HomeMy WebLinkAboutPermit Building 2010-2-23
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00236
ISSUED: 02123/2010
APPLIED: 02/23/2010
EXPIRES: 08/23/2010
VALUE: $ 14,000.00
SITE ADDRESS: 4750 FRANKLIN BLVD SPACE D2
ASSESSOR'S PARCEL NO.: 180303\103500
EUGENE TYPE OF WORK: Manufactured Home in Park
. ,.T~Y.E OF USE:
PROJECT DESCRIPTION: Manufactured home set in p~:~ (~1i\{~"Sc:,~\\~\;\~:~'(I
. _ ,~"",,,,\tj ~ ' r.1'~':t,o\' ,....~\6,\-i"i\,
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OGG BRUCE <" -\"'\\0\'\"" 06\S\.ecl_'\oo,,':\0\~~\:f~?;Mw.J~
6208 N CAMINO DE C~~AL,es ~c.\~:\~.~~q,\1' \~~~
TUCSON AZ 85704 '~~\9~;~~9i8?~\'ci0~2.~~~:~fe'\~~}""~
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Contractor ~",r ~:~ License'
FATHER AND SONS 100726
I BUILDING INFORMATION I
Owner:
Address:
Contractor Type
General
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
Move
Residential
J;:,xpiration Date
06/29/2011
Phone
541-689-5090
VB
# of Stories: Lot Size:
Height of Structure ~ ~O?-"8q Ft 1st Floor:
Type of Heat: \<( '\" ~ ~O\q Ft 2nd Floor:
Water Type: t.t'?\?-t. t.?-~\'\ ~ ~ Sq Ft Basement:
G\\~nge;{gt~"'\\ ,\\\\'2> '? ~t.\) <(0 Sq Ft Garage/Carport
t\ J8~~~~ P~x.?- ~r>-~\)O Sq Ft Other:
"\\\\S P.fjWd~ . I(bJ . n/a Occupant Load:
~ \ f\ \ \ c.
DE\\E.Il)OP..M N ORMATION
J>: ~ ,-
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
I Valuation Description ~
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
..: '",
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00236
ISSUED: 02/23/2010
APPLIED: 02/23/2010
~XPIRES: 08/23/2010
VALUE: $ 14,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
ManuI' Home State Issuance
Manufactured Home Placement
Amount Paid
Date Paid
Receipt Numher
$47.64
$19.85
$30.00
$397.00
2/23/10
2/23/10
2/23/10
2/23/10
1201000000000000167
1201000000000000167
1201000000000000167
1201000000000000167
Total Amount Paid
$494.49 ,.
I. ~Ian 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 Reuuired Insnections I
Site Inspection: To be made after excavation but prior to setting forms.
ManuI' Home Set Up: When installation of all piers or stands is complete.
Final ManuI' Home Sel Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
By signature. I stale and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and [ 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 Slate of Oregon perlaining to the work described herein, and
that NO OCCUPANCY will he 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 inspectio~s are requested atlhe proper time, that each address is readable from the
street, that tile 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 Contractors Signature
2(2-3,/2-0/0
Date
Paee 2 01'2
, ' , '''CITY OF SpRINGFIELD, OREGON '
': ',r';" ".-,. ""." """",", --. ."" ..e" .,- -. ~'_, "_. ..M,' ..-"~."",, .. ""',~
~~;I:)E!'t\RI"'.E.NTJJ~E.Q!IIL:Y~'
Pemiltno,:(!ltJ- J,.JC7
225 Fifth Street. Sorimmeld. OR 97477 . PHI54I\726-3753 . FAXI5411726-3689
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 no~ started within 180 days of
issuance or if work is suspended for 180 days.
~.'LPCAl;,GQYJ:'RNpjj~t{tlA""Fi:R(jStAL,s';:'~Jf;1;;;::;
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
Sanitation approval verified: 0 Yes 0 No
,i'::\!,;;,':j::ATEGO.RY::Of:Q9~,$TRl!CTION '\g~'~';1;{:
@Residential I 0 Government I 0 Commercial
"".. " "', ..._.' "',. ."...,.,.\....".-,-, .'" .'.-......"......:...,...",'..-., ,"c..'''.'''',.'''''",-.V:
':,joB.siTE' INFORMATION AND 'LOcATION;',"
.: , ,- c' '. '.' .'.' . _H_.'_ '. ' _ ,.... .:' .~, :'",.''' T._' . ,-" ""'.._ _ .,' '.~ ",_ ,-" .... ,'_ '," '. """'0""
lob site address: 4 7\0 f?",~kl.", c'v
City: $.u-c, Ofl' '- County: lA N'~
State: 6-tZ. ZiP: 97 '-(0 '3
Subdivision:fVf,~oL,L<t!,lh Spaceflotno.: D - 2..
Reference: 1'axlol: .
I <.,F;/\'" '.DES~RIF!TioN"'()F w'/JRI5::~
PI",,,-,,-- f</ H I'" e,;<",-/-,,,,, >,p~~ ?,." 1:{1-((9.",,-
Year Manufactured: \"lR 2-
# Bedrooms: 1. I Sq, Ftg: $1)0 I Value: 1<-( ctJO......
7... . . PROPE'RTY OWNER ' -c-' ,
Name: rEucesv-e..,/,{o~l(e_JfL(I<-,,,- LL~
Address: '1.'7'tO F'oo",k (,^, /3u
City: ~ u ~ ~ I State: O~ I ZIP: 9 7'io ')
Phonef'tt{-7'f?-z'Z...., I Fax~(-'7V7 z.z.r?
E-mail: J' r 4N 7U'-@. e.-tl"". 01''1
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
requirements under OAR 918-515-0010.
Signature:
CONTRACTOR iNSTALLATION
Business name: P4 ~ ~ fo",->.o
Address:2-8'Lf 2t:. i&'1~)'c'/~
City:~c, I State: k I ZiP: Q'1'fo:2-
-,,;'7 ~"iO I Fax:
Phone:
E-mail:
CCB license no,: I OO? 2- (P MDl1icense no,:
Print name:
Signature:
1:: ;~} :'2.~:,~ i:;;~~.::~~~.:~ ~::,~~;.;;\;i~:~j{E'~,E:~ '~GTH~ py ~.gi';~;;J".~'~~:~{ n~~':;~:.:~t!~:'~,;~!gf,1~~lt}
Description
(1) Manufactured dwelling
(a) Placement (includes placefI.lent,
electrical feeder, water/sewer.
connection):
Total
$397.00 $111
(b) Reiilspection (no. .ofhrs. x fee per hr.): $58.00 $
. Placement permit can only be obtained by homeowner or Oregon-- '
licensed manufactured dwelling installer. '
.. ,
(2) Recreati.onal-par~ 'trailer
(a) Installation (includes stand and
lot preparation;. support b~oeking;
'?nchoring; temporary steps; plumbing,
mechanical, and electri,caI):
(b) Remspection (no: ofhrs. x fee per hr,):
$39MO $
$58.00 $
(c) Each additional inspection: (I)
$58.00 $
Electrical service permit to be obtained only by homeowner performing
work or signing supervisor of Oregon-licensed electrical contractor
performing work
\F#SCHEbiJ~E":~': "
',;..'
(3) Surcharge, 12% (.12 x total, equal to 1 or 2):
(4) State administrative fee for
manufactured dwelling (item 1) $30,00
only, OAR 918-500-0105(5):
(5) Technology Fee, 5%
TOTAL fees and surcharges (3 + 4+5):
if
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
.. "'~" ,
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
1201000000000000167
12:15:54PM
Date: 02/23/2010
Job/Journal Number
COM2010-00236
COM20 I 0-00236
COM20 1 0-00236
COM20 I 0-00236
Payments:
Type of Payment
Check
cReccintl
Description
Manufactured Home Placement
Manuf Home State Issuance
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
397.00
30.00
47.64
19.85
$494.49
Paid By
EUGENE MOBILE VILLAGE
Item Total:
Check N umber Authorization
Received By Batch Number Number How Received
cjc .2404 In Person
Payment Total:
$494.49
$494.49
Amount Paid
)l'!
" ,
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