HomeMy WebLinkAboutPermit Building 2008-4-23
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00569
ISSUED: 04/23/2008
APPLIED: 04/23/2008
EXPIRES: 10/23/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4475 DAISY ST SPACE 25
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 L TD PTRSHP
Address: 7007 SW CARDINAL STE 185
PORTLAND OR 97224
Contractor Type
General
Electrical
ManufHome Inst
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
EASTSIDE FLOORS & CONSTRUCTION IN 469
JERRY PAUL OTT 69455
JERRY PAUL OTT 69455
EASTSIDE FLOORS & CONSTRUCTION IN 469
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Ener~ tWbs.y~u to
; - lEf~~~~!l~~~~~eo; ~twl~~~\wp~-'~~ n/a
N'o'tlil~~t\on C€!I'lYFY~~~~d~MCriATION I
In OAR 9b2-00 I ;:,gt~in cOP~ DY
0090. You may 0 ..thlePhOne
calling the center. (M"W1!rY.'TJ ~. ification
number for the Oreg~I$t\J~ij~l R"qo:
Center is 1-8iQ~~ e qd:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I PUBLIC IMPROVEMENTS I
Expiration Date
01107/2010
09/26/2008
09/26/2008
01107/2010
Phone
541-726-5593
541-935-2696
541-935-2696
541- 726-5593
Lot Size:
Sq Ft 1st 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:
NOTICE: \(
THIS PERMIT SHAll EXP1RE 'f THE WO~
AUTHORIZED UNDER THIS PERMIT '5 NOT
COMMENCED OR IS ABANDONED fOR
ANY 180 DAY PERIOD.
Paee 1 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00569
ISSUED: 04/23/2008
APPLIED: 04/23/2008
EXPIRES: 10/23/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Type 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 4/23/08 1200800000000000392
$25.20 4/23/08 1200800000000000392
$10.50 4/23/08 1200800000000000392
$30.00 4/23/08 1200800000000000392
$50.00 4/23/08 1200800000000000392
$160.00 4/23/08 1200800000000000392
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.
U-eauiredjnSDections 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.
Pal!:e 2 of3
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00569
ISSUED: 04/23/2008
APPLIED: 04/23/2008
EXPIRES: 10/23/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
~;::~~&::ront of the property, and the approv; z~w~ema;n on the ,;te at all
Owner or Contractors Signa6/ Date
Pae:e 3 of 3
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225 Fifth.Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00569
COM2008-00569
COM2008-00569
COM2008-00569
COM2008-00569
COM2008-00569
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
1200800000000000392
Date: 04/2312008
Description
Manufactured Home Placement
ManufHome State Issuance
Manufactured Home Conn - Plmb
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistratIve Fee
Paid By
MELS ENTERPRISES
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
1001
In Person
Payment Total:
Page 1 of 1
Il:23:10AM
Amount Due
16000
3000
5000
1050
2520
21 00
$296.70
Amount Paid
$296 70
$296.70
4/23/2008