HomeMy WebLinkAboutPermit Building 2008-4-30
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00439
ISSUED: 04/01/2008
APPLIED: 04/01/2008
EXPIRES: 10/01/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4475 DAISY ST SPACE 130
ASSESSOR'S PARCEL NO.: 1702323406500
Springfield TYPE OF WORK: Manufactured Home in Park
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Manufactured home in park
Owner: COUNTRY MANOR LLC
Address: 2769 SARAH LN
EUGENE OR 97408
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Manuf Home Inst
Contractor
LR BRABHAM
JERRY PAUL OTT
License
8699
69455
BUILDING INFORMATION.
Expiration Date
12/18/2010
09/26/2008
Phone
541-747-6638
541-935-2696
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay DIst:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
HandIcapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improve91ents:
'\ vV~G-G88-008- ~ S! J8lU8::>
Storm 5t)!~wlj\~iJ~lll;n uo6aJO a4l JOJ Jaqwnu
SpeciallJOOqWi;ops4l :alON) 'JalU80 84l CU!IIBO
Aq SalnJ a4l JO saldoo urelqo I\ew nOA '0600
Notes"~OO-G96l::1'v'O 40noJ4l 0 ~OO- ~OO-G96l::1'v'O UI
lUJOJ las aJe S8(nJ as041 'Jalua::> UO!lBO!J!lON
Al!mn u06aJO a4l I\q paldope S91nJ MOllO.
Ol noA saJ!nbaJ Mel uo6aJO :NOI.LN3.lLV
Sidewalk Type:
Downspouts/Drains:
NOTICE:
i~i~~~~~ 3~~~~ W:~R~i~:r~~Z~:
ANY 180 gX$ ~E~:~tBANDONED FOR
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
Manufactured Home Service
Perm Serv/Fdr 200 amps or less
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00439
ISSUED: 04/0112008
APPLIED: 04/01/2008
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
$25.20
$10.50
$30.00
$50.00
$160.00
$12.50
$15.00
$6.25
$55.00
$70.00
4/1/08
4/1/08
4/1/08
4/1/08
4/1/08
4/1/08
4/29/08
4/29/08
4/29/08
4/29/08
4/29/08
1200800000000000292
1200800000000000292
120U800000000000292
1200800000000000292
1200800000000000292
1200800000000000292
2200800000000000539
2200800000000000539
2200800000000000539
2200800000000000539
2200800000000000539
$455.45
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.
~e(]uiredJnSDections 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.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
Pa!!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00439
ISSUED: 04/01/2008
APPLIED: 04/01/2008
EXPIRES: 10/01/2008
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
Page 3 of 3
City of Springfield
Electrical Authorization To Begin Work
E-maIledTo:bhalada@quixnet.net
Receipt # EC529466
4/2812008 5:24:40 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permJtcenter@ci.springfield.or.us
""",'f/;'I'/pl'/:rYPE OF WORK
f'" L=~A<1Ii1 ,,iI' I <c~
>~ ~
"
I
o New constructIOn
[K] Addltlon/alteratlon/replacement
I I,;' "'rt'CATEGORYOF.CONSTRUCTION",,"TH
l' 0, <i",~ \iol '" , ~ <<~w>il' '""WI 1,111 N"" r-
[X] I or 2 famIly dwellmg 0 MultI-famIly 0 CommercIal /Industnal
',I
I /', :C,rTd:'ll;':B*/JOBSITE INFORMATI'6r:J'AND, LOCATION"".:th't:>>'/::;0N
'h" ",<<,1"1<1<11 ,~ifJ"f 'I ., , A_..,' III I I, II ( ,
I Job no.: 6964 I Job address: 4475 DAISY ST
I CIty/State/ZIP: SPRINGFIELD, OR 97478-6644
I SUlte/bldg.lapt.no.: SPC 130
I Project name: COMMONWEALTH REAL ESTATE
Cross street/dIrections to Job sIte:
I SubdIVISIOn' I Lot no.:
!Tax map/parcel no.: 1702323406500
I DE&~Et~Tt9~t,9,~'iYVORK
INSTALL ELECTRIC SERVICE FOR SPACE #130
l't
I
jName DAVE
I Phone' (541) 953-1452
[Ematl.
I
'" " r" I, ,~~ '"" r
,""S,IJJ~99t:{:r~,C:r,
1'iI"
"i ~
IFax:
~), rv "
CONT~~TpR"
I CCB hc. no.: 8699
" '<'I'"
I EI hc. no 20-87C
I BUSiness Name. LR BRABHAM INC
I Contact. 8699
IAddress' 68 W Q ST
I CIty/State/ZIP SPRINGFIELD OR 97477-2142
I Phone. (541)7476638 I Fax: (541)7477157
I Emall: bhalada@qUlxnet net
I Metro hc. no .
I SupervIsing electriCIan's hc. no.: 4944S
I SupervIsing electriCian's name: LARRY R BRABHAM, JR
I CIty hc. no.:
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
NOTE ThIS AuthOrizatIon To Begin Work expIres WIthIn 180
days If a permIt IS not obtained
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
~ I , J, '';, I I'
T' FEE'SCHEDULE
"': ",,,,,1',,)"<,
DescnptJon I Qty. I Ea. I Total
IResidentjal,S~G""E:~R)nultj-familydwelling u!li~.lncludes"' : I
I attached garage ~'"':J'"(~":/1;4''',,,< t '" , " < '; ( "
',III'i"V,11 r' /1 w"~ " , ~
11,000 sq ft or less
I Ea addl 500 sq ft or portIon
.,Llmited-EnergyJ" '[111011"" %..
Ii ,',,(,1, 'h ;r"M"i (,' w ,}
- - Limited energy, reSidential
(WIth above sq ft)
I-Limited energy, multIfamily
reSidentIal (WIth above sq ft)
. LImIted energy, commefCIal
(With above sq ft)
- Stand-alone \tmlted energy,
reSIdential
I - Stand-alone \tmlted energy,
multI-family
, - Stand.alone \tmlted energy,
commercIal
I Services OR feeders ii1"~i~illltlon\ 'alterati~n;AND/OR relocatIOn
1200 amps or less $70 00 $70 00
120 I amps to 400 amps
1401 amps to 599 amps
TEMPORXRyISer:vlces'OR feeders, mstallatJOn, alteration,
<- " ~j~ >"-i" '\"')}' "{~> \~ 11^\~>rL i:' " '- f
. ~~~q~,~~]~~~.~~~n.1 '" ' '. II" " 7: "".
~ " 'I<
1<'1111'" (
, '1',
10',\
200 amps or less
20 I amps to 400 amps
I 40 I amps to 599 amps
''''B'''''''''oIVlh'''i''''''''~I.wts''oIf''''NE'' "'W'.....,,,]'t"'''''t """OR" 't I
,ranc, Cl~~Ul - , ,a era IOn,' "ex enslOn,' per pane 1,/,
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
l Mis~el!a~'~~I~'~lh~,4d' I'~
I ServIce reconnect only
I Each manufactured or modular
dwelltng, service and/or feeder
I Pump or lITIgatIon CIrcle
I SIgn or outlme \tghtmg
SIgnal clrcult(s) or hmlted-
energy panel, alteration, or
extensIOn
I
I
$5500 I
,
\>\11>' "' ,
",
III'
It, '
$55 00
not offered onlIne at thIS JUflsdlctlOn
I:
I
I
I
I
* City Of Spnngfield
ELECTRICAL PERMITIFEESrii I I'
" ,
Subtotal I $12500
State Surcharge (12% of permIt fee) $1500
City OfSpnngfield fees * I $1875
TOTAL PERMIT FEE I $158 75
10% Local AdmIn Fee, 5% Local Technology Fee
ThiS AuthOrization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00439
COM2008-00439
COM2008-00439
COM2008-00439
COM2008-00439
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000539
DescriptIOn
Manufactured Home Service
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/29/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE LR Onlme
BRABHAM
Payment Total:
8:34:40AM
Amount Due
5500
7000
625
1500
1250
$158.75
Amount Paid
$15875
$158.75
4/29/2008