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
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9122/2005
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.
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