HomeMy WebLinkAboutPermit Building 2008-3-7
Status
Issued
CITY OF SPRINGFIELD
B uilding/c om bina tionPermit
PERMIT NO: cOM2008-00321
ISSUED: 03/07/2008
APPLIED: 03/07/2008
EXPIRES: 09107/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2145 31ST'ST SPACE 73
ASSESSOR'S PARCEL NO.: 1702302104200
Springfield TYPE OF WORK: Manufactured Home in Park
TYPE OF US.E: New
Residential
PROJECT DESCRIPTION: manufactured home in park
Owner:
Address:
Contractor Type
ManufHome Inst
WELCOME W~lllltl~ U~~Jf~~qulres you to
2145 31ST ST ,foll~w rules adopted by the Oregon Utility
SPRINGFIELJl.J~Uic%lltYR Center. Those rules are set forth
, :.. e,;r. ~J~-~v I~UVIU unougn UAH tlb~-oOl.
. 0090. You may v~lroN~oneIll1lJIf:l9~WIA TION I
calling the cent .. \,~VU7. 111\7 l\7lt1fJ"One '
coRw~~,~r the. Oregon Utility Notification License
JERRY PA1J'Ct8'tf 1-800-332-2344)., 69455
Expiration Date'
09/26/2008
Phone
541-935-2696
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction.Type:
# of Bedrooms:
I. BUILDING INFORMATION'
~iof Stories:';',
R-3 Height of Structure' ,
Type of Heat:
VB Water Type:
Range Type:
Energy Path:
Sprinkled Building: nla
NDrll'p. .
THIS PE~LOPMENT INFORMA nON I
f!~~~~g~ ,gifrt, LlLr,~~~:W~~~Il/( .
r 80 DAY PER~~'!f!V~:FOR, or
%of Lo.t Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I rUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction: '
Sidewalk Type:
Do'wnspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
. L Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
. + 5% Technology Fee
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
Amount Paid
DatePaid
$21.00
, $25.20
$10.50
$30.00
$50.00
$160.00
3/7/08
3/7/08
3/7/08
3/7/08
3/7/08
3/7/08
Total Amount Paid
, $296.70
Plan Reviews ,I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00321
ISSUED: 03/0712008
APPLIED: 03/07/2008
EXPIRES: 09/07/2008
VALUE:
Receipt Number
2200800000000000301
2200800000000000301
2200800000000000301
2200800000000000301
2200800000000000301
2200800000000000301
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.,
L Reauired Insoections ,I
Manuf Home Set Up: When installation of all piers or stands is complete.
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.
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 p.erformed 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 on.ly 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 requesfed at the proper time, that each address is readable from the
street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
times during construction.
-'~~ ~
' ------ --:~~ ' --
~ - ' ./ "
/"" ' /
Owner or Contractors Signature
Pal!e 2 of 2
OJ -0-1- -8Y
Date
225 Fifth Street
. '". ..
Spririglleld~ Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00321
COM2008-00321
COM2008-00321
COM2008-00321
COM2008-00321
COM2008-00321
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2008-00321
COM2008-00321
COM2008-00321
COM2008-00321
COM2008-00321
COM2008-00321
Payments:
Type of Payment
Cash
Change'
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000301
Date: 03/07/2008
Description
Manufactured Home Placement
Manuf Home State Issuance
Manufactured Home Conn - Plmb
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
RIGOBERTO GUZMAN
RIGOBERTO GUZMAN
Check Number
Received By . Batch Number
djb
djb
Item Total:
Authorization
Number How Received
In Person
In Person
Payment Total:
Description
Manufactured Home Placement
Manuf Home State Issuance
Manufactured Home Conn - Plmb
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
RIGOBERTO GUZMAN
RIGOBERTO GUZMAN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb In Person
djb In Person
Payment Total:
Page 1 of 1
1:47:12PM'
Amount Due
160.00
30.00
50.00
10.50
25.20
21.00
$296.70
Amount Paid
$300,00
($3.30)
$296.70
Amount Due
160.00
30.00
50:00
10,50
25.20
21.00
$296.70
Amount Paid
$300,00
($3.30)
$296.70
3/7/2008