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Home My WebLink AboutPermit Building 2003-10-22 . . Status Issued * . CITY OF SPRI1'lhHI!..LD Building/Combination Permit PERMIT NO: COM2003-00955 ISSUED: 10/2212003 APPLIED: 09/24/2003 EXPIRES: 04/22/2003 VALUE: $ 2,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1263 MAIN ST SPACE 39 ASSESSOR'S PARCEL NO.: 1703354108700 Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: M.H Setup in park ATTi=I\ITI(,\I\I.(\_"I,,_~_ 1_.., M_... ___ ..... - -, -.. -- J...... ...., OWDer: fO~6'(jtiilV-AI!.l!'FiY.'EN1JEm>RISES]On Utility Address: \j<PltiiB(;)x)256'anEUGEI'llfu@R11~7j~e set for n ()4J:l OC:;f')1\n.. 1"\1"\"" u...._.._1... _...... ____ _ Phone Number: 541.746-6321 ". - -~.. -.... .............-.vv 0090. .You may obtain copies vi 'CON'I'RACTOR INFORMATION I calling the center. (Note: the ('~.aF' .v. ,t: Contract~Wf~a~ for t~oh'frn1!tB~Jtility Notification License Electrical . ron'''ti5NRlCH-EP:E&f.Rict.LLC 149509 Expiration Date 1lI02/2003 Phone 541-228-0200 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I BUILDING INFORMATION I ~:[g~~~~~~E~~~IT SHALL EXPIRE ft.:Wf:?W~K: Type .J.itUlDRIZED UNDER THIS P~~~)I~rr: Water (tWAMENCED OR IS ABAND~ij:Ft lJJ~ment: Range jI.'~:j 60 DAY PERIOD. Sq Ft Garage/Carport Energy Path: Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: ". Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DowDspoutsffirains: Notes: I Valuation Descrintion I Manuf Home Type of Construction Manufactured Home $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,500.00 Value Date Calculated Description Total Value of Project Paee 1 of2 $2,500.00 $2,500.00 09/25/2003 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 CODnection Manufactured Home Placement + 10% Administrative Fee + 7% State Surcharge Manufactured Home Feeder Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00955 ISSUED: 10/22/2003 APPLIED: 09/24/2003 EXPIRES: 04/22/2003 VALUE: $ 2,500,00 I Ff'f'~ tiWU Amount Paid Date Paid Receipt Number $20.50 $14.35 $30.00 $45.00 $160.00 $5.00 $3.50 $50.00 9/24/03 9/24/03 9/24/03 9/24/03 9/24/03 10/22/03 10/22/03 10/22/03 1200200000000002204 1200200000000002204 1200200000000002204 1200200000000002204 1200200000000002204 2200200000000001683 2200200000000001683 2200200000000001683 $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, I Rf'ouirf'rl rn~nf'ctinnsJ 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 Manuf Home Plumbing: After home has been connected to water and sewer. 4 MH Service: Approval required prior to utility company energizing service. By sigDature, 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 r 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 iD 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 durin on ruction. ~4~-f? Owner or Contractors Signature /O/..e?//"'J "< Date Paee 2 of2 , ~.~ ~'>~.. EEE_€AL'iPERMIT"ij>.pPBI6:Ain0N~~""'" . ,._;'f: ":~:. 1:t !;~i~~i '~~.rt.,~6PJ;;" ~~i-~-='i~!l'/l#:;::""-":S';;i -';:'SSi\9"',;)~;,;!'~~'~ ,-i',~ ",.) -~,..i:o~~',~ <;'<\1 ~-t~:-:..~..:>::-;;~~~-=.~:;i{i:r.{'~<,<,~:" "'''~j;.~~'''1. . '<.1 ~~c~<- - .;;.~....~, -,....,.~'~~......,~,_,,?':~,.. ......,o)~: -'" ~.."''T,l ';1 "~'CttY':JOh Numbcr,"'.'O'>w~u;:;>~00?i""", ~ --:./":J :(?\ :'.. t;.~ 1t;~"';:E;~I'l;~-':"_,_t/q'~""-:;;l~_;.~~.~.:;:,....,,,.,>,,~:_'':t10"",,,:' '~i' (F" .~ ,'"~ [4.';.i/'<T""'-~.""'''''\~'?'''.'''n-.,.... .~j";;-",. ~€'.. '" t". ~, ilj,. ',:ti. "'",+'.\}:n:~...t'{\:":-'1f:l.:,:"...::->:.7;:"~~"'.:--:q,::;.::.:~-t:; '~ : _ \30 .COMPeliTE FEE,S€HEDUI:E'BEI-0,\W' ~~,' -' " .' If:{~1 r(~lA ~.-,';l:"^;:j ~~~Jt':~;i~~~~:' ':f.:11:~~~~~~1t'-'t~~.f; " ,~t~:'!,~' ~~~f,r~identi.w~1Wg~~fp:~!~~~:;irA~~;Ji<,;;,;7;i~~: l'" Multi-Family pcr dwclling unit. ,&-O"~0 Scrvicc Includcd: ~ ., ~ t;:.o ~':;, ,~ ~ o'f:' .~,v ~t~-l1 JOB DESCRIPTION #0~<:t . 0 s . . or lcss f~<?1J U1t-f /:;7..rt-lfL.<..p tr y':,~0 (l, Eac additional 500 r.;,;' ~l ,-" ,0 . -()~ '? . ft or portion Iii'"~,, t v.i>fv 0' '10' 0 ;,~~ Permits are 1)0. n-transferable and e~'l"\" (' .....' thereof ~~~ if work is no~startcd within 18~~j;O" ", Each Manufd Home or ~~~ of issiIancello/fif work is sus~:~!l'\for ",,,<i, I Modular Dwelling ~.'t~.~ 180 days. . '. 'J.. . ,,'" "," o~., 1,.0 ,"". Service or Feeder l $ 50.00 ..~<J.f.~ ,'~ - '\.o~~ ~ '. ~{~ 2. €ONTRW.'{;'~OR ItST ALfA TION NI"f<f B. Scrviccs or Fcedcrs 10., ~ii~~ ~~ I!!:, ~i;-0' "iiC1" Installation, Altcrations," ;'~~~.:. ~i.fJi\~ ~lectricaJ'~\i.ittraR.o~~9<i"'il'~Q,U~~Pc U-C Relocation: Jijj<;.~-t,,~~ ~..,'iff..~.' A 1t:1'l11~.!'1~O \~~""'vthaOragOn ~I~ .!i~4.~',~ c~r:i:;~~,7t'1'.... '''":'' ~o;\, f011r.w r.lJl " t.- j LI .f!:'g~:e.t';~ ~'?'"" ;~y,,,':.c. t~:,~",l!<,.'\. ~,... ~~i1rc~5..,. 11f!;;;d'rOl=r.are S "...2::). 200 amps or le~s.';JY",<',1'.'... :"';;;". "~_$.;61,QO.,) n.i ~'''''< \Iotlftcal\ t;Vl'~~"'~w~Y ~AC4''''''-A0: "~ 201 ampst0400ilmps"" '~'<i ,~2:r::-;$"75'00,~\."'1 ;:K~l;~) . n ~?~t~ : v~11iroug '.J.:, ~7;-( .. - ~;!I:.~ J;.;t _: ,,,~.,, "->[brr.;~~_;:;--::- .. :>r..-<,. :"'~!') ;(,1",~ 1 @1tyV>'l~/.r.- '. ~ ':;PhOU""_ . 'I1~?'-I141{\' "~';,n.' 401 amps t'1.6,0_q;~mp.~,:("~:(-t',.;ii"<i."~,i: !;~J;~',90" .:.;& \1 t.,i;.7)~.' 0090. YO~'n;l~V~Mliii~Pl' q~.ol' ~ .,"7"'o-n' ...,,'. C::"'~'i' ~~601 amps to"1000'aIhps_-'_)",r_':;li~:n'r;:"'-$16_'l..00:;,1i.:'i1 ...!f'}.r.-.t\ ,\.: <;~ ~n IF.: . f': hte ~\-~ # F.~ "J ~Ka ~....~ C: ' ..' ~". ',,0. .'T-..:;:.. -~~,. . 1~' ~~'f.,;:j S\!piirv!Ji !11!.Icen~ ; ,I)ln e(:. ',' . tiQn:'. . . >\; ," '.qver,l000,ampslvo1,\". ..,~. 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E. l\lisc~!!~.~~?~~:J~e~i~~~,~~~ not indu d~~l ~t~~ ~i)~l{i~ ~::i'Y:,~.; '~A~;~;,.{;Rl*~.mr~propertY,Iro:wn.wluch-::lS'I10t' mtended~~';<i' X :-:';:Each:lnstallatlOm,;<~iI~; ,~ . ;~f';:,",,1:$~.~;::.r,...;,/~~t\;,' ':l:"~,f~.;i.l~~;~:':'):7; ~r.'~"';.~I.'.",:;j1.".t.)~{'l:l"zirr":';;ti..Wk"~~.;';.~;;t":~;-~.~1,} :J p~.""'.."'''';'.~~;::':1''>- ':"~'t-.' '5..f.;Ki?e~ .,;; ~\1:--$"'0' ':~0"'0\~5}::l.:.y;<.!"t'il~ ;:,;.,~ '\!". ';";.~:;.l1orsa e;.... ease.or,ren. ;-~ ':~:O_~~"!~~"'.. ":':.,,;..:;~,4;.. ~; ;ump'oornga lOm,~~~' '.~ t.'.t-- .-;., :I'; ~,": ::' .';C;'~""..:'; \~."(,.\lJ;~"" .".t;. ~~~-C;~1:.r ...;.,......t..\......l..~"- ..f!1S..'..F;~&; r:"..:\}~(j;./.', .- ,', '-;.- -'~'-~,~, {'. .,.; '._"~.'. .. .,.: -I'. -' ."~. .,.----:--::;:-. ~3:;::;:~';~,~.;~~~tf.;l~'~~~~~;S;;*~~.-; ~,~F!tt~~ ~. \~,~-- '~1 i: $1~J<8l1~It~e,trt~ll!~~~".i ~; _ $~O~9.Q~: <t)~~ ::!~,\-I~::j~0.;i.;J\t.;i01ynCrs\Sigiiature:.;.' \,{, "\~:Ui"; r'\ 1;' Limited',EneigyfRe.'s'~.~,~: :-'~; $25,.,00"-;;, <~':" '.~"''''''''''':''-.TI';; r~',-"""'."'" .:tfi.'.. .~.;"..,s..., ".~:<\J~i._.... ".: -;r... -""..""Yi"" '.~ ~...:;;~...' ,..:. - .-. ."~',' ~$,::J,~'::ift :-~t~~'~i~~~;-';':';O;.-~-:~:,-t~i . ~ i;:;'~'~ .f'!'. .~:~. :-~Liinited:Energy/Cbiniri' e . $45."00\: '.'i';'~, .'~;,.;~r4~.;~l~}~~:~i~.~,jY:.~Jli:~4~_~~'f.':t:~~;'t7~!~~~~~i~X~:~i ~~:t{fi ~{~*,~i~,X~i ~~~-~ .~., - .'.~~,:):,~ \-~~~':::, ~~:~:.:;F~~~?:~~~t~:~ft~~~S:f.~i$~~,,:~':.~1~>,,~if:t~~~}f..." "" .~~::;;\ l\tIinimJw,,~I.e~.fJ:(c,;~~r.~i(!Q~p~ction Fee is 545.00_ + S'~i'~~~~~gcs "fiJ":f"'~.'~" ""~'$. ~'..j.,~e ~,~,...." {t~':,!;....:,_~, v~~< "~....,'l> 'i_\~.. "i'~~ "....V;1;;:;;jl_', 1'1'," ~ t','~"~;O$!.;Yl:t;~~. l'~'r..~' l".. ;").""." :-.",..-....~......,,/.__,_._~"..~~ "",.J... .. "-...;;r"f.'F- ,..r..:..-i....,.,~.... V.-: ....'~'i..'",...-"'tt''"'.. .,'i,':.... '.. ...~,'. .~;~- ,lj~.1t~i;:;:'..:..~..<,.,;...I...l ,~-;..t.-.~,~""~~ .~ ~'..:'it-~;:.:.-~";. .;.~ ~'I';-1\ P'-l.t{:.',"~-"'. ~ s.~!.-:..::,. '~'~~'.2~~~~~IEV' ,', ....~.. ~1't:~.~.~~~'-Wj,~r,~ ,~.~,'~+f~'t~;~_ 4. SUBTOTAL:9F-ABOY~' L7t~~ ~,~it!;-..7t1:[;'~'~~"?1:'~ ;N;/t~/{t;;' ~;~,:::;:"'5:~~\<,r.~'fh 70/0 S'ht'~~'Siir~ha~g-~.' "~';" 3rt..? ,~~)~~~1i~~Y::~,~;,:.. ,~~ .:;&i~'l" }:~t~:~~S~~:t~;~~~~~i~t~\ 80/0 A~Mi~'fst..aiWe.Fe1t ~ ~ - 'It1~.'.y,~,)':-@.....--~..;..::~...;~,~~,~....;i. ~.....~';, x ~ -.(?::>-:-:(;l::~': >"-'-~-#-~i':;,iF::: --' ;;';'.~' . .':':..: ~.,,\ -._ '}~ ;~';' ',2<:1-)r"'."::. t;." :'i'''''' "--~ "J,~~'.'~\' ~ -?~'I(/ '''d..~,:e~1't'r'':'~\1~':{-.;f~.e', ,~.1: ill ~~:.Y~1tJ;!i '0:' ;."-,.W:'~:!J;~ TOTAL :; {'. \'t-f"W~~;1~:"~~'i:o,: ~:"r'l4,\:; ~:.,S'i\1is~~~' ~!I~'f;;,:J;:j1-;':; 11, .. "\.ll...:..tt<~.:~~.~t:~.:...:,~~..>~'~' . ",...t>>,1~r.~'i' ;.,i,,~tc:k';;t:.'F... . 1'/i!....A ~;225 EffiTH,STREET ~~","i&. r:~ "c: lt1;'$'~1!Spfu~GFiEill i5REtlbN'9'7~;11 ~nJ ~. ~ ~iI~SPE<:rI0~REQWST~72];}:6Q$.w t ~~11. n .~.('~r;;.;;~~~7..26!375.)t.~.\~.~. ~i ~~1 '.'.' 1\;'.'l~4 ~>. if" '~H~ ~ jjH!~! t:, ','(-' :. ~~,j) :{ 1. djUT:I(~NIOFJ~'sT';;;~i1ATloN .~ ~, IZ~:3- m'j'm\.( ~r# '3 1 $106.00 LEGAL DESCRIPTION 17033.5'4 I 08700 Items Cost $ 19.00 .,f.'";;'~'~": t).mtf' ',:f13~1'f ~~ :~:1.li.:i ~... 5' r:> 5'0 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00955 COM2003-00955 COM2003-00955 Payments: Type or Payment Check . . , ~~_1 Receipt #: 2200200000000001683 Description + 7% State Surcharge + 10% Administrative Fee Manufactured Home Feeder Paid By CONRICH ELECTRIC Received By nJm l:heck Number Batch Number Authorization Number 1493 City of Springfield Official Receipt Development Services Department Public Works Department Date: 10/22/2003 2:25:19PM Amount Paid Item Total: 3.50 5.00 50.00 $58.50 How Received In Person Payment Total: Amount Paid $58.50 $58.50