HomeMy WebLinkAboutPermit Building 2005-9-22
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~
N
. CITY OF ~rKll'l,-,FIELD
Building/Combination Permit
PERMIT NO: COM2005-01261
ISSUED: 09/22/2005
APPLIED: 09/15/2005
EXPIRES: 05/10/2006
VALUE: $ 2,655.00
Status
Issued
SITE ADDRESS: 6853 MAIN ST Springfield TYPE OF WORK: Manufactured Home on
ASSESSOR'S PARCEL NO.: 1702353306204 Private Lot
TYPE OF USE: New Pnblic
PROJECT DESCRIPTION: Modular units for crew quarters during station rennoyation (temporary)
" Owner: SPRINGFIELD CITY OF
Address: 4TH & NORTH A
SPRINGFIELD OR 97477
1 CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Sewer
Contractor
PACIFIC MOBILE STRUCTURES INC
CONRICH ELECTRIC LLC
RIGHT WAY PLUMBING
EMERALD EXCA V A TING INC
I BTJILDING INFORMATION'
License
50832
149509
49561
Expiration Date
05/08/2007
11/02/2007
1211612006
Phone
360.748-0121
541-607-3447
541-484-3787
541-345-1505
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
,. Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories: Lot Size:
NOllClfeight of Str'lc~IRE I~ l~~WORKsq Ft 1st Floor:
1HIS p~,,\{1ir.HWt\.. HIS ~ER\IIIIl IS NOTSq Ft 2nd Floor:
AU1HO~[)~QER 1 nnNEO fOR Sq Ft Basement:
COMSOO:IS ABAN!W Sq Ft Garage/Carport
00. Sq Ft Other:
AN'll g~mlding: n/a Occupant Load:
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Stree!.-~,::"e~~rlJd: on law requires you lh'ndicapped:
Pavedtfirive"Rqd!'l.Oreg 'Co.llmpact:
0/ f"'"t-"" _..I~o ~dopted by the Oregon Utlmy
/0 0 ,,-o.eoverage: f rth
Notification Center. Those rules are set 0
. ~ ^ n ,,~,., MLnn1 n throuah OAR 952-001-
I PUDLl'- l~~iiROV.EMEl'!iI'S'lain copies of the r~les oy
calling un, <.;t" "d. (Nqte: the telep one
number for the Orego~!~I:':1!.9<r:J;YPI11;ation
Center is 1-80DawnsplithSIDrains:
~
Street Improvements:
Storm Sewer Available:
- Special Instruction:
Notes:
Pa2e 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
541-726-3769 Inspection Line
Description Type of Construction
Bid Amount Use Bid Amount
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 70/0 State Surcharge
Manuf Home State Issuance
Manufactured Home Placement
Miscellaneous Plumbing
+ 10% Administrative Fee
+ 7% State Surcbarge
Encroachment Permit
. Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl100'
+ 10% Administrative Fee
+ 7% State Surcharge
Water LIne - 1st 50 Feet
Total Amount Paid
.
. CITY OF ~rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2005-01261
ISSUED: 09/22/2005
APPLIED: 09/15/2005
EXPIRES: 05/10/2006
VALUE: $ 2,655.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,655.00
Value
Date Calculated
Total Value of Project
$2,655.00
$2,655.00
09/21/2005
F pp<. PililLI
c
Amount Paid
Date Paid
Receipt Number
$5.00
$3.50
$50.00
$20.50
$14.35
$30.00
$160.00
$45.00
$5.90
$4.13
$130.00
$45.00
$14.00
$4.50
$3.15
$45.00
9/15/05
9/15/05
9/15/05
9/22/05
9/22/05
9/22/05
9/22/05
9/22/05
11/8/05
1118/05
1118/05
1118/05
1118/05
11110/05
11110/05
11110/05
2200500000000001272
2200500000000001272
2200500000000001272
2200500000000001315
2200500000000001315
2200500000000001315
2200500000000001315
2200500000000001315
2200500000000001549
2200500000000001549
2200500000000001549
2200500000000001549
2200500000000001549
2200500000000001562
2200500000000001562
2200500000000001562
$580.03
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Rpnnirptl Tn~,npl"ti'\IIrIJ
Temporary Electric: Approval required prior to Utility Company energizing pole.
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.
Pa2e 2 of3
.
. CITY OF ~rKlNGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01261
ISSUED: 09/22/2005
APPLIED: 09/15/2005
EXPIRES: 05/10/2006
VALUE: $ 2,655.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Final Plumbing: When all plumbing work is complete.
Mannf Home Plumbing: After home has been connected to water and sewer.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Water Line: Prior to filling trench and including required testing.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information bereon is true and correct, and I further certify that any and all work performed shaU 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, Bnilding 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 const ion.
J/- 1(7-05
Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-01261
COM2005-0 1261
COM2005-0 1261
P:\yments:
Type of Payment
[NT CHGS
"
~
", \"
'(
:;
,
~
.t
~;
,
11110/2005
.
RECEIPT #:
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Water Line - 1 st 50 Feet
Paid By
100-35200-647009 STA#I
.~'
WiL.. J
,Rty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000001562
Date: 11/10/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
!NT CHGS In Person
Payment Total:
Page 1 of 1
8:07:42AM
Amount Due
3.15
4.50
45.00
$52.65
Amount Paid
$52.65
$52.65