HomeMy WebLinkAboutPermit Building 2008-4-1
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00439
ISSUED: 04/0112008
APPLIED: 04/01/2008
EXPIRES: 10/01/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4475 DAISY ST SPACE 130
ASSESSOR'S PARCEL NO.: 1702323406500
Springfield TYPE OF WORK: Manufactured Home in Park
PROJECT DESCRIPTION: Manufactured home in park
TYPE OF USE: New
Residential
Owner: COUNTRY MANOR LLC
Address: 2769 SARAH LN
EUGENE OR 97408
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Manuf Home Inst
Contractor
LONNIE LEROY JENKINS
JERRY PAUL OTT
License
156582
69455
BUILDING INFORM A TION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
R-3 Height of Structure
Type of Heat:
VB Water Type:
Range Type:
Energy Path:
ATTENnON: Or",'inrinJded Building n/a
follow rllla":':ik; ~Taw regufrlillo !'~'': lJ
NOtiflcatio wM ~M . N
fnOAR95 0
0090. You may ob 0 thro~gh OAR 952-001_
calling the cente~~Ellim the rules by
nUmber for the or~I!iWii..~&1&~one
Center is 1 ~~liWel'flbtfflcation
o/gf'L'1ft-~4}41ge:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date Phone
541-746-6441
09/26/2008 541-935-2696
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
NOTICE: P1RE IF THE WORK
l~~H~~~~ ~~~~~ ~IS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pae:e 1 of3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00439
ISSUED: 04/0112008
APPLIED: 04/0112008
EXPIRES: 10/01/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
Amount Paid Date Paid Receipt Number
$21.00 4/1/08 1200800000000000292
$25.20 4/1/08 1200800000000000292
$10.50 4/1/08 1200800000000000292
$30.00 4/1/08 1200800000000000292
$50.00 4/1/08 1200800000000000292
$160.00 4/1/08 1200800000000000292
Total Amount Paid
$296.70
I Plan Reviews I
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.
UeouiredJnsnections 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.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
Pae:e 2 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00439
ISSUED: 04/01/2008
APPLIED: 04/01/2008
EXPIRES: 10/0112008
VALUE:
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 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 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 fron of the property, and the approved set of plans will remain on the site at all
t;mesdUring;;? ~ W- Y-/-u;Y
I / '/f'/
Owner or Contractors Signature U
Pae:e 3 of 3
Date
... - ,
(eJJ~
- ~. I
l\)
'\
I 4L(
~'
~
~.
~
~:
- J.-1-
\ '
(
~ .
It' C (JJ 11 flIc}irle J/ ~ S-crttf
(2J4.-114 yJ ~e-~ ~~~.
Lf'/
IJ
r
'. ., P I'rRJ( 8,feeer
~
"L-- J .0
-e.
~
~
~;t/!Jo
-"
\,-
t'(
~
/97Y-{;-ct el?#cJ;V
'}-;t., t/ I('
G-IJ srtJ tI( t/3tf 2/52Vc>
.~
~
//A _ ---~
. 'TV .~
~
ff/5' IJ ;t::;:t/I" /30
S/,(?/,<//n 97t:;
225 Fifth Street
Springfiehl, Oregon 97477
541..726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00439
COM2008-00439
COM2008-00439
COM2008-00439
COM2008-00439
COM2008-00439
Payments:
Type of Payment
Check
cRecemt]
RECEIPT #:
1200800000000000292
Date: 04/0112008
DescriptIOn
Manufactured Home Placement
Manuf Home State Issuance
Manufactured Home Conn - Plmb
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
MELS BUDGET MOBILE
HOMES
Item Total:
Check Number Authorlzahon
ReceIVed By Batch Number Number How Received
dJb
3032
In Person
Payment Total:
Page 1 of 1
10:52:42AM
Amount Due
16000
3000
5000
1050
2520
21 00
$296.70
Amount Paid
$296 70
$296.70
4/1/2008