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HomeMy WebLinkAboutPermit Building 2013-8-20 SPRINGFIELD 225 Fifth St '>>�+ CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01861 www.spnngfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued - ISSUED: 08/20/2013 EXPIRES: 02/15/2014 STATUS DATE: 08/20/2013 APPLIED: 08/20/2013 SITE ADDRESS: 4475 DAISY ST,SPC#53,Springfield,OR 97478 SCOPE: Manufactured Home in Park • ASSESOR'S PARCEL NO: 1702323406500 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: Manufactured home park replacement OWNER: COUNTRY MANOR MHP LLC Phone Number ADDRESS: 881 SNEATH LN STE 110 SAN BRUNO CA 94066 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Manufactured Home Installer JERRY PAUL.OTT CC 69455 09/26/2014 541-935-2696 INSPECTIONS REQUIRED Inspections 5370 MH Installation 5460 Plumbing Connections 5480 Electrical Connections 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. -gip/ Owner or Contractor Signatu Date a a atu es 003 3 • q 5Ote9to he \es ate 20 ;twat Y ARE\ WOO(( • N'(\C)N'a c109"- setu0PRg52es F tENN` toes-jte . n coW ththe tU ;1° `EX S t ° tt0 g p0 °OP'e eePhatop 1010E' NP ?EPA not, � 1 S TNNFNo y baN tql HAS D UNDE DD�Ep pP °O �oU maeet. �S 3 Qi �ZED 2 2 D Og . the G% eg e 3 IS °a V t cg G o V1M E p P ER 00. Getlket ANy 180 Springfield Building Permit 8/20/2013 1:29:16PM Page 1 of 1 . SPRINGFIELD-- CITY OF SPRINGFIELD 225 Fifth St t OREGON TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 811-SPR2013-01861 www,spnngfield-cr.gov 4475 DAISY ST. SPC 53 permitcenter©spnngeeld-or.gov RECEIPT NO: - 2013001811 RECORD NO:811-SPR2013-01861 - DATE:08/20/2013 °ESCRIp,TION. Surig i ,r"-z'221 ",ataACCOUNT,CODE/TRANS CODE ':.TMn .'"thh'AMOUNTTDUE% Manufactured Home Placement 224-00000-425602 1017 437.00 Manufactured Home State Issuance 821-00000-215009 1089 30.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 52.44 Technology fee(5%of permit total) 100-00000-425605 2099 21.85 TOTAL DUE: 541.29 PAY@1ENTTTYPE_ 1` .PAYOR-r.;CASHIER baowLSer.,,. s, h.COMMENTS ',,::�3-`5�` 't.n..� 4=?MOUNT.PAID Check , maureen church 541.29 7481 TOTAL PAID: 541.29