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Home My WebLink AboutPermit Building 2010-10-25 www.ci.springfiefd.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00408 IVR Number: 811118164143' Issued 10/25/2010 ISSUED: APPLIED: 10/25/2010 09/30/2010 225 Fifth St Springfield, OR 97477 Phone: 541'726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 04/23/2011 $1,700.00 SITE ADDRESS: 440 S 53RD ST, Springfield, OR 97478-6228 ASSESOR'S PARCEL NO: 1702333404600 PROJECT DESCRIPTION: SCOPE: Manufactured Home on Private Lot WORK INVOLVED: New TYPE OF STRUCTURE: Residential Replace existing manufactured home Phone Number: OWNER: ADDRESS: MARTINKA KENDA L 40237 JASPER LOWELL RD LOWELL OR 97452 Contractor Type General Contractor CONTRACTOR INFORMATION I Contractor Name W1LLJAM WARREN KINGSLEY II Lie Type CCB Lic No 126075 Lie Exp 11/05/2010 Phone 541-937-2892 # of Units: # of Bedrooms: 3 Sprinkled Building: Fire Alarms: Energy Path: o BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Electric Water Type: Electric Range Type: Electric Hazmat: Lot Size: Sq Fl1 st Floor: Sq Fl2nd Floor: Sq Fl Basement: Sq Ft Garage: Sq Ft Carport: Sq Fl Other: 0 Occupancy Load: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal { Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information No No ~ATTENTION: Oregon law requires you to allow rules adopted by the Oregol1 Utility o otifieation Center. Those rules are set forth 111 OAR 952-001-0010 through OAR 952-001- 0090, YOll may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility r'lotificatiol1 . Center is 1-800-332-2344). 10/25/201 3:05:47PM ~ . .,.;:~- ~.. '-. NOTICE: THE WORK THIS PERMIT SHfl-LL EXPISR~~~MlT IS NOT fl-UTHORIZEO UNDER THI R COMMENCED OR IS fl-Bfl-NDONED FO" ' ANY 180 DAY PERIOD. Page1of3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00408 IVR Number: 811118164143 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield , or. us PROJECT STATUS: STATUS DATE: Iss ued 10/25/2010 ISSUED: APPLIED: 10/25/2010 09/30/2010 EXPIRES: VALUE: 04/23/2011 $1,700.00 SITE ADDRESS: 440 S 53RD ST, Springfield, OR 97478-6228 ASSESOR'S PARCEL NO: 1702333404600 SCOPE: Manufactured Home on Private Lot WORK INVOLVED: New TYPE OF STRUCTURE: Residential Frontyard Setback: 28 Interior Setback: , 5 Sideyard Setback: Rearyard Setback: 46 Solar Setback: 0 Replace existing manufactured home DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: 1>;11 of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING PROJECT DESCRIPTION: 2 Total: Handicapped: Compact: Yes 27 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: SUbdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Bid Tvpe of Construction NA Unit Amount Unit Tvpe 1,700.00 Bid Unit Cost 1.00 Value 1,700.00 1,700.00 FEES PAID ~ Description Plan Review Adjustment - ~esidential Planning - Minor f3eview Manufactured Home Placement Manufactured Home State Issuance State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $37.70 --_.,-~.,----_. $119.00 $397.00 $30.00 $52.16 $21.74 $657.60 Date Paid 09/30/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 Receipt # 374453 374693 374693 374693 374693 374693 Springfield Building Permit 10/25/201 3:05:47PM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00408 IVR Number: 811118164143 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 1 0/25/2010 09/30/2010 Issued 10/25/2010 225 Fifth .St Springfleld,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 04/23/2011 $1,700.00 SITE ADDRESS: 440 S 53RD ST, Springfield, OR 97478-6228 ASSESOR'S PARCEL NO: 1702333404600 SCOPE: Manufactured Home on Private Lot WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace existing manufactured home Plan Review DeDartment Application Acceptance Result Application Accepted Received Due Date 09/30/2010 09/30/2010 Completed 10/01/2010 I Reviewer David Bowlsby Initial Review Public Works Review 10/04/2010 10/06/2010 10/07/2010 Approved Todd Singleton Comments: Received 10/6/2010. Impervious surface area decreasing, fixture count will remain the same - no SDCs. Eermi,t, IS~f~~n~~~I~"~19~2~!221 Q~,~~ 1 cy~2If_9f~~, '1~/.~.51~01 o~'. i,f~s.~~d:,:~'~;-;J,'~'h;;;t:?f:';:i:~';;' '_ :Savj~(~,bVw:I$bY:;~~~~r~ :~<') ~ ~V-<; '", oj. - ,71 "?S01 Yf~~;'("~,:~~;,~:r~."~~-f?itt.S;_:'.;';'_ :<<~~:' '<,~:):~~3~ i~~~t;,~:,,~~~~~;: ;;~"~.':-':,:~::{~3~;~=:: .: ;~,; XL:,,z ': -t:';T<~~.>~;{;rJr;"M~>~~:;~L ;', ~J _','",,'0"" ",., , ,7",.-, ",,"_ . , " . -U",',", .. ~ """.',j ',::t':':' INSPECTIONS REQUIRED I Inspections 5100 Site Inspection Site Inspection: To be made after excavation but prior to setting forms. 5370 MH Installation 5999 Final Manufactured Dwelling By signature, t 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 or 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 -..yil1 remain on the site at all times during construction. .~~/~;:kf~ Owner or Contractor Signature /// -2.s--/{) Date Springfield Building Permit 10/25/201 3:05:47PM Page 3 of 3 .~. '" - '".. .. . - 'FO' i" . ',~~f(~em~6ESpRiN6FiEUD';.'OREGON;' :'. ~.1f~-7-<'l~.; ." '- . ~ ~-.' . , ~, I I 225 Fifth Street + Sorinofield. OR 97477 +. PHI54J)726,3753 + FAXI54J)726,3689 Manufactured DwellinglRecreational-Park Trailer Placement Permit Application 'This permit is issued under OARs 918-500-0105 and 918-525-0370. Permits expire if wnrk is not started within 180 days of issuance or if work is suspended for 180 days. " 'LOCAL.,GOVERNNiENT>.A~PI"{O:VA~S" Zoning approval verified: D Yes. D No Property is within flood plain: DYes D No Sanitation approval verified: DYes D No .. '~MEc:;qRY OFPOt.jSTRpCtIQ~ "c:-.:,;I._"-. .":;~,'~.~:~':. D Government D Co=ercial esidential ~JOB .SrrEINFoRilnA'rr(jN ANlJLOCAnc,N <. Job site address: 0 S 5?A4 County: t.a.", e. Z1P: "1? 71' Space/lot no.: Taxlot: bOO Subdivision: This insta1lation is being made on residential or furrn property owned by me or a member of my inunediate family, and is exempt from licensing requirements under OAR 918-515-0010. (' (j' Signature: CONTRACTOR iNSTALLATION Business name: .U/ 47<1" P/oU/ f & Address: I' (5 jf 0 City: 7' P e$7-//-729 S"j;> L'''''' ....... . .. ....,. . .. ...... iCDEP~RTNlE.NT.U~E...ONLYJ'. Permitno.:S/O -00'108 Date: ?- "30 -/0 Description ')3:(':~:?if~.E." ~c;:I:iEP~.I.E.:'.J<::!.;:::{:.l;';;X;':': Total (1) Manufactured dwelling (a) Placement (includes placement, electrical feeder, water/sewer connection): $397.00 $. (b) ReiilspeCtinn (no. .ofhrs. x fee per hr.): $58.00 $ Placement pennit can only b~ ol?tained by homeoW])er or Oregon- licensed manufactured dwelling installer. (2) Recreational-park'trailer . (a) Installation (includes stand and lot preparation; support blocking; 'anchoring; tempnrary steps; plumbing, mecbanical, and electrical): (b) Reinspection (no. ofhrs. x fee pe; hr.): (c) Eacb additional inspection: (1) $397,00 $ $58.00 . $ $58.00 $ Electrical service permit to be obtained only by homeowner performing work or signing supervisor of Oregon-licensed electrical contractor performing work. .FEESCHEDUI;E I.... " "" (3) Surcharge, 12% (.12 x tntal, equal to 1 or 2): . (4) State ad.ministrative fee for manufactured dwelling (item 1) $30.00 only, OAR 918-500-0105(5): (5) Technology Fee, 5% $ $30.00 $ TOTAL fees and surcharges (3 + 4+5): $ C fJrL 41 wt!fp./ ~ ~ ~ . SP~IN.G. FIE.l;ij.D.. ~. "7~ ~ jB'r~ O'REGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00408 440 S 53RD ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield, OR 97477 541-726-3753 permitcenter@cLspringfield.or.us Manufactured Home State Issuance RECORD NO: 811.SPR2010.00408 DATE: 10/25/2010 "', . ;C.;,:',,:::;" .,:.c,,,;. :,,:..... ,'A. 'A'C' C:'O'U':"NT':C' O"D: 'E"'.;. :, .,~.:. 'A'M' 'O"UN'" ..T....D...U...E..:'..p. ~... ",,- .. '''...~l-.::;,..,..~,. ...'i2'fJ:"",>', "..".,. .~ ~"'" . ,.~ "' -. .,...~..".., ""," t~ '- - .. ',. . . '. . . . X:J::lt..:':~~"""~_,,~__'JV__ ..,. _, ,"" 'N'd'" -<'-"""" '. F.-.~-.z.l~."",.."~,...,...._...."...,,._,~.__:i<<<......~_.._._.________.~~ 100.00000.425002 $119.00 __"____"__',_"_'. n'~_"___'____ 224.00000.425602 $397.00 -.-..----...-. 821.00000.215009 $30.00 821.00000.215004 $52.16 100.00000.425605 $21.74 TOTAL DUE: $619,90 'f' AYOR":"'.CASHrER.bi16VVCSBYO:;;c6MiVIENl'S:2511i.:q,,,:?~,,,,,.F',,; ',.A.: .....:AMOUNT.pAlo : ..... . . -,' ,""_r_.',~...~.. "__..,., ....-j.j ~-dk___~_-,~-".'''''':'0''''..~''-'''--,-'-~' .... ."''', "'. RECEIPT NO: 2010000657 tQESC R!~TJQ!ti.~':i;4~".> P!annin~ - Minor Review Manufactured Home Placement State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) kPAYMENl' IVPE:i*'" :i Credit Card 03873c william kingsley $619,90 $619,90 www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00408 440 S 53RD ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permi1ce nter@ci.springfield.or.us RECEIPT NO: 2010000445 RECORD NO: 81 I-SPR20 I 0-00408 DATE: 09/30/2010 LQI;~CRlej;19_t-L~;,J~;;;~i',~",;;J;~ :"; 2n'th::f'~';'~: .~. "4, -4:~G_C9_uti'r.;.CJ~b~1;: __,:: -';;,"''\#Aii/[Q.VtlB!ilJ,i;. '. /, .,; ',' - 1 Plan Review AdjlJ_~.Residential 224-00000-425602 __ $37.70 TOTAL DUE: $37.70 &_i;iAYMEilJ:TY:F!E_'_':':,pAYOR:~ ""!cASHiER:DBoV"lfsBi~;':'-_iCQM.M'!;JiIS;~! .:~~~<",;l;".',.-~;AMoiJN:r PAID :;:<;.' . ;,,",3'" Credit Card 08099c william kings ley $37,70 $37.70