HomeMy WebLinkAboutPermit Building 2008-4-1
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00321
ISSUED: 03/07/2008
APPLIED: 03/07/2008
EXPIRES: 10/0112008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2145 31ST ST SPACE 73
ASSESSOR'S PARCEL NO.: 1702302104200
Springfield TYPE OF WORK: Manufactured Home in Park
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: manufactured home in park
Owner: WELCOME WEST MOBILE HOME PARK
Address: 2145 31ST ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Manuf Home Inst
Contractor
JULIE LEIGH FORD
JERRY PAUL OTT
License
171130
69455
Expiration Date
07/20/2008
09/26/2008
Phone
541-434-5600
541-935-2696
BUILDING INFORMATION I
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building,
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pa!!:e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00321
ISSUED: 03/07/2008
APPLIED: 03/07/2008
EXPIRES: 10/0112008
VALUE:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$21.00 3/7/08 2200800000000000301
$25.20 3/7/08 2200800000000000301
$10.50 3/7/08 2200800000000000301
$30.00 3/7/08 2200800000000000301
$50.00 3/7/08 2200800000000000301
$160.00 3/7/08 2200800000000000301
$5.50 4/1/08 3200800000000000199
$6.60 4/1/08 3200800000000000199
$2.75 4/1/08 3200800000000000199
$55.00 4/1/08 3200800000000000199
$366.55
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~eouirecUnsDections I
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.
Manuf Home Plumbing: After home has been connected to water and sewer.
Electric Service: Approval required prior to utility company energizing service.
Pae:e 2 of 3
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00321
ISSUED: 03/07/2008
APPLIED: 03/07/2008
EXPIRES: 10/0112008
VALUE:
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 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
Date
Pae:e 3 of 3
City of Springfield
Electrical Authorization To Begin Work
E-maJled To: JULIE-DPE@COMCAST.NET
Check on status of permit
By Phone: (541)726-3753 or Email: permltcenter@ci.springfield.or.us
D New constructIOn
'iJ~ii~i'TYPE OF WORKi,I)"
lliJ AddJlIon/alteratlOnlreplacement
II
F'EEISPHEDULE'
/'1,1,
,1
I Description I Qty, I Ea I Total I
,Residential SINGLE-iOR midtiifanllly,dwelUng ulli(ilncludes 'II..H'!J.
1<'I'III{x~'''''t ' m;""I""II""~'(ll ~'""'''\''~'i\W'L"/~11Si1 "x.:.,'1"11~11"I'11 r-
attaclled gat;;a~get"t " "j II</;'i/,/~;" ' c Y,,~'I "l"i!>><:i'I:, '
11,000 sq ft or less
I Ea addl 500 sq ft or portIon
,l;~!ted Energy .
- Limited energy, residentIal
(with above sq ft)
I-Limited energy, multIfamily
resIdential (wIth above Sq ft)
I-Limited energy, commercial
(with above sq ft)
I - Stand-alone limited energy,
residentIal
I - Stand-alone limIted energy,
multI-famIly
I - Stand-alone limIted energy,
commerCial
I Sen:l'ce~'bR feeders mstallation,iltlteration, ANIiIOR relocationi....
I Y ('f ~ 'I" '1',1' ' III'" < ' 1
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps I
TEM,PORARY services q~ f~oers IDstallatl<!'!;.alteration,. .
ANDmR relocation. . ,.. .
/200 amps or less
120 I amps to 400 amps
1401 amps to 599 amps ,I
I Branch 'ClrCUits,- N~W, alterabon,'bR extension, pe(panel ..
A Fee for branch circuits with
service or feeder fee, each
branch CirCUIt
B Fee for branch CirCUIts
without servIce or feeder fee,
first branch CirCUit,
I each addl branch circuit
I.Miscellaneous '1" i.
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or lITIgatIon circle
I Sign or outline Iightmg
Signal clrcUlt(s) or Iimlted-
energy panel, alteratIOn, or
extension
'.' '1:ii':il.7, ScATEGORY C)J:'CONSTRUCTIONH1iiii~ii' I'
0/ '1"1.' , ' \-('f>> I" 'lilli"I,
[i] I or 2 family dwellmg D MultI-family D Commercial I Industrial
JOB' SITE INFORMATION 'AND LOCATION"ii',.. ..
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I Job no I Job address' 2145 31 ST ST
I Clty/State/ZIP SPRINGFIELD, OR 97477-1838
I SUlte/bldg lapt no SPC 73
I Project name,
Cross street/dlrectlOns to Job site
I SubdivIsion
I Tax map/parcel no,
I
I Lot no '
1702302104200
DESCRlPTI()N OF WORK .,
, '1'111
reconnect new traIler
SITE CONTACT
'I I>
.
IName
I Phone
IEmad
I
Julie ford
(541) 434-5600
IFax,
':'CONTRACTPR i
I CCB he no,' 171130
',t,
>, "
lEI hc no, C263
I Busmess Name JULIE LEIGH FORD
I Contact JULIE FORD
IAddress 1368 BARRINGTON AVE
I Clty/State/ZIP EUGENE OR 97401
IPhone (541)4345600
I Emall JULIE-DPE@COMCASTNET
I Metro hc no
I Supervlsmg electriCian's hc no 2742S
I Supervlsmg electriCian's name. DOUGLAS G PALMER
IFax (541)7621056
I CIty hc no'
Receipt # EC528039
4/1/20082:06:19 PM
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$55 00 I
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$55001
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not offered online at thiS JUrisdIctIOn
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed within one bUSiness day,
with instructions on how to schedule your inspection
ELECTRIC~L:PERMIT FEES.
NOTE' ThiS AuthorizatIon To Begin Work expIres wIthin 180
days If a permit IS not obtained
I
I
I
* City Of S prmgfield
Subtotal $5500 I
State Surcharge (12% of permit fee) $6 60 I
City Of Springfield fees * $825 I
TOTAL PERMIT FEE $6985 I
10% Local Admm Fee, 5% Local Technology Fee
The local bUilding department may determine that an
Authorization To Begin Work IS null and vOid If It does not
meet apphcable land use laws and local ordinances,
-~
COM~ fTD C - OJS 2L
RCPT#:0'dOlJcf- /9Cj'
DATE PROCESSED: <j -- / ~ Or
\ i'
ThiS Authorization To Begin Work must bP~~~laced b~! a Permit
. ._ I
,. .............
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00321
COM2008-00321
COM2008-00321
COM2008-00321
Payments:
Type of Payment
ONLINE CHGS
cRecelOt I
RECEIPT #:
DescrIptIOn
ServIce Reconnect
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200800000000000199
Date: 04/01/2008
Item Total:
Check Number AuthOrIzation
Received By Batch Number Number How Received
NJM
JULIE Onlme
FORD
Payment Total:
ONLINE
Page 1 of 1
2:29:39PM
Amount Due
5500
275
660
550
$69.85
Amount Paid
$69 85
$69.85
4/1/2008