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Home My WebLink AboutPermit Building 2002-05-07Job# Paqe\ o\t SPH.rIiIGFIELD Quad Area: # Of Units: Constr. Type: Water Heater: MH Plumbing MH Set Up MH Finat 225 Fifth Street Springfietd, OR974TZ Location Of proposed Site: 3145 AssessorsMap#: 1702g021 RESIDENTTAL PERMIT ^ City Of Springfietd Community Services Division Buitding Safety 00031STSt Spr Job Number: 02-00255-01 Office: 726_3759 lnspection Line: 726-3769 Expiration Date 2/13t2003 Lot:Block: Owner: pamela Staats Address: 751 Hwy 99 N #11 Scope Of Work: Manufactured Home in park Double wide PO Box 46, Veneta, OR 97487 Addition Tax Lot#: O42OO Subdivision: PhoneNumber: 541_461_3172 City/State/Zip: Eugene, OR 97402 New Value: $t ContractorType Contractor ElectricalContr Ralph J Vetter pO Box 20393, Eugene, OR 97401 Manuf Home lnstall Jerry Ott Registration # 26s18 Phone 541-687_1292 541-93s_2696 To request an inspection call the 24 houra.m. willbe made theworking Jt. """ '' rs solrle working day, 69455 office use _ Land Use: Zoning Code: Bedrooms: Range: recording at726-376g. rnspections requested 9t26t2002 # Of Buitdings: Occupancy Group Heat Source: Sq. Footage: ^AJl ins.psctions requested before 7:00aner Z:00 a.m. will O" maa" tf,J'r"ri"*irg Required lnspections Plumbin-After home has been connected to water and sewer It\N[od 3(,0{. 1,J[ -when"rroro"roinffi -After all requiredr:nspections are approved and porches, skirting, decks, venting, house numbet (- + GITY OF SPRINGFIELD , oREGON \UCI 0n Su1.( \IN.id,Nforrr,$, N iErg:rii"-*$ rrnTf " IIiri"r l1tli\'.\r \-' it!!.jl"i !I I Job# 02-00255-01 # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total: Page 2 ot 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq Main:Accessory: Fee Paid On Receipt# Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge - Plumbing Manufactured Home Connection B% Administrative Fee - Plumbing Total Plumbing 03t07t2002 03t07t2002 03t07t2002 0310712002 B24B 8248 8248 8248 1 $.00 $3.15 $45.00 $3.60 $51.75 Manufactured Home 1 1 $160.00 $30.00 $11.20 $12.80 $214.00 Manufactured Home SetuP Fee Manufactured Home State lssuance State Surcharge For Manufactured Hom, Manufactured Home Administrative Fee Total Manufactured Home 0310712002 0310712002 0310712002 0310712002 8248 B24B B24B B24B $265.75Grand Total By signature, I state and agree, that I have carefully examined the completed application and do [6r"5v ."r6fy that ail inforriation hereon is true and correct, and I further certify that any and all work- p"rf"rirtO shall ne oone in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon p"rtrining to the work_described herein, and that NO OCCUPANCY will be made ;i;;y;iil.tu.e iritnbJi ;;;i.;i"; of the community services Divislon, Buildins safetv' I further certify that only contractors and employees who are in compliance with oRS 701'055 will be used on this project. I further ag ree to ensure that all req uired inspections are req uested at the ProPe r time, that each address is readable from the street,that the Permit ca rd is located at the front of the propertY, and the approved set plans will remain on the site at alltimes during construction 2 /r,/o A&;{- Signature -;l- s N t/f ,\q\A N s t;I u. \^ \ N h c.l ,) -N \t\ (- t PrV,X SZef Orcgon Construction Contractors Board >> License Details OREGON CONSTRUCTION CONTRACTORS BOARD License Details as of March 6, 2002 4:36 PM Page I of 1 LICENSE NUMBER:69455 NAME: JERRY OTT ADDRESS: PO BOX 46 VENETA OR 97487-0046 WORK PHONE NUMBER: 541 -935-2696 LICENSE STATUS: Actrve EXPIRATION DATE : 9126 12002 DATE FIRST LICENSED: 91261 1990 BOND COMPANY: CONTRACTORS BONDING & INS CO BOND AMOUNT: $ 10000 BOND EFFECTIVE TO: 9126t2002 View Bond History View Claims History View Associated Names ENTITY TYPE: lndividual LICENSE CATEGORY: Specialty Contractor/Res EMPLOYER STATUS: NON-EXEMPT INSURANCE COMPANY: TRUCK INS EXCHANGE INSURANCE AMOUNT: $ 500000 INSU RA NCE EFFECTIVE TO: 9 124 12002 View- lnsurance History View X-Reference Licenses View SIC Codes View Building Codes Division License Details Print this Page ] ) QUERY TUENU CCB HOIVE Send mail to Web AdrnrnistratorWith questions or comments about this web sile Page Last modified: February 22,2OO2 -QUERY COMPONENTS READ LIVE DATA ors6**** @ t http ://ccbed.ccb.state.or.us/bill/reg no222.asp?regno:6945 5 State of Oregon Liability Statement 316102 ) SPRINGFIELEl Job# 02-00255-01 RESIDENTIAL PERMIT Caty Of Springfield Community Services Division Building Safety Page,1ot2 Job Number: 02-00255-0'1 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 04200 Subdivision: 31.0L ++ 8248 D.\\. 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 3145 00031ST St 56 Spr AssessorsMap#: 17023021 Lot: Block: Addition: crTY oF SPRTNGFrELD, OREGON Owner: Pamela Staats Address: 75'1 Hwy 99 N #11 Scope Of Work: Manufactured Home in Park Double wide Phone Number: City/State/Zip: New 541-461-3172 Eugene, OR 97402 Value: $1 Gontractor Type Gontractor Electrical Contr Ralph J Vetter PO Box 70393, Eugene, OR 97401 Manuf Home lnstall Jerry Ott PO Box 46, Veneta, OR 97487 Registration # 26518 Expiration Date 02t13t2003 Phone 541-687-1292 541-935-26966945509t26t2002 Quad Area: # Of Units: Gonstr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at726-3769. 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 working day. Required lnspections MH Plumbing Plumbing I -After home has been connected to water and sewer Manufactured Home MH Set Up MH Final -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number ,rt-.1-ENTION:Oregon law requtres you to follow rules adopted bythe Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001 - 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification center is 1 -800-332-2344). t{OTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR 1S ABANDONED FOR ANY 1EO BAY PERIOD, Job# 02-00255-01 # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory Fee Paid On Receipt#Value/Quantity Fee Amount Plumbin Minimum Plumbing Permit Fee State Surcharge - Plumbing Manufactured Home Connection 8% Administrative Fee - Plumbing Total Plumbing 03t07t2002 03t07t2002 03t07t2002 03t07t2002 8248 8248 8248 8248 $.00 $3.1 5 $45.00 $3.60 $51.7s Manufactured Home Manufactured Home Setup Fee Manufactured Home State lssuance State Surcharge For Manufactured Homr Manufactured Home Administrative Fee Total Manufactured Home 03t07t2002 03t07t2002 03t07t2002 03t07t2002 8248 8248 8248 8248 1 1 $160.00 $30.00 $11.20 $12.80 $214.00 Grand Tota!$26s.75 By signature, I state and agree, that I have carefully examined the completed application and dohereby certify that all information hereon is true and correct, and I further certify inat any and all workperformed shall be done in accordance with the Ordinances of the City of SpringfielO anO tne Laws ofthe State of Oregon pertaining to the work described herein, and that fuO ObCrjpANCy wiil be madeof any structure without permission of the Community Services Division, Building Sitety. I further ggrtify that only contractors and employees who are in compliance with ORS 7OI.o55 will be used onthis project. I further agree to ensure that all required inspections are requested at the proper time, that eachaddress is readable from the street, that the permit card is located at the front of the property, and theapproved set of plans will re main on the site at all times during constru ction Signature Date=/tr /oz 1 -lli )s \ \Ut\ IA ,\q!\ N $ \4 u. \^ \ N 'tg\ \t t c{ h crl U\ (- PmX sft47- CITY DEV ELO P M EN I SE I I V IC f: lj D l: l'AI i'l-ML: I'l I March 8,2002 Pamela Staats 751 Hwy 99 N #l l Eugene, Oregon 97402 Enclosed is a new original and a copy of the permit for the placement of your manufactured home at3145 31't Street, Space 56, Springfield, Oregon. While issuing the permit, we neglected to include the space number on the permit and to properly validate the permit for you. Please sign the new original and retum it to us in the enclosed pre-stamped envelope. I am enclosing a copy of the permit for you to keep for your records. Thank you, and if you have any questions, please feel free to phone me at 726-3790. Sincerely, Lisa Hopper Building Safety Supervisor cc: Don Moore Encl hy,Lt25 f lt:l H STTiEE / SPRINGFIELD, OR 97477 (541) 726-s75s FAX (541) 726-3689 www. ci. sp ri ngIi e ld. o r. u s