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Home My WebLink AboutPermit Miscellaneous 2009-5-29 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00704 ISSUED: OS/29/2009 APPLIED: OS/21/2009 EXPIRES: 11/29/2009 VALUE: $ 0.00 Status Issued 225 Fifth Streel, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeclion Line SITE ADDRESS: 658 S 57TH ST SPACE 21 ASSESSOR'S PARCEL NO.: 1802040000200 Springfield TYPE OF WORK: Manufactured Home in Park PROJECT DESCRIPTION: Manufactured Home in Park TYPE OF USE: New Residenlial Owner: JOE AND LEE LIMITED Address: PO BOX 717 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Manuf Home Insl License 98940 Contractor SANTlAM HOMES LLC BUILDING INFORM~ T10N , # of U nils: Primary Occupancy Group: Secondary Occupaucy Group: Primary Conslruclion Type Secondary Coustruclion Type: # of Bedrooms: # of Slories: I R-3 Heighl of Slruclure Type of Heal: Electric VB Water Type: Eleclric NOTICE: Range Type: Eleclric 3THIS PERf\lfnt'OOA'!!!.hEXPIRE IF THE WORK AUTHORIZ~uitJNm:~nt\l!iegpERMIT l:9lroOT l;l1:'iDE\;"'L'df "'mfNF&k~~'ti6N') AU.. ."RI\,n~,!~! Front yard Selback: Side I Selback: Side 2 Selback: Rearyard Selback: Solar Selbacks: ( Overlay Disl: # Streel Trees Rqd: Paved Drive Rqd: % of Lol Coverage: Expiration Date 05/1112011 Phone 503-769-7744 Lot Size: Sq Fllst Floor: 1,596 Sq Fl 2nd Floor: Sq Fl ~asemenl: Sq Fl Garage/Carporl Sq Fl Olher: Occupanl Load: REQUIRED PARKING Tolal: Handicapped: Compact: II"'T"T....J,ITI1"'\"'. /""I.."'';'......... I......, rt:\",rril'oc H("'\I1 tn f~novt P\!JiB);!{(lmWR0YENIENtJ1S1: Utility , NotlflGb.llVII VClll";'I. ",v"",-,,, ...................... ~et forth in OAR 952-001-0010 through OAR 952-05i,dewalk Type: 0090. You may obtain copies of the rules.)1d\.nspoutsIDrains: calling the center. (Note: the telephone ' number for the Oregon Utility,Notification " Center is 1-800-332-2344). Slreet Improvemenls: Slorm Sewer Available: Special Inslruclion: Noles: I Valuation Descriotio~ I Description $ Per Sq Ft or multiplier Square Footage or Bid Amounl Type of Construction Paee I of 3 Value' Dale Calculaled ,_~IilI:fllCIIF:I~D;, j . I Status Issued 225 Fifth Slree!, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeclion Line TOlal Value of Project Fj'P1. P1W Fee Description Manufaclured Home Placement Plan Review Residenlial Plan Review Residenlial + 12% State Surcharge + 5% Technology Fee Manuf Home Slale Issuance Manufaclured Home Placement Amounl Paid Date Paid $305.58 $-305,58 $305,58 $47.64 $19,85 $30.00 $91.42 5/21109 5/21109 5/21/09 5129109 5/29109 5129/09 5129/09 Total Amount Paid $494.49 Plan Reviews I CITY OF SPRINGFIELD Building/qombination Permit PERMIT NO: COM2009-00704 ISSUED: OS/29/2009 APPLIED: OS/21/2009 EXPIRES: 11/29/2009 VALUE: $ 0.00 Receipl Nnmber 2200900000000000542 2200900000000000542 2200900000000000542 1200900000000000574 1200900000000000574 [200900000000000574 12~0900000000000574 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. IRf'(~ Manuf Home Set Up: When inslallalionof all piers or slands is complele. Manuf Home Plumbing: After home has been connecled 10 waler and sewer. MH Electric: When hlocking, selup and plumbing inspections have been approved and the home is connectcd 10 lhe panel. . Final Manuf Home Sel Up: After all required inspeclions are requesled and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. Paee 2 of 3 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: COM2009-00704 ISSUED: OS/29/2009 APPLIED: OS/21/2009 EXPIRES: i 1/29/2009 VALUE: $ 0.00 By signature, I stale and agree, that I have carefully examined the completed application and do tiereby certify that all informalion hereou is lrue and correcl, and I furlher certify lhal any aud all work performed shall be done in accordance with lhe Ordinances of lhe City of Springfield and lhe Laws of lhe Slale of Oregon pertaining 10 the work described herein, and lhat NO OCCUPANCY will be made of any slruclure without permission of lhe Community Services Division, Building Safely. I further cerlify lhal only contraclors and employees who are in compliance with ORS 701.005 will be used on lhis project. I further agree 10 ensure that all required inspections are requested al the proper time, that each address is readable from lhe street, that lhe permit card is located at lhe froul of the property, and lhe approved set of plans will remain on lhe sile al all times during construction. ~) Q ,~ffj~/1 ~ Owner or Contractors Signature Paee 3 of 3 .s- - ;).,jq ~ t) q . Date 225 Fifth Street Springfield, Oregon 97477 541-726:3759 Phone iljii Job/journal Number CQM2009-00704 COM2009-00704 COM2009-00704 COM2009-00704 Paymcnts: Type of Payment Check cReceintl RECEIPT #: 1200900000000000574 Description Manufactured Home Placement Manuf Home State Issuance + 5% Technology Fee + 12% State Surcharge Paid By PATRICIA STARR Received By Check Number Batch Number Page I of 1 I, City of Sp~ingfield Official Receipt Developm~nt Services Department pJblic Works Department J\ Date: OS/29/2009 " 9:44:43AM Item Total: Authorization Number Amount Due 91.42 30,00 19,85 47,64 $188.91 I! How Received , Amount Paid 1744 $188,91 $188,91 In Person Payment Tolal: 5129/2009