HomeMy WebLinkAboutPermit Building 2006-10-10
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Status
Issued
-
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
aITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00700
ISSUED: 10/10/2006
APPLIED: 06/08/2006
EXPIRES: 04/10/2007
VALUE: $ 22,000.00
SITE ADDRESS: 5660 Daisy St 67 Springfield TYPE OF WORK: Manufactured Home on
ASSESSOR'S PARCEL NO.: 1802041106120 Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Manufactured home relocated on same lot
Owner:
Address:
RANDY ALLEN
PO BOX 70491
EUGENE OR 97401
Contractor Type
Electrical
Manuf Home Inst
Plumbing
Phone Number: 541-484-1417
NOTICE:
nllS ot:QI\AIT ~HALL EXPIRE IF THE WOR~
,. .: '. 1''''0 NDER THIS PERM!' I::' I\lU I
CONTRACTOR INFORMlNI6N R IS ABANDONED FOR
ANY 1I3iSe)fs'e PERiOO>iration Date Phone
63137 02115/2008 541-729-1500
91504 05/14/2007 541-979-8709
66447 05/07/2007 541-689-7762
Contractor
RALPH W BROWN
MIKE WHEELER MH SET UP
HARRISON JACOBSON INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1 '
R-3
VN
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
5.60
13.00
15.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
BUILDING INFORMATION I
3
# of Stories: 1 Lot Size: 3,802
Height of Structure Sq Ft 1st Floor: '
Type of Heat: orced Air Electric Sq Ft 2nd Floor:
Water Type: Electric Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Cel\5~Q1l'\O
Energy Path: . S%l\hQttieRU\t ,,\,)\\\\\'1
Sprinkled Building: "n~~..O{e~C~MP,"b(Q'it'a~O set \Ort.\'
~CN' \ . _ _H~d O'j'rc, 9.te _ ,,^'"
I DEVELOPMENT INFOR~-l\ItON"r;:,,~~f .1no~~~' ~n O~Ft ':9;\:~ b)
..., ~\\\ca\\'" OO'\-OO'\O~ l..~ltIJI,R'ED~"iRI5ING
\",,0 ~ 952.- 0\0.\" cO i \'\0 \lS\e9 ."
Overlay Dist: \" O~ 'l u f{\a'l 0 ~",Ql1ll'tal: N,o\\\\Ca\\O 2
# Street Trees Rqd:0090. .0 \niS cGl,\st. ~ot\l'3Nc'i:~a.J?Rl~:
Paved Drive Rqd: ca\\,,,g \Of \nS OtS 80GQJ!lpa1:~
% of Lot Coverage: "Uf{\'oet c~kJ9.' \s '\-
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Fully Improved
Yes
Notes: No SDC fees
Curb and Gutter
Paee 1 of 3
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.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00700
ISSUED: 10/10/2006
APPLIED: 06/08/2006
EXPIRES: 04/10/2007
VALUE: $ 22,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descri~tionJ
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
2,000.00
20,000.00
Value
Date Calculated
Foundation Onlv Use Bid Amount
Manuf Home Manufactured Home
Total Value of Project
$2,000.00
$20,000.00
$22,000.00
06/08/2006
06/08/2006
~
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 8% State Surcharge
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Feeder
Manufactured Home Placement
Plan Review Minor - Planning
Amount Paid
Date Paid
$29.25
$25.50
$20.40
$30.00
$45.00
$50.00
$160.00
$112.00
6/8/06
10/10/06
10/10/06
10/10/06
10/10/06
10/10/06
10/10/06
10/1 0/06
Receipt Number
1200600000000000828
1200600000000001506
1200600000000001506
1200600000000001506
1200600000000001506
1200600000000001506
1200600000000001506
1200600000000001506
Total AJ1lount Paid
$472.15
I Plan Reviews I
Initial Review 06/09/2006 06/09/2006 APP SKG
Planninl! Review 06/09/2006 06/26/2006 APP TAJ Street tree is not required if there
already is one.
Public Works Review 06/09/2006 06/13/io06 APP CAS Relocate on same lot same home no
SDC Fees apply 6/13/2005 CAS
Structural Review 06/09/2006 06/28/2006 APP RWC
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.
Manuf Home Set Up: When installation of all piers or stands is complete.
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.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
Foundation: After forms are erected but prior to concrete placement.
Pal!e 2 of 3
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.
.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00700
ISSUED: 10/10/2006
APPLIED: 06/08/2006
EXPIRES: 04/10/2007
VALUE: $ 22,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax'
541-726-3769 Inspection Line
Manuf Home Plumbing: After home has been connected to water and sewer.
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 ~ctiun. '" f 9 ~ I ~ _ 0 (,
Owner or ~nt~tors Sign at - Date
, Pae:e 3 of 3
.
:..:,:',' :", CITY 'OF ~r'RINGFIEL[)"'OREGON' ,'" ':" >" , .,'
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225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number tf)I'1~..- ()O;;"oo
1. I LQ'CATION'oif:Ws.i{kLi:AfrJ6N/,:lL"'<;:::;';;"J
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LEGAL DESCRIPTION r
J~Oi.f1l OblU/
JOB DESCRIPTION
Date
SPRINGFIELD,
L-Lf\t'~
,..~" -~
(, ' ,
,:: ".: , ' ~'
3. l;lc(iJ~j:;~1.[~':fEiz.,1if:lIE'iilitE:ji!1LOW'
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A. 1':i~~~~ii~~~d~nj!~.I~~~ipglee'.6r'l\1ulti,.Fa~jjJyper,~~~iI'jng'~njt:" .1
2. 'i:::Qlv~n~A~'i~~~I~si~M~I~~'~~:~d B. !~~,~~jt~~iR:f.e;~~~~~!Jrtst~i"atio'n~~lt~/'ati()l~s,or, Reloc~tj.on:, ,j
Electrica] Contractor 7t ~
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Service Included
Jv1MvkfurJ J-j,tr\e..- f1la~ I-
1000 sq. ft. or less
. Each additional 500 sq. ft. or
portion thereof
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Each Manufact'd Home or
Modu]ar Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
GoO 60] Amps to 1000 Amps
Phone 72- ~ ,-I Over 1000 AmpsNolts
, Reconnec.t OnI\. A..N'J
. ' S 'oO\\:l3d k'JU U'tl _'
Supervisor License Number C( /i5a-]MO n 11.1 \oJ n \oJli"'\ llftt1'l)~~~~_c~S'~':'f'eeaers,'" .
. ~u~ i~ ~I~V~V; aN~~3i'iH'tJRn\'v' ','
10 /1 ;{ eN 6\ 1\\f\\B3d S\H ~~~iv~~\Sef}\ti'dn or Relocation
I '~~~Mf3Hl ~\ :\tHdX3 1200 Amps or~lON
Constr. Contr. Number (, 201 Amps t~ ~OO Amps
401 Amps to 600 Amps
City
/,0 Cf'z-
~~
c/
Address
Expiration Date
Expiration Date
c:l/' 1/ O/J'
$106.00
$ ]9.00
1
$50.00 f:b100
$ 63.00
$ 75.00
$125.00
$]63.00
$375.00
$ 50.00
"
I
$ 50.00
$ 69.00
$100.00
Signature of Supervising Electrician
Over 600 Amps or 1000 Volts see "B" above.
~"" 'l""";""""'~ '",",''''~''' H"- ,: ,:,'.' .....".. .. ,
"",- ''Ii'- "''',' ''4'', ,.~ ," ',' '~t,"f'-, "'4 ~'''. "'. '-' " """'. : . ~, "
D. ',B6inclFCircuits,:-"," , . ,;' " "', ' '"..
.^">c;<,..Ci>".d'~'_ ,1l<~~J""""'~"",J",""..")-":"i'"""",,,, "', 1..,1 . I, _ \, l. '.
, I
J) .4.... _ _. New Alteration ,0rrExtension Per Panel
&./ 1,d'VlfU/\/'-- ,,,Q-' 51 Je~uoJ
! V€G-G€~~lrcult JO~ Jaqu.lnU
,L: \ V A\I\llflfacli~dliili~Ji' Cirf\9tl9~l\'6th
t\11 .le~m~ON 01~i :~fJYtqe'OPlF~'@tl'e~P\RB~ '0600 $ 3.00
. I""(~_ ~n,\da\0~ ~ l~Wtl10 A'eW .- '11
\ \Q c.sa\nJ 84\ ~O Sf.~liai!~~~~~.f:~lIot,i/lC~Uded) "':~~eh ,~nstaJlatlon ,j
A.~S\l~~)f!O, aso\.\l.'Ja\ua~,(J9. 0 \Ol
\~~~~ s \n'PumPaopmlg1!V'Oll\J&\nJ M \ 'V $ 50.00
... F,\;\,\n uo6aJ ~\M)ffiiS~~tmglN311 $ 50.00
~'l.'noF. saJ\,nbeL~~t~d Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. ~$,~,.:):QJ:4'ii,1f~p,"vE.'~ '-',', , ,'" '; ;1
'~7'~"''''''''''';;'' <.,~''t'.)"Sl\; ',.<( ..;. ..,", ,c, ". ..?: _'-.
,
~
8% State Surcharge
10% Administrative Fee
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Inspection Request: 726-3769
TOTAL
$ 43.00
so ,00
4100
S:oo
J1 ~ ,Ob
Shared Drive(T:)/Building FonnsIElectrical Permit Application (-06.doc
225 Fifth S.treet
, ' .
Spribgfidd, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00700
COM2006-00700
COM2006-00700
COM2006-00700
COM2006-00700
COM2006-00700
COM2006-00700
Payments:
Type of Payment
Check
cReceint I
.
Cwf Springfield Official Receipt
~opment Services Department
Public Works Department
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RECEIPT #:
Date: 10/10/2006
10:46:41AM
1200600000000001506
Description
Manufactured Home Placement
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Feeder
Plan Review Minor - Planning
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
160.00
30.00
45,00
50.00
112.00
20.40
25,50
$442.90
Paid By
RANDOLPH ALLEN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 871 In Person
Payment Total:
$442,90
$442.90
Amount Paid
Page 1 of 1
10/10/2006