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Home My WebLink AboutPermit Building 2004-10-5 . Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1120 FAIRVIEW DR SPACE 60 ASSESSOR'S PARCEL NO.: 1703273100600 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01239 ISSUED: 10/0512004 APPLIED: 10/05/2004 EXPIRES: 04/0512005 VALUE: Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential I CONTRACTOR INFORMATION I License PROJECT DESCRIPTION: Replacement MIl selup Owner: LAWRENCE HALL Address: 2241 SOUTHSlDE RD SUTHERLIN OR 97479 Contractor Type Electrical Contractor OWNER BUILumG INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: VN Pbone Number: 726-6803 Expiration Date Phone nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupanl Load: , DEVELOPMENTINF~RMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: , I PUBLIC 1l1'lC"'v v EMENTS I Slreet Improv~ON: Oregon law requires you to fnllnw.mles adopted by the Oregon Utility Stor'." Sewer rr.ap-~tfon Center. Those rules are set forth SpeclSl Instr~tgifR 952-001-0010 through OAR 952.001- Notes: 0090. You may obtain copies of the rules by calling the center. (Note:~he tel~p'ho.~~_ IlUmoer 101 LIlli:: VI'(;~VII ....LI"... I !_-".:..:.--.. Center is 1-800-332-~~al\lation Descrioti.on I Description $ Per Sq Ft or mulliplier Square Foolage or Bid Amounl Type of Construclion Total Value of Project Pal!e 1 of2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: 'OOIH3d Alia OfH J.NII ~n I (LJunt ~II<I!JI< SI HO 03JN3\^H'JOJ. vownspou 51 vra ns: ION SI llWH3d SIHl H30Nn 03ZIHOHln\i )l\,JOM 3Hl :!I 3HldX3 llllHS llWH3d SIHl :3~IION Value Date Calculated . . Ll1 r OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01239 ISSUED: 10/05/2004 APPLIED: 10/05/2004 EXPIRES: 04/05/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line L.Fpps Pfclid I Fee Description + 10% Administrative Fee + 7% State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmh Manufactured Home Feeder Manufactured Home Placement Amount Paid Date Paid $25.50 $17.85 530.00 545.00 $50.00 $160.00 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 Receipt Number 2200400000000001244 2200400000000001244 2200400000000001244 2200400000000001244 2200400000000001244 2200400000000001244 Total Amount Paid $328.35 I Plan Reviews I 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 RpllUirpd ~dirnsJ Manuf Home Set Up: When installation of all piers or stands is complele. Final ManufHome Sel Up: After all required Inspections are requesled and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, elc. have been inslaIled. Manuf Home Plumbing: After home has been connected to water and sewer. MH Electric: When blocking, selup and plumbing inspeclions have been approved and the home is connected to the panel. 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 iu 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 al the front of the property, and the approved set of plans will remain on the site al all times during construction. -----~ -::-_----- 10-5-0'7 - - Owner or Contractors Signalure Dale Paee 2 of2 1120 West Fairview Drive #60, Springfield IWjShed ~ do:: Mo~il; ...... ....H..... _ ............__... A G) -c /"''. (~ Not to scale ~ . . ~;c";':,"'" "~'.' 'dTY' OF'~ tlNGF'I1~i;iY~'()RE'G6N/' ::."r 1.",':,:,~' .!i..~; :.;::. '~::;, .... ,~~ ;,,,,' .~ --:,.... ~ _., '. ;....::.. '::'l -i'. ~'. :' :'~'.'''y:.. . .;, ;,;. 225 FlFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726.3689 ELECTRICAL PERMIT APPLICATION City Job Number ~2..bD~ -0 /)~ _? '1 I. l,;r,'gf24TIQN; {Jl{iNsiAjjLAi:r()N,i\;g>:*~'t:\J //2.0 ~/b) #~O LEGAL DESCRIPTION /70J, 27 r / l>O&7 00 JOB DESCRIPTION R...p !UN'"'''' .{. fro" 6,1. /4...... Permils are non-transferable and expire if work is ,- not starled within 180 days of issuance or if work is Suspended for 180 days. 2. !ffiQEt~~tg,~:~sj;~~lZ~&~~fi / / Phone / Electrical Contractor Address City Expiration Dale / Constr. Contr Number Si ature of Supervising Electrician Owners Name / _,.,1("'/'1(.' ,./.. If Address 1/2...0 ~N Vt'~1..I "'Cd City ~. c;., /1 S'fl Phone 4' 59. IJIf OWNER INST ALLA nON The installation is being made on property [ own which is not intended for sale, lease or rent. Owners Signature: ~-rf / Inspection Request: 726-3769 SPAINOFIELD ~ ~"bk H~~~" ." .I'Y.p:9!' I'. C . ", -- - .,-'-,'" ='.' ," ",-- ."'" "'i\-~.' "'."". "., j""\ 3. : c.qJ.l1J~.f,J~IE ~E'Sc:!l~D,.1.1J;.E1!EI~9}J'2"~'5i:''''~.:~;I';'~ ~, Date A.t(~f~T~~f~i~5i~\~'Ji~1~l~;iivfti~:f~~ii1f~J~1ii~lj;1~j7~~f:d ~~"" '....-..1...... - ......., _.............. Service Included 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 I $50,00 ? 0 ~ ~ "':",~0'''~'':''': ~ B. ~se~~i~~l~'f'iF~~tTh~-J-'~~:iri~t;il'~ti6'ii:-:Ait~i':ti~ri'~;r~riR;I:6c;tr~;~~;-,1 ._,;'i!1ch:A ......,.., _' '..-.~~ ~J' .~~':"-;2Hi.;U_r..":./'^.j~~':"' r:.~"',"',:'~1':,,qt'3__.p_ :>I}r"j.;;;,-.-;""'I 200 Amps or less 201 Amps 10 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVolts .Reconnect Only $ 63,00 $ 75,00 $125,00 $163,00 $375.00 $ 50,00 c f.' if'" ,,"'"" ie, '~r-" '"""c~"j;"';'d""-"-':i"<'7'"~ ,;." "'~~~~""''',-~ . ,':", e~ P~F~_ry; e,rytc.es,p,r,; _ _ee_,,_~J;'St~"'::: _--~_();;,,~]';_:_{: "': -~- -.,f'}?": -~'_>!~-''''. Installalion, A11eration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above, D. $ 50.00 $ 69,00 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuil or with Service or Feeder Permil $ 43,00 $ 3,00 E. ~'~~Ii.~~;0.~s'(s'~~i~;/r~f~~~A6t'h;frudedr~E.i;~h,-'i.ii!~.Ji~ti;;]j Pump or inigalion SignJOulline Lighling Limited EnergylResidenlial Limited Energy/Commercial $ 50.00 $ 50,00 $ 25,00 $ 45,00 Minimum Eleclric Permil Inspeclion Fee is $45.00 + Surcharges 4 kSuBrOTAL OF1lBOVE';:1 "' . -''" '........'.;<.. . [.'-': ~'__:""'';,i~'''\';'''''::::C'', ,--'~ -.Y ~!:'.,:,,:r._~"::"tj~;"ZJ:}'>{~Lrtj! ,()L) t>C .3.~ ~. ()0,6 c;- ~J~ 7% Stale Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)JBuilding Fonns/Electrical Pennit Application 1-03.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ;~.....F..I~ ....'........ 1Itr.. j . , --_....--~-- .' " JiiilY of Springfield Official Receipt "elopment Services Department Public Works Department Job/Journal Number COM2004-0 1239 COM2004-01239 COM2004-01239 COM2004.0 1239 COM2004.0 1239 COM2004-0 1239 Payments: Type of Paymenl Cash 10/5/2004 RECEIPT #: 2200400000000001244 Date: 10/05/2004 Description Manufactured Home Placemenl Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder + 7% Stale Surcharge + 10% Administralive Fee Paid By LAWRENCE HALL Item Tolal: Check Number Authorization Received By Balcb Number Number How Received dIm In Person Payment Total: Page I of I 11:57:26AM Amount Due 160,00 30.00 45.00 50,00 17,85 25.50 $328.35 Amounl Paid $328.35 $328.35