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HomeMy WebLinkAboutPermit Building 2004-1-30 Status Issued . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-00022 ISSUED: 01130/2004 APPLIED: 01108/2004 EXPIRES: 07/30/2004 VALUE: $ 7,000.00 SITE ADDRESS: 5764 Ridge Ct ASSESSOR'S PARCEL NO.: 1802041107900 Springfield TYPE OF WORK: Manufactured Home on Private Lot New Residential TYPE OF USE: PROJECT DESCRIPTION: MH on private lot, garage will be submitted later Owner: VINCENT ZAWODNY Address: 138 MAIN ST SPRINGFIELD OR 97477 Contractor Type General Electrical Manuf Home Inst Plumbing SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I Contractor RAKOCZY WELKER ENTERPRISES INC EVERYDAY ELECTRICAL SERVICE HARRISON JACOBSON INC HARRISON JACOBSON INC License 56636 136371 66447 66447 BUILDING INFORMATION I I R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: VN Paee 1 of 4 Phone Number: 541-746-5726 Expiration Date 05/22/2004 08/12/2005 05/07/2004 05/07/2004 Phone 541-895-8606 541-607-6908 541-689-7762 541-689-7762 1 Lot Size: Sq Ft 1st Floor: Electric Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Path 1 Sq Ft Other: Impervious Surface Area: o 1,782 o 1 REQUIRED PARKING Total: 2 Handicapped: Compact: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: , DEVELOPMENT INFORMATION I . JTENTION:Oregon 'C1" I C''<"'" -- . . . 0 . A d b the Oregon Utility follOW r~lI'.OOldopte Overl~~ra set tert ~otiticatiao.093ntero Thqps'ti~f-L6~!J! ~.9l!'Oo 1 OAR 951!AlO1-001 0 tl}r~~ Dr~vi.RMit\!ls I . obtain copies OT me 0090. Y02\l!O'oW (N%lof\!<!!l~Y.Jplgene II" lhAcenter. u go . 0 0 c:.~~. ~~th" Oreoon Utility Notification "'-"'~N ;rptrBflrc:.iMPRbvEMENTS I Fullv Improved Sidewalk Type: Curbside 5' Yes DownspoutslDrains: Curb and Gutter Intrusion offootin~om~' any other portion of the proposed structure into easement area is prohibited. THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 160 DAY PERIOD. Yes 19.60 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 + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Cire Ea Add Addressing Assignment Annexed 1998 Building Permit Curbcut Permit Manuf Home State Issuance Manufactured Home Connection Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Plan Review - Planning PW Mult Disc - 2nd Permit 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 Temp Power 200 amps or less Water Line - 1st 50 Feet Willamalane Manuf Home Private Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00022 ISSUED: 01130/2004 APPLIED: 01108/2004 EXPIRES: 07/30/2004 VALUE: $ 7,000.00 I Valuatinn Descrintinn I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 7,000.00 60,000.00 Value Date Calculated $7,000.00 $60,000.00 $67,000.00 01/08/2004 01/08/2004 Total Value of Project Fee. P~iIU Amount Paid $54.60 $137.70 $96.39 $3.00 $31.00 $-13.88 $84.00 $75.00 $30.00 $45.00 $50.00 $960.00 $50.00 $59.00 $-30.00 $45.00 $378.62 $498.08 $10.00 $214.23 $314.63 $103.91 $53.54 $727.42 $164.89 $75.00 $854.92 $45.00 $50.00 $45.00 $1,000.00 $6,212.05 Date Paid Receipt Number 1/8/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1/30/04 1130/04 1/30/04 1/30/04 1/30/04 1200400000000000022 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 1200400000000000144 Pa!!e 2 of 4 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-00022 ISSUED: 01/30/2004 APPLIED: 01/08/2004 EXPIRES: 07/30/2004 VALUE: $ 7,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Reviews , Initial Review 01/27/2004 APP RJB Plannin!! Review 01/27/2004 Plannin!! Review 01/23/2004 01/23/2004 APP TAJ Public Works Review 01/13/2004 01/13/2004 APP VRJ Public Works Review 01/28/2004 01/28/2004 DON VRJ Sub2003-00018 PLA adjusted the south prop line. Planning requested Ire-review siteplan 1/27/2004. Cascade Title company faxed documents verifying that property does not have a 20 foor easement. Structure can be sited as proposed. I contacted owner and contractor. Public Works Review Structural Review 01/27/2004 01/27/2004 01/27/2004 APP RJB No review done, normal handouts. 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. 11 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 1 Curbcut - Standard: After forms are erected but prior to placement of concrete. 2 Erosion/Grading Inspection: After all erosion measures are In place. 14 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 4 Footing: After trenches are excavated. 12 Slab: To be made after all inslab building service equipment, conduit piping and other equipment Items are in place but prior to concrete. 6 Manuf Home Set Up: When installation of all piers or stands is complete. 3 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. 5 ManufHome Plumbing: After home has been connected to water and sewer. 13 Storm Sewer Line: Prior to filling trench. 7 MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. 9 MH Service: Approval required prior to utility company energizing service. 8 MH Pedestal: Approval required prior to utility company energizing service. 10 Sanitary Sewer Line: Prior to filling trench and including required testing. 15 Water Line: Prior to filling trench and including required testing. 16 Rough Electric: Prior to Cover 17 Final Electric: When all electrical work is complete. 18 Temporary Electric: Approval required prior to Utility Company energizing pole. Pal!e 3 of 4 . Status Issued . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . \...11 i' OF ;SrK11~l>t<1J'.LD Building/Combination Permit PERMIT NO: cOM2004-00022 ISSUED: 01130/2004 APPLIED: 01108/2004 EXPIRES: 07/30/2004 VALUE: $ 7,000.00 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. oi1.~~!i.~ . Pa!!e 4 of 4 /--30 - tJ1 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 Payments: Type of Payment Check "" ii-I Receipt #: 1200400000000000144 Description Willamalane ManufHome Private Manuf Home State Issuance Addressing Assignment Building Permit Manufactured Home Placement SDC MWMC Improvement SDC Transpo Reimbursement SDC Transpo Improvement Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Storm Drainage Impervious Area Sidewalk Permit SDC MWMC Reimbursement Curbcut Permit SDC SanitarylStorm Admin SDC MWMC Administration SDC Transpo Admin Annexed 1998 PW Mult Disc - 2nd Permit Plan Review - Planning Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1st 50 Feet Manufactured Home Connection Manufactured Home Feeder Manufactured Home Service Temp Power 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By djb l:heck Number Batch Number Authorization Number Paid By NADA ZA WODNY 4729 City of Springfield Official Receipt Development Services Department. . Public Works Department Date: 01130/2004 2:42:29PM . Amount Paid Item Total: 1,000.00 30.00 31.00 84.00 960.00 214.23 164.89 727.42 378.62 498.08 854.92 75.00 314.63 75.00 103.91 10.00 53.54 (13.88) (30.00) 59.00 45.00 45.00 45.00 45.00 50.00 50.00 50.00 3.00 96.39 137.70 $6,157.45 . . How Received In Person Payment Total: Amount Paid $6,157.45 $6,157.45