HomeMy WebLinkAboutPermit Building 2011-5-10
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~OREGON
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
. Fax: 541-726-3676
www.ci.springfield.or.us
Building I Residential Permit
PERMIT NO: 811-SPR2011-00788
IVR Number: 811154744680
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
05/10/2011
ISSUED:
APPLIED:
05/10/2011
05/10/2011
EXPIRES:
VALUE:
11/06/2011
$0.00
SITE ADDRESS: 2150 LAURA ST, SPACE# 103, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703271102100
SCOPE: Manufactured Home in Park
WORK INVOLVED: Move
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace manufactured home in park
OWNER:
ADDRESS:
WUORINEN GERALDINE
2154 LAW LN
EUGENE OR 97401
MONTA LOMA LLC
2150 LAURA ST SPACE 110
SPRINGFIELD OR 97477
Phone Number:
OWNER:
ADDRESS:
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION I
Lie Type
Lie No
Lie Exp
Phone
# of Units:
o
BUILDING INFORMATION ~
# of Stories:
Lot Size:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Height of Structure: Sq Ft 1st Floor:
Type of Heat: ATTENTION: Oregon law reqiJh~'s298&"ffi'r:
Water Type: follow rules adopted by the Gi,'lJ~t:fnl~l't:
Range Type: Notification Center. Those rulelqffiU3lll'lI!1erth
Hazmat: in OAR 952-001-0010 through SlNi 6~~1.
0090. You may obtain copies ~Lt8E(f,\lblfS by 0
calling the center. (Note: th,(llidel?'fione
number for the Oregon UtiIiWf.fIlBM~gibl'lad:
ElectricalSpeeially Co~i!i<>1!l1-800.332-2344).
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal' Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition: 2008
Structural Specialty Code Edition:
S. I f""''''''';E" J
Ite n ormation .
THlti ~tHIVtII ::>H LL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
5/10/2011 11:02:27AM
Page 1 of 3
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-"m0'OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00788
IVR Number: 811154744680
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
,Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cl,springfield.or,us
PROJECT STATUS:
STATUS DATE:
Issued
05/10/2011
ISSUED:
APPLIED:
05/10/2011
05/10/2011
EXPIRES:
VALUE:
11/06/2011
$0.00
SITE ADDRESS: 2150 lAURA ST, SPACE# 103, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703271102100
SCOPE: Manufactured Home in Park
WORK INVOLVED: Move
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Replace manufactured home in park
DEVELOPMENT INFORMA TION ~
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
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Tvpe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
I .
Descriotion Amount Paid Date Paid Reciot #
~!,ate of Oregon Surcharge (12% of applicable fees) $47.64 05110/2011 2011000914
Technology fee (5% of permit total) $19.85 05/10/2011 2011000914
Manufa~iilledH-o-me-Place';;-"';-t-- -----------.- ----$397:00-----05/10/2011-- --. 2011000914
Ma;;-ufactured Home Stai;Ts~--..---- $300o-osHo/201 1-----'2611-660914.
_ __,__ __0_______ ._.________.______
Total Amount Paid $494.49
Springfield Building Permit
5/10/2011 11:02:27AM
Page 2 of3
SPRI;G..._FIE. L..~
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. .: -" OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: B11-SPR2011-007BB
IVR Number: 811154744680
www.d.springfield.or.us
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitce nter@ci.springfield.or.l.ls
PROJECT STATUS:
STATUS DATE:
Issued
05/10/2011
ISSUED:
APPLIED:
05/10/2011
05/10/2011
EXPIRES:
VALUE:
11/06/2011
$0.00
SITE ADDRESS: 2150 LAURA ST, SPACE# 103, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703271102100
SCOPE: Manufactured Home in Park
WORK INVOLVED: Move
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace manufactured home in park
Plan Review
~
Deoartment
Application Acceptance
Received Due Date Comoleted Result
0511012011 05110/2011 05/1012011 Over the Counter
~;-~ "'~",.~.L,. -"J}V:~'~'
1f)I,tlal'Revl~~_-' t;:",:i-V:~- ,'", ~- ".'_:p~!1 O/2Q11
. Coin~erits:' :Ovei,the col;!~t~r~pEmni~ -'-
.-'05110/201'1 ";. 05/1 01201,1'
".,.... , ~~.',
~-'O-ve{ the 'Counter':-
.,;,\ .~ -;;;'.;;,~~.
'''Jr,-_~._
"7>;.,
Permit Issuance
05/1012011 05/10/2011 05110/2011
Issued
'PU~I!c:"Works Rey~ew '.-
0(;110/201 r
f\!ot.Requir~g'~~l, '.~'
'.'., -
, 05)1012011 ",O~tqr?Oll
CommEmts:~ .O~er. the counler-P€l~mit
Structural Review 05/1 0120t 1 05/t 012011 05110/2011
Comments: Over the counter permit
Not Required
: ~~ri,s Carpente"~. "
I
-.J
Planning Revjew.-~, .~ O~/1?'?011'
Comments: O~er.Jhe counte.fJ?~!mi.t
05/1012011
N(}t'Required":s.-.:~ .
. ..
05/10/2011.
'-.'-c
INSPECTIONS REQUIRED ~
Inspections
5100 Site Inspection
5270 Concrete Stringers
Reviewer
Chris Carpenter
. .Ch-r.i~C~~pe,nt~:~'~~--,!:.
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Chris Carpenter
'Chris.Carp.enter ,t
'l;:
Chris Carpenter
Site Inspection: To be made after excavation but prior to setting forms.
5370 MH Installation
5999 Final Manufactured Dwelling
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 is located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
S-/o-- CV( (
Date
Springfield Building Permit
5/10/2011 11:02:27AM
Page 3 of 3
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Permit no.: St I - ?6'l
Date: VI oj; J
225 Fifth Street . SDrinl!fieI<L OR 97477 . PH(S4])n6-3753 . FAX(54])n6-3689
Manufactured DwellinglRecreational-Park Trailer
Placement Permit Application
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.
'..',iOCAL, GOVERNnilEN'T'ApPROVAL.S ", 0'.
.", - - .'''.; ...... ',', -._.0--__', ...:'._'.._ _1'__'__"_""
Zoning approval verified: DYes, D No
Property is within flood plain: DYes D No
Sanitation approval verified: DYes D No
. ,CATEGORY OF'CONSTRpcfibN'
~ R~sidential D Government D Commercial
'" JOSSrrEINFORIIIIA 'TlbNA!IIb LocATION.
.' ',... . '. ",'- ",. ,'.' ',. "',', . ','.. ....'.- ',-'.".
lob site address: ~/rO ~ 'for
City: '6ptLoi +; ~ County:
State: OIZ...-
'!tvCT-I'(/.-L II1trA/V1F.
Year Manufactured: 1 fff
# Bedrooms: Sq. Ftg: 105'"0 Value: 1:11000
"PROPERTY, OWNER"
Name: m()l\J~ k. lolk P
Address: ~
City:
Phone: s7If
E-mail:
~
This installation is being made on residential or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requirements under OAR 918-515-0010.
Signature:
CONTRACTOR INSTALLATiON
Business name: \>
Address:
City:
Phone:
E-mail:'
CCB license no.:
Print name:
ZIP:
MDI license no.:
Signature:
;~, . .i/~"'.:!; i/S'',;'iF,g.E.. Sc;;I:i!=pQ.h~.,:':;;.'?;;;:;:i{::;::t:g){'
;,.).,
Description Qty. Cost each Total
(1) Maoufactured dwelliog
(a) Placement (includes placement, $ ?' ;1
electrical feeder, water/sewer t $397.00
connection):
(b) ReiilspeCtion (no. ofhrs. x fee per hr.): $58.00 $
Placement permit can only b~ obtained by homeowper or Oregon- . .
licensed manufactured dwelling installer.
(2) Recreational-park'trailer
(a) fustallation (includes stand and
lot preparation; suPPDrt blocking; $397,00 $
anchoring; tempomry steps; plumbing,
mechanical, and electrical):
(b) Reinspection (nD. ofhrs. x fee per hr,): $58.00 ,$
(c) Each additional inspection: (1) $58.00 $
Electrical service permit to be obtained only /:Jy homeowner performing
work or signing supervisor of Oregon-licensed electn"caJ contractor
performing work.
.i'" " FEE SCHEDULE ,'. ; ,c', , .";.;
.... "".., . . ..' ,'" ',.,'
(3) SUrcharge, 12% (.12 x total, equal to I or 2): SLI? 0-
(4) State administrative fee for
manufactured dwelling (item I) $30.00 1 $30.00
only, OAR 918-500-0105(5):
(5) Technology Fee, 5% $17U
TOTAL fees and surcharges (3 + 4+5): $4'1'-) '-t
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811.SPR2011-00788
2150 LAURA ST. SPACE 103
permitcenler@ci.springfield.or.us
RECEIPT NO: 2011000914
[DESCRIP.TION ..,
Manufactured Home Placement
Manufactured Home State Issuance
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
'. ,
RECORD NO: 811.SPR2011.00788
. ,''p.CCOUNT.CODE.
224-00000-425602
821-00000-215009
821-00000-215004
1 00-00000-425605
TOTAL DUE:
DATE: 05/10/2011
, '.' . AMOUNLDUE--e.---1
397.00
30.00
47.64
19.85
-,----.--.,.--
494.49
AMOUNT PAID' -
494,49
bI"AYMEi'lJ)YEE-,~.h'[OR' . 'CASHIER: CCARPENTER .".
Credit Card John D. Sutton
01036B
cQMr,fENTS. ..
'...,,;- -',
TOTAL PAID:
494.49