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
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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'
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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:
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'-
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'~
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'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
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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
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Date
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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
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EXAMPLE
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PARK NAME: rn;,)~lY1j1
/J1/(f>>12-. /Jb?)<.IIum<l ~Jc
Space No. R -:J -
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Lot size dLiP 'I.. to<<o .
*
.0 STREET NAME
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EACH SQUARE EQUALS 10 FEET
(VBrtlcally, horizontally or diagonally)
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"r!~; .' .. CITY OF S, JNGFIELD_ OREGON . .
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)72p-3753 . FAX: (541)726-3689 ~~0~:~'" V\'\
ELECTRICAL PERMIT APPLICATION, ..~~-'>:",'0 ~
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City JobNumberC.0>"1z.o0 b-OOO~bDate - / ;:> -0 "=' ~,6'~('0'
.,.,('''',,00
3. ft~~~~EI!lit.'~9~lt~~
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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
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.;~ ,.~.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(
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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
,
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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
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1/13/2006
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RECEIPT #:
~.
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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