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Home My WebLink AboutPermit Building 2008-4-23 (2) CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00569 ISSUED. 04/23/2008 APPLIED. 04/23/2008 EXPIRES. 01124/2009 VALUE' $ 10,000.00 Status Issued 225 Fifth Street, Spnngfield, 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 Spnngfield TYPE OF WORK Mannfactured Home In Park PROJECT DESCRIPTION Manufactured home In park TYPE OF USE New Resldenhal I DEVELOPMENT INFORMATION' REQUIRED PARKING Overlay DlSt ~ ~~ '.NO'I'~otal # Str.s~"!~es Rqd ~\. ~,?'i ~ p,W\~ ,S ~Oliandlcapped 1\\Qc\ ~~,,~~~ ~p, i\'\\S"~ ~tl fO~ Compact o/"iyfl$.tl ~~~t"lU~n~ r>.\lt>.~nON t-\li~O?\ ~cn O~ \S '.i\.,;tfJ.\'''' , _u~f\ I PUBLIC ~JY"'''''h~"TSI t. - Owner COUNTRY MANOR L TD PTRSHP Address 7007 SW CARDINAL STE 185 PORTLAND OR 97224 I CONTRACTOR INFORM A TION I Contractor Type General Electncal Manuf Home Inst Plumbing Contractor LIcense EASTSIDE FLOORS & CONSTRUilit'QPj\tlJ~469 LR BRABHA~N: oregon laVf~~regon utll 99 JE~l\~~l~o?ted b_V e leS are set 10, .455 EASllS~D'f\! ,~~~~l\l.(~ fi~, ._. ~~O'AR 9SZ-00j\-Wii~1 on ~~~~N I 0090. 'Iou !l1a~r.1lu\h:...;tit\CLfl..I, callIng the;9 O/tP~~~), I\llil&llf tor let \a ~\}~rructure cen Type of Heat VB Water Type Range Type Energy Path Sprinkled BuIlding # of VOlts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructlOu Type Secondary ConstructIOn Type # of Bedrooms Frontyard Setback ~Ide I Setback Side 2 Setback Rearyard Setback Solar Setbacks Street Improvements StOl m Sewer AvaIlable Special Instruchon Notes Page I of3 ExpIratIOn Date 01107/2010 12/18/2010 09/26/2008 01107/2010 Phone 541-726-5593 541-747-6638 541-935-2696 541-726-5593 n/a Lot Size Sq Ftlst Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load Sidewalk Type DownspoutsfDr alns Status Issued 225 FIfth Street, SprlOgfield, OR 54]-726-3753 Phone 54] -726-3676 Fax 54]-726-3769 ]nspectlOn LlOe DescrIption Tvpe of ConstructIOn Manufactured Home Manuf Home Fee DescriptIOn + ]0% AdmlOlstraltve Fee + 12% State Surcharge + 5% Technology Fee Manuf Home State ]ssudnce Manufactured Home Conn - Plmb Manufactured Home Placement + ]0% AdmlOlstraltve Fee + ]2% State Surcharge + 5% Technology Fee Manufactured Home ServIce Perm Serv/Fdr 200 amps 01 less -Mechamcal Issuance Fee- + ]0% AdmlOlstraltve Fee + 12% State Surcharge + 5% Technology Fee Furndce - up to ]00,000 htu Mlmmum/AdJustment Mechamcal Total Amouut PaId CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-00569 ISSUED. 04/23/2008 APPLIED. 04/23/2008 EXPIRES' 01/24/2009 VALUE: $ 10,000.00 I Valuation DescrmtlOn I $ Per Sq Ft or mulltplIer $] 00 Square Footage or BId Amount ]0,00000 05/02/2008 Value Date Calculated Total Value of ProJect $]0,00000 $]0,00000 L.F~~, P~irl I Amount PaId Date PaId ReceIpt Number $2] 00 $25 20 $]050 $30 00 $50 00 $]6000 $12 50 $]500 $625 $55 00 $70 00 $20 00 $500 $600 $250 $]400 $36 00 4/23/08 4/23/08 4/23/08 4/23/08 4/23/08 4/23/08 4/29/08 4/29/08 4/29/08 4/29/08 4/29/08 7/24/08 7/24/08 7/24/08 7/24/08 7/24/08 7/24/08 ]200800000000000392 ]200800000000000392 ]200800000000000392 ]200800000000000392 ]200800000000000392 ]200800000000000392 2200800000000000543 2200800000000000543 2200800000000000543 2200800000000000543 2200800000000000543 ]200800000000000808 ]200800000000000808 ]200800000000000808 ]200800000000000808 ]200800000000000808 ]200800000000000808 $538 95 I Plan RevIews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspections requested before 7:00 a m wIll be made the same workmg day, inspections requested after 7'00 a m WIll be made the followmg work day. [, Rplllllrprl Tn\',np.f"t~ Manuf Home Set Up When lOstallatlOn of all pIers or stands IS complete FlOal Manuf Home Set Up After all reqUIred lOspectlOns are requested and approved and porches, sklrtlOg, decks, ventmg, street address numbers, trees, dnveway, efe have been Illstalled Pa!!e 2 of 3 Uti' OF SPRIN\JJ'U,LD Building/Combination Permit Status Iss u ed PERMIT NO ISSUED. APPLIED: EXPIRES' VALUE: COM2008-00569 04/23/2008 04/23/2008 01/24/2009 $ 10,000 00 225 F,fth Street, Springfield, OR 541-726,3753 Phone 541,726,3676 Fax 541-726-3769 InspectIOn Line Mannf Home Plnmblng After home has been connected to water and sewer MH Electnc When blocking, setup aud plumbing mspectIons have been approved and the home IS connected to the panel Rough Mechamcal Pnor to Cover Fmal Mechamcal When allmechamcal work IS complete By Signature, J state and agree, that I have carefully exammed the completed apphcatIon and do hereby certIfy that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth the Ordmances of the CIty of Sprmgfield and the Laws 01 the State of Oregon pertalllmg to the work descnbed herem, and that NO OCCUPANCY wIll be made of any structure WIthout permISsIOn of the Commumty ServIces DIVISIOn, BUlldmg Safety I further certIfy that only contractors and employees who are m comphance WIth ORS 701 005 WIll be used on thIS project I further agree to ensure that all reqUired mspectIons are requested 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 remam on the sIte at all "m.'"n"'~/' ~ 7- z(-ol? Owner or Conti actors Signature Date Pa2e 3 of3 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone CIty of Sprmgfield 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 #. 1200800000000000808 Date. 07/24/2008 Description Furnace, up to 100,000 btu MIDIIDum/AdJustment Mechamcal + 5% Technology Fee + 12% State Surcharge + 10% AdminIstrative Fee -Mechamcal Issuance Fee- Paid By MELS ENl ERPRISES Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received dJb 1017 In Person Payment Total Page] of] 2 03 30PM Amount Due 1400 3600 250 600 500 2000 $83 50 Amount Paid $83 50 $83 50 7/24/2008