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Home My WebLink AboutPermit Building 2003-4-11 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ N ~ . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00264 ISSUED: 04/1112003 APPLIED: 04/11/2003 EXPIRES: 10/1112003 VALUE: Status Issued SITE ADDRESS: 5335 Main St 204 ASSESSOR'S PARCEL NO,: 1702330001300 Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: use initials PROJECT DESCRIPTION: MFH Owner: CHARLES LAWYER Address: 5335 MAIN STREET SPRINGFIELD 97478 Phone Number: 689-8445 I CONTRACTOR INFORMATION I Contractor Type Owner Contractor CHARLES LAWYER License Expiration Date Phone 689-8445 BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: I DEVELOPMENTINFORMATION , SETBACKS'-, , Vf/OW '-'/\,/ Frontyard Setlliiclt.;.a/Ules a~;;i "'iN! I ,al1- Overlay Dist: Side 1 Setba~k?AA 9~on Cent;::ted by th req/Jire6~,Street Trees Rqd: Side 2 SetbacJ<:O. YO e-001_ao' rhose e OregO P~edj>rive Rqd: ral" /J may 10th r/Jles n Utilib Rearyard Se!~ack:g the Obtain rO/Jgh 0 are s~ Po"J:ot Coverage: Solar Setbacks?ber fOr 'hcenter. fA ,COPies o,'A.A 95e_OOfth _ I, "'..... "vn._ th_ 01 -"Ie. ','I ~:~~on I.Jtili;;:.~<r~rji)Je ~PROVEMENTS' 1)-?'1 ;y .vo ". Street Improvements: :>-?344J. ICation Sidewalk Type: REQUIRED PARKING Total: Handicapped: Compact: Storm Sewer AvaIlable: Special Instruction: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ~~~~~c~~~E~ U~D~R THIS PERMIT IS NOT . - [~ ilt, I.. M~I~6't:il'ltl:J I Uij ANY 180 DAY P~R\OOuation Descriotion I Downspouts/Drains: Notes: Description Type of Construction $ Per Sq Ft Square Footaee Value Date Calculated Total Value of Project Paee 1 of! Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Manuf Home State Issuance Manufactured Home Connection Manufactured Home Placement Manufactured Home Service Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00264 ISSUED: 0411112003 APPLIED: 04/1112003 EXPIRES: 1011112003 VALUE: I F~~s Pailll Amount Paid Receipt Number Date Pai $25,50 $17.85 $30,00 $45.00 $160,00 $50.00 4111/03 4/11103 4/11103 4/11103 4/11103 4/11103 2200200000000000738 2200200000000000738 2200200000000000738 2200200000000000738 2200200000000000738 2200200000000000738 $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. IRMU~ 1 Manuf Home Set Up: When installation of all piers or stands is complete, 2 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. 3 ManufHome Plumbing: After home has been connected to water and sewer, 4 MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. 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 tbe Ordinances of tbe 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 fu her agree to ensure that all required inspections are requested at the proper time, that each address is readable from the st eet, hat the permit card is located at the front of the property, and the approved set of plans will remain on the site at all tl es d 7ing constructi Q I") 4~ /~ate II-Ds Pa~e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00264 COM2003-00264 COM2003-00264 COM2003-00264 COM2003-00264 COM2003-00264 Payments: Type of Payment Cash Paid By Receipt #: 2200200000000000738 Date: 04/11/2003 Description Manufactured Home Placement ManufHome State Issuance Manufactured Home Service Manufactured Home Connection + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No DENNIS FENNEL Ikw Page 1 ofl 4/1 112003 -, 2:42:35PM City of Springfield Development Services Department Public Works Department Official Receipt Line Item Total: . Amount Paid 160.00 30,00 50.00 45,00 17,85 25.50 $328.35 . Amount Paid 328.35 $328,35 How Received In Person Payment Total: cRcceipt.rpt , CITY OF S~JINGFIELD, OREGON 0 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number e01ll... /J..fJ7J?Y O(})./,-!- Date 4- If -(1 ~ B. Services or Feeders - Installation, Alterations or Relocation: "i,I'\) ..-1 \0\\0 <-' WHt... """".1'6001'> Amps or less \au 'c\~ ",'ai-'v 9.c'\\ 20 I A ps to 400 Amps -a.s,s "e S ",.c' ".","' . Am to 600 Amps 'I'1l1 I"~ ,IV \0\\0"" 6 60.',~ Amp 0 1000 Amps ~". "I' '0 .~h'&l~ ,... - 0 000 AmpslV OilS ... ,0\1 ,,99 Reconnect Only l. LOCATION OF INSTALLA110N 5 3".3 6 rl1ain sf 11 20Ll LEGAL DESCRIPTION 1102'3300 0 rz,o:J .d?v,/'J <, C;t:Jl6f2.. 97'17t I JOB DESCRIPTION oft J-/, flu, 1-1"0 k - l"t.-P Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~~~ Address City \\>.\0 Supervisor License Number 'O'30\e ~^ S\~f\a:. '(\0\"'- 1'", Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name r. heAt-Ie <; E. t A/.J1k..... Address -.!:J:9&, Sv...I.::L.'r IAJA '( City r.U' ..de, Phone ~9~ g'f4-~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 4iIA .~A f~ j,J'if^- Inspection Request: 726-3769 3. COMPLETE FEE SCHEDULE BELOW A. New Rcsidential- Single or l\'lulti-Family per dwelling unit. Service Included 1000 sq, ft. or less Each additional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 $50.00 50.00 \ $ 63,00 $ 75,00 $125.00 $163,00 $375.00 $ 50.00 c. ' Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50,00 $ 69,00 $100,00 Over 600 Amps or 1000 VOIlS see "B" above, D. Branch Circuits New Alterotion or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43,00 ,- / $ 3.00 / E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigalion Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges 4. I SUBTOTAL OF ABOVE 50.00 ~ .50_ ~pv l() q:, . Sf) 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding Fonns/Electrical Pennit Application I-OJ.doc A o ~ X o ~ >- .. 3 Q) > '1: Cl Rear Porch 3'X4' -. ~ n Electtic, Wale- Sewer Service " .., Storaae Shed Soace #20~ .335 Main Street Space #204 "" .;.. ~ o o 'C 'l5 ~ .. l!! 2 Co en '" 7 y 0( f l>> 1 to II) X '-t ..... Q) E o ::c .!!2 ii o :::2: 14' ----+ ... '" ~ "" ill .., . \ i Front Porch 6'XB' 0( 21' 50' 13' Driveway SpiIce tI205 .. ~ D NORTH Approx, Scale 118" = l' . , ' ~~ ~~ 01 ,.'/ I' ....Ji "~1 ~ ~~ ~~J OJ IJ~\ ~j ~j ~j ~: ~ 'J~~ ~i ~1 ~j ~ ~l . . CITY OF SPRINGFIELD, OREGON 225 I1ITH STRE!:T . SPRINGFIELD, OR 97477 . PH:(54 ])726-3753 . FAX: (54 ])726-3689 City Job Number :) PY:AJ"J h<e/ L 0;2.- , '17<1 ?'i' Placement Location Sl( 3 $ YY1 0...; f-J :<.f 1t --20 t.) Assessors Map Numbe- Tax Lot Number Lot Bloc" Subdivision Partition .Numbp'" Has Partition Been Approved? PorceI Number Property Owner Nam" (' k O-lrl. ~ E Mailing Address ~ '$; 3 S- LArW ve-V"'" Phone Number ~I'...;..., {jdJ C 8q - <J~<I~ State~Y zip37'17 f' Y1'J OJ.., 5:/- Ir.k<( r;ity , Contractor It~formation Installer Contractor's Name CeB # 8e~.s"O .be"e.tofl.,....,t- l'H".a I r\o;>"e. ~WN e.or \.\",,,,,e. (!)c.-JJ0el-- \JV\ l> I Expiration Date Phone # - J}..~ 3+3~o4L? Plumbin~ Electrical General Contractor (If Applicable) Mechanical (If Applicable) Lending Institl/te Business Name r:J) A Phone Numb"r Mailing Addrp<< City .o\ttention State Zip Permit Information Sq Footage of Home ~ Value of Home t:J IL x Type of Heating {;",.~ ( a./:eat Pump Y I ~ircle one) 1~7M Sq Footage of Garnge I Carport Value of Footing I Foundation = .:$ f:J)() Total Value = Plan Check Fee Receipt # Received By Date l r"EU(\\lllJ." T~)if's 'ill Hr. fiJ1i:1 -r f. fr\J~;~ llllJ\If';@.1{l1\\g}i11t't.' -IVl !~.E.rUl.l~~' HW.E ~t l _1_ :Uli.rl!~ _! .jCl~,~.dl.ll.l!~!iJ.E) - - .___ __ - ~'" !:1 '.i ___ !/ ./ _ _ 8___ (j _ _~" y ~___ (1.__ 'J Shared Drivc(T:)/Building Fonns/Manufaclurcd Ilomc Placemcntl-02.doc