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Home My WebLink AboutPermit Building 2011-4-27 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00638 IVR Number: 811149728621 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 04/21/2011 04/19/2011 Issued 04/21/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci.springfield.or.us EXPIRES: VALUE: 10/18/2011 $10,000.00 SITE ADDRESS: 2145 31ST ST, SPACE# 19, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1702302104200 SCOPE: Manufactured Home in Park WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Manufactured Home In Park Phone Number: 541-746-0314 OWNER: ADDRESS: WELCOME WEST MHP 2145 31ST ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Manufactured Home Installer Electrical Contractor Plumbing Contractor Contractor Name FATHER & SONS OF OREGON INC CAMP CREEK ELECTRIC LLC EASTSIDE FLOORS & CONSTRUCTION INC Lie Type CCB CCB CCB Lic No 100726 164877 469 lie Exp 06f29/2011 06f09f2011 01/07/2012 Phone 541-689-5090 541-746-1471 541-912-9700 BUILDING INFORMATION ~ # of Units: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: NOTICE: E IF THE WORK THIS PERMIT SHAL~ ~~~R PERMIT \5 NOT A~THORIZED UNIJE ABANDONED !'!Yi'trieal Specialty Code Edition: COMMENCED OR IS Springfield Fire Code Edition: ANY 180 DAY PERIOD. o Construction Type Occupancy Type Occupancy Comments Type VB R-3 Manufactured Home Placed in Park . # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 15t Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o r 2008 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ATTENTION: Oregon law requires you to foilow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 4/27/2011 2:00:20PM Page 1 of 4 www_cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00638 IVR Number: 811149728621 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLsprlngfield,or.us PROJECT STATUS: STATUS DATE: Issued 04/21/2011 ISSUED: APPLIED: 04/21/2011 04/19/2011 EXPIRES: VALUE: 10/18/2011 $10,000.00 SITE ADDRESS: 2145 31ST ST, SPACE# 19, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1702302104200 SCOPE: Manufactured Home in Park WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Manufactured Home In Park DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutfDrains: Valuation Description I Descriotion Bid Tvoe of Construction NA Unit Amount Unit Tvee 10,000.00 Bid Unit Cost 100 Value 10,000.00 10,000.00 FEES PAID r DescriDtion Amount Paid $58.00 $47.64 $19.85 $397.00 $30.00 $552.49 Date Paid 04/19/2011 04/21/2011 04/21/2011 04/21/2011 04/21/2011 ReciDt # 2011000754 2011000778 2011000778 2011000778 2011000778 Structural - Additional review per hour Residential State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Manufactured Home Placement Manufactured Home State Issuance Total AmountPaid Springfield Building Permit 4/27/2011 2:00:20PM Page 2 of 4 S!.~N..G~~EL~ ~~,.. .. Ii1J ". \ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00638 IVR Number: 811149728621 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541.726.3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/21/2011 ISSUED: APPLIED: 04/21/2011 04/19/2011 EXPIRES: VALUE: 10/18/2011 $10,000.00 SITE ADDRESS: 2145 31ST ST, SPACE# 19, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702302104200 SCOPE: Manufactured Home in Park WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Manufactured Home In Park Plan Review I DeDartment Application Acceptance Received Due Date ComDleted 04/19/2011 04/19/2011 04/20/2011 Result Over the Counter lr;tj~i?rReview ~, . 04/20/2011 ,~~~/:W~01 ~~r'D;1j~O!f~~t\~", i'~er the C6un,ter' ~omr11ents: 0vrgrthe counter,permll '.' ~ ~ Planning Review 04/20/2011 Comments: Over the counter permit ~- ..-:--. - --.. - .---,-.---.---..,.-,- IPub~jc Works' Review .04120/2011 I Comments: Over the.c,ounter.~~rmit Structural Review 04/20/2011 Comments: Over the counter permit Permit Issuance 04/20120,11 . . 04/20/2011 04/20/2011 Not Required 04120/2011 04/20/2011 Not Require.~ ,., .' 04/20/2011 04/20/2011 Not Required .04/20/2011 '04/~,1I2011 Issued ;, -.,'. Reviewer Kip Kaufman ;Kip. Kaufman ,;'l Kip Kaufman . Kip Kaufman ---"\ ~ - ~ _ __1 Kip Kaufman INSPECTIONS REQUIRED I N",-ncy Machado -,' Inspections 5100 Site Inspection 5250 Foundation Blocking 5370 MH Installation Site Inspection: To be made after excavation but prior to setting forms. 5460 Plumbing Connections 5480 Electrical Connections 5997 Final Modular.Setup 5999 Final Manufactured Dwelling 5440 Structural Connections Springfield Building Permit 4/27/2011 2:00:20PM Page 3 of 4 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00638 IVR Number: 811149728621 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/21/2011 ISSUED: APPLIED: 04/21/2011 04/19/2011 EXPIRES: VALUE: 10/18/2011 $0.00 SITE ADDRESS: 2145 31ST ST, SPACE# 1~ Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702302104200 SCOPE: Manufactured Home in Park WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Manufactured Home In Park 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 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 ;s located at the .front of the property, and the approved set of plans will remain on the site at all times during construction. f/~Z/- / / Date Springfield Building Permit 4/21/2011 2:24:06PM Page 4 of 4 - , ".~+~ ~.' - 1-' ," 'J ~'."- "_, -_- g;: '<, ~ :. ~ . !~~lCrfY:6F:&r~GJ~]EDD;'OREGON 225Fifth Street . Snrimmeld. OR 97477 . PHi5411n6-3753 . FAX(54})726-3689 Manufactured DwellinglRecreational-Park Trailer Placement Permit Application b38 Date:f'- ./.-1- t1 This permit is issued under OARs 918-500-0105 and 918-525-0370. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ........ 'LOCALC;;OV!=RNI\IIE~t;A~PRO:ii~4s" .,<~;: Zoning approval verified: [ff'fes. D No Property is within flood plain: DYes [] No Sanitation approval verified: [JY"fes D No .' "CATEGORY OFCONSTRUcfioN : ....- ".' '" " .', .' ...' ,. - . '. " .' '., "'- " .,'~ -" " " . ,,- ,- " []-R~sidential D Government D Commercial JOB .sl"TEi~f6R~A 'noN AND'Loc.6.jlo~<.: tV I 1'7 City: . lei County: h r1J Y::/ State: .()1{) ZIP: 7 Subdivision: Spacellot no.: J 'it Reference:L 1-l72-.3e 2----!- Taxlot: e Jj-'2-00 DESCRIPTION OF WORK. ; " Year Manufactured: # Bedrooms: ,"' ,~. Name: . City: Phone: E-mail: This in made or property owned by me or a m my lIDID "ly, and is exempt from licensing urrements under OAR 9]8-515-00] . E-mail: CCB license no.: Print name: MDI license no.: "::;;',:;'i,);~,E." st;;1:i !=Pi.!!-,.;:::})~' ..;i',;.;~~:X:;ihli2a Total Description (I) Manufactured dwelling (a) Placement (includes placement, electrical feeder, water/sewer connection): $397.00 $ (h) Reinspection (no. ofhrs. x fec per hr.). $58.00 $ Placement permit can only b~ o1:,tained by homeowper or Oregon- . . licerised manufactured dwelling installer. (2) Recreational-park'trailer (a) Installation (includes stand and lot preparation: support blocking; 'anchoring; temporary steps; plumbing, mechanical, and electri.cal): $397.00 $ (h) Reinspection (no. ofhrs, x fee per hr.): $58.00 $ (c) Each additional inspectinn: (I) $58.00 $ Electrical service permit to be obtained only by homeowner performing work or signing supervisor a/Oregon-licensed electrical contractor performing work. FEE SCHEDULE' . (3) SUrcharge, 12% (.12 x total, equal to I or 2): . (4) State administrative fee for manufactured dwelling (item I) $30.00 only, OAR 918-500--0105(5). (5) Technology Fee, 5% TOTAL fees and surcharges (3 + 4+5): "". $ $30.00 $ f-KP ~ z:-t: 141, 14 Slri1e. >'kl1 "C M el- I fl--/lJ-J f!4 7t{7,qif'g~ ~ 8 e--::;-. I A 5' r 1E?-fJi= ;:51 ~/V6r~t-P! 012- . . '1 ?f'?T- M. H. Signature: C.C'&1t=- - E:ASr -'1::-PE' FUlO~Y- p'-lAM BrNc;... 161 _ c-A-- "" I ~DC- ~~~ T,L1=='C.-+c- -a {lit, Fe: , 'r 117 ~-'11-6-I4:H . coo~ibl'g~ / P~t~ tr~ :'<:1- CCo ~ oz ~! $U)CC :I:(f)D:::>- -0 I-lllOUl .~ LWI-u... ~~(nO :I-a lOW t-~l.J..J 6:r:?;b Z I l.J..... a:. -:: ~ -I..W - ~u usn::: 0 LLQ..? -.. <2.. (9 w CL ~~cr.:D.. - v -uo< IlJ ~ CO- - Gizow CC 6' >- LW o:::WwCD 0 lL>-, Zoo-l Wwc:::<C C , Wo::o..J: ..J lDOn..Ul u. ~ ...J..:{;: \JJ , c- ( ~owo ii: <U:;:-1 .... IZI-W (9 L 0000 Z ....... Z f-W .. I 00 1-. 12 ~ 1)- !~ ww<..J WI-OO< a. - n::~<wu ~~:€:r~ (Il OUjI-u... LL. ~ Ul~ZC:::O 0 ~ w I- OWl,) ) > ztn-I-z > ~I ~ " I;JZl-lI......; I- I-O<C4;O C o (/j 7~51-~ li ~l ~ c " -r v, c '" ~ o <Cl-U::J O. - ~ " '" uc:::.......:.:J/Il, ~. W ~ < z w"": ' Z 0 C 0 ;; WI- OW 0 z ~ w " I-.Jn::ct::=L .' , , "J 'Ii _J < 0 ~.:(Q~'t... 2-1.-4'5 -3 15T :H-t, . , .<:: . ,., o~t::o.cCl>C: - == 0 0 (f) c .0 . ::1......-'(1)0- O=>-C\I- co: >-c~lf)2-E.J? U) 0 (l) Q) Q) (l):"::; _ mO'leaCJ:...c'Q)O:t' .:: Q) <:::-"""2:::t ::10 Cl)Oo CD >,:'1 IT ~..c t1)..c:-=: "\l ~ Q) ::J CJ) Q)""":-= ]'J ..c '- .. -.., ;:...... Q) 5 "o..,$! =>:"1 rn>.VJ...Ooc, -..oO.J::UZo~ c .c-c_~_ o "C I-- 0 .- W .:0 Q)(J) ...-00..:.......:. ~li~OE2o (J) o 0 ...... 9 0 C OJ .- -oc...->.C1>"..._ .. OJ We m 0- <ll zCf.looEQ):::= OQ.)CN ..cOj) ~ :; ,9 ~ 5 ;;. ": 0 z....(tj >-~~ w :;: () a: ._, ~.9~<1:0~~ <(oo~~() _ -z._o 51",,, ~~/{ \U ~ Po ~ i5 '0 ~ <!r '-.Q ~ '\ '\!) xt\ ~ I" ~ l-\ ~ ~tl <: V\ ~ ~ . . '. /1Uj/O . ;< 1<(.>-/0, 3/t:t / _~- t<."~e/C4Y'<"!,,z.~ ---_.~" /CjroEfI tU D :;elt IUO . 1< td -8'2 ~ ~ X 10075'2-- ~ te t.J {tv (fi-rr ......... >\ ~ ~ ~ 18' -J Y' J , . , . SPRI.N. G=L~ ~"h, ..... eN ::..~. " OREGON www.cj.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00638 2145 31ST ST. SPACE 19 CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 pe rmitcenter@ci.springfield.or.us RECEIPT NO: 2011000778 lOESCRIP..TION,-' . Manufactured Home Placement Manufactured Home State Issuance RECORD NO: 811-SPR2011-00638 DATE: 04/21/2011 _ " ACCOUNLCOOE~--.:_s...____AMOUNT_OUE 224-00000-425602 397.00 821-00000-215009 30.00 821-00000-215004 47.64 100-00000-425605 19.85 --......-.----.-.... TOTAL OUE: 494.49 AMOUNT PAID . State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) . P.:i\YMENLD'I'.E._ ":".I'.AXo8c CASHIER. NMACHADO" Check MEL'S ENTERPRISE 1190 .. G.oJ'''Mj:NT_S 494.49 TOTAL PAID: 494.49