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Home My WebLink AboutPermit Building 2005-9-22 (3) -Wf~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01261 ISSUED: 09/22/2005 APPLIED: 09/15/2005 EXPIRES: 05/08/2006 VALUE: $ 2,655.00 ~.......? --, " . , . SITE ADDRESS: 6853 MAIN ST Springfield TYPE OF WORK: Manufactured Home on ASSESSOR'S PARCEL NO.: 1702353306204 Private Lot TYPE OF USE: New Public PROJECT DESCRIPTION: Modular units for crew quarters during station rennovation (temporary) Owner: SPRINGFIELD CITY OF Address: 4TH & NORTH A SPRINGFIELD OR 97477 Contractor License PACIFIC MOBILE STRUCTURES INC 50832 CONRICH ELlllItTRIITott Oregon law requij.~9509u to SUSAN JANE i\RNOf.lD3S adopted by the Or'4956tUti!ity, Not,I,C"'" -...... ....--..... _."..~_.._.... in OA~, ~_ulLul1n...mJ\ORMAnONI52.001_ 0090 You mfl" Dbtain copies of the rules by . '/1 of MOrIes: I <- calling trH- "i"b"lFl'fS' Nole: the te O[):lone e g to tructure f t number f'fiJ!;lf{f1iI"e'il'i':n Ulll1ty Noh .Col Ion VB C'Wllief9ry-Ce~U.332-2344). Range Type: Energy Path: Sprinkled Building: Contractor Type General Electrical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I Expiration Date 05/08/2007 11102/2007 12/16/2006 Phone 360.748-0121 541-607-3447 541-484-3787 nla Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Otber: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: , PUBLIC IMPROVEMENTS I Sidewalk Type: G\\onc~: . Downsp~uts/Drains: 1HIS !lalMIY $M~q,n, ~~"j~ It ~~I'l\t AUTHORIZED YND~~ 'iilll~ ~1E~\IJlI'i' ~ \\lOY COI\JlM~NC~!Ji m~ I~ MA\\lOON~D ~O~ M'J ~~ ~ ~\1). " , Paee I of3 -iik Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description + 10% Administrative Fee + 7% State Surcbarge Temp Power 200 amps or less + 10% Administrative Fee + 7% State Surcbarge Manuf Home State Issuance Manufactured Home Placement Miscellaneous Plumbing + 10% Administrative Fee + 7% State Surcharge Encroacbment Permit Sanitary Sewer - 1st SO Feet Sanitary Sewer Each AddtllOO' Total Amount Paid . . CITY In< IS.l"IU1~uI'IELD Building/Combination Permit PERMIT NO: COM2005-01261 ISSUED: 09/2212005 APPLIED: 09/15/2005 EXPIRES: 05/08/2006 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 Fpp~ Amount Paid Date Paid Receipt Number 2200500000000001272 2200500000000001272 2200500000000001272 2200500000000001315 2200500000000001315 2200500000000001315 2200500000000001315 2200500000000001315 2200500000000001549 2200500000000001549 2200500000000001549 2200500000000001549 2200500000000001549 $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 9/15/05 9/15/05 9/1 5/05 9/22/05 9/22/05 9/22/05 9/22/05 9/22/05 1118/05 1118/05 1118/05 1118/05 1118/05 $527.38 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 Rpnnirptf 111~'11P:Ir"'UwILI 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. Final Plumbing: When all plumbing work is complete. Manuf Home Plumbing: After home has been connected to water and sewer. Paee 2 of3 -Wi~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF ~rIUNGFIELD Building/Combination Permit PERMIT NO: COM2005-01261 ISSUED: 09/22/2005 APPLIED: 09/15/2005 EXPIRES: 05/08/2006 VALUE: $ 2,655.00 Sanitary Sewer Line: Prior to filling trench and including required testing. By signature, I state and agree, that I have carefully examined tbe completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed sball be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described berein, 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. L.. Owner or Contractors Signature Paee 3 of3 //'-.? - oS" Date 225 Fifth Street 8pringfil!ld, Oregon 97477 541-726-3759 Phone . ~.; ~-, ~, ....kity of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200500000000001549 Date: 11/08/2005 1l:20:29AM Job/Journal Number COM2005-0 1261 COM2005-01261 COM2005.01261 COM2005-0 1261 COM2005-0l261 DescrIptIon Sanitary Sewer - 1 st 50 Feet Sanitary Sewer Each Addtll 00' + 7% State Surcharge + 10% Administrative Fee Encroachment Permit Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 45.00 14.00 4.13 5.90 130.00 $199.03 Amount Paid INT CHGS 100-35200-647009 STA#1 INT CHGS In Person Payment Total: $199.Q3 $199.03 :,. ;\ 'i " 11/812005 Page 1 of 1