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Home My WebLink AboutPermit Building 2005-10-3 - . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01353 ISSUED: 10/03/2005 APPLIED: 10/03/2005 EXPIRES: 04/03/2006 VALUE: . Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4750 FRANKLIN BLVD SPACE N2 Springfield TYPE OF ASSESSOR'S PARCEL NO.: 1803031103500 Manufactured Home in Park PROJECT DESCRIPTION: Manufactured home in park TYPE OF USE: New Residential _\C\~i-_ ~' ~\)' Iz.t ~~ Side~~I~c:~\.~~~ ~~ D~,~~~~ ~'\\~~~~ ca\)~~~..~ ~'\~~~\)~t\.~ \)~~~\)~. ~\) ~~~ ~~ 'VCJ ~ \'O~ ~~ Owner: EUGENE MOBll..E Vll..LAGE Address: % OGG ERNEST L PO BOX 186 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical ManufHome Inst Plumbing Contractor License A ACTION MOBILE HOME MOVING & DEJ\l142807 A ACTION MOBILE HOME MOVING & DEJ\II42807 A ACTION MOBILE HOME MOVING & DEJ\l142807 A ACTION MOBILE HOME MOVING & DEJ\II42807 I BUll..DING INFORMATION' ~'" # of Units: #Of~~es'lO\)\~\~ ~ Primary Occupancy Group: R-3 ~ ~tlfgJ)t 'iJ?pf\ se\ \O~ \- Secondary Occupancy eQ,of\ ~'we'tl}~e:H: S~.OO Primary Construction Type ~. O~ ~eO ~~~ter\T~e:- 9 ~v.\es '0'1 Secondary Construction ~<;;.\!;'\~ eS 7J.Oo'V I. '\~~~~Y8-e:,e ,:<:,pf\e # of Bedrooms: ~ >lllV.~ cef\\~o\ \)EnWPali!",2.\e~\ c7J.\\of\ \o\\~ 7J.\\0f\ .O\)\ ~iSP'i'%~!elt' \!;o\\ \ nla ,\_"\\C ,!,o..rz; _...:: 0'15._.. \~ ,,'~"'\\\~. ,'^-" \f\ O~O ,\0\)1 DEvEbOJ>.MENl'-INFORMA nON I \)\)g ~\\f\Q, '\0($ ,- . S Vu- e ~e\ ~e~ ~ ~$~ Cef\ Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: !PUBLIC IMPROVEMENTSI Street Storm Sewer Available: Special Instruction: Notes: 1 of 3 , Expiration Date 05/05/2006 05/0512006 05/05/2006 05/05/2006 Phone 541-935-1786 541-935-1786 541-935-1786 541-935-1786 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: REQIDRED PARKING Total: Handicapped: Compact: . . CITY OF SPRINGFIELD Building/Combination Permit' PERMIT NO: COM2005-01353 ISSUED: 10/03/2005 APPLIED: 10/03/2005 EXPIRES: 04/03/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspecdon Line I Valuation Descrintion I Description Type of Construction S Per Sq Ft or multiplier Square Footage or Bid Amount Valne Date Calculated Total Valne of Project L..J:.wJ:iWU Fee Description + 10% Administrative Fee + 7% State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement Manufactnred Home Service Amount Paid Date Paid Receipt Number $25.50 10/3/05 1200500000000001446 $17.85 10/3/05 1200500000000001446 $30.00 10/3/05 1200500000000001446 $45.00 10/3/05 1200500000000001446 5160.00 10/3/05 1200500000000001446 $50.00 10/3/05 1200500000000001446 Total Amount $328.35 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. Mannf Home Set Up: When installation of all piers or stands is complete. Final Manuf 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 Plumbing: After home has been connected to water and sewer. MH Electric: When blocking, setup and plnmbing inspections have been approved and the home is connected to the panel. 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01353 ISSUED: 10/03/2005 APPLIED: 10/03/2005 EXPIRES: 04/03/2006 VALUE: Status: Issued 225 Flfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541c726-3769 Inspection Line 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 of Oregon pertaining to the work described herein, and that NO OCCUPANCY wiD 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 wiD remain on the site at all times during construction. , t P.-.""(//l 1?,. I _" 1/ I 0 I?, 0 0 7 Owner or Contractors Signature Date l 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . .,.......~--~~ -, -- '. u.-, .'.1 ~ity of Springfield Official Receipt .evelopment Services Department Public Works Department J~/Journal Nnmber COM2005-0 1353 COM2005-0 1353 COM2005-0 1353 COM2005-0 1353 COM2005..0 1353 COM2005-0 1353 Payments: TWe of Payment Cash Change Job/Journal Number COM2005-0 1353 COM2005-01353 COM2005-01353 ., CpM2005-0 1353 COM2005-01353 COM2005-01353 ~~yments: T'l'Pe of Payment Cash Change a , :1 '0< .'.' . 'I ~ J 10/3/2005 RECEIPT #: 1200500000000001446 Date: 10/03/2005 Description Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Service + 7% State Surcharge + 10% Administrative Fee Paid By BAHENA PANFILO BAHENA PANFILO Item Total: Lheck Number AuUlortzaliOD Batch Numbcr Number How Received In Person In Person Payment Total: ReceIved By djb djb Description Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Service + 7% State Surcharge + 10% Administrative Fee Paid By BAHENA PANFILO BAHENA PANFILO Item Total: LbecK Number AutbOlizalmn Received By Batch Number Number How Received djb In Person djb In Person Payment Total: I of I 2:11:04PM Amou nt Due 160.00 30.00 45.00 50.00 17.85 25.50 $328.35 Amount Paid $330.00 ($1.65) ...:",,6..)5 Amoonl Due 160.00 30.00 45.00 50.00 17.85 25.50 $328.35 . Amount Paid $330.00 ($1.65) $328.35 lliH' "'1~,t~.f~':"'.")f'I" :1~1I~-.yiP9 Pioj~F! as ~Ub~, ~<J.C~ ~a ~:;;:::~~~r!~:e US~ Zo 225 FIFTH STREET. . SPRINGFIELD, OR 97477,. PR:(541)726-3753 · FAX: (541)72I'rJ~9 , ELECTRICALPERMrr APPLICATION CitylobNumber(~z..oOS:- c.::> 13. 53 Date '\'" .... t>.~orized sign.atur'p \.l *\...J~', 1. l~~\~f:"~,:aEf;'.:fSTX{:r~tnO~1~~i L{7..~~3,~tt7':';"'''''''S?~~z.. LEGAL DESCRIPTION 1<10"]. 031 ( 3. I'IJlil}~~i#'}.*!j::.iC'H'ilil{tTiE'.iJMiQWI~m~-&~iil~t&(i!lii1a{'; ~~IO;';b:htJt.... ~"iIi~r!-.li:ttt:itZ/j;"'i,jelf.ttr~;u:C.Ii.,~;;.It;!"'iI."iI::":P'.~,;~1~~i},~~i...:~~~::t!r-J1Mj~J.; A t;:~U:If!i:i~-ll11'.I,~~~Id!l"1!~~lT,'$:}~J:~:-f~II~i~\~~:t:~~~ !";;::;f~'I~;~fii"''{t~'''i,;'t'~~tl'l>~j:f:~$!l1.~'~'~ . ~'l'!e<(lfJl...ldl!lltiiil,,,,~ ow. ......'a!!!!.Q;,l!er" eUl""'"" !lii"'5lf_7~v.:Il,i;,,;m;!~"li\;",." .,,,,;:...\h..Jt:,. ""~~~~4fot..:;1"",,:,,~,~~,,:\#,~!; .lClI:.~!,~~r .;a- !:rJ Os so 0 Sem.e Inoluded 1000 sq. It or less Ea.h addirlonal5oo sq. ft. or portion mereof $106.00 JOB DESCR1PTION #/-1- <>bLUlCE $19.00 Pe""its ar. non-transferable and expire .fwork Is Each Maoufaet'd Home or , ; not started within 180 days of Issuanu or If work Is Modular Dwelling Service or Su!wnded for 180 days. Feeder . Ill1",:'~,\:~~,~ !."":",-"",~:".g:~,~I,_~"""W,',,.~,,:~ib.~,;h,:%/_, ~'j,"."~"I~,','~,,"':"~. ~m".,v.,,,\ _ ' B ~~~~m.1!Jlli)mfl'il!l-;)I!'1,l1l~~Itll-t~{I~Ul'i'i'i! 2. 1@ _ ,,,,,,,_~u_ilf"'~~~<"::'~''''\\l'' ',' ",I);.fI~~~~,"-"",\;~~~~I~"'~~-.'Ir.,,! Electrical COnIJaCIOr~d<-.",^~""H~'" - 'lI..... ~\,,'::l~ AljOr~err~regon law requires youM3.oo . '" \ ........."''''-~. f6~bM-9!t!\l.1R9d}JP.M by the O.n:-:-- '-'ti~t~.oo Addre.. _ :'\\\.~ ~'''t.c.,'''' \-"" NdIl~cM1e:t]l~t~PI'hose ruleo ~'" opt lW~.OO · in6Jl.ll~ji(:r<S)troQ)~llil>ihrough OAR %?-IWi3.oo Phone ~~c... \l'\lL.... OCl:l>ftr'l'OOOrAmpll6\\OIlin copies of the nJle~3.9}.00 ~~'-\ ~'\~ Cl.\\ ~~~~~.YJnter. (Note: the tplp:-hn~SO.oo c.n_~1EtIl~ii ''1 $50.00 .50 City ~\.-. Supervisor License Number Constr. Conlr. Number ~ ~ ~ \;,"\ Expira~on Dale (/) ~O 5.,10 /Q .J:l:Ja#' 5' 7 (){R Over 600 Amps or 1000 V oltJl see:: "B" above. " !Im'~j,,1il~';;{1J'l1',l!J._l!'!]i~l!:lII'!tim~i~'~'i!~~\~~~ilIitJili.;~.IQI,fM!' l: ~nature of Supervising Electrician D. ~st.~~I~~~~~Mti;'1n ff&{~r~~~~~m!/:j~~!Jfg~~!I1!sili&H~~~~~t~;i '\ New Alteration or Extension Per Panel 'l..~""'''''~~Cll~;, One Circuit $43.00 ,,- L..-. 'L/' ...~" I Lf' . I 1/.J::~do~~~~erC~=i;r with $ 3.00 Own.rsNam."\=....... c- ~>ILC' V. .J8 7= a> I E ~~1' ~\~, ~~m!~i~~'l.I$"~~'i?/ii;Ti"~ Address '6- 4)tC 1 8' t::::> . r~~Jf~~;lli\j~,~ ;)jJM i~ ,\~,,:illi~~mr!~~~tMlat.f:it.:tegi.;U!!J.jjl1:~'t~~ In.tallatlon, Alteration or RelOfatIon 200 Amp. or less 20 I Amps to 400 Amps 40 I Amps to 600 Amp. $ 50.00 $ 69.00 $100.00 Expiration Date City S~~ Phone Pump or irrigation SigillOutlin. Lighrlng OWNER INSTALLATION Th. installation i. being made on pr'lperty I own which is not intended for sol.. leMe or ren!. Inspection Requo.t; 726-3769 S-O '3 So .. I S.~ TOT A~1w<d Drive(T:)lBuilding F"""'-'EIootrioal pcnmt Appl~~~: . Ownms SignlUure: -- , .- ) I~ .c:: \ C/? ,/ / 1 I \ eti!1 .:;? \ ~",,""'<3- (lt~ \'l\1~t ~"'\.l ~ I 1 cr- \C)' I~. r .~ \ ""'\...r ~, lit::) <. " ~ 0 ~~' ~~ I ==r-- -.9' >< :::::F' . - :::z::- ~ I 1'--- -'2t- ~\t"-~....,., ""~ - - - ~~'\~ ~ ~ U-L \ - e , --- ::>-- -