lJ.~0\\\0\' 01' \)\\\ _??}.t,,~,
.Prior to cover. 0090' ~1'~\'(\0 \'(\001~cC"~~'2;
,Prior to taping, c'lJ.~ ':oel \01 1\'0 \-
,See Plan Review and/or Inspectors Notes, or Pf'i01/o c~\~ applicable,
Contractor Type
Electrical Contr
Plumbing Contr
Verify Ground Rod
Footing
Foundation
Slab
Shear Wall Nailing
Framing
Drywall
Special
Hold Downs Installed
Final Building
Temporary Power
Underground Electrical
MH Electrical
Electrical Service
MH Service
Final Electrical
MH on private lot with garage
Contractor
Registration # Expiration Date
Phone
541,747,3632
541-747-3632
,When all required inspections have been approved and the building is complete,
I Electrical I
,Approval required prior to SUB energizing pole,
. Prior to cover.
,When blocking, setup, and plumbing inspections have been approved and the home is connect
- Must be approved to obtain permanent power.
,When all electrical work is complete,
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:
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
...
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
Backflow Device
Final Plumbing
MH Set Up
MH Final
SW-Curbside
CC-Standard
Special
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Page 2 of 4
Job# 01-01384-01 I
Required Inspections
I Plumbin!! 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.
,After device is installed but before backfilling trench. '
- When all plumbing work is complete.
I Manufactured Home I
- When all blocking is complete,
,After all required inspections are approved and porches, skirting, decks, venting, house numbel
i-p-ublic Works I
,After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
I Reinsp/Hrly Insp I
,See Plan Review and/or Inspectors Notes, or prior to cover if applicable.
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
o
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd,
Overlay District:
# of Street Trees: 2
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner:
Urban Growth Boundary?D
Quantity Of Fill: .
Supplier:
Drainage:
Floodway FEMA: X-White
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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
rArea (Sq. Feet)
Main: 1296 Accessory~84
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 Service\Feeder
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 Horn,
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
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Page 3 of 4
Private Garage/Carp/Star
# Of Stories: 1 Height (feet): 16
Current Units: Proposed Units:1
Census Code: New Mfg Home
Total:1780
Paid On Receipt#
Plan Check
12/1712001 7533
Building
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
Electrical
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
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
Manufactured Home
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
Public Works
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
System Development
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
Value/Quantity
Fee Amount
11,486
$79.95
$79.95
11,486
$123,00
$8,61
$9,84
$141.45
2
1
$.00
$100.00
$3.00
$7.21
$8.24
$118,45
85
85
85
1
$.00
$15,54
$59,00
$59,00
$59,00
$45,00
$17,76
$255.30
35,000
1
$160,00
$30,00
$11.20
$12,80
$214.00
50
1
1
$65,00
$65,00
$,30,00
$100,00
, 2,840
1
1
$775,18
$34,83
$10,00
$139,76
$332,86
1
Planning Plan Review
Total Planning
Planning
02/28/2002 8189
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Page 4 of 4
Value/Quantity Fee Amount
I
1 $659.76
1 $155.13
22 $470.14
22 $357,28
$2,934.94
1 $1.000.00
$1,000,00
1 $50,00
$50,00
1 $8.00
$8.00
1 $45,00
$45,00
$4,947,09
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Job# 01-01384.01
Fee
Paid On Receipt#
System Development
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
02/28/2002 8189
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
Manufactured Home - Willamalane
Total Willamalane SDC
Willamalane SDC
02/28/2002 8189
Address Assignment
Total Permits w/o Srchg
Permits w/o Srchg
02/28/2002 8189
Reinspection Fee - Manuf Home
Total Reinsp/Hrly Insp
Grand Total
Reinsp/Hrly Insp
04/09/2002 8566
Plan Check Type
Checked By
Date Completed
Comment
Initial Review,Res
Lisa Hopper
Steve Templin
Sam Gollah
Don Moore
12/19/2001
12/21/2001
12/19/2001
12/31/2001
Engineering-Res
Planning-Res
Structural-Res
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 f~lwm the street, that the permit card is located at the front of the propery, and the
ap,pt:~r~ on the site at all limes during construction, ~rL- _(' -?CU ('
~:#( Date
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