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Home My WebLink AboutPermit Building 2004-5-3 (2) . . CITY OF ~rK11'1lj1'lJ!.LU Building/Combination Permit PERMIT NO: cOM2004-00022 ISSUED: 05/03/2004 APPLIED: 0110812004 EXPIRES: 11/03/2004 VALUE: $ 67,000.00 Status 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 ZAWODNY Address: 138 MAIN ST SPRINGFIELD OR 97477 Phone Number: 541-746-5726 I CONTRACTOR INFORMATION I Contractor Type General Electrical Manuf Home Inst Plumbing Contractor RAKOCZY WELKER ENTERPRISES INC EVERYDAY ELECTRICAL SERVICE HARRISONJACOBSONINC RS PLUMBING CONTRACTING License 56636 136371 66447 103816 Expiration Date OS/22/2004 08/12/2005 05/07/2004 01104/2006 Phone 541-895-8606 541-607-6908 541-689-7762 541-461-4714 BUILDING INFORMATION I # of Units: 1 # of Stories: 1 Lot Size: 0 Primary Occupancy Group: R-3 Height of Structure Sq Ft 1st Floor: 1,782 Secondary Occupancy Group: Type of Heat: Electric Sq Ft 2nd Floor: Primary Construction Type VN Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport 0 # of Bedrooms: Energy Path: Path 1 Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I Yes 19.60 REQUIRED PARKING Total: 2 Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 29.00 20.00 8.60 20.00 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 1 I PUBLIC IMPROVEMENTS I Street Improvements: Fullv Improved ATTENTIO~d6V:~~Mg~ requires you to Curbside 5' Storm Sewer Available: Yes follow rule~~'Otsgon UtRilg and Gutter special&\i~ye~:n: I~tr:si~n of footings, eaves or any other mtiR!!alfdhf(Jl!ll~e'lmrd\5\JUje-....ln.1?El'~rea is Notes: THIS PERMIT SHKll ~~fRE IF THE WORK In OAR 952-Q01-Q010iltrcugh 0AAe524n~ AUTHORIZED UNDER THIS PERMIT IS NOT <<1090, 'Vtlu mav obm!n co~ c1~ iUb<l bi7 COMMENCED OR IS ABANDONED FOR IS8Ilingeln""",,,,,,,,, ~:~~plt::ro 00 ~Ca7~(i."'ti"J,tr~~~ ANY 180 DAY PERI . @cn:l!:jb~';'~:), 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 Foundation Onlv Use Bid Amount Manuf Home 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 . I Valuation Descrintion I , , $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 7,000.00 60,000.00 Total Value of Project Fpp< PiWLI 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 5-800.00 $-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 2/2/04 2/2/04 5/4/04 5/4/04 Pal!e 2 of 4 . CITY OF SrK11~ljFIELD Building/Combination Permit PERMIT NO: cOM2004-00022 ISSUED: 05/03/2004 APPLIED: 01/0812004 EXPIRES: 11/03/2004 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 . ~~ . . \...11:t' OF SrK11"l\.J1'lELD Building/Combination Permit PERMIT NO: cOM2004-00022 ISSUED: 05/03/2004 APPLIED: 0110812004 EXPIRES: 1110312004 VALUE: $ 67,000.00 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 $43.00 $2.00 5/4/04 5/4/04 1200400000000000614 1200400000000000614 Total Amount Paid $5,408.70 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 Sub2003-00018 PLA adjusted the south prop line. Structural Review 01127/2004 01127/2004 APP RJB 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. 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. I Rpnllirprt Tnsnections I 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 and/or 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 Manuf Home 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 Manuf Home 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 . . Lll}' OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00022 ISSUED: 05/03/2004 APPLIED: 0110812004 EXPIRES: 1110312004 VALUE: $ 67,000.00 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. Owner or Contractors Signature Pal!e 4 of 4 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-00022 COM2004-00022 COM2004-00022 COM2004-00022 Payments: Type of Paymeut . CreditCard 5/4/2004 RECEIPT #: ~ ~ MiD' of Springfield Official Receipt .velopment Services Department Public Works Department 1200400000000000614 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By ROBS ELECTRIC Received By llh Page 1 of I Date: 05/04/2004 Item Total: Check Number Authorization Batch Number Number How Received 000373 004438 Phone Payment Total: 7:40:22AM Amount Due 43,00 2.00 3,15 4.50 $52.65 Amount Paid $52.65 $52.65