HomeMy WebLinkAboutPermit Mechanical 2007-6-7
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00831
ISSUED: 06/07/2007
APPLIED: 06/07/2007
EXPIRES: 12/0712007
VALUE: $ 15,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2150 LAURA ST SPACE 116
ASSESSOR'S PARCEL NO.: 1703271004400
Springfield
TYPE OF WORK: Manufactured Home in Park
TYPE OF USE: New.
Residential
PROJECT DESCRIPTION: Manufactured home in park
Owner: BRUCE SLAYTER
Address: 2150 LAURA ST SP 116
SPRINGFIELD OR 97477
Phone Number: 541-744-1899
I CONTRACTOR INFORMATION I
Contractor Type
General
Electdcal
Mechanical
ManufHome Inst
Plumbing
Contractor License
WILLIAM G RUBY JR 128472
WILLIAM G RUBY JR 128472
RONS HEATING AND AIR CONDITIONING 169680
CMH HOMES INC 166990
WILLIAM G RUBY JR 128472
BUILDING INFORMATION I
Expiration Date
04/17/2008
04/17/2008
05/04/2008
10/25/2007
04/17/2008
Phone
541-367-7956
541-367-7956
541-343-6829
865-380-3000
541-367-7956
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
I DEVELOPMENT INFORMA nON I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
~. . ....n]ON: Oregon law requires you to
NOTICE' I PUBLIC IMPROVEMENTSut"ow rules adopted by tne uregon UlIlILY
"_'. otlficatlon Center. Those rules are set forth
Street Im~HJ~~fi.RUIT SHAll EXPIRE IF THE WORK In OA~~~~ through OAR 952-001-
S S .~UT -lor. '~n UNDER THIS PERMIT IS NOT 0090. ..v~.mf1~~n.coples of the rules by
torm e~ 'Ct' mo'ft\itl&mf&v.rttf6te' the telephone
Special I~N~Nlt.'. ED OR IS ABANDONED FOR caD .: f the Or~gon Utility Notification
Y 180 DAY PERIOD. Rum C:ter is 1-800-332-2344).
Notes:
Pal!e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Manuf Home
Manufactured Home
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
ManufHome State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
Manufactured Home Service
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10% Administrative .Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
15,000.00
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00831
ISSUED: 06/07/2007
APPLIED: 06/07/2007
EXPIRES: 12/07/2007
VALUE: $ 15,000,00
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
$15,000.00
$15,000.00
07/03/2007
$25.50
$12.75
$20.40
$30.00
$45.00
$160.00
$50.00
$4.60
$2.30
$3.68
$43.00
$3.00
$20.00
$5.00
$2.50
$4.00
$9.00
$14.00
$27.00
6/7/07
6/7/07
6/7/07
6/7/07
6/7/07
6/7/07
6/7/07
7/13/07
7/13/07
7/13/07
7/13/07
7/13/07
7/16/07
7/16/07
7/16/07
7/16/07
7/16/07
7/16/07
7/16/07
Receipt Number
2200700000000000931
2200700000000000931
2200700000000000931
2200700000000000931
2200700000000000931
2200700000000000931
2200700000000000931
2200700000000001130
2200700000000001130
2200700000000001130
2200700000000001130
2200700000000001130
2200700000000001133
2200700000000001133
2200700000000001133
2200700000000001133
2200700000000001133
2200700000000001133
2200700000000001133
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.
$481.73
I Plan Reviews'
Manuf Home Set Up: When installation of all piers or stands is complete.
Pal!e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00831
ISSUED: 06/07/2007
APPLIED: 06/07/2007
EXPIRES: 12/07/2007
VALUE: $ 15,000.00
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 Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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
times during construction.
CIn~P;AGL~p~
Own~-or Contractors Signature - . . "--' . ..--
Pal!e 3 of 3
(:2 '''-I-
Dai! ~
/ t, 'd..r'J1? 7
/
225 Fifth Street
Springfield, Oregon 97477
54i-726-3759 Phone
City of Springfield Official Receipt.
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00831
COM2007-0083I
COM2007-0083I
COM2007-0083I
COM2007-0083I
COM2007-0083I
COM2007-00831
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000001133
Date: 07/16/2007
Description
Heat Pump
Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
~Mechanical Issuance Fee~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
RON'S HEATING AND AIR
CONDITIONING, INe.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DDK
8144
In Person
Payment Total:
Page 1 of 1
9:43:11AM
Amount Due
14.00
9.00
27.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
7/16/2007