HomeMy WebLinkAboutPermit Building 2009-9-4
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
p
PERMIT NO: COM2009-01317
ISSUED: 09/04/2009
APPLIED: 09/04/2009
EXPIRES: 03/04/2010
VALUE: $ 10,180.00
225 Fifth Street, Springfield, OR .
541-726-3753 Phone.
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 157 12TH ST SPACE 4
ASSESSOR'S PARCEL NO,: 1703354100201
'.
Springfield TYPE OF WORK: Manufactured Home in Park
TYPE OF USE: New
PROJECT DESCRIPTION: Replacement Manufactured dwelling in park
Residential
Owner:
Address:
AIII::N I IUN: urego[1 law reqUlreti yuu lU
BRIAN L FITTERER !~GI(l)1. ~P.M.Qhdopted by the Orego[1 Utility
19772 MACARTHUR 'WSt'MJtIb~~enter. Those rules are set forth
IRVINE CA 92612 in OAR 952-001-0010 through OAR 952-001-
Contractor Type
General
UUt1U. TOU may UUU:Ull vUtJlt::;:. Ullllt:: lUIG;;:J uy
callingY<SON'fRAGl'OR'INFORM\\:TION I
number IV' "".... ....,.....:::1'-''' .......'.J . ._....__u_,..,
Contractor . Center is 1-800-332-2344). License
THEROUX NORTHWEST 65789
I BUILDING INFORMATION I
Expiration Date Phone
04/18/2010
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Ct!!.of Stories: Lot Size:
NOTI ~~~flht8L~'fr~P\RE IF THE WORKSq Ft l~t Floor:
THIS PETypeTof'Heat:- NOT Sq Ft 2nd Floor:
AUTHOfWlftfr lF~\Q,~R THIS PERMIT IS Sq Ft Basement:
COMME.~a}lg~1"~pe5 ABANDONED FOR Sq Ft cjarage/Carport
ANY 18!fnJ!'I:YfP~1hOD, Sq Ft qther:
Sprinkled Building: n/a Occupant Load:
r
I'
I DEVELOPMENT INFORMATION I
, REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
. Handicapped:
Compact:
I PU~LIC IMPROVEMENTS ~
Street Improvements:
Storm ~ewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
IValuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Squ'are Footage
or Bid Amount
I
Value 1:
Date Calculated
Page I of2
Status
Issued
CITY OF SPRINGFIELD
Building/q)mbination Permit
PERMIT NO: eOM2009-01317
ISSUED: 09/04/2009
APPLIED: 09/04/2009
EXPIRES: 03/04/2010
VALUE: $ 10,180.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee.~ Paid I
$47.64
$19,85
$30.00
$397.00
9/4/09
. 9/4/09
9/4/09
9/4/09
Receipt Number
2200900000000001009
"
2200900000000001009
,
2200900000000001009
2200900000000001009
,
Fee Description
+ 12% State Surcharge'
+ 5% Technology Fee
Manuf Home State Issuance
Manufactured Home Placement
Amount Paid
Date Paid
Total Amount Paid
$494.49
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769, All inspections i~quested 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. .'
~eollire~ T~Vt~ctj,~~~l
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, drivewaYl etc. have been installed. '
I
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 w6rk 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 ill 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 .'ddress 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 during construcdon. '
Owner or Contractors Signature
Date
Pa~e 2 of2
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::~:_\1.l-.~ .iCi_~
.n;---.... CONTENTS ;...ERE ON HAVE E:E
Aw-"f"J-,A:i10NS Ii'.O;CATE:D ON COLOt f!.
(,"IH Al.TT::RATIONS MAOr! TO Ttti.l,; AF
F-lvO,n:CT AFTER THe DATE BE:l.OW ~
1l-i(! lXHLDfNG OFFICIAL.
o
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v--/A7t:R.
RCVIE:~. 'NITH
PO-tCIL. CH,&,.OffiES
~:o DR,I.w!_.~:"" OR
BE AP~'.'.O BY
CITY OF Sf'?!N~S: .' OfiEGON ,
h/., il:lll - D:;'~ q
~Pf-'ROVEO BY . ~~" !:lATE _ I <::)
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5 P R"IAIG FIELD) 0 r<
08-31-01
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225 Fifth Street
Springfield, Orego~' 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1317
COM2009-0 1317
COM2009-0 1317
COM2009-0 1317
Payments:
Type of Payment
Check
cReceintl
; ~,
RECEIPT. #:
~:)7.~;~, ."
~J ... . . ';
_.ti.,
City of Springfield Official Receipt
Developmerit Services Department
Public Works Department
2200900000000001009
Date: 09/0~/2009
2:35:53PM
. Description
Manufactured Home Placement
ManufHome State Issuance
..+:5% Technology Fee
+, 12% State Suicha'ge
Paid By ,
SPRlNGLANE MOBILE
VILLAGE
Amount Due
397.00
30.00
19.85
47.64
$494.49
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc 1897 In Person
Amount Paid
$494.49
Payment Total:
$494.49
Page I of I
9/4/2009