HomeMy WebLinkAboutPermit Building 2008-8-7
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO, COM2008-01172
ISSUED 08/07/2008
APPLIED 08/0712008
EXPIRES: 02/0712009
VALUE:
Status
Iss u ed
225 FIfth Street, SprmglieJd, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 157 12TH ST SPACE 62
ASSESSOR'S PARCEL NO 1703354100201
Spnngfield TYPE OF WORK Mannfactured Home m Park
PROJECT DESCRIPTION Manufactured home m park
TYPE OF USE New
ResIdentIal
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~u\~ ?\:.~\J\\\ ~;~~\:.?I~'~~~o~~!Rk Type
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r-.\,}i~O?\ C\:.~ o? Qt). Downspouts;Drams'
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Owner FITTERER BRIAN
Address 19772 MACARTHUR BLVD STE 200
IRVINE CA 92612
I CONTRACTOR INFORMATION I
Contractor Type
General
ManufHome Inst
Plumbmg
Contractor
STEVEN T BURNS
THEROUX NORTHWEST INC
THEROUX NORTHWEST INC
License
43765
65789
65789
I BUILDING INFORMATION'
"'IOu ...I!
# of U mts " \e.'>/#Il~~~~ \)\\\~
Pnmary Occupancy Group :n~.J:)tego 0 '0'/ \iI@J I fl,fQitft\~'(ff-
Secondary Occupancy Gr'?!fj';t.l'\ \eS e,OO?\e 1\10$lI'YP.\!' ff~i>2 s \)"f
Pnmary ConstructIOn Typ,~\\o-N l~o"\@l"\el'~0\\11~loTlIJIll~u\~"e
Secondary ConstructIOn T~I\\Ce. 952'00~-0~\e.\" cR\ilWl\neW&~o(\
# of Bedrooms 1(1 OJ\.R'IOU ",a'/ 0 tel. lNl;}~~\
009Q \ n \\1e cell 0le9 tldmg nla
"''''~II'':. I:' Ih!, ':"
nultIl) Cll(,',,'olvELOPMENT INFORMATION I
Frontyard Setback
S,de 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbdcks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Street Improvements
Storm Sewer Avatlable
Spec..1 InstructIOn
Notes
Page 1 of 3
ExpIratIOn Date
06/24/2009
04/18;2010
04/18;2010
Phone
541-688-6474
503-655-5626
503-655-5626
Lot S,ze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Bdsement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total
HandIcapped
Compact
~".'N.~"" ~
tJ4.,
-:. l
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO, COM2008-01172
ISSUED, 08/0712008
APPLIED: 08/07/2008
EXPIRES' 02/07/2009
VALUE
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclton Lme
I Valuation De~criotl?n I
DescriptIOn
Tvpe of ConstructIOn
$ Pel Sq Ft
or multlpher
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~ !<,pp<1:iwU
Fee DescnutlOn
+ 100/0 AdmlDlstrdtlve Fee
+ 12% Stdte Surchdrge
+ 5% Technology Fee
Manuf Home Stdte Issuance
Manufdctured Home Conn - Plmb
Manutdctured Home Placement
Amount PaId
Date Paid
ReceIpt Number
$2100
$25 20
$1050
$30 00
$50 00
$16000
8i7108
8i7108
8i7108
8i7108
8i7108
8i7108
1200800000000000852
1200800000000000852
1200800000000000852
1200800000000000852
1200800000000000852
1200800000000000852
Total Amount PaId
$296 70
I Plan RevIews I
To Request an inspectIOn call the 24 hour recordmg at 726-3769 All mspectIons requested before 7,00
a m WIll be made the same workmg day, mspectlons requested after 7,00 a m WIll be made the followmg
work day
I Rptyllrprl Inliinpr:tlonlii I
Manuf Home Set Up When mstallatlOn of all pIers or stands IS complete
Fmal Manuf Home Set Up After dll reqUIred mspectlOns are requested and approved and porches, sklftmg,
decks, ventmg, street address numbers, trees, driveway, efe have been Installed
Manuf Home Plumbmg After home has been connected to water and .ewer
MH Electric When blockmg, setup and plumbmg m.pectlOns have been dpproved and the home IS connected to
the panel
Paee 2 of3
~~4'Ii
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO' COM2008-01172
ISSUED: 08/07/2008
APPLIED, 08/07/2008
EXPIRES: 02/07/2009
VALUE'
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
By SIgnature, I state and agree, that I have cdrefully exammed the completed applIcatIOn and do hereby certIfy that all
mformatlOn hereon IS true dnd correct, and I turther certlly that any and all work performed shall be done 10 accorddnce wIth
the Ordmdnces of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY wIll be made of any structure wIthout permISsIOn of the Commumty ServIces DIvISIOn, Bmldmg Safety
I further cerllfy tbat only contractors and employees who are 10 complIance wIth ORS 701 005 wIll be used on tblS project
I further agree to ensure that all requIred mspectlOus are requested at the proper lIme, that each address IS readable from the
street, that tbe permIt card IS located dt the Iront of the property, and the approved set of plans wIll remam on the sIte at all
times dUring construction
du~~ ~
23/7 Jf) p---
Owner or Contrdctor~ Slgnatu~-
Date
Paee 3 of 3
225 Fifth Street
Spnngfleld, Oregon 97477
541-726-3759 Phone
_..~ IN".'m.o~,
> i.- ~.- - ;
IfIi: . "
CIty of Sprmgfield OffiCial ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0 1172
COM2008-01172
COM2008-0" 72
COM2008-01172
COM2008-0 1172
COM2008-01172
Payments
Type of Payment
Check
Change
Job/Journal Number
COM2008-0 1172
COM2008-01172
COM2008-01172
COM2008-01172
COM2008-01172
COM2008-01172
Payments
Type of Payment
Check
Change
cRccemtl
RECEIPT #,
1200800000000000852
Date' 08/07/2008
DeSCriptIOn
Manufactured Home Placement
Manuf Home State Issuance
Manufactured Home Conn - Plmb
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstralIve Fee
Paid By
SPRING LANE MOBILE
VILLAGE
SPRINGLANE MOBILE
VILLAGE
Item Total
<":heck Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
1618
In Person
dJb
In Person
Payment Total
DescnptlOn
Manufactured Home Placement
ManufHome State Issuance
Manufactured Home Conn - Plmb
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlStratlve Fee
Paid By
SPRINGLANE MOBILE
VILLAGE
SPRINGLANE MOBILE
VILLAGE
Item Total
Check Number Authorization
Received By Batch Number Number How Received
dJb
dJb
1618
In Person
In Person
Payment Total
Page I of I
2 01 42PM
Amount Due
16000
3000
5000
1050
2520
2100
$296 70
Amount Paid
$300 40
($370)
$296 70
Amount Due
16000
3000
5000
1050
2520
2100
$296 70
Amount Paid
$300 40
($370)
$296 70
8/7/2008
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