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Home My WebLink AboutPermit Building 2010-12-9 ;:. SPRI....NG.f IEl~ ."~ ..:<:~(~ -' k ,>-"" OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00863 IVR Number: 811154438694 www.ci.springfield.or.uS 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/09/2010 ISSUED: APPLIED: 1210912010 12/09/2010 EXPIRES: VALUE: 0610712011 $0.00 SITE ADDRESS: 4475 DAISY ST, SPACE# 2, Springfield, OR 97478-6649 ASSESOR'S PARCEL NO: 1702323406500 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Manufactured Home in Park New Residential PROJECT DESCRIPTION: Manufactured home in park Phone Number: OWNER: ADDRESS: COUNTRY MANOR MHP 7007 SW CARDINAL lN STE 185 PORTLAND OR 97224 Contractor Type Manufactured Home Installer Electrical Contractor Plumbing Contractor Contractor Name JERRY PAUL on JERRY PAUL on JERRY PAUL on CONTRACTOR INFORMATION ~ Lie Type CCB CCB CCB BUilDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heal: Waler Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 69455 69455 69455 Lic Exp 09/26/2012 09/26/2012 09/26/2012 Phone 541.935.2696 541-935-2696 541-935.2696 Lot Size: Sq FI 1 sl Floor: Sq FI 2nd Floor: Sq Ft Basement: Sq FI Garage: Sq FI Carport: Sq FI Olher: 0 Occupancy Load: Site Information ~ I Engineered Fill: Fill Volume: Flood Hazard Area: ATTENTION: Oregon law requires you to Land Hazard Area: follow rules adopted by the Oregon Utility Retaining Wall: Notification Center. Those rules are set forth Soils Report RequirilllOAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 12/9/2010 1:49:51PM NOTICE:.'....'..< THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR, ,: i ANY 180 DAY PERIOD. ../ Page 1 of3 f .~ www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00863 IVR Number: 811154438694 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfleld.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 12/09/2010 12/09/2010 EXPIRES: VALUE: 06/07/2011 $0.00 12/09/2010 SITE ADDRESS: 4475 DAISY ST, SPACE# 2, Springfield, OR 97478-6649 ASSESOR'S PARCEL NO: 1702323406500 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Manufactured Home in Park New Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setb.ack: Manufactured home in park DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: . Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description , Descriotion Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID I Description Amount Paid Date Paid ReceilJt # Manufactured Home Placement $397.00 12/09/2010 375094 Manufaelured Home State 1;;~~~---'--"---'-'$3ii:"6o-'--'''--12i09t201~---'-'375094-''-- .. State of Oregon Surcharge (12% of applicable fees) $47.64 12/09/2010 .__._... --375094--- Technol09Y fee (5% of permit total) $19.85 12/09/2010 375094 Total Amount Paid $494.49 Springfield Building Permit 12/9/2010 1:49:51PM Page 2 of 3 I <" . ". CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726.3769 Fax: 541.726.3676 www.cLsprfngfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2010-00863 IVR Number: 811154438694 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/09/2010 ISSUED: APPLIED: 12/09/2010 12/09/2010 EXPIRES: VALUE: 06/07/2011 $0.00 SITE ADDRESS: 4475 DAISY ST, SPACE# 2, Springfield, OR 97478-6649 ASSESOR'S PARCEL NO: 1702323406500 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Manufactured Home in Park New Residential PROJECT DESCRIPTION: Manufactured home in park Pia n Review ~ DeDartment Application Acceptance Received Due Date Completed 12/09/2010 12/09/2010 12/09/2010 Result Over the Counter Reviewer David Bowlsby Permit Issuance 12/09/2010 12/09/2010 12/09/2010 Issued David Bowlsby I.~Ub~;!C'~~,~,~f[{ElY:t~~~~::~;~F;~~~'1~/O.9/20J 0 ~"- Jf1P9/201 Or:-:J 2/09/~01 O~' _ NorReqLiired!t h Comm'ents:: "_,:Oyerthe'countecpermitc-"'.l"-i <- -i'" - ~:\j.=. :',-t.......': ,r.;:.:. :._. ~~_',~-.,..';:1:::":~';~:~,.~.;~ t:,,;~-:t~....',,': L~"'\.:FL_:"~:;."'~::t"'yc~..;;;....:....--,__"'__".t,... ,.:. ~:_._...""".::_......"~. .~_",!t:-i. .,' Structural Review 12/09/2010 12/09/2010 12/09/2010 Not Required Comments: Over the counter permit !y.[~~,nL~g:R~\I~~~_ '".~:;:';2+4:~~~t..,11"?~09/F01..Q_"j',:~;~fg~/~:~}~ t~;,)}~5ji~:~~'0Gf:;~~t l3eg'u,ite9Fj~.~~:.}-;" , <~Col!lm~nts""-,<?ver tQ~;cp;SQl~~rr}llt, ;1t.'".'I, i:,)~j;t:-j : ,"':':' .' . .",. -.- .;/~j.!~ ;:-;' ~ '\V, ,~..t""A,_~:<:'~'r~+;'~ :. 0- Davi,fB.owlSDY < ~,;>-""';"'!:~';~-'(:: ". ~ ""-,'-~ , " v I ~;:-~, i ~~~':~i:~--=-~__}j David Bowlsby -'''-''..'4,; '-, . "'",,~:; '.' 'J" -'. .-- -- - , "' <," p', '. . --. ,,- ., ,. .' ~ .. ~ .' .. " '. ";;;"';;~,,,,",,,~ Davidil3owlsby/~"'s' ,,',0< __~-,'o:-;;-::: .f:" v INSPECTIONS REQUIRED ~ Inspections 5370 MH Installation 5460 Plumbing Connections 5480 Electrical Connections 5999 Final Manufactured Dwelling 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 or Oregon pertaining to the work 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 in 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 address 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 construction. Qi en. &v&!lY 1-".2 - q -I() Owner or Contractor Signature Date Springfield BUilding Permit 1219/2010 1:49:51PM Page 3 of3 i ., , .::... www.ci.springfield.or.\.lS TRANSACTION RECEIPT 811-SPR2010-00863 4475 DAISY ST SPACE 2 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitce nter@ci,springfield.or.us RECEIPT NO, 2010001011 RECORD NO, 811-SPR2010-00863 DATE,12/09/2010 trleSCRIP:JjlQN"~' ""_21,"': "i''::''~;'''''t;,'&r' . ;;.> "V"" '-...c..c_QU~Jcj:~R~i-,- ;"",,,? "28M9U ~I.tiUE' -' '-i~!! I Manufactured Home Placement 224-00000-425602 $397.00 Manufactured Home State Issuance 821-00000-215009 $30.00 State of Oregon Surcharge (~~/o of ~p.E'!9able fees) 821-00000-215004 $~~~~ Technology fee (5% of permit total) 100-00000-425605 $19.85 TOTAL DUE: $494.49 !':,f?AYMEItUYP.E~~PAt.QB'r.;,CASHJgR!DBQWLSBY-, t-".:.G.OMMI;NJ,S.sL'f'-!-_:e"ArvJQJJNTJ~...Ip.:.:.~. .' .. ,;' 'I Check 1049 mds mobil solutions $494.49 $494.49