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