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Home My WebLink AboutPermit Building 2007-7-12 CITY OF SPRl1~1.111ELJ) Building/Combination Permit PERMIT NO: COM2007-01028 ISSUED: 07/12/2007 APPLIED: 07/12/2007 EXPIRES: 0111212008 VALUE: $ 50,000.00 " , rr}. .-SPAINQ,'!J:'Ja~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 658 S 57TH ST SPACE 68 ASSESSOR'S PARCEL NO.: 1802040000200 Springfield TYPE OF WORK: Manufactured Home in Park PROJECT DESCRIPTION: Manufactured Home Placement TYPE OF USE: New Residential Owner: DA VID BANDO Address: 658 SOUTH 57TH #99 SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Manuf Home Inst Plumbing License 136446 66447 66447 Contractor BURRELL BROS ENTERPRISES INC HARRISON JACOBSON INC HARRISON JACOBSON INC BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: n/a 1 3 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: ,,--,. Special Instruction: Phone Number: 541-741-0350 Expiration Date 08/20/2009 05/0712008 05/07/2008 Phone 541-747-2724 541-689-7762 541-689-7762 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,073 REQUIRED PARKING Total: Handicapped: Compact: . Sidewalk Type: A"&:.moN:~~you,, . fDDow Mea adopted by the OreGOn uam, NotIfIcatfon Center. ThOll.... are set fortIl In OAR 952-OOt.oo10tlvough OAR eu.aot. 0090. You may ObtaIn oopIea oflllndel'" oafIlng the center. (Note: the _......' IIUmbIr for the OregOn UUIfty NGIIIIIIat Center II t..... au). Notes:NOnCE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED ORIS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of3 Status: Issued CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: cOM2007-01028 ISSUED: 07/12/2007 APPLIED: 07/12/2007 EXPIRES: 0111212008 VALUE: $ 50,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Manuf Home Type of Construction Manufactured Home $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 50,000.00 Value Date Calculated Description Total Value of Project $50,000.00 $50,000.00 07/13/2007 Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Amount Paid Date Paid Receipt Number $26.50 $13.25 $21.20 $30.00 $50.00 $55.00 $160.00 7/12/07 7/12/07 7/12/07 7/12/07 7/12/07 7/12/07 7/12/07 2200700000000001118 2200700000000001118 2200700000000001118 2200700000000001118 2200700000000001118 2200700000000001118 2200700000000001118 Total Amount Paid $355.95 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 Reouired Insoections I 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 connected to water and sewer. MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. Page 2 of 3 ... a. Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2007-01028 ISSUED: 07/12/2007 APPLIED: 07/1212007 EXPIRES: 01112/2008 VALUE: $ 50,000.00 225 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 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 of the property, and the approved set of plans will remain on the site at all ti~~ring construction. ~~j~.'B~ ?/(~/6c/ Owner or Contractors Signature Date Page 3 of 3 ZON~ INITIA S _ DATE " SOURCE -{.lV\ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PEJP'!,IT AP.!kI9,ATION City Job Number .lF1- \ \.~ CONTRACTOR INSTALLA.TION ONLY :'lectriCal Contractor PJ V '( (..(J )') fJJ -( 0 S P 0 1n 'I- Lv q 7 Ci\Yt~) 11 .. - f (v; . ~ Phon' 2J -17 ~tj Supervisor License Number Y I 'j.. J 6 10 101 . I I _ Constr. Contr. Number I ?)lP Y. ~ Lf 10/0'7 . siOrnl0~~~~ng~tr~~JiL. . Ow~mN,m' ~\)\rt t\jtrr\r.l Address \oS~ c;.,. ~ ,~~Cl E. Miscellaneous (Service/feeder not included) -Each Installntion City ~~,Q _d.- Phone L4 \. . ~~ Pump or irrigation $ 50.00 . \ ' Sign/Outline Lighting $ 50.00 OWNER IN TALLATION Limited Energy/Residential $ 25.00 The installation is being made on property I own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + surchargesO{) Owners Signature: 4. SlJBTOTAL OF.4.BOVE ~ _ NOnCE: 8% Sin" Sncch"go - ~~ THIS PERMIT SHAll EXPIRE IF THE WORI(O% Administrative Fee . AUTHORIZED UNDER THIS PERMIT IS NOT% Teclmology Fee ...... ~ I t. R.O )lfl8I OR IS ABANDONED FOR TOTAL \ I'\ nsp~c IOn e 1.1 - PERIOD. \.0 l. Shared Drive(T:)/Building Fonns/Electlical Pelmit Application 8-0o.doc 1. LOCATION OF INSTALLATION: 3. \D~6 S.~\~~~ LE\~6~5\Cb \iY2ill J~CRlITI ~ Permits are non- ansferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address Expiration Date Expiration Date Date C.OJ\.lPLETE.FEE SCHEDULE BELOlY A. New Residcntial- Single or Multi-Family pcr 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 \ ~~5SoJ B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C.Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps oA~ON: Oregorri ~l~Q.OO 201 Amps ~~8ctopted~~M~:y 401 Amps~Center. Th~~~ rW;almia:t Over 600 ~~1,1C(l19*~DAR 852.0C)t. D. Branch~rt.I-J'Ypu~ may obtain copies of the ,.. bV At IH~ the center. 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'Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01028 COM2007-0 1 028 COM2007-01028 COM2007-01028 COM2007-01028 COM2007-01028 COM2007-01028 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000001118 Date: 07/12/2007 Description Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DA VID SANDO Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 2667 In Person Payment Total: Page 1 of 1 1 :55:39PM Amount Due 160.00 30.00 50.00 55.00 13.25 21.20 26.50 $355.95 Amount Paid $355.95 $355.95 7/12/2007