HomeMy WebLinkAboutPermit Building 2010-5-4
, ,
", . CITY OF SPRINGfIELD, OREGON '
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Pennit nO'COn w.l9- 561
Date'5-4-- 1.f3
225 Fifth SITeet + Sorinl!field. OR 97477 + PH(541l726-3753 + FAX(541l726:3689
Manufactured DwellinglRecreational-Park Trailer
. Placement Permit Application
This permit is issued uuder OARs 918-500-0105 aud 918-525-0370, Permits expire if work is not started within 180 days of
issuance or if work is suspended for 180 days, ' .
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Zoning approval verified: DYes. D No
Property is within flood plain: DYes D No
Sanitation approval verified: DYes' D No
,,' . ':':~AJEGORY:,'OF.CON~'rR,UCTION ";~:l}S
~ R~sidential D Government D Commercial
'JOB.SITE iNFORM;"T1oN:ANOfoCA'nolli2)
1 ....' .... -_. ._.. ~ ..' _ -..'" __ . .. " -,. .-- . ,-, '." '-.- -. "," .
Job site address: '( 7>0 IC'........k 13",.
City: g ~ County:' b~
State: 6 R.. ZIP: Q'1 L(O
Subdivision: {2 Ml V Space/lot no.: t= - 0 ~
Reference: ~ f 0 3 D31 ~ D 3 axlot:
- :'.llI;SCRIPTIO;'(OI;WPRK:',"i;'
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1'17?
# Bedrooms: 2.. Sq. FIg: 12 '1
. '. '- ' "PROPERTY.OWNER... ,'.'
-oU.. ((Ilr.e- LLc.
Year Manufactured:
t- be..
'.... '.,
.....,;
Name: g
Address: 'i7'tb
City: If... <:-~
Phoner<(r - 7<rr l:'2.r I
E-mail: 3 r A'" e.--
This installation is being made on residential or fann property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under OAR 918-515-0010. .
Signature:
Business name: f7A.Jf....... J-- .\~....s
Address: 231?--6
City: ~?
Phone:
E-mail:
CCB license no.:
MOl license no.:
Print name:
Signature:
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Description Qty. Cost each Total
(i) Manufactured dwelling
(a) Placement (includes placement,
electrical feeder, water/sewer $397.00 $
connection):
(b) Reinspection (no. ofhrs. x fee per hr.): $58.00 $
Placement pennit can only be obtained by homeowner or Oregon- .
Iicerised manufactured dwelling installer, . ~'
(2) Recreati,onal-par.k 'trailer . .'
(a) installation (includes stand and
lot preparation;' support blocking; $397.00 $
'anchoring; temporary steps; plumbing.
mechanical, and electrical):
(b) Reinspection (no. ofhrs. x fee per hr.): $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.
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(3) S~rcharge, 12% (.12 x total, equal to I or 2): $
(4) State administrative ree ror
manufactured dwelling (item]) $30.00 ] $30.00
only, OAR 918-500-0105(5):
(5) Technology Fee, 5% $
TOTAL fees and surcharges (3 + 4+5): sfff,1:
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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: COM2010-00561
ISSUED: 05/04/2010
APPLIED: 05/04/2010
EXPIRES: 11/04/2010
VALUE: $ 10,000.00
SITE ADDRESS: 4750 FRANKLIN BLVD F3
ASSESSOR'S PARCEL NO.: 1803031103500
EUGENE TYPE OF WORK: Manufactured Home in Park
TYPE OF USE: New
PROJECT DESCRIPTION: Placement of Used Manufactured Dwelling in Park.
ATTENTION: Oregon law requires you to
follow rule. adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952~1.oo10through OAR 952-001-
0090. You may obIlIIn copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification.
Center 18 1-800-332-2344).
. :::: :. ,-;:'. ~\,?:it~';;~?~';'~'~~ ~~~:8,~:'::' ~. ." . .
NOTICE: .. . ..... IRE IfT"'EWOR\{,
THIS PERMIT SHAi~ ~~s PERMIT IS NO~~
AUTHORIZED UNRD,S ABANDONEO fOR;;>;
COMMENCED 0 .. . ....
ANY 180 DAY PERIOD. . .
Paee I of 7
Residential
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Owner: GONZALEZ GUADALUPE HERNANDEZ
Address: 4750 FRANKLIN BLVD SPACE FI3
EUGENE OR 97403
Owner: SANGER JA Y
Address: 4750 FRANKLIN BLVD
EUGENE OR 97403
Owner: AMOROCHO SARITA
Address: 4750 FRANKLIN BLVD SPACE N032
. EUGENE OR 97403
Owner: EUGENE MOBILE VILLAGE LLC
Address: 4750 FRANKLIN BLVD
EUGENE OR 97403
Owner: KAWAGUCHI HIROSHI
Address: PO BOX 49
EUGENE OR 97440
Owner: TRUJILLO AYALA SILVINO
Address: PO BOX 1273
COTTAGE GROVE OR 97424
Owner: PEREZ MARIA SALUD
Address: 4750 FRANKLIN BLVD SPACE EOl3
EUGENE OR 97403
Owner: EDGMON FRANKLIN D & GENEVA M
Address: 4750 FRANKLIN BLVD #E-4
EUGENE OR 97403
Owner: GARCIA ZAMBRANO ROSARIO
Address: 4750 FRANKLIN BLVD # F4
EUGENE OR 97403
Owner: TORRES MIGUEL ANGEL
Address: 4750 FRANKLIN BLVD SPACE E002
EUGENE OR 97403
Owner: MITCHELL SANDRAJEAN
Address: 4660 FRANKLIN BLVD SPACE 034
EUGENE OR 97403
Owner: CAMACHO ALEJANDRO M
Address: 4750 FRANKLIN BLVD SPACE FIO
EUGENE OR 97403
Owner: BARTOW DENNIS & DONNA
Address: 4750 FRANKLIN BLVD SPACE F009
EUGENE OR 97403
Owner: COUTURIER ROBIN
Address: 4750 FRANKLIN BLVD SPACE FI
EUGENE OR 97403
Paee 2 of 7
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00561
ISSUED: 05/04/2010
APPLIED: 05/04/2010
EXPIRES: 11/04/2010
VALUE: $ 10,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Owner: MULLINS PHILLIP ADRIAN
Address: 4750 FRANKLIN BLVD #N-I
EUGENE OR 97403
Owner: SIEGLE TAMARA L
Address: 4750 FRANKLIN BLVD SPACE NI4
EUGENE OR 97403
Owner: OGG ERNEST L
Address: PO BOX 186
SPRINGFIELD OR 97477
Owner: KLEMAN KENNETH J
Address: 6208 CAMINO DE COROZAL
TUCSON AZ 85704
Owner: ROBITAILLE LUCIA ANNA
Address: 4750 FRANKLIN BLVD #P-3
EUGENE OR 97403
Owner: MURDOCK KIM IRWIN
Address: 4750 FRANKLIN BLVD #P-I
EUGENE OR 97403
Owner: ROJAS JESSICA
Address: 1656 PENNINGTON DR
ONTARIO OR 97914
Owner: ROJAS LOURDES
Address: 1656 PENNINGTON DR
ONTARIO OR 97914
Owner: LAIL MARCI L
Address: 4750 FRANKLIN BLVD SPACE E001
EUGENE OR 97403
Owner: STANFORD TILLIE SUE
Address: 4750 FRANKLIN BLVD SPACE E006
EUGENE OR 97403
Owner: WILLS BENJAMIN W
Address: 4750 FRANKLIN BLVD SPACE E006
EUGENE OR 97403
Owner: IZUCAR ROGEL OSVELIA
Address: 4750 FRANKLIN BLVD SPACE E007
EUGENE OR 97403
Owner: ROBLERO-BARTOLON ROBERTO ELVIS
Address: 4750 FRANKLIN BLVD SPACE Ell
EUGENE OR 97403
Owner: COWGER ARVIN
Address: 85519 DILLEY LN
EUGENE OR 97405
Page) 01'7
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00561
ISSUED: 05/04/2010
APPLIED: 05/04/2010
EXPIRES: 11/04/2010
VALUE: $ 10,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 [nspection Line
Owner: WOLCOTT OLIVER N
Address: 4750 FRANKLIN BLVD #N-7
EUGENE OR 97403
Owner: RICHTER JUDY A
Address: 4750 FRANKLIN BLVD #E-8
EUGENE OR 97403
I kL'. .
Owner:
Address:
VASQUEZ-CONTRERAS JULIA
4750 FRANKLIN BLVD SPACE FI5
EUGENE OR 97403
JUAREZ CELERINO
4750 FRANKLIN BLVD SPACE FI5
EUGENE OR 97403
Owner:
Address:
Owner:
Address:
OGG ERNEST
6208 N CAMINO DE COROZAL
TUCSON AZ 85704
Owner: PALMER ROY M & LEONA M
Address: 4750 FRANKLIN BLVD #FI
EUGENE OR 97403
..
Owner: MARTINEZ JAVIER R
Address: 1890 HA YDEN BRIDGE RD
SPRINGFIELD OR 97477
Owner: ZEPEDA JOSE SANTOS
Address: 4750 FRANKLIN BLVD SPACE E-15
EUGENE OR 97403 ' : '.
Owner: GUDINO MARIA GUADALUPE
Address: 4750 FRANKLIN BLVD SPACE E-15
EUGENE OR 97403
Owner: ALONSO VALDEZ MANUEL
Address: 4750 FRANKLIN BLVD SPACE E003
EUGENE OR 97403
Owner: MARTINEZ NIETO IMELDA
Address: 4750 FRANKLIN BLVD SPACE E012
EUGENE OR 97403
Owner: BALDONADO RENE
Address: 4750 FRANKLIN BLVD SPACE F17
EUGENE OR 97403
Owner: BALDONADO PATRICIA PEREZ
Address: 4750 FRANKLIN BLVD SPACE FI7
EUGENE OR 97403
Owner: AUBEL STEWART BRUNDAGE
Address: 4750 FRANKLIN BLVD SPACE F002
EUGENE OR 97403
Pace 4 of7
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00561
ISSUED: 05/04/2010
APPLIED: 05/04/2010
EXPIRES: 11/04/2010
VALUE: $ 10,000.00
~1~~'~~'~
~<<i;
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00561
ISSUED: 05/04/2010
APPLIED: 05/04/2010
EXPIRES: 11/04/2010
VALUE: $ 10,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Owner: WOODRUFF JENNIFER
Address: 3713 E 14TH AVE
EUGENE OR 97403
Owner: KERR ROBERT
Address: 75 N 8TH ST
CRESWELL OR 97426
Owner: KERR KEITH
Address: 75 N 8TH ST
CRESWELL OR 97426
Owner: DIAZ QUIROZ MARTIN
Address: 4750 FRANKLIN BLVD F-14
EUGENE OR 97403
Owner: JIMENEZ PEREZ TERESA
Address: 4750 FRANKLIN BLVD #F-14
EUGENE OR 97403
Owner: BROADHURST JAMES E
Address: 4750 FRANKLIN BLVD #E-9
EUGENE OR 97403
Owner: BROADHURST JOY MICHELE
Address: 4750 FRANKLIN BLVD #E-9
EUGENE OR 97403
Owner: AMBROClO-LA YNES MIGUEL ANGEL
Address: 4750 FRANKLIN BLVD SPACE FI2
EUGENE OR 97403
Owner: AMBROCIO DOLORES ELENA
Address: 4750 FRANKLIN BLVD SPACE FI2
EUGENE OR 97403
Owner: DELREAL ERIC VILLANEDA
Address: 4750 FRANKLIN BLVD SPACE P-005'
EUGENE OR 97403
Owner: LABOR JOHN F
Address: 4750 FRANKLIN BLVD SPACE D-I
EUGENE OR 97403
Owner: HANNAH SAMANTHA
Address: 4750 FRANKLIN BLVD C3
EUGENE OR 97403
.
I CONTRACTOR INFORMATION ~
Contractor Type
Mannf Home Inst
Contractor
FATHER& SONS OF OREGON INC
License
100726
Expiration Date
06/29/20 II
Phone
541-689-5090
Paee 5 of 7
t .1
lk~ , CITY OF SPRINGFIELD
:
i- Building/Combination Permit
"
Status Issued PERMIT NO: COM2010-00561
225 Fifth Street, Springfield, OR ISSUED: 05/04/2010
- . APPLIED: 05/04/20 I 0
541-726.3753 Phone
541.726.3676 Fax EXPIRES: 11/04/2010
541-726.3769 Inspection Line VALUE: $ 10,000.00
'"
I BUILDING INFORMATION I
# of Units: I # of Stories: I Lot Size:
Primary Occnpancy Gronp: R3 Height of Strncture Sq Ft 1st Floor: 924
Secondary Occupancy Gronp: Type of Heat: Electric Sq Ft 2nd Floor:
Primary Construction Type VB Water Type: Electric Sq Fl Basement:
Secondary Constrnction Type: Range Type: Electric Sq Ft Garage/Carport
# of Bedrooms: Energy Path: Sq Ft Other:
Sprinkled I,luilding: No Occupant Load:
I DEVELOPMENT INFORMATIO~ REQUIRED PARKING
Front yard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
I PUBLIC IMPROVEMENTS ~
Street Improvements: /"'" Sidewalk Type:
.'-".
Storm Sewer Available: ' " Downspouts/Drains:
Special Instruction :
Notes:
I Valuation DescriDtion ~
Description . Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier . or Bid Amount
'"
'Total Value of Project
~
Fee Description Amonnt Paid Date Paid Receipt Nnmber
+ 12% State Surcbarge $47.64 5/4/10 1201000000000000407
+ 5% Technology Fee $19.85:~::_ ., -., 5/4/10 1201000000000000407
Manuf Home State Issuance $30.0Q~!"~r If',;C,.' . 5/4/1 0 1201000000000000407
" .'
Manufactured Home Placement $397.00 5/4/10 1201000000000000407
"
Total Amount Paid $494.49'
Paee 6 of7
-,_.~ .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00561
ISSUED: 05/04/2010
APPLIED: 05/0412010
EXPIRES: 11/0412010
VALUE: $ 10,000.00
225 'Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
r, ,'/'
; ,,..'
'Plan Reviews ~
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 Reauired lnsnections I
Site Inspection: To be made after excavation hnt prior to setting forms.
Mannf Home Set Up: When installation of all piers or stands is complete.
Final Manllf Home Set Up: After all reqllired inspections are reqllested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Manllf Home Plllmbing: After home has been connected to water and sewer.
MH Electric: When blocking, setllp and plllmbing inspections have he en approved and the home is connected to
the panel.
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By signatllre, 1 state and agree, that I have carefuU)'iexamined the completed application and do hereby certify that all
information hereon is trlle and correct, and I fllrthe~, ~ertify 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 of any structllre withollt permissiou of the Commllnity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be Ilsed on this project.
I fllrther agree to ensllre 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 Contractors Signature
Date
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Page 70f7
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ATTENTION: Oregon Jaw requires you 10
follow rules adopted by the Oregon Utility
Notification Center. Those rules are sat forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344). .
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~~NTENTS HERE ON HAVE BUN REVI~Vl'~'i.) 'HI'r','
1"\--L:"u..,"ATiO~S IND'...... ';TED ON COL ',_ ,111' , ,
OR ALTERATIONS M:4[)f~ To THE Ao,::,'::bv~~I~A~;!.~~G~:~
PRoJECT AFT~R THE DJtTE BELOW SHALL BE APPRO~":'O Cs" ~~
THESUlLOING OI'FICIAL. _,
CITY OFSPRINGFUU..O, OR-e:GON
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NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK-
AUTHORIZED UNDER THIS PERMIT IS NOT, .
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD. ", '
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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
Manufactured Structure Ownership Document
State of Oregon
Department of Consumer & Business Services
Building Codes Division
1535 Edgewaler NW, PO Box 14460
Salem, OR 97309-:J404
(503) 373-]309, Fax (503) 378-4101, ITY (503) 373-1358
220147
FLTWD
UNKNOWN
1978
03/16/2010 Purchase Price:
924 No. of Bathrooms:
METAL (UPGRADE)
VERTICAL METAL
ELECTRIC
NONE
Print Datemme:
03/16/201010:05 pm
$ 1
1
Includes Land: NO
No. of Bedrooms: 2
Manufacturer ID Nur lber
WAFL1A864342298
HUD Number
4120 MCCOUGAL LANE
EUGENE, OR 97402 ..
HOME NOT YET SITED
LANE COuNTY
Owner Name(s)
CLARK, MIKE
Owner Contact Address:
28426 ROYAL AVE
. EUGENE, OR 97402
* '*. .*' * *.
Please note that the buyer and seller are responsible for resolving all other liens and interests recorded with the county or
other foreign jurisdictions prior to the sale of the property. These liens and interests are not listed on the ownership
document.
I;'~~i
Issued .:nder the authority of the Director of the
Department of Consumer and Business Services.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000407
3:01:14PM
Date: 05/04/2010
Job/Journal Number
COM20 I 0-0056 J
COM20 1 0-00561
COM20 I 0-00561
COM20 1 0-00561
Payments:
Type of Payment
Check
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
397.00
30.00
47.64
19.85
$494.49
Description
Manufactured Home Placement
Manuf Home State Issuance
+ J 2% State Surcharge
+ 5% Technology Fee
Paid By
BANK OF AMERICA
Amount Paid
KLK
1255294
$494.49
$494.49
KLK In Person
Payment Total:
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.,
gage 1 ~q
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514120 I 0