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HomeMy WebLinkAboutPermit Building 2005-9-22 (2) . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line * SITE ADDRESS: 6853 MAIN ST ASSESSOR'S PARCEL NO.: 1702353306204 . Ll1}' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01261 ISSUED: 09/22/2005 APPLIED: 09/15/2005 EXPIRES: 03/22/2006 VALUE: $ 2,655.00 Springfield TYPE OF WORK: Modular Unit TYPE OF USE: New PROJECT DESCRIPTION: Modular units for crew quarters during station rennovation Owner: SPRINGFIELD CITY OF Address: 4TH & NORTH A SPRINGFIELD OR 97477 Public I CONTRACTOR INFORMATION' Contractor Type General Electrical Contractor PACIFIC MOBILE STRUCTURES INC CONRICH ELECTRIC LLC License 50832 149509 Expiration Date 05/08/2007 11/0212005 Phone 360.748-0121 541-607-3447 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: . # of Bedrooms: VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: 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: I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: , Notes: ,'" ~. 11,J I'.,;' 'IT SI! 't L r::piqE IF THE 'I'OR'( .',:: ~:'.LJ'J~i":r1IH,SP~I,.HiS''.QT , U J' c, ' :l 'c.D ( '] l ~ ,'_ .~'LLI :\!~ \_...d-',,\~ul\'.: (_'i\ il,.I'joG UrlY Pl,1IJll. Pa2e10f3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: ATTENTI~~~e~~,:~iM~uires you to follow ruleg adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). 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 + 7% State Surcharge Manuf Home State Issuance Manufactured Home Placement Miscellaneous Plumbing Total Amount Paid . . CITY OF SrKll'\j~l'lELD Building/Combination Permit PERMIT NO: COM2005-01261 ISSUED: 09/22/2005 APPLIED: 09/15/2005 EXPIRES: 03/22/2006 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 Calcnlated Total Value of Project $2,655.00 $2,655.00 09/2112005 Fpp<, p.,W Amount Paid Date Paid Receipt Number $5.00 $3.50 $50.00 $20.50 $14.35 $30.00 $160.00 $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 2200500000000001272 2200500000000001272 2200500000000001272 2200500000000001315 2200500000000001315 2200500000000001315 2200500000000001315 2200500000000001315 $328.35 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. lJennirerUnsnectjons I 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. bave been installed. Final Plumbing: Wben all plumbing work is complete. Manuf Home Plumbing: After home bas been connected to water and sewer. Pa2e 2 00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPKll'l'-'l'lELD Building/Combination Permit PERMIT NO: COM2005-01261 ISSUED: 09/22/2005 APPLIED: 09/15/2005 EXPIRES: 03/22/2006 VALUE: $ 2,655.00 By signature, I state and agree, that I have carefully examined the completed application and 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 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, 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. 1bl1i~;:~~f:::: Paee 3 of3 y -2.2 -0 s---- Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone , i:l Job/Journal Number COM2005-01261 CQM2005-0 1261 COM2005-0 1261 COM2005-01261 COM2005-0 1261 Payments: Type of Payment INT CHOS .\ , \ ~ ~ c \ 'j , , ~ ~ i. 't " " . 'I' 9122/2005 " . RECEIPT #: ~ jilty of Springfield Official Receipt .elopment Services Department Public Works Department 2200500000000001315 Date: 09/22/2005 Description Manufactured Home Placement Manuf Home State Issuance Miscellaneous Plumbing + 7% State Surcharge + 10% Administrative Fee Paid By 100-35200-647009 STA#I Item Total: Check Number Authorization Received By Batch Number Number How Received INT CHOS In Person Payment Total: Page 1 of I 8:25:11AM Amount Due 160.00 30.00 45.00 14.35 20.50 $269.85 Amount Paid $269.85 $269.85