HomeMy WebLinkAboutBuilding Miscellaneous 2008-9-3
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CITY OF SPRINGFIELD
:Building/Combination Permit
~ERMIT NO: COM2008-01323
ISSUED: 09/03/2008
APPLIED: 09/03/2008
EXPIRES: 03/03/2009
VALUE: $ 76,000.00
Status
Issued
225 Fifth Street, Springlield, OR
, 541 -726-3 753 Phone
541-726-3676 Fax
541-726-3769Inspedion Line
SITE ADDRESS: 205 S 54TH ST SPACE 93
ASSESSOR'S PARCEL NO.: 1702330001200
Springfield TYPE OF WORK: Manufactured Home in Park
TYPE OF USE: New
,
Residential
PROJECT DESCRIPTION:, Manufactured Home in Park
Owner: CHALET YILLAGE MHC LLC
Address: 450 NEWPORT BEACH DR STE 595
NEWPORT BEACH CA 92660
I CONTRACTOR INFORMATION ..1
Contractor Type
Electrical
Manuf Home Inst
Contractor
BURRELL BROS ENTERPRISES INC
INTER CITY
License
136446
,30094
BUILDING INFORMATION i
Expiration Date
08/2012009
02/21/20 I 0
Phone
541-747-2724 '
541-926-8844
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction T~pe:
# of Bedrooms:
1 '
# of Stories:
Height of Structure
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path:
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,200
2
I,DEVELOPMENTINFORMATl?N I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOTICE: Total:..
THIS PERMIT SHAll m1~~~erHE WORK
AUTHORIZED UNDER THI'SPERMIT IS NOT
. COMMENCED OR IS ABANDONED FOR
;,;;: I~G ~jli: fWe;;.
I ~UBLIC IMPROVEMENTS I '
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:,
Special Instruction:
" Sidewalk Type: ,
DownspoutslDrains:
Notes:
ATTENTION: Oregon law requIres you to
. follow rules adopted by the Oregon Utility
'Notification Center. Those rules are 8et forth
In OAR 952-001-001 0 through OAR 952-001.
0090. You niay obtaln copies of the rules by
calling the center. (Note: the telephone .
number for the Oregon Utility Notification
Center Is 1~0-332-2344).
Page 1 of 3
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225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,\
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01323
ISSUED: 09/03/2008
APPLIED: 09/03/2008
EXPIRES: 03/03/2009
VALUE: $ 76,000.00
Status
Issued, '
I. Ya~uation Descdntion I
Description
, Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
FlT, PIWU
Fee DescriDtion
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fire SF Fee - Residential
Manuf Home State Issuance.
Manufactured Home Conn - Plmb ..
Manufactured Home Place.ment
+ 10% Adminislrative Fee
+ 12% State Surcharge.
+ 5% Technology Fee
Manufactured Home Service
Ainount Paid
Date Paid
Receipt Number
$27.20
$25.44
$10.60
$60.00
$30.00
$52.00
$160.00
$5.70
$6.84
$2.85
$57.00
9/3/08
9/3/08.
9/3/08
9/3/08
9/3/08
9/3/08
9/3/08
9/26/08
9/26/08 Ii
9/26/08,
9/26/08
1200800000000000934
1200800000000000934
1200800000000000934
1200800000000000934
1200800000000000934
1200800000000000934
1200800000000000934
1200800000000001010
1200800000000001010
1200800000000001010
1200800000000001010
Total Amount Paid
$437.63
I Plan Reviews ,
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 7:00 a.m. will be made the following
work day.
I Rpnl"ln~.npptio~ -
Manuf Home Set. Up: When installation of all piers or stands is complete.
, . . I
Fin~1 Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address n~mbers, trees, driveway, etc. have been installed.
Manuf Home Plumbing: After home has been connected to watei" and sewer.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
Paee 2 of 3
CITY OF SPRINGFIELD
Status
Issued
.Building/Combination Permit
PERMIT NO: COM2008-01323
ISSUED: 09/03/2008
APPLIED: 09/03/2008
EXPIRES: 03/03/2009"
VALUE: $ 76,000.00
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541'726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application arid 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 Springtield 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.
Qwner. or Contractors Signature
Date
Pa2e 3 of 3
Electrical Authorization To Begin ~ork
E-l.11ailed To: burrellbros@intcgraonline.co~
Receipt # EC538793
9/26/2008 11 :39:27 AM
City of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@cLspringfield.or.us
I [XI ] or 2 family dwelli~g
, 0 Multi-family
D Commercial I Industria!
Il,OOOsq.\'ft or less
I Ea. addl]500 sq. n. or portion
I D New-construcl~on
GiJ Addi\ionfaherationJreplacement
IJob no;: IJob lIddrcss: 205 S 54HI 5T
I Cit}'/Statcr.lIP: SPRINGFIELD, OR .97478-6280
I Suite/bldg~;~pt.~~.: - SPC 93 .
I Project mime:
Cross street/directions to job site: Chalet Village Mobile Home Park
I Subdivision:
I Tax map/parcel no;: ]70233000]200
I LotllO,:
- Limited energy, residential
(with above Sq, f1.)
I ~ Limited energy, multifamily
residential (with above Sq. [I.)
I - ~iTnit~~d energy, commercia-]
(wllh above Sq, ft.)
I - ~tand.~alone limited energy,
resldentlal
I' - Stand-alone limited energy,
multi-family
I . Starid~!llone limited energy,
commercial
l/s~l:viccsf()j~Tfe'cder.~WnsraifatiOn~lieration~i;(NI)/OR'rreTh"catihil;i;"(,",b,'i~
?:''''''''h..''M'''',,,, ,;'"'O':"Z',,,,,.,',v:-;.,,.""',' " ..... ""'y:...0.....' '::'7'?;,:,:"'"l,~"..$!?0:!!5c'
1200 amp~. or less
1201 amps to 400 amps I
140] amps to 599 amps I
I
I
I
I
I
I
~
hook power to a new mobile home
I Name: Me 'Cunis
I Phone: (54])579-]134
11<:mai':
IF."
1200 amps or less
1'20] amp~ to 400 amps
140] ampsto 599 amps
I
I
I
I n lie. no.: 20-442C I CCB lie. no.: 136446
I Business Name: BURRELL BROS ENTERPRISES INC
I Contact: Joshua Burrel]
!Address: PO BOX 697
1 City/StateIZIP: WALTERVILLE OR 97489-0697
I Phone: (541 )7472724 I F." (541 )7441047
I Email: burrellbros@integraonline.com
. 'Metro lie. 110.: I Cil}' lie. no.:
I Supervisin~ electrician's lie. no.: 4721 S
1 Supervising electrician's name: JOSHUA J .BURRELL
Fcc for bnmch circuits with
service or-feeder fee, each
branch circuit.
I' -B. Fee for bmnch circuits
I wilhout service or feeder fee,
flrsl branch circuit
I' each addJ'branch circuit
I
I
I
I
I
I
I
I Service reconnect only
I Each lTianufacturedor modular
dwellmg.'service and/or feeder
1 Pump or :irrigation circle
I Sign or o:\llline lighting
I Signal ci~,cuit(s) or limited-
energy panel, alteration, or
extension".
1~'{;~~:::~E91~:I~~L:l~,g~~JILBs~.~~t#~;ff~ /1~f,;4~':;:1
I Subtotal $57.00 I
I State Surcharge (12% of permit fee) $6.84 I
I City Of Springfield fees'" $8.551
I TOTAL PERMIT FEE , $72.391
'" City OfSpringfieJd fees: IO%^dministration Fee; 5% Technology Fee
"
$57,00
I
$57,001
I
I
I
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 may determine that an
Authorization To Begin Work is null and void if it does not
meet' applicable land use laws and local ordinances.
:COM.;::')J''f),~- OI2"l'~\
IRCPT#' l~ro'6- \DtO
:DATE PROCESSED:Ci Id-Lc>l or.,
This Authorization To Begin WorK must be posted at the j< Spl{&:~~gkffRIq.ce.9 bY,..,a Pe~mit
, ... ~-V~
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-0l323
COM2008-01323
COM200S-0 1323
COM200S-01323
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
Description
Manufactured Home Service
+ 5% Technology Fee
+ 12% Stale Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield. Official Receipt
Development Services Department
Public Works Department
1200800000000001010
Date: 09/26/2008
\ Item Total:
Check Number l'Authorization
Received By Batch Number Number How Received.
KR
ONLINE BURRELL Online
BROS
Payment Total:
"
Page I of I
\1 :49:05AM
Amount Due
57..00
2..S5
6.S4
5,70
$72.39
Amount Paid
$72.39
$72.39
9/26/200S