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Home My WebLink AboutPermit Miscellaneous 2009-4-7 -~~~&~,~~~e,. ~::dw'''<'~'!~~ ' '{ ".~ ~ ') , ,f' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-00465 ISSUED: 04/07/2009 APPLIED: 04/07/2009 EXPIRES: 10/07/2009 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2145 31ST ST SPACE 79 . ASSESSOR'S PARCEL NO.: 1702302104200 Springfield TYPE OF WQRK: Mannfactnred Home in Park TYPE OF USE:' New PROJECT DESCRIPTION: Mannfactured Home in park- replacement' Residential Owner:' WELCOME WEST MHP Address: 7007 SW CARDINAL LANE, SUITE] T1GARD OR 97224 # of Units: Primary Occupancy 6ronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I CONTRACTOR INFORMATION I . r\J 1f::I\lIIUN' 0 10110 I . regen Jaw rerilJj,.o- "-.. . - . Contractor A"';~^;U e~ adoptec.LJf~l1~e.). '~ExPKatlOn Date A ACTION MOBILE Ho,~.E;',!\:I.Q.Y!NG"&'IDEIV:~:g~Oi?II~: ~~~~ .~957~5/2010 , .. . '"''-'''-- -,,, ,",-'" " " ~,_. - . . .....'111 BUlUDlNGcINRORMATlON'IlJ" OAR 952-001_ LalJlng the center (N -t~..e.s olthe rules by i!>wrSt'.. . 0 e. the teleph', ~S' ft'U" on,,-s: the Oregon un " ",0" lze: Height cfffStt<ll.cwrf-800_33~~~3 Notlllc<8qJRt 1st Floor: Ty!,e of Heat: . 44). Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: . n/a Occupant Load: Phone 541-935-1786 Contractor Type General R-3 672 VB . Frontyard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I N DTI6li6r1ay Dist: fHI6 fIIrm~T~LltqB)(PIRE IF THE WORK AlJfM~!lN~'!~'l!iWIJ~fHHIS PERMIT IS NOT MMrvnNt~'{! e!l\vrsal\~ANDONED FOR ANV 1 M DAY PERIOD. I PUBLIC IMPROVEMENTS I REQUIRED PARKING Total: Handicapped: Compact: ...'" Street Improvements: Storm Sewer A vailahle: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I V aluation Descrinti~n I Description Type of Construction $ Per Sq Ft. or multiplier Sqnare Footage or Bid Amount Value Date Calculated Pa2e I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-00465 ISSUED: 04/07/2009 APPLIED: 04/07/2009 EXPIRES: 10/07/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P3id I Fee Description + 12% State-Surcharge + 5% Technology Fee Manuf Home State Issuance Manufactured Home Placement Amount Paid Date Paid Receipt Number $47.64 $19.85 $30.00 $397.00 4/7/09 4/7/09 4/7/09 4/7/09 2200900000000000342 2200900000000000342 2200900000000000342 2200900000000000342 Total Amount Paid $494.49 I Plan Reviews I 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 Re,\~ired Inspections. Manuf Home Set Up: When installation of all piers or stands is complete. Final Manuf Home Set Up: After all reqnired inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify fhat all information hereon is true and correct, and I further certify that any and aU 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, thateaeh 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. , '-\ \ (:) '=\ Date Paee 2 of2 ,:\ . 225 ~jfth Street. Snrine:field. OR 97477 . PH(54l)726-3753 + FAX(54l)726-3689 Manufactured DweIIingiRecreationaI-Park Trailer Placement Permit Application IIiiDEF?AR:rMEN]'USB0NIN;''''1 .....~,~_,..~~J'lL.",.,''''''''''-',.,~......'..'''.~H:L...,;....M~.'''''b.-==~ I Pennitno.: tl?-tf&S' I I Date: 1/7/0 / I This permit is issued under OARs 918-500-0105 and 918-525-0370. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. jf-i!0erAI!'G0'tZERr:rMENjl}I1?AP.BR0VAIlfSP~1 ~__~"";;'_~'_=>A~t,w'A~",.,.....,.;c..,..,.'~"i%Ji>""d-..,,~;v"'';;'_4J';'t"~~~~....~~~1 Zoning approval verified: 0 Yes ~ 0 No I I P . 'th' fl d 1 . 0 Yes 0 No I [Description roperty lS Wl m 00 pam: I Sanitation approval verified: 0 Yes 0 No I I (I) Manufactur~d dwelling 1~'1:i~!j.~eWEG0R~~0~jjf60'N$mRl!fcml0N~~~~;\il (a) Placement (includes piacement, ~~~l,,,,,*,"~~,,,,,..Jfuh,"-*"'~MC>~;i;'''i;~,,''''''''''''''''~;i.,,,,,,_:rry_N~~~I.'AI'!' electrical feeder, water/sewer 1'0 Residential J 0 Government J 0 Commercia~ connection): 1_~~5iiifg~@~~limflf4!:l1Jii[~lJ]1[~. I (b) Reinspection (no ofhrs. x fee per hr) $58.00. $ I Job site address: ....... ,,,...... .., '\. ~ .s L I I Placeme. nt pennit can only be obtained by homeowner or Oregon- ~\'-\............... \" licensed manufactured dwelling installer. '. I City: _~".~.....~""\,, - - County: 1...c..'", I I (2) Recreational-park trailer I State: 'c /2.... ZIP: I (a) Installation (includes. stand and I Subdivision: I Space/lot no.: -, C\ I lot preparation; support blocking; . I \ anchonng; temporary steps; plumbmg, 1 Reference: _ I Taxlot: ~ I mechanical, and electriCal): 1~"'!?.s~~IiIR..J,ijf~.~l<;)E:zlw.@.!f~.JIli:fi_I.1 (b) Reinspection (no. ofhrs. x fee per hr.) $58.00 $ I ~\\ ~\o.(""",-,-i\r II (c) Each additional inspection: (I) $58.00' $ I .. I I Electrical service permit to be obtained only by homeowner performing " .11.... ~'-"_'''''~~'''''~~'.___~_~~'"'' -3.~'i\" . ''',. '. ,,",. work or signing superviso,: of Oregon-licensed electrical contractor 1~~Ii-~Si>I~gg~W~q.YY~~~1 . performing work _ I Name: \.\.'\~('~~ ,...;.\-. -~'<'\ ~M~ I ~.[!~J2I1!SCHEB:yJ_~E~_.~ I Address: ;;.,"'<:... ~,<s\ .. II (3) Surcharge,'I2%(.12xtotal,equal to I or 2): $'1"7~YI I City: ~ ,- ~_ \ . 1 State: '" I ZIP;n' I (4) State administrativdee for . ;::,,~ "'t "';"'\"". ~... --.'11.1:>.1 manufactured dwellIng (Item I) $30.00 I Phone:s"",, -1 b.1;;\:Y'l,.\" I Fax: . - . I only, OAR 918-500-0105(5): I E-mail: I I (5) Technology Fee, 5% This installation is being made on residential or fann property owned by I TOTAL fees and surcharges (3 + 4+5): . me or a member of my immedi~te family, and is exempt from licensing requirements under OAR 918,515-0010. I Qty.1 Cost each I $397.00 Total I. I $977 I I I $397.00 $ $30.00 $ f0~1 $ '-fCN. t Signature: 1~~~ti':iiiir<!f0NmR1\em-,0R~NStrr.li:[!iYAmr0N~~1 t'7~~0.Ji0f=..~~~_a.,,,....~.~~.~:.t:,;,,,,,,,,,,,,,,,,,,,,,,,'..-o._t!I:,,,_,,,,,,,,;,{;,'d - . ..'.~.',.~~~ I Business name: ~'\\c.h.Q1\ ~;~,:,\. \\'/'''''''', \'(I.t\v~ \4'<<\0 \_ I Address: ~ S '\\ ~ \~: ~~M L,,,'-J' . 4-I\c. I Clty: \l ~,,~\~ I State: C'I~' I ZIP: o...\\\~-\ I Phone':'(~,-'1~ h~!~ I Fax:s..\'l\'3S,~"S\~~ I E-mail: I CCBlicenseno':'\,-\~~l\l I MDIlicenseno.: I~()'-\ I Print name: ~Oh""~ (;::;HC';..... I,;""~ ~. . 440-2547-J (9/08/COM) i I , ! ,. i , i i ! I i I I . I i I I . i sc:aG. r", \ 0 " .. . o --0 7' .0: .00---\'"3,' <( \ \l\ \-\ 1 ~...-- n \ I -----r x , '" J""","S, J ~~~ ?'J. ')0 . ~ I , ~~ ~'\ \ ,\,\, ~ \ :fIE:- \\)'- '.-') \{\ 7< 'd - ~- '1 " __" .__L,.""... ,~ c.,,~'c,I' I i I " ",I,\,' ~ . ' I '''~ ~"'~"'~ ;;~o ,:IL... 'X ~~:, ,-- . \ , ,. ",~ '\ I I !'<\I-~' : \"\~~I ~ o 0/ / /' :f; '3 ~ ~ .'.'-11, "'='"-='-=---- 225 Fifth ~treet Spri,ngfield, Oregon 97477 541-926-3759 Phone Job/Journal Number COM2009-00465 COM2009-00465 COM2009-00465 COM2009-00465 Payments: Type of Payment Check cReccintl RECEIPT #: City of Springfield Official Receipt DcveIopment Scrviccs Dcpartment Public Works Department 2200900000000000342 Date: 04/07/2009 1:27:55PM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 397.00 30.00 19.85 47.64 $494.49 Description Manufactured Home Placement Manuf Home State Issuance + 5% Technology Fee + 12% State Surcharge Paid By A-ACTION MH MOVING Amount Paid cJc 6709 In Person Payment Total: $494.49 $494.49 Page I of 1 4/7/2009