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HomeMy WebLinkAboutPermit Building 2007-02-05Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00168ISSUED: 0210512007 APPLIEDz 0210512007 EXPIREST 1112212007VALUE: $ 15,000.00 SITE ADDRESS: 157 l2TH ST SPACE 22 ASSESSOR'S PARCEL NO.: 1703354100201 PROJECT DESCRIPTION: Manufactured home in park TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential Springfield Owner: Address: Contractor Type General Electrical Manuf Home Inst Plumbing SPRING LANE MOBILE VILLAGE 450 NEWPORT CENTER DR STE 595 NEWPORT BEACH CA 92660 Contractor STEVEN T BURNS BUILDERS ELECTRIC INC MARTIN LEMOYNE DUNN MARTIN LEMOYNE DUNN License 43765 4296 tzst49 125149 Expiration Date 06t24t2007 t2n0t2007 l0/16/2008 t0/r612008 Phone 54t-688-6474 54r-485-0922 503-375-9440 503-375-9440 CONTRACTOR INFORMATIOI\ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 0ccupant Load: R-3 VB sy nla ollow r {oti{ication nO AR952 rDo1 may0090You c c{t}lthcallingth nurnber lor t t'l0TlGE: THIS PER AUTHORI COMMEN ANY 180 DAY PERIOD OAR ol the rules I REQUIRED PARKING Total: Handicapped: Compact: Bdte N ,lePhone otitication A4\ Sidewalk Type: Downspouts/Drains: MIT SHALL EXPIRE II' IHE WORK Jro ur'rorn THls PERMIT ls Nol rCiO ON IS ABANDONED FOB PUBLIC IMPROVEMENTS Notes: Page 1 of3 I'U TT]L'TI\U 11\ T L'KIYTA T TTJI\ I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00168ISSUED: 0210512007 APPLIED: 02/0512007 EXPIREST 1112212007VALUE: $ 15,000.00 Description Manuf Home Tvpe of Construction Manufactured Home $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 15,000.00 Total Value of Project Amount Paid Date Paid Value $15,000.00 $15,000.00 Date Calculated 03t0u2007 Fee Description + lOoh Administrative Fee + 57o Technology Fee + 87o State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement + l0oh Administrative Fee + 57o Technology Fee + 8%o State Surcharge Manufactu red Home Feeder Manufactured Home Service Total Amount Paid $20.50 $10.25 $16.40 $30.00 s45.00 $160.00 $10.00 $s.00 $8.00 $50.00 $s0.00 2t5t07 215107 2ts/07 2t5t07 215107 215107 5t22t07 5t22t07 5t22107 5t22t07 st22/07 Receipt Number 2200700000000000167 2200700000000000167 22007000000000001 67 22007000000000001 67 2200700000000000167 2200700000000000167 1200700000000000612 r 200700000000000612 I 200700000000000612 l 200700000000000612 r200700000000000612 $405.15 Plan Reviews To Request an inspection call the24 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. 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 Service: Approval required prior to utility company energizing service. Reouired Insnecfions Paee 2 of3 Valuation Description I h'pps Prid I Status Issued 225 Fifth Street, Springfield, OR 541-126-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00168ISSUED: 0210512007APPLIED: 0210512007 EXPIRESz 1112212007VALUE: $ 15,000.00 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 Page 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cts of Springfield Official Receipt L :lopment Services Department Public Works Department RECEIPT #: 1200700000000000612 Date: 0512212007 3:02:57PM Job/Journal Number coM2007-00168 coM2007-00168 coM2007-00168 coM2007-00168 coM2007-00168 Description Manufactured Home Feeder Manufactured Home Service + 5% Technology Fee + 8% State Surcharge + l0o/o Administrative Fee Amount Due 50.00 50.00 5.00 8.00 10.00 Item Total:$r23.00 Payments: Type of Payment Paid By rc Received By Batch Number Authorization Number How Received Amount Paid CreditCard BUILDER'S ELECTRIC njm 612295 In Person Payment Total: $ 123 .00 -ffio-d- cReceint I Page I of I 512212001 CITY OF SPRINGFIELD, OREGON UDE,JnA o<-7?-q r^n) .$. t-. '..:{ Y 1 225 FTFTH STREET r SPRINGFIELD. OR 97477 o PII:(541)726-3753 o FAX: (541)726--168e ELECTRI CAL P E RM I7' APP LI CA'I'I O N .'r, loo ""-0". C I - CO /0 ff Date /s LEGAL DESCRIPTION i7 03 35 q/ 1clo I JOB DESCRIPTION ft *ur,a * 8ury44 Permits are non-transferable and expire if work is not started within 180 days of issuance or if rvork is Suspended for 180 days. Expiration Date lo -l'o) Constr. Contr. Number 4x ta Expiration Date O. Si of Supervising Electrician LJ. Owners Address 5.4)' A'7 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof llach Manufact'd Hottte or Modular Dwelling Service or Feeder Pump or inigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial 7%o State Surcharge I 0% Adrninistrativc Fee TOTAL lnstallation. Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Anrps $ t 06.00 $ 19.00 ,-l $5o.oo /cr?) $ 50.00 $ 69.00 s 100.00 $ 50.00 $ s0.00 $ 25.00 $ 45.00 3. COMI'I,E'I'fi P'Nil SCHI;DUI,K) TIW,OW A. New llesidential - Single or Multi-l'arnily per dwelling unit. Over 600 Anrps or 1000 Volts scc "8" above. I). llrnnch Circults Nerv Alteration or Extension Per Panel Orrc Clircuit $ 4-1.(X) Ilaclr Additioual Circuit or u,itlt Scrvicc or Fcctlcr Pernrit $ 3 (x) E. llliscellaneous (Strvice/feeder not included)*liach Installation H@P@ &otrn^"T OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature Nlinimum Electric Pernril lnspection Fee is $45.00 * Sttrcltarges 4. SUBITO'TALOTIABOVE &too.F&5 -oo s23 e- 01, lo.oPInspection Request: 726'37 69 Sharcd Drivc(T':)/Building Fonns/Elcctrical Pennit Application l-03.doc tu Address n 5 ota citv 6tRe nC-------v-Phone 48-o- Supervisor License Number 3"7 o "S B. Services or F'ccdcrs - Installation, Alleratiotrs or Relocation: loC zoo