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Home My WebLink AboutPermit Building 2009-9-29 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01450 ISSUED: . 09/29/2009 APPLIED: 09/29/2009 EXPIRES: 03/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ".' I; SITE ADDRESS:' 2150 UAURA ST SPACE 65 ASSESSOR'S PARCEL NO.; 170~271004400 - Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured borne in park Owner: Address: . ' MONTA LOMA MHP 2150 LAURA STREET. SPRINGFIELD:.OR 97477 Phone Number: Unlisted I CONTRACTOR INFORMATION. Contractor Type Mechanical Manuf Home Inst Corttractor License Expiration Date MEDFORD HEATINGl,&pAlR-CONDlT10NIN 164549 05/25/2011 , , ~f'i I JUN: Orego I' CMH HOMES INC follow rill". ~r1~_'_ _,n, a"16B9,'lOres YOU to 10/25/2011 ..,...... , ;:''''--''.-.'''~SJon utll"t I: BUIL'DIN(HNFORI\;I!.iW'dQ~ I Y ,. YJIJ\ 'lU"'" ,~, ,aresetforth 0090 ~--- v '-VlJ rnrough OAR 952-00t cal:# or~f6l.ll!s9btain copies of the rules b 'ot Size: nu~JIi'cl~ro'j:'ID\'1{.t~NjJte: the telephone ~q Ft 1st Floor: lf~pe~~~;g~.a't1regOn Utility Notification Sq Ft 2nd Floor: Water"fYple, 1-800-332-2344), Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occujiant Load: Phone . 541-779-3401 865-380-3000 # of Units: .j.. Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type i Secondary Construction Type: # of Bedrooms: R-3 VB I DEVELOPMENT INFORMATION' REQUIRED PARKlNG Overlay Dist: 'Total: .. # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: " % of Lot Coverage: O~~ NOi\Ct:.l'd't.I~" tY.P1B"t '~i'"'!f t-lo'l' -. 'J.. "r...,,,.',, ~ 1\-11'" n:rM,\. I PUBLIC iM~,'RQ-wmW11S1 DONED fOil. "l: , ~ I I\BI\N COMMENCED 0 1"'00 Sidewalk Type: I\NY 1 BO OJ\\{ PERI . Downspouts/Drains: Frontyard Setback: Side I Setback: . Side 2 Setback: Rearyard Setback: Solar Setbacks: Street I~provements: Storm Sewer Available: Special Instruction: Notes: j! Pa2e I of3 Status . Issued 225 Fifth Street; Springfield, OR . 541-726-3753 Phone 541-726'3676 Fax. ;: . , 541-726-37691nspection Line CITY OF SPRIN~l'lJi.LD Building/Combination Permit PERMIT NO: COM2009-01450 ISSUED: 09/29/2009 APPLIED: 09/29/2009 EXPIRES: 03/29/2010 VALUE: .1 Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project I?P~1i; P'lirlJ Fee Description , I . + 12% State Su!charge + 5% Technology Fee 1st Appliance .; ,. Manuf Home State Issuance Manufactured Home Placement Amount Paid Date Paid Receipt Number $57.12 $23.80 $79.00 $30.00 $397.00 9/29/09 9/29/09 9/29/09 9/29/09 9/29/09 2200900000000001112 2200900000000001112 2200900000000001112 2200900000000001112 2200900000000001112 Total Amount Paid $586.92 '" .. I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Rpnv,j,rpr! '~prtinn'l 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. Manuf Home Plumbing: After home has been connectedJo water and sewer. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. ., Paee 2 of 3 _~C:~l~!,p"l"" ,_ Ji . ""''1' ~,,--"~''f~',+;,;jf ii:1f,,: ,.>.1_ Status Issued. CITY OF SPRINGFIELD Building/Combination Permit, PERMIT NO: COM2009-01450 ISSUED: 09/29/2009 APPLIED: 09/29/2009 EXPIRES: 03/29/2010 VALUE: 225 Fiftb Street;.Springfield,OR 541-726-3753 Pbone:.," , 541-726~3676 Fax .i. .). 541-726~3769 Inspection Lin~ ,. By signature, I state. and agr~e, that I bave carefully examined the completed application and do hereby certify tbat all information hereon is true and correct, and I further certify that'any and all work performed shall he done in accordance with the Ordinances of tbe City ~f Springfield and tbe 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, th.feach 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 tim?JJri-n., own~;~Xractd~s~~gnature ~;- H' 1 .(ll.,o Y~.1 Ai._....J 9- 2<1~ ZaQJ Date r Paee 3 of 3 225 Fifth Street. Sorin.field. OR 97477 . PHI541\726-3753 . FAX(541\726-J689 Manufactured Dwelling/Recreational-Park Trailer Placement Permit Application ~pJ;,[~BIMgfl1i9].s[9N[:XI~ Permitno.:C ? -0(1.{ 5""0 I Date: 7 -z i - 0 I I This permit is issued under OARs 918-500-0105 and 918-525-0370. Permits expire if work is not started within 180 days of issuance or if work is suspe~ded for 180 days. 1~~if0C'~~GOVERNMEN;rii'i!AFfp.ROVft:~S"'~~~11 1'~=;-;;p;~~;;i;'~~-~_."'D~:'.'D-;;~..~"Ih~~1 1!f~~E~1(~gff{~!2IiLl,[~~\Y~~,~1 I Property is within flood plain: 0 Yes 0 No I I Description. I Qty.1 Cost each I Total I 1 Sanitation approval verified: 0 Yes 0 No 1 I (1) Manufactur~d dwelling I 1~J;":l~1lfGA\l'E'G'OR;(~0I<:!I€'ON'S:TtRifjC;i'i10N'~~~!.~"II1 (a) Placement.(includes placement. ilf~~~<""..l-.~'_'dd.}..I.l.~",-~;",,,~:;J_,,._....,,, . .,~;l~~,,,,r0. electncal feeder water/sewer $397.00 $ I ~esidential j 0 Government 1.0 Commercial I connection):' 1"~.~:~~ktil=.1[@I>B:~jf;[~Nj~~~gQ~iID~fi[411 1 (b) Reinspection (no ofhrs. ~ fee per hr.) $58.00 $ I Job site address:.2lso ' _ . ...... it J.r .1 I Placement permit can only be obtained.by homeowner or Oregon- \,.,f-trr,J'-A ~1. co> hcense4 manufactured dwellmg mstaller. I City: ~l"''i F..tUl County: LPriot I I (2) Recreational-park trailer I State: 011... ZIP: C:::;'1'i"17 1 (a) Installation (includes stand and I Subdivision: "^ r Space/lot no.: " r lot preparation; support blocking; . $397.00 $ J 1100-.1:.,,'\ ~Mtl (D ':) anchonng; temporary steps; plumbmg, I Reference: 1703 Z 71 D Taxlot: 0 l.( t.t 0 C mechanical, and electrical): 1~.~~QE!t9;~j~]!g>lii!@jfA\~@!i~~"1f~1 I (b) Reinspection (no. ofhrs. x fee per hr.): I $58.00 $ I \0,,\<n"'<'1.- In~ (~. ~"'~. \"'\. ~"'2... I I: (c) Each additional inspection: (I) I $58.00 $ 11~~~~.\.jJ'''~';:.r-?"~~-.;-,",'' "-_.".~,--"- ~~~d-~~.- "'~'!iMj m.,~ . :;:r~~~;~:;;:;;;,:;~~ ;;~;:;::_~i~;:Se~e~;:i~;;;:~~'t::O~ing ~Ji~!~1t~~8~~igBjnY.1l!\9j!Y~ERlJ,,~~ performmgwork. I Name: G.E:I1Al.I>..... t..)o uu',...,f,J I ~I\fllllmli~j~I~ffi.I;:~g,!:rEIDWJtEF~1 I Address: 02.('>'{ LA.., l-.L II (3) Surcharge, 12% (.12 x total, equal to I or2): '.$ I I City...... I State. I ZIP:C::,.'Co' I (4) State administrative fee for . .......~~ " .0'\.. I r manufactured dwelling (item I) $30.00 $30.00 I Phone:S'il-'ll7D_ 7201-. I Fax: I only. OAR 918-500-0105(5): I E-mail: I I (5) Technology Fee. 5% $ This installation is being made on residential or fann property owned by I TOTAL fees and surcharges (3 + 4+5): I $ me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-515-0010. Signature: 1;a%0~~e0NmR'Acit0R~iff.rsjj;A'IJj~mi0N-2d~::r~ ~.i2:'~2t~".,.>b;~"-,=,__,,-_,,_,,__,- ,~._,.;";;;;;,_"hi~",",......-_.._L,..,_~J"'~"'d.,d,-.,~--&;lRttr..,::;-~:;,>"", I Business name: c:.L.~'11o" \-\o~ - -:YAc:..",c... 1 Address: 1'-{?,'1 c.~-.L'"W"-; \)<L N C I City: ~lI)Q""1 I State: on. 1 ZIP:<j'1,5 21.- I Phone:;'<t'j 1(,7- ""Sf I Fax:~/-1't? -/8-17 I E-mail: .t-I\ ~ Cot lJ.-(?>J. ki.''l I CCB license no.: lr..lo'i"iu' I MDI license no.: 31/. I Print name: el..cp. v'tC.101t......, G. /"('L I Signature: /J A/n \....../ /VV I <.)o!rYl Go",:'1- , 1 I I .j- I I 440-2547-) (9/08/COM) ..', .~ ~~-n .,"'-0..",..-. _, City of Springfield Official Receipt Development Services Department 'Public Works Department 225 Fifth St.reet Sprin.gfield,Ofegon97477 541-726-3759 Phone Job/Journal Number COM2009-0 1450 COM2009-0 1450 COM2009-0 1450 C01>:12009-01450 COM2009-0 1450 Payments: Type of Payment Check cReceintl RECEIPT #: Date: 09/29/2009 2200900000000001112 Description . Manufactured Home Placement ::. MailUf Home State Issuance ".-. '1 st. Appliance ..+ 5.% Technology Fee 1 . . ."+.12% Stat.e~urcharge Paid By . Item Total: Check Number Authorization Received By Batch Number Number How Received C E VICTORIN?, .... . . ~,; of' djb 1692 In Person Payment Total: , ';; 0'0' " I .. Page I of I 3:09:46PM Amount Due 397.00 30.00 79.00 23.80 57.12 $586.92 Amount Paid $586.92 $586.92 9/29/2009