HomeMy WebLinkAboutPermit Building 2005-11-30
November 30, 2005
Fairview Mobile Home Park
1120 Fairview Drive
Springfield, Oregon 97477
Enclosed is a copy of the permit for the installation of a manufactured home at 1120
Fairview Drive, Space #12, Springfield, Oregon.
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726'3753
FAX (541) 726-3689
www.cl.springfield.or.us
When the permits were obtained, we neglected to properly validate them, I am enclosing
a copy of the permit for you to keep for your records.
Thank you, and if you have any questions, please feel free to phone me at 726-3790.
Sincerely,
v
Lisa Hopper
Building Safety Supervisor
Encl
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01657
ISSUED: 11/29/2005
APPLIED: 11/29/2005
EXPIRES: OS/29/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1120 FAIRVIEW DR SPACE 12
ASSESSOR'S PARCEL NO.: 1703273100600
Springfield TYPE OF
Manufactured Home in Park
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: MANUFACTURED HOME IN PARK
Owner: FAlRVIEW MOBILE HOME PARK
Address: 1120 FAIRVIEW DR NO 16
SPRINGFlELD OR 97477
Phone Number: 913-1024
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Manur Home Inst
Contractor
CAMP CREEK ELECTRIC LLC
JANIC KRENZ
License
164877
157768
Expiration Date
06/09/2007
11/2012007
Phone
541-746-1471
541-689-9225
I BUILDING INFORMATlONI
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Heigbt of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Sethack:
. Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Tolal:
Handicapped:
Compact:
IPUBLlC IMPROVEMENTS I
Street
Sidewalk Type:
Downspouts/Drains
Storm Sewer Available:
Special Instruction:
ATTENTION:Oregon law re\.lUIIl:lti you, ~o
Notestollow rules adopted by the Oregon Utility
Notification Center, Those rules are set fort~
. OAR 952-001-001 0 through OAR 952-001
~090. You may obtain copies of the rules t,
calling the center. (Note: the tele,~ho~e
number for the Oregon Utility NotificatIOn
Center is 1-800.332-2344),
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
I of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01657
ISSUED: 11129/2005
APPLIED: 11/29/2005
EXPIRES: OS/29/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
~ 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
I Valuation Descrintion ,
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Total Value of Project
FI'I'S P:!lid J
. Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placemenl
Amount Paid
Date Paid
$20.50
$14.35
$30.00
$45.00
$160.00
1lI29/05
1lI29/05
1lI29/05
1lI29/05
11/29/05
Receipt Number
1200500000000001759
1200500000000001759
1200500000000001759
1200500000000001759
1200500000000001759
Total Amount
$269.85
I Plan Reviews , I
To Request an inspection can 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. win 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, streel address numbers, trees, driveway, etc. have been inslalled.
Manuf Home Plumbing: After home has been connected to water and sewer.
2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01657
ISSUED: 11/29/2005
APPLIED: 11/29/2005
EXPIRES: OS/29/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 wiD 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 tbis 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 ofthe property, and the approved set of plans wiD remain on the site
atallti~fl~..-- k/>t/t;/J~
Owner-or Contraclors Signature IY Date
.
3 of 3
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Joornal Number
COM2005-0 1657
COM2005.0 1657
COM2005-0 1657
COM2005-0 1657
COM2005-0 1657
Payments:
Type of Paymenl
Check
.IJ.
'(
.'-
~c
c,
c
I,'.
11/2912005
.
.:~'~~P1.~ ". . .
~--~ ;
~"
Jii1Y of Springfield Official Receipt
.elopment Services Department
Public Works Department
RECEIPT #:
1200500000000001759
Date: 11/29/2005
DescrIption
Manufactured Home Placement
Manuf Home Stale Issuance
Manufactured Home Conn - Plmb
+ 7% Stale Surcharge
+ 10% Administralive Fee
Paid By
MELS PREOWNED HOMES
Received By
DLM
1 of 1
Item Total:
l.:heck Number Authorization
Batcb Number Number Hew Received
1159 In Person
Payment Total:
11:06:40AM
Amoonl Due
160,00
30.00
45,00
14.35
20.50
$269.85
Amouol Paid
$269,85
$269.85