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Home My WebLink AboutPermit Electrical 2014-04-16*#City of Springfield Voucher Report lD : SPRA103 Voucher lD : Handling Code : Builders Electric 195 Madison St. Eugene, OR 97402 Description Permit Refund 00217148 RE Accounting Date : Vendor Number : lnvoice Date : lnvoice # : Approver : Operator : Gross Amount : Terms Aprill16l2014 0000021 81 3 AprilllS/2014 sPR201 4-00523 RUET2341 REEDl 899 93.60 AMOUNTAccount Fund 9E Proi/Grant BY 215004 425605 426102 426102 426102 00000 00000 00000 00000 2014 30 2014 30 2014 30 2014 30 2014 30 960 4.00 13.00 60.50 6.50 821 '100 224 224 224 Payment Message: Permrt Refund: SPR14-00523; 1333 1st St, Springfield, OR Comments: Permit Fee Refund; SPR14-00523; SiteAdd 1333 lstSt; pd 3/1 1l14,RCPT# 2014000535; PD by Buitder's Electric; okto refund per D Bowlsby ruffi"ffi www.springfi eld-or. gov TRANSACTION RECEIPT 811-SPR2014-00523 1333 1ST ST CITY OF SPzuNGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@springfield-or. gov RECETPTNO: 2014000535 RECORD NO: 81 1 -SPR201 440523 DATE: 0311112014 Balance of Minimum Electrical Permit Fees Branch circuits without service or feeder - 1st circuit Branch circuits without service or feeder - each additional 224-00000426102 State of Oregon Surcharge (12o/o of applicable fees)821-00000-21 5004 100-00000425605 224-00000-426102 224-00000-426102 6.50 9.60 t/Vt/ 13.00 60.50 of permit total)4.00 TOTAL DUE:93.60 Credit Card 611182 Builders Electric 93.60 TOTAL PAID:93.60 1Zt-Funt fD: 6*.tlga s €Gz(*'t Tn' , ?S nttA\rsorJ f; a,tGe-te| oL lNoZ a^l b.t€D-,,l,.*Ju P-"**' I G e ttutt'r}. * $ tse2 6V T'tt rl /r DESCRIPTION Building Contoct:INIONBuilding Offlcial City of Springfieldlr/unicioolitv: Phone: Poges: From:Hite Deportment:Building Safety 541"726.3676 (f) 412912014, 4t28t2014 Gruup 541.726.3753 3 Dote: I urgent I ror Review f eeose Comment I Rteose Repty ! eeose Recycte To meet the finoncing requirements of the loon progrom, Dominion Due Diligence Group is requesting your ossistonce on beholf of: KeyBank National Association - Dallas, TX 81 15 Preston Road, Suite 500 Dallas TX 75225 This informotion is required for the HUD re-finoncing report for the following property: Marquis Care at Springfield 1333 N First Street Springfield OR97477 Pleose emoil completed letter to my ottention ot l.hite@d3g.biz, ond pleose moke sure to include ony ond oll ovoiloble open permits, os wellos ovoiloble Certificotes of Occuponcy or Finol lnspection Reports. lf unoble to send vio emoil, pleose fox to me ot 804-588-5758 before moiling o hord copy 1o my ottention. Thonk you for your time, X,r gr,t- Lynn Hite Reseorch Anolyst 804-358-2020 (p) 804-665-2907 (direct line) CoRPoRATE HEADQUARTERS 4121 COx ROAD, SUITE 2OO GLEN ALLEN, VIRGINIA 23060-33 1 6 aO4.35a.2O2O Fax804.358.3Oo3 vwwv.D3G.BIZ Providing naliomside seru^ice to prolect ),our inveslments Fox: INFORMATION TO BE COMPLETED BY GOVERNMENTAL AUTHORITY: To: Secretary of Housing and Urban Development KeyBank National Association - Dallas, TX ILender] We confirm our records show the captioned project/facility was built in accordance with the building codes applicable at the time of construction. ln addition there are: X No current building or housing code violations on record or known; OR Current building or housing code violations on record or known (identifo the violation, remedy and status in space below): This certification is made, presented and delivered in connection with Lender's application formortgage insurance pursuant to Section 232 of the National Housing Act and to influence an official action of HUD, and may be relied upon by HUD as a true statement of the facts contained herein. (Certification must be signed by a person rvith supervisorial responsibility) By: Name and Title:S-tQrrvirav Date: 4/21/ Zo r*Phone: (3e|\)Tt6 - rg5 An inspection of the Property is not required. The intent of this certification is to notify HUD that the applicable building authority is not aware of any building or housing code violations with respect to the Property. If any violations exist, the governing authority should specify the violation and the remedial action required. Previous versions obsolete Page 2 of 2 form HUD-91130-ORCF (Rev. 03/13) (000605 Marquis Care Springfield) Building Code Certification Section 232 U.S. Department of Housing and Urban Development Office of Residential Care Facilities OMB Approval No. 2502-0605 (exp. 03/31/2014) Public reporting burden for this collection of information is estimated to average 0.5 hours. This includes the time for collecting, reviewing, and reporting the data. The information is being collected to obtain the supportive documentation which must be submitted to HUD for approval, and is necessary to ensure that viable projects are developed and maintained. The Department will use this information to determine if properties meet HUD requirements with respect to development, operation and/or asset management, as well as ensuring the continued marketability of the properties. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. Warning: Any person who knowingly presents a false, fictitious, or fraudulent statement or claim in a matter within the jurisdiction of the U.S. Department of Housing and Urban Development is subject to criminal penalties, civil liability, and administrative sanctions. INF'ORMATION TO BE PROVIDED BY LENDER WHICH MUST BE INCLUDED IN THE CERTIFICATION: Name of Proj ectlFaci lity : Marquis Care at Springfield Proj ect/Facility Type | : Location: Etr Skilled Nursing [Assisted Living [Board and Care Other, Specify 1333 N First Street Springfield, OR 97477 Street Address City State Zip Code Tax Map Key Year(s) Built: PIN: 0220'119 1962 Number of Beds: 1oB oR Nurnber of Buildings; 1 Number of Units: [Space intentionally left blank] t As defined in Section 232 of the National Housing Act. Previous versions obsolete Page 1 of 2 form HUD-91'13O-ORCF (Rev. 03/13)