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Home My WebLink AboutPermit Building 2011-1-24 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00108 IVR Number: 811190389057 www.ci.springfield.OLUS ISSUED: APPLIED: -rl q I <<- SITE ADDRESS: 4475 DAISY ST, SPACE#l, Springfield, OR 97478-6649 ASSESOR'S PARCEL NO: 1702323406500 PROJECT STATUS: STATUS DATE: Issued 01/24/2011 01/24/2011 01/24/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 07/23/2011 $0.00 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Manufactured Home in Park New Residential PROJECT DESCRIPTION: Manufactured home in park. space 91 Phone Number: OWNER: ADDRESS: COUNTRY MANOR L TO PTRSHP 7007 SW CARDINAL LN STE 185 PORTLAND OR 97224 Contractor Type Manufactured Home Installer Contractor Name JERRY PAUL arT CONTRACTOR INFORMATION I Lie Type CCB BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # 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 Lic Exp 09/26/2012 Phone 541-935-2696 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: ATTENTION: Oregon law requires you to Soils Report Rel(lJlooI: rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR ~52-oo1; 0090. You may obtain copies of the rules by calling the center. (Note: the telephone' number for the Oregon Utility Notl.fi9.?V9,~ Center is 1-S00cJJG'.f2M).. ' " NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK -' AUTHORIZED UNDER THIS PERMIT IS NOT? COMMENCED OR IS ABANDONED FOR,",.: .'::~I . ANY 180 DAY PERIOD. ' Springfield Building Permit 1/24/2011 11 :20:44AM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00108 IVR Number: 811190389057 225 Fifth St Springfield,OR 97477. Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 01/24/2011 01/24/2011 EXPIRES: VALUE: 07/23/2011 $0.00 01/24/2011 SITE ADDRESS: 4475 DAISY ST, SPACE# 1, 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 Setback: Manufactured home in park - space 91 DEVELOPMENT INFORMATION I 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Sta.~ of Oregon Surcha'}!e (12% of applicable fees) ::e~~nology fe"J52& olE"rmif to~__. Manufactured Home Placement Manufactured Home State Issuance Total Amount Paid Amount Paid Date Paid Reciot # $47.64 01/24/2011 2011000149 _~_._.________.__,_. "_.,,w____~,__.. $19.85 01/24/2011 2011000149 --""~"'-"$397:OO---'--'-'-' '~-01/24!2011",F'_F'---''-'-2011o66~149 $30.00 01/24/2011 2011000149 -------_._-- $494.49 Springfield Building Permit 1/24/2011 11 :20:44AM Page 20f3 ...~~...- www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00108 IVR Number: 811190389057 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,sprlngfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 01/24/2011 01/24/2011 EXPIRES: VALUE: 07/23/2011 $0.00 01/24/2011 SITE ADDRESS: 4475 DAISY ST, SPACE# 1, 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 ~ space 91 Plan Review I Deoartment Permit Issuanl;:e Received Due Date 01/24/2011 01/24/2011 Comoleted 01/24/2011 Result Issued Reviewer David Bowlsby Structural Review 01/2412011 0112412011 0112412011 Not Required David Bowlsby Comments: Over the counter permit David Bowlsby Public Works Review Comments: Over the counter permit J,nitl~!jR~e,vJe\~\r ,'; +);tfj;:\~~" $/" "~i. ,O~1 i~4/26.~ 1rf: .OJ 121/:2qji1~\9} lU" ," ':. Jr;;"~'A',<~_,. ,'t,t"..,.. ','_ '.IY.' "'",;,00 ,yo", :"'Commerits:', 'O'ver;the,couhterp'eimiL. ~., ~. .. rt _ ""-',t~: "';,;;;. "..._~;;t,;;;\,.,~~~,."".~ /i"'~ v 't_T~'C6'u'nterJ ,::, _'David;Sowlsby- ~. / ~. '_11r:;".~~~ ~';}~, C':;~ '52 . -':';::'::L~< "'.' . ',,;i~:: -;~':f"."" .' ..,~.,; ~~" ",,' r...: ' ,~ INSPECTIONS REQUIRED ~ Inspections 5370 MH Installation 5460 Plumbing Connections 5480 Electrical Connections 5999 Final Manufactured Dwelling By signature, r 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. ~r ~1\l.n.A ~(l{Jr pll!?; v.. -, . / [) Lilli '.1 . Date Springfield Building Permit 1/24/2011 11:20:44AM Page 3 of 3 liiSP.~:~GFfElO ~. '::;Ef.t!!rIi ::, O"EGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfleld,OR 97477 541-726-3753 www.Ci.springfield.or_us 811-SPR2011-00108 4475 DAISY ST. SPACE'll permitcenter@ci.springfield.or,us RECEIPT NO: 2011000149 RECORD NO: 811-SPR2011-001 08 DATE: 01/24/2011 tOE"SCF{lIii'IONI '"'J~;T',;;;-:,w':~wr44~;"?""(~:;'~t?g~~!~->)--Ac_c.b~UNt~c.6DEr.:.;;":;"i1~ :~'" _~' . _"- r- Manufactured Home Placement 224-00000-425602 Manufactured Home State Issuance 821-00000.215009 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 Technology fee (5% of permit total) 100-00000-425605 TOTAL DUE: -AMOIJ"Nl.D,LJE', <;;7'[+';'_," ~'A 397.00 30.00 47.64 19.85 494.49 E3e~YM:~N-f:1XeEf:~~p.AY9B~~rcAsHIERf'Da6w~sBYdi~~~~g~QMM~ijJ~.at.~:\~;;fS;~~)~fr~j~""Qq.~-,I;\LQ{d.~:::~~'~'"':: ":,:;,-:] Check country manor limited partnership 494.49 155 TOTAL PAID: 494.49