HomeMy WebLinkAboutPermit Building 2008-4-30
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CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00569
ISSUED: 04/23/2008
APPLIED: 04/23/2008
EXPIRES: 10/23/2008
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 25
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 L TD PTRSHP
Address: 7007 SW CARDINAL STE 185
PORTLAND OR 97224
I CONTRACTOR INFORMATION I
Contractor Tvpe
General
Electrical
Manuf Home Inst
Plumbing
Contractor License
EASTSIDE FLOORS & CONSTRUCTION IN 469
LR BRABHAM 8699
JERRY PAUL OTT 69455
EASTSIDE FLOORS & CONSTRUCTION IN 469
BUILDING INFORMATION I
Expiration Date
01107/2010
12/1812010
09/2612008
01107/2010
Phone
541- 726-5593
541-747-6638
541-935-2696
541- 726-5593
# 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
Frontyard 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:
ArrENTlON: Oregon law reqppoom<r !fMPROVE~
follow rules adopted by the Ulol;julI I....IIHy e-
Street Impr#<<)tffimUi'on Center. Those rules are 50: forth THIS PERoM/fdewalk Type:
Storm sewerB~p~-001-001~throu9h OAR 952-001- AUTHORlzEe9~~A!J..&>mf~~sf..F THE WORK
Special InstruVc.llQu' OU may obtam caples of the rules by COMM UIVUtJrTHIS PERMIT IS NOT
calling the center. (Note' the telephone ENCED OR IS ABAN
Notes: number for the. Oregon Utility Notification ANY 180 DAY PERIOD DONED FOR
Center IS 1-800-332-2344). .
Paee 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: COM2008-00569
ISSUED: 04/23/2008
APPLIED: 04/23/2008
EXPIRES: 10/23/2008
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
4/23/08
4/23/08
4/23/08
4/23/08
4/23/08
4/23/08
4/29/08
4/29/08
4/29/08
4/29/08
4/29/08
1200800000000000392
1200800000000000392
1200800000000000392
1200800000000000392
1200800000000000392
1200800000000000392
2200800000000000543
2200800000000000543
2200800000000000543
2200800000000000543
2200800000000000543
$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.
~eouire~nSDections 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 Horne 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.
Pal!:e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00569
ISSUED: 04/23/2008
APPLIED: 04/23/2008
EXPIRES: 10/23/2008
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
Pa2e 3 of 3
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:bhalada@quixnet.net
Receipt # EC529448
4/28/2008 2:05:43 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@cl.sprmgfield.or.us
""
.JTYPE OF WORK
"'>I',1f'",, ,
[K] AdditIOn/alteration/replacement
J
D New construction
- ..J;:.;r.~q~:i:.~G9RY'IOF'CONS~.RU~~IQN"
lliJ I or 2 family dwelling D Multl-fmmly D CommercIal /Industnal
'.'f\I'I~.;\IJOBdSl'TE"INFdRMATIONAND' ~OCATIONd71 i 1'1'
Job no. 6963 I Job address: 4475 DAISY ST
City/State/ZIP: SPRINGFIELD, OR 97478-6650
I SUlte/bldg.!apt.no.: SPC 25
I Project name: COMMONWEALTH REAL ESTATE
Cross street/directions to Job site:
1 SubdIVISIOn: I Lot no.'
I Tax map/parcel no.' 1702323406500
I . " DESCRIPTION' OF WORK
SERVICE INSTALLATION
4\!(r/,
'SIT~.qQ.~IACT ,
, .:;(. "
'"
IName' DAVID
I Phone' (541) 953-1452
I Emall:
I
lEI. IIc. no.: 20-87C
I Busmess Name: LR BRABHAM INC
I Contact: 8699
IAddress: 68 W Q ST
I Clty/State/ZIP: SPRINGFIELD OR 97477-2142
I Phone: (541)7476638 I Fax: (541)7477157
I Emall: bhalada@qUlxnet net
I Metro hc. no :
I Supervlsmg electriCian's hc. no.: 4944S
I Supervlsmg electriCian's name: LARRY R BRABHAM, JR
IFax:
..1+~q9NTRACTOR
I CCB IIc. no.: 8699
,'>{ /
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", ' '"
I DescnptlOn I Qty. I Ea. I Total
Resldentlaf SINGLE- OR multi-family 'dwelling umt. Includes
~ ~"'Jv v 0'" >>1 ," 1"~! ~ '" ,t "" '0-/\ '
'att~~~~~ g~i~~~~'II'Mjlf"~I~~;'"I'(\\Id/I~\i" ',1 '11 ,,1'1',
11,000 sq ft orless
I Ea addl 500 sq ft or portion
I Llm;tedl'lEnergy "
I-Limited energy, reSidential
(With above sa ft)
I-Limited energy, multlfmmly
reSidential (With above sa ft)
I-Limited energy, commercial
(With above sa ft)
I - Stand-alone limited energy,
reSIdential
I . Stand.alone limited energy,
multl-fmmlv
I - Stand-alone limIted energy,
commercial
I Service~ OR feeders i,nstalla~lOn, aU~ration, AND/OR relocation
1200 amps or less I $70 00 $70 00
1201 amps to 400 amps
140 I amps to 599 amps
TEMPORARY services OR feeders mstallatJon, alteratIOn,
AND/OR r~location):':) ,. ',.',. '
, II >illl "I<I'I~
1200 amps or less
/" 120 I amps to 400 amps
140 I amps to 599 amps
I BH~~.;5u;cUlts'!:"NE'Y;,,~~i~~,~~lOn, pR extens~o~, ,~~,r Pl/I!~I"."
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 MI~S.~},Il/.lIeous~ "
I Service reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
I Pump or lITIgation Circle
I Sign or outlme IIghtmg
Signal clrcult(s) or IImlted-
energy panel, alteral1on, or
extension
I,
I
I
I
I
* City Of Sprmgfield
FEE SCHEDULE
" ,
$5500
$5500
not offered online at thiS JUrISdictIon
\ ELECTRICAL PERMIT FEES
Subtotal $12500 I
State Surcharge (12% of pen TIlt fee) $1500 I
City OfSprmgfield fees * $1875 I
TOTAL PERMIT FEE I $158751
10% Local Admm 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
COM2008-00569
COM2008-00569
COM2008-00569
COM2008-00569
COM2008-00569
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000543
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:
9:30:48AM
Amount Due
5500
7000
625
1500
1250
$158.75
Amount Paid
$158 75
$158.75
4/29/2008