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HomeMy WebLinkAboutPermit Building 2010-5-4 , , ", . CITY OF SPRINGfIELD, OREGON ' i~xQJ:~~)HN.lE,NtiJ~EQNI:Yr' 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, ' . ,.:'::: ;;':.::'LOCAl;,.GQ,,~)~~M~~t:;'ApP'RQ,{~C~;i;D-{?};h; 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;' 'e>i--- \J-p M ",-""0,,, ~ ~ 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: i :;;';:.;;,::; ;\;:;~::,;~,-:~~ ~~i J\!>,~i';:~(.~~,E~ --. '$_~H~pq ~~/~':'.J,',~~t;Di)~n7f~;jr~l-~'~'~'?' 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. "-:,,:':' ..: ':'FEESCHEDULE -' ":.', .. .":',.,, ,:"".:.'. ,:':.':.. ." '. ' . . : .- ., ." "'..':'. . '. (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: .~~ ~~ &: '-9 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. -" :.~..., "'" .-. ,}: ~. , ,'- ." ...... 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 :'o'~' . f' ~ ',' '; ,. Page 70f7 - ----- ~ ~, -Q'p.. .-- ",I 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). . j":) ~\ \ } r ". ) Co.A1~ W -8{)S61- P '_3 LOAD - Ni.TO.RJES I- __, ~ ~ 1"-':GAl., ~BJPTION 1J?e-:3 03 J-. e ~50t7- . . A.flORI!: ~.:;;> ~Pz-Dv BU/t7k'3 OW.'1ER F-' Jen:::.~t? A~';h-F- ~~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 ~1;!~q8yM -~ . _ _,~B.aH:s--f~J..<::r- --- '~'" I ~; - ~ ~ :\. OJ> b \ I , C::-- ~ ')> NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK- AUTHORIZED UNDER THIS PERMIT IS NOT, . COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ", ' -:---..._- II: ~ . /)' ~ -c ~ -} : J .v' .~ ' . 4" '" ~ ~ ", ~, ~.\ . p'. ~, 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: ..'-,' .,.y~ ., gage 1 ~q ".;" 514120 I 0