HomeMy WebLinkAboutPermit Building 2008-5-28
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00688
ISSUED: OS/28/2008
APPLIED: 05/14/2008
EXPIRES: 11/28/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 205 S 54TH ST SPACE 47
ASSESSOR'S PARCEL NO.: 1702330001200
Springfield TYPE OF WORK: Manufactured Home in Park
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Manufactured home in park
Owner: FITTERF,R BRIAN L
Address: 450 NEWPORT BEACH DR STE 595
NEWPORT BEACH CA 92660
Contractor Type
Electrical
Manuf Home Inst
Plumbing
I CONTRACTOR INFORMATION I
law '~\1"es you.to
Contractor AiTENT\ON: orego; by the~ Ut"~piration Date
BURRELL BROS m1ilVRB~~g~~hose ru'i(j4Y"6l set ~1 0812012009
MARTIN LEMO\WRi~ cen_g~1othrou~952 · 10/1612008
MARTIN LEMO~t)6~~~~~~ n~t~\n ~Pi~~~';' 10/16/2008
.. - -'I . ~, otit\C&\iOft
number . 1-800-332-2344)-
# o~t~
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building
Phone
541-747-2724
503-375-9440
503-375-9440
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION J ~O~\t
tltm",t. S\o\"ll txt'1R "omt: S Not REQUIRED PARKING
lH~!it:OER 1H\S PERMIT' Total:
i' i ~ ~ \5 ABANOONEO fOR Handicapped:
MMmiNG . cRIOD Compact:
oA~Y~~ ai~ ·
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pa2e 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00688
ISSUED: OS/28/2008
APPLIED: 05/14/2008
EXPIRES: 11/28/2008
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 5/28/08 1200800000000000563
$25.20 5/28/08 1200800000000000563
$10.50 5/28/08 1200800000000000563
$30.00 5/28/08 1200800000000000563
$50.00 5/28/08 1200800000000000563
$160.00 5/28/08 1200800000000000563
Total Amount Paid
$296.70
I Plan Reviews'
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.
UeouirecUnsnections 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.
Pal!e 2 of 3
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00688
ISSUED: OS/28/2008
APPLIED: 05/14/2008
EXPIRES: 11/28/2008
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
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 durin construction.
0v~
, I ./
ontractors Signature
S/2r./or
Date
Pal!e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00688
COM2008-00688
COM2008-00688
COM2008-00688
COM2008-00688
COM2008-00688
Payments:
Type of Payment
Check
cRecelOt 1
RECEIPT #:
1200800000000000563
Date: OS/28/2008
Description
Manufactured Home Placement
Manuf Home State Issuance
Manufactured Home Conn - Plmb
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
Paid By
CHALET VILLAGE MHP
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIved
dJb
3238
In Person
Payment Total:
Page 1 of I
1:37:36PM
Amount Due
160 00
3000
5000
10 50
2520
2100
$296.70
Amount PaId
$296 70
$296.70
5/28/2008