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HomeMy WebLinkAboutPermit Building 2007-4-27 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00614 ISSUED: 04/27/2007 APPLIED: 04/27/2007 EXPIRES: 10/27/2007 VALUE: $ 21,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4475 DAISY ST SPACE 70 ASSESSOR'S PARCEL NO.: 1702323406500 Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: MFH in Park Owner: GNP INVESTMENTS Address: P.O. BOX 42177 EUGENE, OR 97404 Phone Number: 461-3396 Contractor Type Contractor I CONTRACTOR INFORMATION I License Expiration Date Phone I\W\fa~w.:' ,,- '''''l\r IAI(lOII BUILDING INil1~~~l'Jifli>NtHA~~ ~~SPE~M\TIS' NOT AJTHOKILtU ~ND nNED fOR # of Storiesh O\\i\';,!\ENC ED OR IS ABAIIlQt'Size: Height ofs~rlc~"f~b DAY PERIOD. Sq Ft 1st Floor: Type of Heat:~ Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: - Sprinkled Building: n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: DEVELOPMENT -I Nl nlaw requireS you to f Ilow rules ado'pted by the OregoR.~19:i'RED PARKING 0... 0 Those rules are set forth Overlay msf:lflcatlon Centvr. a9-ta I.!"O 1 ' , - OARoz--u - # Street Tlr~@:&q0!52-001-001? thrO~gh e ~v&ce9ped: Paved Dri~~~.!ldj"ou may obtain copies of th C:~rgR~cl: % of Lot COt~~gl9 the center. (Note: the tel~~ . number for the Oregon Utility Notification _ . _ ~ '1'''' 1)1)') ,')~L1.d.\ \..,C;lll'I..." I..... 1 ... - - I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00614 ISSUED: 04/27/2007 APPLIED: 04/27/2007 EXPIRES: 10/27/2007 VALUE: $ 21,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Manuf Home Manufactured Home $1.00 21,900.00 $21,900.00 $21,900.00 04/27/2007 Total Value of Project ~ Fee Descriotion + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement Manufactured Home Service Amount Paid Date Paid Receipt Number $25.50 $12.75 $20.40 $30.00 $45.00 $160.00 $50.00 4/27/07 4/27/07 4127/07 4/27/07 4/27/07 4/27/07 4127/07 2200700000000000610 2200700000000000610 2200700000000000610 2200700000000000610 2200700000000000610 2200700000000000610 2200700000000000610 Total Amount Paid $343.65 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. ~eouireCUnsnections . 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 Set Up: When installation of all piers or stands is complete. Manuf Home Plumbing: After home has been connected to water and sewer. MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. Pa!!:e 2 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone cj..., of Springfield Official Receipt 1 Jopment Services Department Public Works Department Job/Journal Number COM2007-00614 COM2007-00614 COM2007-00614 COM2007-00614 CO M2007 -00614 COM2007-00614 COM2007-00614 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000000610 Date: 04/27/2007 Description Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Service + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By GNP INVESTMENTS Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 1046 In Person Payment Total: Page 1 of 1 3:24:35PM Amount Due 160.00 30.00 45.00 50.00 12.75 20.40 25.50 $343.65 Amount Paid $343.65 $343.65 4/27/2007 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: cOM2007-00614 ISSUED: 04/27/2007 APPLIED: 04/27/2007 EXPIRES: 10/27/2007 VALUE: $ 21,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ployees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all requi ins ections are requested at the proper time, that each address is readable from the street, that the permit card is loc d at th fro ofthe property, and the approved set of plans will remain on the site at all times d~ri~on. j /r Y; 7 Owner or Contractor~gnature Date ( Pal!e 3 of 3 ~ 5/)"'o~ SPRln~D rn~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~fhVL~l(- 6Ulo("-(.. Date f-{- ;)-7-0'1 1. Y415 -~~? Y iJti7 () \ LEGAL DESCRIPTION I 7 0)... '3 '2._- ?> 4 () 10 s-o-7J JOB DESCRiPTION Yv\F4 0-0 M'Ut c'+; OY 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. Electrical Contractor ~ F:tf.-r1-v-i C Address t::b. ~ h l. I..\- \ g tlO LL C City ~nt\q1%~ Phone i4{o-I4-1 \ Supervisor License Number ..3 0 ~::s S Expiration Date \ U 0 \ (0 -, Constr. Contr. Number Ilo 4 <is' 11 Expiration Date fJtn 1 [)q J L-oD1 Signature of Supervising Electrician _ _..A' '. ,/}'7' C7' _ .-.- / ;:'::C::- , , Owners Nmye C-}.J? l(\l>--'UO~ S Address I. '>. {Ju.x <-/t;}/71 ., , CitkuqJJ'!.<' J ' Phone Ljp / -- 3 -3 7'(: owQ&~TION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~".a_ '0"""~'J' \..~-i~j1/ 3. A. 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 ::SO . ,- B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only N $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. AUTHOFiiZf:n IRE IF THE W Inste~t~?~t~.vt;~l':itlJftJ ~f1iAA80PE R Mli 0 R K 200A):ltPsr~c eR~\~ Or-R IS ABANDONED ~.tNfJT 201 Amps to <+6&'1'tufpsRIOD. Q~oo 401 Amps to 600 Amps $100.00 Over 600 D. New Alteration or Extension Per Panel One Circuit $ 43.00 Eac{l.J\1iffhlOrililrqjrOti€~'f'1i,h . Se~iOe)w m~r~ 'Bd aw requIres Y8ilt1l~ .!_' ,,~t d by th~?~e on Utili E. ; mlft~l o.~ J y tigl1 Pu~~~rj~!JigX obtain copies of the rU~IQ{; lXidll18 oJe ~enter (N t 1.;;11 SimfRt8~?1bPtnfkn~r~ nO e:. ~he tel~~h~~~.OO Limited E~t:l!.YfRfsid~nfQP UtilIty NotJflCi$il1roo 15'l"'1te- IS 1,8'00-332 ~;j44) Limited Energy/Commercla1 . . $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. {p (SO If. -- 8'% State Surcharge 10% Administrative Fee SC71; TOTAL Sr-- o,SV Shared Drive(T:)/Building Fonns/Electrical Permit Application I-03,doc 1}4 i.5 y S+ .5 /cle- Wu./ Ie l / F f? Vl (::' tP ' 56/ /" 10/ ~ 1\ $1 \:/ L/4)5 Dct'sy #'/D Sf 'fIVljf, e lei; 0., 1".1 ' ...,0 k lI\ r Y' ) M a VI C ~ N "'l + E ./ '- 4 "/ ! -=:'r ~ ,e-..\CC +-0 F 'el'\CC .2.'-// OS ewe-V' !~ ~~J J I \1 ,1/ -{ Y- c? V) +- , ' o kJu+c y iLf 0' \' ) ,1~ 17'" vJc /'V1J s /\ /19 / vi ' , . ~ I 80'" ~ /e) / '-- /' '-n, i <"> i ~ I r I ~ i j 'I " I I I I I ! .i i I , I j Lo I- L/" ~ =--> I ~ I ' fC! 5-1- fen tt' 225 FrITH STREET. SPRINGFIELD, OR 97477 . FH:(541)72G-3753 · FA.,'(: (541)72G-3G89 City Job Number t! 7 - (P!lf LhLk, 7 r-- Placement Location '1 7 ./ c o .~..... ~., ~ (J, ..~. J ~ (J ~ ~ ~ ~ .~ ~ ~ ~ ~i ~ ~. Assessors Map Number Lot Block Partition Number Property Owner ( //YlI.f"'Y 4'/70 / Tax Lot Number Subdivision Has Partition Been Approved? Parcel Number Namp GAl? //f) v41;tt~/7S' JJ-C- . Phone Number J'f( --1--P/ -1f? P Mailing Addres~ C> I5tfJX 'fJ.-1 77 r:ity _fiv'~ ,State /Yfi- ZiP? 7~ Contractor l1~for11l(ftioll Contractor'sName Installer f~'~1J.. ~f}"-5 PIUmbingr;-7'-~ '-.....f&~" Electrical ~.A-tt/,il C~ -- - - .-" General Contractor (If Applicable) Mechanical (If Applicable) Lending Institute Business Name ~/kE Mailing Address City CCB# /(itJ.7-?-0 J I)r) ? p.6 , . ~~, Expiration Date . Phone Number , Attention , State Permit Information Sq Footage of Home /f7'iJ Value 1Home ci:l;/t22Type of Heating ..fJ.-E1::r Sq Footage of Garage / Carport ;V /A x. = Value of Footing / Foundation = ".vI-4-~.tA'.(LYrTotal Value = / Plan Check Fee Receipt # Received By Phone # .rf!~bP'L9?90 7":W -~ ft ---..50 ?PU Zip Heat Pump Y @(circle one) Date M.'... "'.... J 1. --r T 1)' '1 j . i _ ~ . l.. JI.- ~ . " .,'" '. .., 1 .... ,4.-c'" ...' ~". '.,....." I.,..', ',.. ., '. i...,.. '. - ...4..", "'..' '"'" I" '.'.,..,.".. ,..yA'.,.,' '".. ...,' .... ...1 ," r1,", .,.,.... '.~..',.' ;" '. '" ", r ' , .... . ..... . ;.. ' ' ..'.. .. ..... '.... ......., < '; i '.... ... .,... j ..' ... . ... '.... · ' ' \<aH~tJ-aC~L..LLe(le 110 LEe J J'kceLne,rl~ ,_" u_, .',- " .... - '-,-,' . Shared Dnve(T:I/Building Fonns/Manufactured Home Placementl-02,doc