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Home My WebLink AboutPermit Building 2004-5-3 . . CITY OF SPRIr~ljNJ!.LD Building/Combination Permit PERMIT NO: cOM2004-00022 . ISSUED: 05/03/2004 APPLIED: 0110812004 EXPIRES: 1112412004 VALUE: $ 67,000.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ZA WODNY Address: 138 MAIN ST SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Manuf Home Inst Plumbing BUILDING INFORMATION I # of Stories: ~OlICE: IT SHJl.LL iXtiilJUe!f THE WOflK Height of StrucldW) PE~~I~\J!'lDEfI ~q\m ~\il;I&l:IS NOT Type of Heat: AUTHOfl E ctl~ IS ~.fl\I~fOfl Water Type: COMMENCE q'fiBasement: Range Type: ANI( 180 DAI( PEfllO II Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkied Building: n/a Occupant Load: I CONTRACTOR INFORMATION I Contractor RAKOCZY WELKER ENTERPRISES INC EVERYDAY ELECTRICAL SERVICE COMFORT FLOW HARRISONJACOBSONINC RS PLUMBING CONTRACTING License 56636 136371 460 66447 103816 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: 1 R-3 VN I DEVELOPMENT INFORMATION I Phone Number: 541-746-5726 Expiration Date OS/22/2004 08/12/2005 06/27/2005 05/0712004 01104/2006 Phone 541-895-8606 541-607-6908 541-726-0100 541-689-7762 541-461-4714 o 1,782 o 1 Yes 19.60 REQUIRED PARKING Total: 2 Handicapped: Compact: 29.00 Overlay Dist: 20.00 # Street Trees ~'tb ATTE~OqOi'I-~~ij~ f0I10wrny..~ad~~~~czi~ "'n!iftcatiJr\~~ ~ . ,.,^......'Uln~o In OAR 952-UUldB~~tr.tuMED<lIJ I 0090. You i'iIllV :\no~W.L . . call1n...tM~!1. IMlOW ..._....... SIdewalk Type. C b'd 5' 'd''tI.lV tiiii'U oV,iil.:n Utillty \\!cm~' ur Sl e number for the .~~ ~~~~ DownspoutslDrains: Curb and Gutter Intrusion ~~~ny otlier portion of the proposed structure into easement area is prohibited. Pal!e 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction . I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $1.00 Foundation Onlv Use Bid Amount ManufHome Manufactured Home Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ 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 Refund - Manufactured Home Refund - Surcharge + 10% Administrative Fee + 7% State Surcharge Square Footage or Bid Amount 7,000.00 60,000.00 Total Value of Project Fpp< tiWIJ 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 $-800.00 $-56.00 $4.50 $3.15 Date Paid 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 1/30/04 1/30/04 1/30/04 1/30/04 2/2104 2/2104 5/4/04 5/4/04 Pal!e 2 of 4 . CITY OF SPRI~lj1'1J!.LlJ Building/Combination Permit PERMIT NO: cOM2004-00022 ISSUED: 05/03/2004 APPLIED: 01/0812004 EXPIRES: 11124/2004 VALUE: $ 67,000.00 Value Date Calculated $7,000.00 $60,000.00 $67,000.00 01/08/2004 01/08/2004 Receipt Number 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 VOUCHER # 72499 VOUCHER # 72499 1200400000000000614 1200400000000000614 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Add, Alter, Extend Circ Minimum/Adjustment Electrical -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Total Amount Paid . . CITY OF SPRIl'llj1'1J!.LD Building/Combination Permit PERMIT NO: cOM2004-00022 ISSUED: 05/0312004 APPLIED: 01108/2004 EXPIRES: 11124/2004 VALUE: $ 67,000,00 $43.00 $2.00 $10.00 $4.50 $3.15 $12.00 $33.00 5/4/04 5/4/04 5/24/04 5/24/04 5/24/04 5/24/04 5/24/04 1200400000000000614 1200400000000000614 1200400000000000794 1200400000000000794 1200400000000000794 1200400000000000794 1200400000000000794 $5,471.35 I Plan Reviews I Initial Review 01/27/2004 01/27/2004 APP RJB Planninl! 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 Structural Review Sub2003-00018 PLA adjusted the south prop line. 01/27/2004 Planning requested Ire-review slteplan 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. No review done, normal handouts. 01/27/2004 APP RJB 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, , Rpnllirpfl Tnsnections I 13 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Erosion/Grading Inspection: After all erosion measures are in place. 17 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 5 Footing: After trenches are excavated. 14 Slah: To he made after all inslab huilding service equipment, conduit piping and other equipment items are in place but prior to concrete. 7 ManufHome Set Up: When installation of all piers or stands is complete. 4 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. 6 Manuf Home Plumbing: After home has been connected to water and sewer. 15 Storm Sewer Line: Prior to filling trench. 8 MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. 10 MH Service: Ap'proval required prior to utility company energizing service. 9 MH Pedestal: Approval required prior to utility company energizing service. 12 Sanitary Sewer Line: Prior to filling trench and including required testing. Pal!e30f4 -Iii Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . Lll}' OF ~rK1NGFIELD Building/Combination Permit PERMIT NO: cOM2004-00022 ISSUED: 05/03/2004 APPLIED: 01108/2004 EXPIRES: 11/24/2004 VALUE: $ 67,000.00 18 Water Line: Prior to filling trench and including required testing. 11 Rough Electric: Prior to Cover 1 Final Electric: When all electrical work is complete. 16 Temporary Electric: Approval required prior to Utility Company energizing pole. 19 Rough Mechanical: Prior to Cover 20 Final Mechanical: When all mechanical work is complete. 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. ~ !--- OJ /'.;)'--1/C) L\ Owner or Contractors Signature Date Pal!e 4 of 4 225 J:iftli Street Springfield, Oregon 97477 541-726-3759 Phone . .~.-'i ~; ~..;,.' av of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 1200400000000000794 Date: 05/24/2004 2:20:20PM Job/Journal Number COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 Description + 7% Stale Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Payments: Type of Payment Paid By Check COMFORT FLOW Item Total: Check Number Authorization Received By Batch Number Number How Received djb 25999 In Person Payment Total: Amount Due 3,15 4.50 12.00 33.00 10,00 $62.65 Amount Paid $62,65 $62.65 5/24/2004 Page I of I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . RECEIPT #: Job/Journal Number COM2004-00086 COM2004-00086 Description + 7% State Surcharge + 10% Administrative Fee Payments: Type of Paymeut Paid By Check VINCENT ZA WODNY 57{gtf RiGlt- (!;t- 5/1 3/2004 a~~~~~9.~~' .._..__.._. .'. 1IAir' ~, , '.';"'._ i "......~-.......c_.. -" ., ~~y of Springfield Official Receipt Wevelopment Services Department Public Works Department 2200400000000000541 Date: 05/13/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 199 In Person Payment Total: Page 1 of I 8:06:41AM Amount Due 9.24 13,20 $22.44 Amount Paid $22.44 $22.44