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HomeMy WebLinkAboutPermit Building 2013-5-9 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 t; Phone: 541-726-3753 ' f OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00281 www.springfield-or.gov permitcenter @springfieId-or.gov PROJECT STATUS: Issued ISSUED: 05/09/2013 EXPIRES: 11/04/2013 STATUS DATE: 05/09/2013 APPLIED: 02/11/2013 SITE ADDRESS: 1709 LEXINGTON AVE,Eugene,OR 97403 SCOPE: Manufactured Home on Private Lot ASSESOR'S PARCEL NO: 1703344304500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace manufactured home in existing location-new(1971)dwelling is same number of bed/baths and SF as old dwelling.Occupancy conditional upon successful compliance with State of Oregon Substantial Equivalence Certification process. • OWNER: SIEGRIST LEE Phone Number: ADDRESS: 1506 REDSKY CRT FT COLLINS CO 80525 _ CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Manufactured Home Installer FATHER&SONS OF OREGON INC CCB 100726 06/29/2013 541-689-5090 INSPECTIONS REQUIRED II Inspections 5999 Final Manufactured Dwelling 5370 MH Installation 5460 Plumbing Connections 5480 Electrical Connections 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. Owner or Contractor Signature Date O(_. ou to tY` Ml�XS feQuifes Y tkell PE��S U pER1N\�9 NEB FpR Oteg°n law ote9on UUUty tbe ATTENTIO . teThosetoesaresetA0 - jP tAg, E� S P8A follow rules adDP hoARg52 G���MENCEO �R t0p10tht°u9 OttheLutesby 10E-0 NOARt952001 ies hone Dm 0090. YOU may obeat lNe;the telleation PN 9011\mk3et tot the s g0p_n2..2344). num Oentet Is • Springfield Building Permit - 5/9/2013 1:44:29PM Page 1 of 1 • -(yi:-7 a'try v..;5..�.. *u"u. �).-rA � :.zom.. - _ DE PARTMEN T USE,O-. N L Y 44 C t150tSPR GFTELDORECON f J's7i-9!!--° f ` - a ,z2.-,7 Permit nos:153 "-L 3-I 225 Fifth Street • Sorinefeld.OR 97477 • PH(5411726-3753 • FAX(5411726-3689 ,jr.1 Manufactured Dwelling/Recreational-Park Trailer Date: S./J' Placement Permit Application This permit is issued under OARs 918-500-0105 and 918-525-0370. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ;; , t,L`OCAL'1GOVERNMENT PPRQVALSs,`r;t4,„ ' ; , u ,'"iFEE,4SCHEDULE ' ,rst. ;t , ,, Zoning approval verified: ❑ Yes ❑ No Description Qty. Cost each Total Property is within flood plain: ❑ Yes ❑No (1)Manufactured dwelling Sanitation approval verified: ❑ Yes ❑No (a)Placement(includes placement, .01- 13 CATEae RY, OF 'CONSTRUCTIONE}t O' *' 4,, electrical feeder,water/sewer $437.00 $ - connection): ❑ Residential ❑ Government ❑ Commercial (b)Reinspection(no.of hrs.x fee per hr.): $80.00 $ =,JOB .SITE"INFORMATION*ANDAOCATION;;: Placement permit can only be obtained by homeowner or Oregon- Job site address: l 70q L.5--/- /p6-�N A-u licensed manufactured dwelling installer. � �/�n�/� r (2)Recreational-park trailer City: ail l_,v e. (GIeMMlvcb) County: L&t e ll (a) Installation(includes stand and State: /�tp G ZIP: 740. lot preparation;support blocking; IIJJ I^ I anchoring;temporary steps;plumbing, $437.00 $ Subdivision: Space/lot no.: 0 9150 mechanical,and electrical): Reference: Taxlot:(7_ © y- ) . ©3 L.r �3 (n)Reinspection(no.of hrs.x fee per hr.): $80.00 $ ti _,, ,. IDESCRIPTION:br- WORK , -/4:• =-- - • (c)Each additional inspection:(I) $80.00 $ Electrical service permit to be obtained only by homeowner performing Year Manufactured: 9 ! work or signing supervisor of Oregon-licensed electrical contractor 4, performing work #Bedrooms Sq. Ftg 57! Value% (� FE CHEDUL'E ' r" oZ lid D 2- ' s EE: s� El r , a x; 4 i PRO MINER , '; i,,' ly.' (3)Surcharge, (.12 equal ) �s�=., r, -. ..___.. a.-.FERN �Q .._ ....,. � hr .d. r? �'V.� .� 3 Surchar e, 12/0 12 x total,a ual to I or2 2): $ Name: Lee $fe gi cr (4)State administrative fee for Address: / 3-0 G /25-Ac(L/ C.it-(- manufactured dwelling(item 1) $30.00 I $30.00 / only,OAR 918-500-0105(5): City:FT caf,n s I State: CO I ZIP:gb g (5)Technology Fee, 5% S Phone: - - I Fax: - TOTAL fees and surcharges(3 +4+5): $ E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family,and is exempt from licensing • requireme under OAR 918-515-0010. Stgnatur.. r 6 .a ss l► iaE3-••, • II iT ceAcja- Yr ,ii • CO`0 ACTS FINS' ' LL•TION '">? ' ,'� • v Business name: �d �S Address: T (o III r I s /?i S City: LA 2� State: ZIP:Gt7Lf02 • ,F''� ` " - „7„...t / I Phone$ 7(!517, t�J5 Fax::,- - S7 I -i ; f _ 'f"a 57 E-mail::c_iric Y�4 S noisg fJtigileA. ,' �� �GV�� CCB license no.: (0 72x,„1 MDI license no.:0..I Print name: Signature: 05/06/2013 6:52AM FAX 5414915719 FATHER&SONS Ri0001/0001 • l CITY OF SPRINGFIL LD, OCtf ?Oh 41Se initftrd I ci\ S/3—oom 225 Filth Sheer a Sm-.afield.OR 97477 • PBi541)72&3753 • FANt5411726-3•99 '= . s r. la Manufactured Dwelling/Recreational-Park Trailer pate: 5/3AZ Placement Permit Application This permit is issue' under OARS 918-500-0105 and 918-525-0370.Permits expire if work is not started within 180 days of Issuance or If works suspended for 180 days. "T' '' �`��.rifff Q��1�j?r y,+�S p�( �"li-� N vi=E9^5"'�?tt ".';1Ei `c .,. <.41.44..a-.S£:tdR-R10VE.7`4�iJl'a�WM.r.' 1R14I' a .S.i^"`J''4ia `i13: t'n ="Yrta"W � �r.'� 4 00,t l' - dt9y' $ ,, �_ Zoning approval vcr�fied: ❑Yes ❑NO Description •Vr t each ��r i l Qty.' Cost oath Tote' • Property is within fl od plain: ❑Yes ❑No _ (1)Manufactured dwelling • Sanitation approval leerified: ❑Yes ❑No (a)Placement(includes placement, • t^' yl'it'^. ' e;,1, g'" t 4>^ electrical feeder,water/sewer $437,00 $ connection): ❑Residential j^❑,�Government ❑Commercial (b)Reinspection(no.of hrs.x fee per hr.): $80.00 $ lti arg+ t1�C'f}` f,"a�4" : {'r+ + :11$14-2 Placement permit can only be obtained by homeowner or Oregon- Job site address: `I/1 99 [L P/Ntrroxl Avg- licensed manufactured dwelling installer. City:et In vie (a'eritoco) County: _ Stale: ® (a)Recreational-park(includes park trailer —( ,,11 (a)Installation(i stand and G �y-,t,' lot preparation:su t: ZIP: / 'V anchoring;ong;temporary stcpscplumbing, 5437,00 $ Subdivision: I Space/lot no.: Q an ch ring;t and racy electrical): Reference: I , Tax lot 7 U e -�) inspedion(no.of hrs.x fee per hr.): $80.00 $ ;5 a+ n 1 - . , .' y ' , Y. -, { J , v ' Fe a ~• (e)Lach additional inspection:(1) $80.00 $ - Electrical service permit to be obtained only by homeowner performing Year Manufactured /q7/ work or signing supervisor al-Oregon-licensed electrical contractor � i performing work #Bedrooms: r Sg Ftg: 576 Value b 000$ _ -, v e-. , ;a ... s-,-.4.,.sta x t: _r ..f , yy . l i _ 2, t (3)Surcharge, 12%(.12 x total,equal to 1 or 2): § Name: ee, the6,4„ 7.- (4)State administrative Ibe for Address: /, b 6 ge-O sic c -r only.OAR 91 -s00-0i(item I) $30.00 I $30.00 on(y,OAR 918-500-0105M: City:Fr a 11.4 S State: C p ZIP: F.652 `" (5)Technology Fee,5% $ Phone: I Fax: - TOTAL fees and surcharges(3+4+S): $ E-mail: II - This installation is being mode on residential or farm property owned by me or a member of my Immediate family,and is exempt from licensing requircm - under OAR 918.515-0010. Signature: c. I �aa.� • !I -,v. a t•e - t rte �� Business name: cagatg. .124 . S ,�,{,��'�''����(�j Address: `l (e ,4>„. 41/./Vii Pj �_ ' .0,. 2GeO City: _ , tStwate:� z1P:9 7 02. �!'�" �� 5 7 phme: 74,1_ Cr- .. f65; Fax - '/`- j _ y1.�/�,crytt 5Yl–�� S — . E-mail;VrtLir...z il...i . s el -. _ei&4. .'HX^ • if" • CCB license no.: (gj1Q a- - MDT lie- se no,:/ a,' Print name: K' �pi�° y, . - Signature: ' /p� • SPRINGFIELD CITY OF SPRINGFIELD kr 2,-a . ; TRANSACTION RECEIPT SpnngfieldtOR97477 OREGON 541-726-3753 811-SPR2013-00281 www.springfield-or.gov 1709 LEXINGTON AVE permitcenter©spnngfield-or.gov RECEIPT NO: 2013000284 RECORD NO:811-SPR2013-00281 DATE:02/11/2013 DESCRIPTION '' ` :77— ACCOUNT CODEITRANS CODE ;,` AMOUNT DUE e1 Manufactured Home Placement 224-00000-425602 1017 397.00 Manufactured Home State Issuance 821-00000-215009 1089 30.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 47.64 Technology fee(5%of permit total) 100-00000-425605 2099 19.85 TOTAL DUE: 494.49 ( PAYMENT TYPE....% . PAYOR ... CASHIER:OCARPENTER:,, f =. ' .COMMENTS:W „ _ AMOUNT PAID'. _ ` ..J Credit Card mm�_.. BJ Jones _� ...__m_..... - 494.49 203149 TOTAL PAID: 494.49