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HomeMy WebLinkAboutPermit Building 2006-1-13 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00056 ISSUED: 01/13/2006 APPLIED: 01/13/2006 EXPIRES: 07/13/2006 VALUE: '! SITE ADDRESS: 1625 HENDERSON AVE SPACE B2 Eugene , ASSESSOR'S PARCEL NO.: 1703344313302 PROJECT DESCRIPTION: MH in park ~ Owner: 'j Address: MIDWAY MANOR 7007 SW CARDINAL WAY STE 185 PORTLAND OR 97224 'CONTRACTOR INFORMATION I \\\0 Contractor >JileS 'l~~.\cense C & S ELECTRIC I' \'3,\N le61e~01' lY911\'\\ JERRY OTT _ ,,~'. O\e?~rI u'l \'\\~,,\es a.\~ 8~"-55)i- READY RQQ1'~R\DR!\n'!.'PLJj:~ING,&c!{lSP)~S2~; u'l r~' '(U" .-. .'~' .... .-. ~ .. '., :\'(j \0\\0\N ,\-BUILDING 'INFORMA nONI". 01' "ca.\ ' 3.\\ ~\o\\\\ ><2.-\)U' n\'3.\\1 ~'e'. \1 IV ~\o\.\\\V I~ ~p 9" ,,,S .,"'\0' 'h' \~ . (\ 0""" \l ({I#'of ",t\l,~es: \.l\\\\" ~~~. R_\j3\9()''l0 ."'<JIeiglit'l!f,~OI' ,,"2.-2.':'> v 'nC\ \.'\ ",,~"".J "'r\.~,J ca.\\\' ,." \(!'Ype'of Heat: :eel ..,\~ ' VN (\\l({l C:Water Type: "Range Type: Energy Path: Sprinkled ," Contractor Type Electrical Manuf Home Inst Plumbing " #ofUnits: Primary Occupancy Group: Secondary Occupancy Primary Construction Type , Secondary Construction ~ # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: " I Street , Storm Sewer Available: Special Instruction: ., ~ Notes: '. '- TYPE OF Manufactured Home in Park TYPE OF USE: New Residential Phone Number: 503-244-2300 Expiration Date 09/0112008 09/2612006 02/18/2009 Phone 541-741-2236 541-935-2696 541-744-7991 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I ~r::R'~ SideWal\~Ifi'~~~ \'0 \\0' ~ ~\y~~~~~'U\\ ~O,\t t.~\tI\' ~\\'i)t.\\ ~~\\'i)0~ ,y.\'O \\\\1..t.'i) 0\\ \'0 ~ ~\)'~ x.\\C'i;.'i) 'i~\'i)'i). CO\tl~ :i) 'i)~ ~\\'i \Yl I of 3 v 'Status: Issued 225 Flfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax " 541-726-37691nspection Line .' Description Tvpe of Construction Fee Description + 10% Administrative Fee + 8% State Surcharge Manuf Home State Issuance _ Manufactured Home Conn - Plmb Manufactured Home Placement Manufactured Home Service ~ Total Amount . . CITY Ot< ISrRINGFIELD Building/Combination Permit. PERMIT NO: COM2006-00056 ISSUED: 01113/2006 APPLIED: 01113/2006 EXPIRES: 07113/2006 VALUE: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Foofuge or Bid Amount Date Calculated Value Total Value of Project Fees Paid' Amount Paid Date Paid 1/13/06 1/13/06 1113/06 1/13/06 1/13/06 1/13/06 Receipt Nwnber 1200600000000000040 1200600000000000040 1200600000000000040 1200600000000000040 1200600000000000040 1200600000000000040 $25.50 $20.40 $30.00 $45.00 $160.00 $50.00 $330.90 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. 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 biocking, setup and plumbing inspections have been approved and the home is connected to the panel. 2 of 3 . . I I CITY OF SPRINGFIEL)) Building/Combination Permit PERMIT NO: COM2006-00056 ISSUED: 01/13/2006 APPLIED: 01/13/2006 EXPIRES: 07/13/2006 VALUE: 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 this ect. .. I furt er agree to ensur that all required inspections are requested at the proper time, that each address is readable from the reef, that the per' d is located at the front of the property, and the approved set of plans wID remain on the site ~ at /1 times during co /J~ . J/j/~ J --/3 -0.5 O~~tracto"; Signature . . 3 of 3 Date ". . "r'~~V ~. I I -: /\ I i~l ~I' 0 c,./' /\ 1,; !.:: \ . i --'-=l'.(' g'. / 0'0,1 / '~ I' i" ,/ I /" // II , I 0" ',~:", I ' 'I" ~~_ ~ ~! t' -_.~:(6~:'\ I "---'--~"1' 0 ../:../"'.:- : I I '. ,i "0/ " ' ,.",. \" j i '- ~__' \1 _~\::::, \ ,/0 I"~ '.j , /c.:,/: " I ,\,0;;;:7" '<- ",0', I 1'1 \/....// \ I I ~'- ~ -v ' ' ' I / J.' AUL T, ',,' " ," ' ; ~ ~/ fl \ -'; .,-e~,6,,~ \ ~ .-/(/ ~) II , <1'7 .-- i i ". TEL . 0 \ ,/ : !''";\:'t''!\'- \ ~\ l' / <i'~""C ,"~>;C: "V! · i ~4 i il' J) 1~2',,'''''' ,.,", I 1/) II' ye, ~ ,Gle .c: 6 ,J .. iCi:~', f(?"/ II' . '/'~; ~_/ I <.,'0> 8'.;. /pV I. f"", ';~"~ ~,~~T/ /0:(" I! _..~.. ..=',J,/~ L '<ie' I ! .__ ' 'I --- - - .... _________ ... -.J , ______ I ---- \ ~ ..... \ ... ...,.... ), . . "- . . i Mobile Home Park name Mobile Home Park space numbers Names 01 Park atreets All plane need to be drawn to scale Indicate actual dimensions In brackets , , EXAMPLE .1Loi.t~e~.~'......"....'--.........''''.~..'..l\..'.'''......._......___________~~-R----~------ . / '1' .." / " () , .Ji!........ . ...... ~~ ~ J:.../' ..... , ...,' ,. <v~.. .".... . ,.... /' ( / / ..,.' " " " " .' " " ", PARK NAME: rn;,)~lY1j1 /J1/(f>>12-. /Jb?)<.IIum<l ~Jc Space No. R -:J - ~'1/, h / j , Lot size dLiP 'I.. to<<o . * .0 STREET NAME . EACH SQUARE EQUALS 10 FEET (VBrtlcally, horizontally or diagonally) - - .. .. .... ............ .. .. .. ',:5'f',eltis-f - . - /, . "I, "':n 10 -t "- -" "" , " ]:J: , ~. ~, .. , .. .. -~_. ~3 \ 'I: .to " , .<>1 CP. :J'( ~- ~ ~~, - . -t .~- c'5 '~'eJ~' "' .. .'" -0 :,-,- -:-,~. i-L ~',k Ib_'" '"lUa1L~ I V. 6-tJl!..F,''\lj', . , ..f"~ ~ ,/j% "N ~. ~f .. Oek~ l\lCIlrKt ..,tIW . "r!~; .' .. CITY OF S, JNGFIELD_ OREGON . . - I . . cM'~~ :~~~~~0 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)72p-3753 . FAX: (541)726-3689 ~~0~:~'" V\'\ ELECTRICAL PERMIT APPLICATION, ..~~-'>:",'0 ~ / ? /' c' ,0 City JobNumberC.0>"1z.o0 b-OOO~bDate - / ;:> -0 "=' ~,6'~('0' .,.,('''',,00 3. ft~~~~EI!lit.'~9~lt~~ , _,,0,(0 1--0 . .~v \\0 v .'~' A. ~~l"l~~~l~hi~I' sm:;Ji~~(}t: N1_,~"~:' ~Ft~i]~~~!~"a'~:~I~~ <.... ,.)\1.'; " j' ,.. I. 1!ld()iM'ijil(j~fliM3&'\iII@~'-' . ~!a -- ~. ,"'0' ","~r._ .11 /bz.-<;" ~J...~!;..._ Zl2 LEGAL DESCRIPTION /70 334l{J' 1"3"1.02. Service Included JOB DESCRIPTION 1000 sq. ft. or less Each additional 500 sq. ft. or poni9n thereof on law requires you to i\TT<=NTION: ore~ .hn Oregon UtllllY Permits are non-transferable and expire if work is Eachl~ul8cp;g[Ho\jle or et lorth not started within 180 days of issuance or- if work is 10\loi:1ii~ur~~'fu~I!ngl~.r;t:'licelbrS are ~52-001, - $50.00 50 Suspended for 180 days. Notlli-F"eealR 001 0010 through OAR - b . ot' O?_ - - -j'ho "1'les Y .C!3~ii':';~e.i;I'@R#NswA'ill!Aim(iji~:J';'l,.'b\YJl/ I~OB-) .1'!fu~I<1 &r. .~,":' ~~tt~ti~U~I'~t'e~..ti~lIs!~f.IMoi~~tl~~I:_ 2. '. _..~._.",\"w,"_J3.Tlir- ~ __~a\\ing.e ,'; onu~ityi:roimcM6If'z,.,,,.!i,... Electncal Contractor ~ (? 5 fJ.~dr, S:J.r.>fiUf,QilrArilPstSr'l.,QsegOO_332-2344\. $ 63.00 201 AGipSWl4!i01ilnps $ 75.00 Address Po BoX' ) If ~ d- 401 Amps to 600 Amps $125.00 ~, r../ I JLI _ I 1/6 601 ~ps to 1000 Amps $163.00 Ci~r-:::r (I f)~f7e/o_ Phone IY c? d~ Over 1000 AmpsNolts $375.00 J Reco,nnect Only $ 50.00 ygqy'S j{)-oJ-'dctJ7 -:SRY1 Cj - ) - ;;)()O ~ $106.00 IN ~+ SEILIiIL~ $ 19.00 Supervisor Lic.;ense Number c. "~..--~.,~ ,",~..~:,: :'!.~'..... ;.'~l;.4~:.' .,.(.~,:~,1 .;~ ,.~.r-",....-,f:fi~'i$I.J '1~.,:I........ Expiration Date Installation, Alteration or Relocation Constr. Contr. Number $ 50.00 .$ 69.00 $100.00 Expiration Date J::?;'J0(L O\\ners Name AI, d wIL, D. $ 3.00 Address 7007 City ~r+lA-.! JIIJ~ QJ (~a..tll...l II( ~~. Phone Zl{L{ - Z,OC E .~:;!_.'II'''.IlI'I':'II'S!!t 1,,!i"B:~':d'lll HIIJ''''l,~,u~)II'rr.,_~'~l''II'' 't"I't' ~.:-:;lln.11 . ll".Il$Ce aBeons-' ' env1C~~ er: not me uueu. '-n-c1CtJI1, llS 11 nuon ., , .1..i1""""" .... ,.~..L I" . ",'."~;I..Uj..~,, i _..,'...... " .. OWNER INSTALLATION Pump or irrigation Sign/Outline Lighting Lirriited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 The installation is being made on property J: OWII which is not intended for sale, lease or rent. Inspection Request: 726-3769 Minimu';'!Ele~i~ic Permit Inspection Fee is $45.00 + Surcharges 4.~~1l~~~_ SO 81'/0 State Surcharge 'I S~ 10% Administrative Fee S-7~ , TOTAL Owners Signature: Shared Drive(T:)lBuilding FormslElectrical Permit Application l-Q3.doc , / 225 Fifth Street ~ringfield, O;egon 97477 541~726-3759 Phone Job/Journal Number COM2006-00056 COM2006-00056 COM2006-00056 COM2006-00056 COM2006-00056 COM2006-00056 Payments: TWe of Payment Check , ; :t - " , '. '. - " . ., , 1/13/2006 . RECEIPT #: ~. ~ M1Y of Springfield Official Receipt , Whelopment Services Department Public Works Department . 1200600000000000040 Date: 01/13/2006 Description Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Service + 8% State Surcharge + 10% Administrative Fee Paid By COMMONWEALTH REAL ESTATE Item Total: LOecK r<lurnoer AUmonzatlOD Received By Batch Number Number How Received djb 2052 In Person Payment Total: I of 1 12:06:07PM Amoont Due 160.00 30.00 45.00 50.00 20.40 25.50 5330.90 Amount Paid $330.90 5330.90