HomeMy WebLinkAboutPermit Building 2010-2-23
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00232
ISSUED: 02/23/2010
APPLIED: 02/23/2010
EXPIRES: 08/23/2010
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS:. 157 12TH ST SPACE 59
ASSESSOR'S PARCEL NO.: 1703354]0020]
Springfield TYPE OF WORK: Manufactured Home in Park
PROJECT DESCRIPTION: Manufactured home in park
TYPE OF USE: New
Residential
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Owner: BRIAN L FITTERER INC (MSD410)
Address: 19772 MACARTHUR BLVD STE 200
IRVINE CA 92612
I CON1'RACTOR INFORMATION ~
Contractor License
BUILDERS ELECTRIC INC 4296
GARY M LARSEN 39913
GARY M LARSEN . o~:" 39913
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, , ~O"'" Ole~ed '0'1 \ne a.le Se 00"
# ot Un.ts: p.,1't€ ~ 9 adOP i,w~ff~~:g52' '0'1
Primary Occupancy GrollllfollO'fl ":o~~ell\e\O\n~~\l':W\\\\:J'Q'<!Wl~fl
Secondary Occupancy Gro\lWli\"IC&.t95Z.o0"OO laill ~~~~no lioll
Primary Constructio~ TYP'\II Op.Pt '(o~",a'i o~el. ~~e~, \\I\Ca
Secondary Construct.on TyJt)OgO. 'lIg In8 Cell Ole9~~. ).
# of Bedrooms: ca\\lbel \01 Ine.s ,_eB\lJ.g~ Path:
(lU({\ cen\el \ Sprinkled Building:
Contractor Type
Electrical
Manuf Home Inst
Plumbing
I DEVELOPMENT INFORMATION ~
Front yard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
ok'of L'ot'Coverage:
J:.:-t, '~',. r" '
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Page] of 3
Expiration Date
12/]0/20] ]
04/05/20 I 0
04/05/20]0
Phone
54 I -485-0922
541.389-8227
54]-389-8227
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Yaluation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Manuf Home State Issuance
Manufactured Home Placement
Amount Paid
Date Paid
$47.64
$19.85
$30.00
$397.00
2/23/10
2/23/10
2/23/] 0
2/23/] 0
Total Amount Paid
$494.49
I Plan Reviews l
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00232
ISSUED: 02/23/2010
APPLIED: 02/23/2010
EXPIRES: 08/23/2010
Y ALUE:
Value
Date Calculated
Receipt Number
220]000000000000163
220]000000000000163
2201000000000000163
2201000000000000163
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.
Upllllirecl Insnections ~
Manuf Home Set Up: When installation of all piers or stands is complete.
Final Mannf Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Manuf Home Plnmbing: After home has been connected to water and sewer.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel. 'j,~'
Pa2e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 F,,,
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00232
ISSUED: 02/23/2010
APPLIED: 02/23/2010
EXPIRES: 08/23/2010
VALUE:
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 fnrther certify that any and all work performed shall be done iu accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described hereiu, and
that NO OCCUPANCY will he made of any structure without permissiou of the Commuuity Services Division, Building Safety,
I further certify that only contractors and employees who are in compliance with ORS 701,005 will he used on this project
I further agree to ensure that all required inspectious are requested at the proper time, that each address is readahle from the
street, thaI the permit card is located at the front of tbe property, aud the approved set of plans will remain on the site at all
times during construction.
owneror~ Sig~~
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Page 3 of 3
02-.:1.3 -/0
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157 /2 tl1 sf, II 51
SPRING FIELDj oA. Q7Q17.
~~
225'Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
10:01 :29AM
2201000000000000163
Date: 02/23/2010
Job/Journal Number
COM20 I 0-00232
COM20 I 0-00232
COM20 I 0-00232
. COM20 I 0-00232
Payments:
Type of Payment
Check
cReceinll
Description
Manufactured Home Placement
Manuf Home State Issuance
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
397.00
30.00
47.64
19.85
$494.49
Paid By
SPRINGLANE MOBILE
VILLAGE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
In Person
$494.49
2036
Payment Total:
$494.49
,:,iY.
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Page I of I
2/23/20 I 0