HomeMy WebLinkAboutPermit Miscellaneous 2008-8-7
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Status
lss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 1nspectio'o Lioe
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01172
ISSUED: 08/07/2008
, APPLIED: 08/07/2008
EXPIRES: 02/07/2009
VALUE:
SITE ADDRESS: 157 12TH ST SPACE 62
ASSESSOR'S PARCEL NO,: 1703354100201
Spriogfield TYPE:OF WORK: Manufactured Home io Park
PROJECT DESCRIPTION: Maoufactured home in park
Owoer: FITTERER BRIAN
Address: 19772 MACARTHUR BL YD STE 200
IRVINE CA 92612
TYPE OF USE: New
,I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Manuf Home 1n~t
Plumbiog
Contractor
STEVEN T BURNS
BUILDERS ELECTRIC INC
THEROUX NORTHWEST INC
THEROUX NORTHWEST 1NC
"
License
43765
,
4296
65789,'
65789.
, Expiration Date
06124/2009
12/1012011
04/18/2010
04/18/2010
BUILDING INFORMATION I ~
# of Uoits:
Primary Occupaocy Group:
Secondary Occupancy Group:
Primary Coostructioll Type
Secondary Coostructioo Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bo,ilding:
R'3
VB
. o/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 20d Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occopant Load:
I. DEVELOPMENTINFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, .'
"
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
"
.f' .
Resideotial
Phone
541-688-6474
541-485-0922
503-655-5626
503-655-5626
REQUIRED PARKING
Total:
Haodicapped:
Compact:
1 .
I PUBLIC IMPROVEMENTS I i
, , ATT~mIOI'll:..oreqon taw requires you 10
, foll()WY&'1"&IIa:M~~ed by the Oregon Utility
Notifim.t.iMt>(rdlM>rllnsre rules are set forth
In OAR 952-001.001 0 throuqh OAR 952-001--
0090, You may obtain copies otlhe rules IJY
~Hing the center. (Nole: the telephone
number for the Oregon U'ility l~otificati()11
" Center is 1-800:332-2~~44),
Street Improvemeots:
Storm Sewer Available:
Specia'N'fjtretr: ,
Notes' THIS PERMIT SHALL EXPIRE IF THE WORK
. AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR ISABANDONED FOR
ANY 180 DAY PERIOD.
Page 1 of 3
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Status
Issued
225 Fifth Street, Sprioglield, OR
541-726-3753 Phooe
541-726-3676 Fax
541"726-37691nspectioo Lioe
DescriPtit,>"
Tvpe of Coostructioo
Fee Descriotion
+ 10% Administrative Fee
+.12% State Surcharge
+ 5% Techoology Fee
ManuI' Home State Issuance
Manufactured Home Conn - Plmb
Maonfactnred Home Placement
+- 100/0 Administrative Fee
, + 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Total Amount Paid
I Valuation[)e~criotio~ I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amooot
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01l72
ISSUED: 08/07/2008
APPLIED: 08/07/2008
EXPIRES: 02/07/2009
VALUE:
Value
Date Calcnlated
Total Value of Project
V~r< Pl11 I
Amount Paid
Date Paid "
Receipt Nomber
1200800000000000852
1200800000000000852
1200800000000000852
1200800000000000852
1200800000000000852
1200800000000000~52
2200800000000001306
2200800000000001306
2200800000000001306
2200800000000001306
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be.made the same working day, inspections requested after 7:00a:m. will be made the following
work day.
$21.00
$25.20
$10.50
$30.00
$50,00
$160.00
$7.30
$8.76
$3.65
$73.00
8/7/08
8/7/08
8/7/08
8/7/08
, 8/7/08
8/7/08
8/29/08
8/29/08
8/29/08
8/29/08
Manuf Home Set Up:' When installation of all piers or staods is complete,
Final Maouf Home Set Up:, After all required inspections are requested and approved aod porches, skirting,
dec~s, venting, street address numbers, trees, driveway, e~c. have b~en in~:talled.
,
Maouf Home Plumbing: After home has beeo connected to water aod sewer.
MH Electric: Wheo blockiog, setup aod plumbiog iospectioos have been !approved and the home is coonected to
the panel.
$389.41
I Plan Reviews I
~e(]uiredJnsnections I
Page 2 of 3
,_~~~I!!I!!Iql;l~l
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01172
ISSUED: 08/07/2008
APPLIED: 08/0712008
EXPIRES: 02/07/2009
VALUE:
225 Fifth Street"Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769lospectioo Lioe
By signature, I state and agree, that I have carefully examined the completed applicatioo and do hereby certify that all
ioformatioo hereoo is true and correct, aod I forther certify that aoy and all work performed shall be done io accordance with
the Ordioances of the City of Spriogfield and the Laws of the State of Oregon pertaining to the ;'ork described hereio, aod
that NO OCCUPANCY will be made of any structure without permission ofthe,Commuoity Services Divisioo, Buildiog Safety.'
I further certify that only coo tractors and employees who are io compliaoce 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, tbat each address is readable from the
street, that the permit card is located at the front of the property, aod the,approved set of plans will remain 00 the site at all
times during construction..
Owoer or Contractors Sigoature
Date
J
Paee3 of 3
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:kelly@boiJderseJectric.cOm
, Receipt # EC537059
8/29/200811:41:50 AM
Check 00 status of permit
By Phooe: (541)726c3753 or Email:'permitceoter@cLspringfield.or.os
I 0 New construction
[K] Addition/alleration/replacement
I Description
Qly.
Ea,
Total
'I
I IX] I or 2 family dwelling 0 Multi-~amily D Commercial I Industrial
"~*i~Q'~~~'jTE~'jN~q~~MAI!fLN1~N_bl!iO~~~I~~~:;;t1f~~i~~1
110.: 08~2458-s IJob address:l57 12THSf I
I City/State/ZIP, SPRINGFIELD. OR 97477-4871 I
I Suite/bldg.lapt.no.: SPC62 I
!Projectmi.me: I
Cross street/directions to job site:
1,000 sq:, ft.-or less
Ea, addl ;'500 sq. ft. or portion
I Subdivision:
!Tax map/parcel 110.: 1703354100201
ILot no.:
I' -.Limit1cd energy, residential
(WIth above SQ. ft.)
I-Limited energy, multifamily
residential (with above SQ. ft,)
- Limited energy, commercial
(with abbve sq:fU
-,Stand-alone limited energy,
residential
I -Stand~alone limited energy,
multi-familv
I - Stand7~lone limited energy,
commercial
It$~~~[~miRJt~ti!~i~nrE!@~~J$rID1~,!;~~P~q&riE~~tio,~t:ibl
1200 amp,! or less II $73,00' $73,001
1201 amps to 460 amps f
I 40 I amps to 599 amps I I
1~1~,~!~Q)~~!t~r~~~~~,i~!f!d~'r~:,~~~r~~~~!~~1f,;.~1~$.r~,!I,~,n;~~,;: i, .
,AND/OR'relocatlOod0>V,:, 0'.:,,,~!r'~';<I/;'";h,,:; :';;.,'" '~"':"{.''''''''if,...:./ , .';'
h,:e',,.,," =:""^,.JL".';.J!.w;:;"~,,,,,,,,c., "'A=j.,....,?",,"._,~ ....', J, i-.:"',;:<'""..,,,^_';..,, "" '
1 200 amp';' or less
1 20 I amp~ to 400 amps
140 I amps to 599ainps
I
I
1
1
1
1
Connect mobile hOlrie
lic. no.: 20-12C
I CC8Iic. no.: 4296
I,A Fee fW branch circuits with
service or feeder fee, each
branch circuit
B. Fee for branch circuits
without ~ervice or feeder fee,
first branch circuit:
each addl branch circuit
I
I
,-, --I
'~.H t'"""
7:>H'"
I
I
I
I Name: Mel Manning
!Phone:
I Email:
IFa"
Nam" BUILDERS ELECTRIC INC'
08-22625
IAddress: 19? MADISON ST
I City/StatclZlP: 'EUGENE OR 97402
I Phon" (54 I )4850922 I Fa" (541 )4854055
1 El1)ail: kelly@buildersclcctric.com
1 Mctro lie. no.: 1 City lie, 00.:
ISupervising electrici~n's Iic. no.: 5275S
ISlIpervising electrician's name: RUSSELL R ROBBINS
I Service ~cconnect only
1 Each m~llIfactured or modular
dwelling. service and/or feeder
I Pump oriirrigation circle
Sign' or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or ,
exteilsioil. .
I
I
I
I
~"I
Subtotal $73,00 I
State Surcharge (I2%ofperrilitfee) $8.76!
City Of Springfield fees'" $10.95 I
TOTALI'ERMITFEE $92,71 I
10% Administration Fee; 5% Technology Fee'
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building,department m~y determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
I
I
* City Of Springfield fees:
This Authorization To Begin Work must be posted at the jop site until replaced by a Permit,
!
225 Fifth Street
Spri'1gfield, Oregon 97477
54f-726-3759 Phone
Job/Journal Number
COM2008-0 1172
COM2008-01172
COM200S-01172
COM200S-0 1172
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Ite~ Total:
Check Number Authorization
Received By Batch Number Number How Received
ONLINE BUILDER'S Online
ELECTRIC
Payment Total:
RECEIPT #:
2200800000000001306
Description
Perm Serv/Fdr 200 amps or less
, + 5% Technology Fee,
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
ddk
,.
, .
Page I of 1
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/29/2008
12:20:20PM
Amount Due
73,00
3,65
S,76
7.30
$92,71
Amount Paid
$92,71
$92.71
I,
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,
8/29/2008