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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