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