HomeMy WebLinkAboutPermit Building 2009-10-1
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01461
ISSUED: 10/0112009
APPLIED: 10/01/2009
EXPIRES: 04/01/2010
VALUE:
225 Fifth Strcet, Springfield, OR
541-726-3753 Phune
541-726-3676 Fax
541-726-3769 Inspectiun Line
SITE ADDRESS: 1125 58TH ST SPACE 67
ASSESSOR'S PARCEL NO.:. 1702342200100
, ,
Springfield TYPE OF WORK: Manufactured Hume in Park
-
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Mauufactured hume in park
Owner:
Address:
GOLDEN OAKS MOBILE HOME PARK LLC
798 PRESCOTT LN , oU \0
SPRINGFIELD OR 97477 .nl'\ \a'llle~\~~So~ \)\~~~~"
~\O\'\.', v':;'or\ b\j \.\,.....,"'0:. aJe 0'::': ~r\"\-
p--1iE.~u\e~1 IGONTRA0TOR INFORMA:I;10N ,
101l0\N a\IOl\ v~"OO~O\l',v-'-es o\\\\~. ;"ol',e
C . ""IIC OO~ - 'CO?' \e\o\l"L'
ontractor p--'i'- g5?"- Op\all\ \e' \\'Ie :'Ii tcense
HARRISO~JA('J0BSON(INC ~1~0 \)\i\i\~ N~)' 66447
HARRISS~~~(iX~~~p:~tiN(?g~~_'.3?;~.?.'.3A . 66447
HARRIS01'h-!A(!0J3~,Ql'i\INC '0 . 66447
I BUILDING IN FORMA TION I
ExpiraW,m Date
05/07/2010
05/07/2010
05/0712010
Phone
541-689-7762
541-689-7762
541-689-7762
Contractor Type
General
Manuf Hume Inst
Plumbing
# uf Units:
Primary Occupancy Gruup:
Secundary Occupancy Gruup:
Primary Cunstructiun Type
Secundary Cunstructiun Type:
# uf Bedruums:
VB
# uf Sturies:
Height uf Structure
Type uf Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:,
Lut Size:
Sq Ft 1st Fluur:
Sq Ft 2nd Fluur:
Sq Ft Basement:
Sq Ft Garage/Carpurt
Sq Ft Other:
Occupaut Luad:
R-3
nfa
I DEVELOPMENTINFORMATION ,
:. REQUIRED PARKING
Fruntyard Setback:
Side 1 Setback:
Side 2 Setback: ..
Rearyard Setback:
Sular Setbacks:
Overlay Dist: Tutal:
# Street Trees Rqd: :t. 'tlCll'-\<.. Handicapped:
Paved Drive Rqd: :t. \\- \'I'i \'0 ~Cl\ Cumpact:
% ufLut.Cuverage: \.. 'i:.'f..'i'\?; 1'\:1'-\-11\\ I'-
N.Q\\~;-~1\\\\\ S~~I'- \\\~~\\,\()~'i:.\) I'Cl ,
I PUBLlCi-iMRRQVEME1NlfS:,l'-\Jc"
t"'v .,\:.\\\V- \:.i\IV\)'
, \:,a\-ll\'" \)[\'\ I' Sidewalk Type:
[\\,<,\ ~ 'OG DuwnspuutslDrains:
Street Impruvements:
Sturm Sewer Available:
Special Instructiun:
Nutes:
Paee 1 uf 3
....mNGIlI...'..:,
-- ~,'t'i~"'1\;11,,;~,,;!,":-,,~l'lf!\T1!!R<, - ,
~ff'f ',;."..- .- <,,',,:g'i:~i~-}"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01461
ISSUED: 10/0112009
APPLIED: 10/0112009
EXPIRES: 04/0112010
VALUE:
'Status ' Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phune
541-726-3676 Fax
541-726-3769 Inspectiun Line
'.;
I Valuation Descrintion I
Description
Tvpe uf Cuustructiun
$ Per Sq Ft
ur multiplier
Square Fuutage
ur Bid Amuunt
Value
Date Calculated
Tutal Value uf Pruject
Frr"', pqi(U
Fee Descriptiun
+ 12% State Surcharge
+ 5% Technulugy Fee
Manuf Hume State Issuauce
Manufactured Hume Placement
Amuuut Paid
Date Paid
$47.64
$19.85
$30.00
$397.00
10/1/09
10/1/09
10/1/09
10/1/09
Receipt Number
2200900000000001128
2200900000000001128
2200900000000001128
2200900000000001128
Tutal Amuunt Paid
$494.49
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested befure 7:00
a.m. will be made the same working day, inspectiuns requested after 7:00 a.m. will be made the following
work day.'
l...PeonirecU nsnections I
Man~f Hume Set Up: When installatiun uf all piers ur stands is cumplete.
Final ManufHume Set Up: After all required inspectiuns are requested and appruved and purches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Manuf Hume Plumbing: After hume has been cunuected to. water and sewer.
MH Electric: When blucking, setup and plumbing inspectiuns have been appruved aud the hume is cuunected to.
the paueI.
Pa2e 2 uf:3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phune
541-726-3676 Fax ,.
541-726-3769 lrispectiun Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01461
ISSUED: 10/01/2009
APPLIED: 1(1/01/2009
EXPIRES: 04/01/2010
VALUE:
By signature, I state and agree, that I have carefully examined the cumpleted applicatiun and do. hereby certify that all
infurmatiun hereun is true and currect, a'nd I further certify that any and all wurk perfurmed shall be dune in accurdance with
the Ordiuances uf the City uf Springfield and the Laws uf the State uf Oregun pertaining to. the wurk described herein, and
that NO OCCUPANCY will be made uf any. structure withuut permissi,!n uf the Cummunity Services Divisiun, Bnilding Safety.
I further certify thatunly cuntracturs and empluyees who. are in cumpliance with ORS 701.005 will ,be used un this pruject.
I further agree'tu eus~e that all required inspectiuus are reqnested at the pruper time, that each address is readable frum the
street, thatilhe ~rmit card iS~lucated at the frunt uf the pruperty, aud the appruved set uf plaus will remain un the site at all
. d'/ ',J 1.\
times urIDg construction.
~ f / I :..-r- ---__
/ " I '___~).
/ --'
"'----' '. ~
I
Owner ur Cuntracturs Signature
Paee3 uf3 .
(<:'/1 joY)
Date
225 Fifth Street
Spring'field, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000001128
Date: 10/01/2009
11:51:47AM
Payments:
Type of Payment -Paid By
Item Total:
Check Number Authorization
Received By Batch N~mber Number How Received
Amount Due
397,00
30,00
19.85
47,64
$494.49
Job/Journal Number: >
COM2009-0146 I
COM2009-0 1461
COM2009-0 1461
COM2009"01461
Desc.ription
Manufactured Home Placement
Manuf Home State Issuance
+ 5% Technolugy Fee
+ 12% State Surcharge
Amount Paid
CreditCard
,GOODEN HARRISON
djb
3 II 0 15 In Persun
Payment Tutal:
$494.49
$494.49
cReceint]
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10/1/2009