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Home My WebLink AboutPermit Building 2013-10-24 SPRINGFIELD--... 225 Fifth St _; CITY OF SPRINGFIELD Springfeld,OR 97477 � ,;�=_,t< Phone: 541-726-3753 .\ OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-02302 www.springfield-or.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/24/2013 EXPIRES: 04/22/2014 STATUS DATE: 10/24/2013 APPLIED: 10/15/2013 SITE ADDRESS: 4824 HIGH BANKS RD,Springfield,OR 97478 SCOPE: Manufactured Home on Private Lot ASSESOR'S PARCEL NO: 1702280000500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace manufactured home on private lot OWNER: RICE FARMS LLC • Phone Number: ADDRESS: 33632 MCKENZIE VIEW DR EUGENE OR 97408 . OWNER: RICE PROPERTIES LLC Phone Number: ADDRESS: 33632 MCKENZIE VIEW DR EUGENE OR 97408 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Manufactured Home Installer CONKRAFT CONSTRUCTION INC CCB 172108 09/15/2014 503-209-1373 General Contractor CONKRAFT CONSTRUCTION INC CCB 172108 09/15/2014 503-209-1373 L INSPECTIONS REQUIRED Inspections 5100 Site Inspection Site Inspection: To be made after excavation but prior to setting forms. 5370 MH Installation 5999 Final Manufactured Dwelling 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 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 or 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. ATTEl'it N:�_regon law requires you to 2 y bar 2b 13 Owner or Coniractdrisignatureer. Those rules are set forth Date in OAR 952-001-0010 through OAR 952-001- �lQTICE. SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by THIS PERMIT calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT number for the he Oregon Utility y Notification Center is 1-800-332-2344). COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 10/24/201 9:05:57AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD • 444 225 Fifth St (\« TRANSACTION RECEIPT Springfielc1OR 97477 OREGON 541-725-3753 811-S P R2013-02302 www.springfield-or.gov 4824 HIGH BANKS RD permitcenter @springfield-or.gov RECEIPT NO: 2013002337 RECORD NO:811-SPR2013-02302 DATE: 10/24/2013 [DESCRIPTION - . ACCOUNT CODE/TRANS CODE AMOUNT DUE_3 Manufactured Home Placement 224-00000-425602 1017 437.00 • Manufactured Home State Issuance 821-00000-215009 1089 30.00 Planning-Minor Review-City 100-00000-425002 1231 119.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 52.44 Technology fee(5%of permit total) 100-00000-425605 2099 21.85 TOTAL DUE: 660.29 I PAYMENT TYPE PAYOR CASHIER:CCARPENTER . COMMENTS - _ AMOUNT PAID. -J__LI Credit Card RICE FARMS LLC 660.29 024322 TOTAL PAID: 660.29 • • • • • DEPi ARTMENTUSE'ONLY. l cl4 Y OF SPR 'GFITELD?'OREON ` SPRINGFIELD t n 225 Fifth Street • Sorinefield_OR 97477 • PH(5411726-3753 • FAX(5411726-3689 Manufactured Dwelling/Recreational-Park Trailer Date: /0//J �3 Placement Permit Application j j l This permit is issued under OARs 918-500-0105 and 918-525-0370. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 4 :} LOCAL`69VERNMENT,APPROVALS_ Zoning approval verified: • ❑ Yes ❑No Description Qty. Cost each Total Property is within flood plain: ❑ Yes ❑No (1)Manufactured dwelling Sanitation approval verified: ❑ Yes ❑ No (a)Placement(includes placement, .;-WrCATEGORY'OF dd•Atfibereio NliVItt453 electrical feeder,water/sewer / $437.00 $ ((77 connection): Residential ❑ Government ❑ Commercial ■ (b)Reinspection(no. of hrs.x fee per hr.): $80.00 $ ;:JOB`SITE +INFORMATION?1 AND LOCATION Placement permit can only be obtained by homeowner or Oregon- Job site address: AA 2 X y I hE ' - Rd licensed manufactured dwelling installer. C1ty'Sc1 r t13 -1Q C-1( County: La (2)Recreational-park trailer State: o ZIP:Q l`(4 7 8� (a) Installation(includes stand and lot preparation;support blocking; Subdivision: bt R Space/lot no.: N anchoring; temporary steps;plumbing, $437.00 $ mechanical,and electrical): Reference: tZ 700 Taxlot:'��r ,�g��p��ggg0t / T�' -� (b)Reinspection(no.of hrs.x fee per hr.): $80.00 $ '„°t' ,, ; + DESCRIPTIONOFcWORK'; g � �- � - � °-.d.�B (c)Each additional inspection: (1) $80.00 $ Electrical service permit to be obtained only by homeowner performing Year Manufactured: 2.0(5 work or signing supervisor of Oregon-licensed electrical contractor performing work # Bedrooms: 3 Sq. Ftg: 2 1 11 2 Value:1021OQO `,--.,� '” v� '�EEE SCHEDULE i3�a`�._�. r . -- �;'-PROPERTY„OVIINER 4 1 th'e 12% _. ._ ti (3)Surcharge, (12 x total,equal to 1 or 2): $ !r� Name: rik\Ce'F0.rry‘S `'� (4)State administrative fee for Address: 33( 33 3, ern'.K€1'1tt to JIQA.C) bt manufactured dwelling(item 1) $30.00 1 $30.00 only,OAR 918-500-0105(5): u_ City: 6 �e. State: (0 it ZiP:g7,40e 5% n1 (5)Technology Fee, 5/a $2/_ Phone:54k t26 705D Fax: 5'I) Tilts /20 �y "� TOTAL fees and surcharges(3+4+5): $.tr E-mail: tet oti\ @0 0.0 n1 This installation is being made on residential or farm property owned by me or a member of my immediate family,and is exempt from licensing requirements under-515-0010. Signature: s,�,', x. gCONTRACTOR ?INSTAL(ATION r;--%( BusinessnameCvrxkr0.-4t ebr1S'Irtid-ivvt, hL Address: pm B 0.1 g y(o76 `n/ID mine nct City: Si 1 �j State: 0 R., ZIP:97 2_ er02. Phone:`510 9ri r!! 73211 Fax:5035 _ 03,,2 ' E-mail: Bohr 6 Con r 4#Cons4-t-uiettoh •cam CCB license no.: )721 rug MDI license no.: WAS' CONICR C I Ct a LI Ft Print name: (as 0'A kIozh 1 A kt (503 boa 7350) Signature: - ��_�sj/? Joe Nn ��rd 4�a� -"'-- i vr� GONSTFUGTION V � L1;GAL DESCRIPTION � �O Z Z `lI% d � ZBGa iGM�T� �L THE CONTENTS HERE ON HAVE BEEN RE''✓tE`,"��ED, WITH ALTERATIONS INDICATED ON COLORED PEI��.1L. CHA(lGES OR ALTERATIONS Iv1ADE TO THE APPROVED C�r'i:4i�/INGS OR PROJECT AFTER THE DATE BELOW SH�.LL BE APPROVL-D BY THE BUILDING OFFICIAL. i"hose rules ire set forth p >ugh OAS 952-001-0090. the rules by ceiling the c�= number for the Oregan ? 1-�00-332-2344). 4 :', : ;�, .. � Fei„sy��.0 Z�isl�r {�9cte: the f�atlflcation �'` �'''; . ;_� p ��v � e -- THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COPviMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ��;� I�.� h r � ' c, _.. gg `� �' �'fi �' �! � � �'1� ., t Q � � Z — b L � Z to ' !� 1 �-��'�"-�' �: