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Home My WebLink AboutPermit Miscellaneous 2009-2-4 "'....."''''''1'''. ...,,_ ", -'-$Jr1~~::'~'.~~~~';~~i,h,' CITY OF SPRINGFIELD Building/Combination Permit Status ~ ~~ 225 Fifth Street, Springtield, OR , 541-726-3753 Phone 541-726-3676 Fax , , 541"726-3769 Inspection Line PERMIT NO: COM2009-00169 ISSUED: APPLIED: EXPIRES: VALUE: 02/04/2009 08/04/2009 SITE ADDRESS: 1625 HENDERSON AVE SPACE BI Eugene ASSESSOR'S PARCEL NO.: 1703344313302 TYPE OF WORK: Manufactured Home in Park TYPE OF USE: Move PROJECT DESCRIPTION: Manufactured dwelling placement space blO (Moved from Eugene) Residential Owner: JERALDINE LECKRONE Address: 1625 HENDERSON AVE SPACE BI0 EUGENE OR 97403 Contractor Type Contractor ^T..ldTlf""\td, t"'\~,~;-~~ l~... requires you to I. CONTRACT.ORJNRORMATION '.lle Oregon Utility Notification Center, Tllose rules are set forth In OAR 952'001,cIa\c~e"'~!;ugll ~,~p'iJ;;tJig!llDate Phone 0090, You may obtain copies of tile rules by BUILDING~iNFORMATrON IfI~Ole:.'ne telepnone l/,., .,' '_ on Utility Notification # fS . Center is 1,800,332,2344). S' o tones: Lot Ize: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: ~ ate,' Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VB Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT_INF.ORM(\n~l'i I . .,.., -,!. .-- _.,,'IRE IF T~E WtRIE~UIRED PARKING NJT!lORIZED UNDER THIS PERMIT IS ~IOT Ove'j~~\,9,iWf\lCED OR IS ABANDONED FOR Total:. # St~erP:rees ~qd: PERIOD HandIcapped: Pavel! DrM'Rq\l! Y. Compact: % of Lot Coverage: ! PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: , Special Instruction: Sidewalk Type: DownspoutsfDrains: Notes: I V aluation Descri~tion :1 Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calc~,lated Paee I of 2 CITY OF SPRINGFIELD i Building/Combination p,ermit Status Pending 225 Fifth Street, Springfield, OR ,541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-00169 ISSUED: APPLIED: EXPIRES: VALUE: 02/04/2009 08/04/2009 Total Value of Project Fees Paid I Total Amount Paid $0.00 Date Paid Receipt Number f/t-( j) ...fJI'1lf ~'i BY ~c .:tf'1)./,) ;11MZ4-~ ~~t4L C--\'IL-- ~C(I/'i <1 Ii Fee Description Amount Paid I Plan Reviews I ,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. I ~,erl"!~ed I nsnectio":s , Manuf Home Set Up: When installatiou of all piers or stands is complete. Final Manuf Home Set Up: After aiL required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. 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 will be made ofany structure without permission ofthe 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 fr~m 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. "N\.().I~\ (11.'~~ ~A ~.:;.: l\i]::ontractors Signature r;~, (j J ;:)6n9 ,Date Paee 2,of 2 , 1'l!I~.g~~l!lM[~1t~ID~g!i:ltil !Permitno,C'1-/(';'7 I I Date: .2-/'1) 0'1 I 225 Fifth Street. Sorine:field. OR 97477 . PH(54l)n6-3753 . FAX(54J)726-3689 Manufactured DwellinglRecreational-Park Trailer 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. ~1!0€lA~GeVERNMENi1i1lEi'AegRe~l!s~@#0~1!1 1~",~E~'d,,,,,,,,,,,;.L.,,,<"*~__,,-.._.~~d,,",,,~,,,,~;A:~,,,,,,,,,,,,~~ I Zoning approval verified: 0 Yes 0 No I I Property is within flood plain:, 0 Yes 0 No I Sanitation approval verified: 0 Yes 0 No I ~~~llis,Q:~iYIWI,gg~~l~jlf1?1ll~~~.fjl IIiZf Residential I 0 Government I 0 Commercial 1~~l[~t';!F,,~~M.~]m~~:~~~~i1t~~. I JObsiteaddress:lf, ;;",- I~V.~~YJ 40& ~ I City: >//.t? I'J ~_ County: } IV i;)~ I State: '-h l' , , ZIP: ~'? Ij n::. ,I I Subdivision: Space/lot no,: 'J?) n I I Reference: TaXlot:'--' I 1~~0ESGRI8iiijWNi0ij<tW@RK~,I:?'~~~1 . ~~j_""_,,<_~__~~,"~""'I<1:",,,_,~....-,_._..._,~,.~.3?tf~-i.__~;J?,_S~ I ,- I I I Name: ~I D;J"'1 I Address: '7t.JD '7 City:l.t.xL" iJ [) Phone: I E-mail: This installation is being made on residential or farm property owned by me Of a member of my immediate family, and is exempt from licensing' requirements under OAR 918-515-0010, (v\>'\/Ju /2... St.J r A QD I NVl-L. W'll Sm-/~ I State: Dl1- I ZIP:q??-2-'! I I Fa: I I r~~'i.Eg:~1,~&jK[1~=~-1 I (I) Manufaetur'ed dwelling (a) Placement (includes placement, electrical feeder, water/sewer ($397.00 ,$ 3'17 connection): I (b) Reinspeetion (no, ofhrs, x fee per hr,): $58,00 '$ I Placement permit 'can only be obtained by homeowner or Oregon- licensed manufactured dwelling installer. I (2) Recreational-park trailer (a) Installation (includes stand and lot preparation; support blocking; $397.00 "$ anchoring; temporary steps; plumbing, mechanical, and electrical): I (b) Relnspeetion (no, ofhrs, x fee per hr.): $58,00 1;$ I (c) Each additional inspection: (I) $58,00 1$ Electrical service permit to be obtained only by homeowner perjorming work or signing supervisor aJOregon-licensed electrical contractor performing work. " I (3) Surcharge,12% (,12 x total, equal to I or 2): (4) State administrative fee for manufactured dwelling (item I) $30,00 only, OAR 918.500.0105(5): I (5) Technology Fee, 5% I TOTAL fees and surcharges (3 + 4-i-5): I ':$'i'1"'~ , $30,00 $ rq'6>1 $ t/'i'4fL Signature: 1"~~~.'~cEiNmR;6;G-m0RljNsffiP)l!i!AmI0N~'ll1~~", ~~,>""""",_';AG<h"."0'~'~_"/I'~."""",-",,,,4___,;;:,;!;-;,",":""'=W,;,~??;:~~,..;~ I Business name: A - 1 nIT M Of!;J:U;;:-, f../-O/i1E 5'J3Te/{P I Address: I I City: I State: I ZIP: I I Phon8H)q?f:j 7j;q A I Fax: I I E-mail: I I CCB license no,: I MDI license no,: I I Print name: ~F:l2.. '12Y} 11"" I I Signature: I 440.2547,) (9/08/COM) ;';' '}" 'Each 'Plot Plan Needs to Have the Following Items i ~ "., . :# ,-<; ,$>~ ~.#', ( Jl #' #~. '<<" ..... ~~ . " ....... . " ... . " ,,' ,,' " .' ,,' ,,' ----- -, 1. Mobile Home Park name 2, Mobile Home Park space numbers 3. Names of Park streets 4, All plans need to be drawn to scale 5. Indicate actual dimensions In brackets EXAMPLE , " STREET NAME " .' PARK NAME: ,M',dwAy-f' Al'/:Q~ Space No, R - J{) / I Lot size "'-It) x.7 C; w/...- > EACH SQUARE EQUALS 10 FEET (Vartlcal'ly, horizontallY.. Of.. dl~gQ_nall:) , , -::::....;."".. Dc.k.... _<KI ~""'" ~ :t' Home Information Manufacturer: Model: Manufacture Year: Date of Sale: Square Footage: Roofing Material: Siding Type: Heating Type: Cooling Type: Section Information Site Information Owner Information ' If Status of Manufactured Structure Ownership State of Oregon Department of Consumer & Business Services Building Codes Division 1535 EdgewaterNW, PO Box 14470 Salem, OR 97309.0404 (503) 373.1309, Fax (503) 378-4101, TTY (503) 373-1358 231947 SHELBY UNKNOWN 1979 10/28/2008 938 RUBBERIZED LAP CEMENT COMPOSITION ELECTRIC HEAT PUMP Purchase Price:' $ 0 No, of Bathrooms: 2 Manufacturer 10 Number PS8777 DANELAND MOBILE HOME PARK, EUGENE 1199 N TERRY ST SP 262 EUGENE, OR 97402 Owner Name(s) LECKRONE, GERALDINE BARBER, MARGE I Print Date/Time: 02/03/2009 10:02 am Includes land: NO No, of Bedrooms: 2 HUD Number LANE COUNTY Owner Contact Address: 1199 TERRY SPC 262 EUGENE, OR 97402 NOTES: ' OWNERS RIGHT OF SURVIVORSHIP , - - - * * * * * Owner(s) Removed 11/05/2008: LECKRONE, GERALDINE JANE * * * * * :1-0 ., ..l' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number. COM2009-00169 COM2009.00169 COM2009.00169 COM2009-00169 Payments: Type of Payment Check cReceintl RECEIPT #: Desc~iption Manufactured Home Placement Manuf Home State Issuance + 5% Technology Fee + 12% State Surcharge' Paid By MARGE BARBER City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000132 Date: 02/04/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njm In Person Payment Total: 9265 Page I of I 1:01:45PM Amount Due 397,00 30,00 19,85 47,64 $494.49 Amount Paid $494.49 $494.49 2/4/2009