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Home My WebLink AboutPermit Miscellaneous 2009-3-23 225 Fifth Street . Snrine:field~ OR 97477 . PH(54l)726-3753 . FAX(54J)726-3689 Manufactured DwelIinglRecreational-Park Trailer Placement Permit Application f;;:~::illt~~Upr~il ,I Date'::;>/ 23/07 I This permit is issned nnder OARs 918-500-0105 and 918-525-0370. Permits expire if work is not started within 180 days of issnance or if work is snspended for 180 days. I Imf~~~~~~~~~ii~~~r'!IIi'M'~R(:Ii7~~"'1 I Zoning approval verified: 0 Yes DNo 1 I Property is within flood plain: '0 Yes 0 No I I Sanitation approval verified: 0 Yes 0 No I li1f~~!!f6'A;'jjE"G0R;YJlf0F0':;f€0NSiiTRilfomT0N~~'\\1~ll ~~}"'~~"",",~="'"~~"!:==~?~!;,),~"~;;'ifud.~.~l;'}I;,s 1 0 Residential I 0 Goyernment I 0 Commercial I l.ll-L~1~[$1[~ilJ:H~0RM~jf@~~~\~~T~ElIIl I Job site address: tJd-/7S'Ph/S"r ,) r I I City:) /l<2A14h-6 /) County: I I State: ('),A ZIP:97'f7Y I I Subdivision: Spacellot no,: I I Reference: Taxlol: I "". . ". . _lDESeRIp.mi0N~0F,jW0j:rK,;" .."7!~~';jl ~t+.,~",".....~,,,,,,"",,~.=...~"...,,.,,~,~,:%,;;\i;jl I I I I 1~__'_-""-'-"~-""-~-~Jti.jil!li!'~'1 lIiil\'''_~~~!iI;E.ill!:(K~)1Yt:!.sB'-~!1t~~~ I Name: CR'/,wr/S'&6u'7T" L..L.( I I Address:)'; CJ !1e y '-f ?-( ? ,/ I I City:~P'b6~ .1 State: 'd/^-.. 'ZIP: 9'7Y~01 I PhoneSilI- ilbI_ I 7/ f I Fax: -. I E-mail{;;;~J};VW3'jfqe;t//T~/).d/'A-if, Ala- 1 This installation is being made on residential or farm property 'own{d by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-515-0010. Signature: 1~~:@~1!R:4tG,T0Bljj\f~fr,t\;~~illRi5lJ"-1fcf2 I Business name: J"" /1'1.1 >>L-I {ft-tJ?- I Address: j 1 City: I State: 1 ZIP: '1 Phone: I Fax: I E-mail: \ CCB license no,: I MDllicense no,: I Print name: I Signature: - I 440-2547-1 (9/08/COM) J .Description I (1) Manufactur~d dwelling (a) Placement (includes placement, electrical feeder, water/sewer connection): 1 (b) Reinspection (no, ofhrs. x fee per hr.): I, $58.00 $ I Placeme. ot permit can only be pbtained by homeowner or Oregonw licensed manufactured dwelling installer. , I (2) Recreational-park trailer (a) Installation (includes stand and lot preparation; support blocking; anchoring; temporary steps; plumbing, mechanical, and electrical): I (b) Reinspection (no, ofhrs. x fee per hr.): $58.00 $ I (c) Each additional inspection: (1) $58.00 $ Electrical service permit to be obtained only by homeowner performing work or signing supervisor afOregon-licensed electrical contractor performing work. I Qly.1 Cost each I Total $397.00 $ 1 I I $397.00 $ I (3) Surcharge, 12% (,12 x total, equal to I or 2): $ (4) State administrative fee for manufactured dwelling (item I) $30,00 $30.00 only. OAR 918-500-0105(5): I (5) Technology Fee, 5% $ I TOTAL fees and snrcharges'(3 + 4+5): $ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00378 ISSUED: 03/24/2009 APPLIED: 03/23/2009 EXPIRES: 09/24/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4475 DAISY ST SPACE 128 ASSESSOR'S PARCEL NO.: 1702323406500 Springfield TYPE OF WORK: Mannfactured Home in Park TYPE OF USE: New PROJECT DESCRIPTION: Manufactured home set GNP Investments, Site 128 Residential . Owner: GNP INVESTMENTS LLC Address: PO BOX 42177 EUGENE OR 97404 Contractor Type Contractor I CONTRACTOR INFORMATION' License Expiration Date Phone BUILDING INFORMATION' 2 # of Stories: Height of Structnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Ga'rage/Carport Sq Ft Other: Occnpant Load: 960 # of Units: Primary Occnpancy Group: Secondary Occnpancy Group: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION , REQUIRED PARKING Frontyard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEM~~~~";~~~N:. Oregon I~", 'e . Street Improvements: . Notit/Cat'" Slde,\:V,'!.liflyp.e: qUires yo in 0 "" Ian Center T' y the Oreg U to Storm Sewer A va Hable: 0 00" 952_0CDownspolits/Drains: On Utility 0'10 \' '-uUl0th "'OOqreset' Speciallnstrnction: NOTICE' ' . au may I ' rOUgh OAR forth , . cal/1ng the ontain Caple 952-001_ Notes: THIS PERMIT SHALL EXPIRE IF THE WORWnber for t~~n~/~ (Note' t~~~~7: rUles by AUTHORIZED UNDER THIS PFRMIT I~ MnT Center i< 1 o~,:n UtJlity NnI;p_~one COMMENCED OR IS 1\Df\I~UUI~tU rUK . '. I .. v""'-;:344). . -"VO/ ANY 180 DAY PERIO[l ValuatIOn DescnntlOn Description Tvpe of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amonnt Value Date Calcn'ated Page I of 2 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00378 ISSUED: 03/24/2009 APPLIED: 03/23/2009 EXPIRES: 09/24/2009 VALUE: 225 Fifth StI'eet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees Paid I Fee Description + 12% State Snrcharge + 5% Technology Fee l\1anufactured Home Placement Amonnt Paid Date Paid Receipt Nnmber $47.64 $19.85 $397.00 3123/09 3/23/09 3/23/09 2200900000000000288 2200900000000000288 2200900000000000288 Total Amonnt Paid $464.49 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 . a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reouired Insoertions I By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and I fnrther certify that any and all wo'rk performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUP ANCY will be)!ladr of 'j'y structnre without permission of the Commnnity Services Division, Bnilding Safety. I fnrther certify that only contractors lid employees who are in compliance with ORS 701.005 will be nsed on this project. I fnrther agree to ensnre Hfut all..I 'fed inspections. are reqnested at the proper time, that each address is readable from the street, that the permit ard is 10/ at e-fr1iiiiOfthe property, and the approved set of plans will remain on the site at all .;'"~~ d;oo Date) /~ ~ Owner or C ;tractors Signatnre / :I Pace 2 of 2 --~, -_ ____ st!>ill.J..o .,.de.or ~e._!'.t~J:.. J"'.. .." " /0'" ,. ...>- > ~A""1.< ,klC t- ()tr , .s.p ~m~f'te../t::/, 0..... 9)'9/"i . - - Ner k 5c.,{~ ;. [] €!<e-t.+.-fe pe>f-t. - 11,l v.- T ,,, t J '" u. , " '" , " '" '" u: ---- -- - ~ '1~ ~ ) s' 4- ~< wq,+el ~1/ ~ ~IC'~ .$e"'~.r , , ,.. u. (J (J l.r ;. . ,.. (J " ,.. ~o'-- , " ,.. a a " , )";l / .1.,),' - c... .... , J; ( c c :; - ~ , If".- t I 6 :; ,L. -of; .s.{..ru. .t- O"., 0'(. ";Ol.)' )...9' ~ ;2..0 -? 'Jt I , C r ($, fJ7t.r"f)t" /.J<< Y-Jl"; V4.J.e ) c sf-of' e. e. + > 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000288 Date: 03/23/2009 1:17:17PM Paid By GNP INVESTMENTS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 397.00 19,85 47,64 $464.49 Job/Journal Number COM2009-00378 COM2009-00378 COM2009-00378 Description Manufactured Home Placement + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment Check Amount Paid NJM 1400 In Person Payment Total: $464.49 $464.49 cRt:ceintl Page I of I 3/23/2009