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Home My WebLink AboutPermit Building 2010-5-4 .::~: chv Of SPRINGfIELD, OREGON 225 Fifth Street. Sorinclield. OR 97477 . PHI54Il726-3753 . FAX!54I)726-3689 Manufactured DwellinglRecreational-Park Trailer Placement Permit Application SPRINGFIELD ~- :;j.\\OEPARTMENT iiSEONl!vi:; '~,I;;- '" -, ."-~c...,,,.,, -",_, ,-..".__..",. ,. -C.'-_' ...."__.._ ,'_' Permit nO':~J.9- Date:5 --1-- lA3 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. i';. :",," CAL'GOVE'RNMEiiI'f':APPRO\iALS\";;'."'c'c :,:X:'.'_:' :.:.J'~p - ,:'" ,"." _.,.. .." .," ""_':_"-'(_"_"""'" ~~,.._, __.,_."Li~f;,';.!~;-'-:; Zoning approval verified: DYes. DNo Property is within flood plain: DYes DNo Simitation approval verified: DYes DNo ,iY;:,;.~<fATEq_qRX:,~:Of;'~9N$:rR,~cfip~}:(i;f~.*.(: (gj R~sidential I 0 Government 10 Commercial :, :,jD's 'SfTEINFORMA TION:A.NO'LocAh6r\i\.:: ,f _j "..' -" ,....' ... ..,.. '. '-,_' ','_~ ._.,':."'_ ,,-., .. _ "',"..' '.' .. _"'0_ ., " J ,'_","," .;'_ ,'_",", '-, '''''.-, .,' , Job site address: '-f 7 fO f::'""", k (,....r '1",. City: E'u." ~ County: kR.~ State: 67~... . ZIP: '17<ro 3 Subdivision: tiNt! Spacellot no.: F-r Reference: ir6303 i I ()".l \OU 1'axlol: I.::~,:? .D1::SCRIPTION" .OF." WpRI(':"::>< . >'( Year Manufactured: , ('1' 7...-'/ # Bedrooms: I Sq. Ftg: I Value: "'" L S't 4' ~O("\(') - .... ....... ,"/'.:\ ... ..... "j'ROP.ERTYOWNER.'. ',' ., .. Name: liut:C#e f,{ob,le. (!J-;:I (,~.~ Address: C{ 7to p",,^, k/,..- 8, , City: r?:v..;~ I State: 6~ I ZIP:97't'Oj" Phone:St.'I- 7'f7. 2..2."'7 1 Fax:I'W -7V7 '! 2..r 7 E-mail: :) J'''"'"'5&- e.J.., . 0,,<, This installation is being made on residential ~r farm property owned by me or a member of my immediate family, and is ~~-B:'Li!2m IiC.eIlsinL r~.fllliTP.ments under OAR 918-515-ooJO. Signature: h . ' CONTRACTOR INSTAllATION" .... Business name: q;{(.4, +: s.e-. Address: 2...fl( 2 (, Ror.AI Av. City: tZv-~ e..x.... I State: 6-fZ I ZIP: 97'-({)2... Phone: - - I Fax: - - E-mail: CCB license no.: (.O~ ,'Z..r.-. I MDllicense no.: Print name: -.. " Signature: ././ 1:;:":;,tt:',J::.':;~:0:.;-;;:;~:<:~:;_~mi,;{:~j;:-.~.g,E: ~'$"GH~PY,h-I;/:':~'3~'~~:~,?n.t;;k~~~.:::{;:>1;~~~~lf.~ Description Qly. Cost each Total (1) Manufactured dwelling (a) Placement (includes placement, electrical feeder, water/~ewer $397.00 $ connection): (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,k'trailer (a) Installation (includes stand and lot preparation;" support blocking; $397.00 $ anchoring; temporary steps; plumbing, inechanical, and electrical): (b) Reinspection (no. ofhrs. x fee per hr.): $58.00 $ (c) Each additional inspection: (1) $58.00 $ Electrical service permit to be obtained only by homeowner performing work or signing supervisor a/Oregon-licensed electrical contractor performing work. .i,;e:.:..........>...>'.. F:EE SCI:IEI:)UI.:E)~ ;'.. ......:,....:". "'- , .". .:.. ". (3) Surcharge, 12%(.12 x total, equal to 1 or 2). $ (4) State administrative fee for $30.00 manufactured dwelling (item 1) 1 $30.00 only, OAR 918-500-0105(5): (5) Technology Fee, 5% $ TOTAL fees and surcharges (3 + 4+5): Jtff 4-~ '1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54'1-726-3769 Inspection Line t.,: ~. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00562 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: 1I!04/2010 VALUE: $ 8,000.00 EUGENE TYPE OF WORK: Manufactured Home in Park SITE ADDRESS: 4750 FRANKLIN BLVD F5 ASSESSOR'S PARCEL NO.: 1803031103500 TYPE OF USE: New PROJECT DESCRIPTION: Placement of Used Manufactured Dwelling in Pa,'k. Residential AlTENTION:, Oregon law requires you to follow rules adopted by the Oregon Utility Notification C'e'r'iier. Ttlose rules are set 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). NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED ,~~DER THIS PERMIT IS NOT COMMENCEDQR IS'flBANDONED FOR ,,' ANY 180 DAY PERIOD. . ' . , ';', .- .", .t',.';l'~,'/' Page I 01'7 Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: Address: GONZALEZ GUADALUPE HERNANDEZ 4750 FRANKLIN BLVD SPACE F13 EUGENE OR 97403 ...h "" Owner: SANGER JA Y Address: 4750 FRANKLIN BLVD EUGENE OR 97403 Owner: AMOROCHO SARIT A 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 E013 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 SANDRA JEAN Address: 4660 FRANKLIN BLVD SPACE 034 EUGENE OR 97403 . Owner: Address: CAMACHO ALEJANDRO M 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 ,. Pa!!e 2 of7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00562 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: 1110412010 VALUE: $ 8,000.00 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 '.j,: 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 1,;;: 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 OSVELlA 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 \, ...;,~; Paee 3 of 7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00562 ISSUED: 05/0412010 APPLIED: 05/04/2010 EXPIRES: ll/04/2010 VALUE: $ 8,000.00 ".'! Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection 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 Owner: VASQUEZ-CONTRERAS JULIA Address: 4750 FRANKLIN BLVD SPACE FI5 EUGENE OR 97403 Owner: JUAREZ CELERINO Address: 4750 FRANKLIN BLVD SPACE FI5 EUGENE OR 97403 Owner: 't.... OGG ERNEST Address: 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 BL VD SPACE E003 EUGENE OR 97403 Owner: MARTINEZ NIETO IMELDA Address: 4750 FRANKLIN BLVD SPACE EOl2 EUGENE OR 97403 Owner: BALDONADO RENE Address: 4750 FRANKLIN BLVD SPACE FI7 EUGENE OR 97403 Owner: BALDONADO PATRICIA PEREZ Address: 4750 FRANKLIN BLVD SPACE F17 EUGENE OR 97403 Owner: AUBEL STEWART BRUNDAGE Address: 4750 FRANKLIN BLVD SPACE F002 EUGENE OR 97403 Page 4 of 7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00562 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: 1lI04/2010 VALUE: $ 8,000.00 Status Iss u ed 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: D1AZ 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: AMBROCIO-LA YNES MIGUEL ANGEL Address: 4750 FRANKLIN BLVD SPACE FI2 EUGENE OR 97403 ,.......t,. Owner: AMBROCIO DOLORES ELENA Address: 4750 FRANKLIN BLVD SPACE F12 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 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00562 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: 1l/04/2010 VALUE: $ 8,000.00 I CONTRACTOR INFORMATION . Contractor Type Manof Home Inst Contractor FATHER & SONS OF OREGON INC Pa2e 5 of 7 License 100726 Expiration Date 06/29/20 II Phone 541-689-5090 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line # of Units: Primary Occupancy Group: Secondary Occupaucy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Spedallnstruction: Notes: Description Tvpe of Construction Fee Description + 12% State Surcharge + 5% Technology Fee Manuf Home State Issuance Manufactured Home Placement Total Amount Paid BUILDING INFORMATION ~ 1 R3 # of Stories: Height of Structuie 'TYpe df Heat: . Water Typc: . ;Il~nge Type: Energy Path: Sprinklcd Building: VB CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00562 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: 11/04/2010 VALUE: $ 8,000.00 Electric Electric Electric No I DEVELOPMENT INFORMATIO~ Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS ~ J; ~! Valu'ation Description ~ 1'" $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~ Amount Paid Date Paid $47.64 $19.85: $30.00 . $397.00 5/4/10 5/4/10 5/4/10 5/4/10 $494.49 "":'2-" "".." l)~.~;:. .,.,~ ."c.." Pa2e 6 Of 7 ..;'i;'~ . l',~ ,,',., 1 .Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemeut: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 864 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Value. Date Calculated Receipt Number 1201000000000000408 1201000000000000408 1201000000000000408 1201000000000000408 ",...,',",~, " ' . ' , ,_, CITY OF SPRINGFIELD Building/Combination Permit .Y,; 1: _-:l~' ':' Status Issued PERMIT NO: COM2010-00562 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: ll/04/2010 VALUE: $ 8,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I 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 Insnections ~ Site Inspection: To be made after excavatioriib'~t prior to setting forms. ManuI' Home Set Up: When installation of all piers or stands is complete. Final ManuI' Home Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. Manuf Home Plnmbing: After home has been connected to water and sewer. MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. 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 cOlTect, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be 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 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. .',i,U-j . . -,.1, ~! :;. Owner or Contractors Signature Date '-; ^ '11" Pa!!e 7 of 7 Transaction Receipt Manufactured Structure Activity State of Oregon Department of Consumer & Business Services Building Codes Division 1535 Edgewater NW, PO Box 14470 Salem, OR 97309-0404 (503) 373-1309, Fax (503) 378-4101, TTY (503) 373-1358 Home Information Home ID Number: 213186 Manufacturer: SILVER CREST Model: UNKNOWN Manufacture Year: 1977 Owner Information Owner Name: EUGENE MOBILE VILLAGE LLC Site Information Address: 4750 FRANKLIN BLVD SPC F5 EUGENE, OR 97403 LANE Transaction Information Submitter Type: OWNER/SELLER Submitter Name: EUGENE MOBILE VILLAGE Transaction DatelTime: 04/28/2010 02:38 PM Transaction Type: OWNERSHIP/SITE CHANGE Fee Paid: $55.00 Payment Method: COUNTER CASH S'~~ I (' I / <-Ig'~ <Z NOTICE: ":.: , .. RE lFTHE WORK THIS PERMIT S~~~~f~~ PERMIT IS NOT AUTHORIZED UOR IS ABANDONED FOR COMMENCED . . ANX~ DAY PERIOD. . . v0'v,"';~ J; . "E .... _._'J ,- ~ 2.:.'-/ -7 fSb.>-> ~0 loA"- , ' ,?{- ~ (j \>- J if . to~ .it .. ( J.?f- f ~OS- r;, S~ 4r I '1- .. \ . . .. I' . .. .. u , !~':'C!5,!1,~~!;;!)I!C;p5"-4:-", 1AJ .JOb '''V. C<JM -z4 J.Q~5"6'2- ~:':;:. '.._~ . .0000,(:.1.fPANCY GROUp0 ~J''''''T{',~''~ -.k. ' .Q('~CPP&~:-r.' 0 ~1.0 ' ':~;;:;i~;i?iJ~.=~~~~'~'.'~==_~__. T;~;~C;~~t.:;;~~~ . :';"<,GM, 1;'LC,,'C,",rTiON 1,,;;;)-0.--':2 a 3..llB3X'Q..Q . ~:--''''" '.. LL.:t5i ,--5-17_'V_-<-o<<' . 0c-20)'~,,'k- .::1: '_ q,~~VP_::tEFS' Q;.;,-,:';!b.a...euc;e#~__./!142j1,rJ t<=:: . " -'_ . 1" L,.f .. " ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set 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). ..~;rHE c-('.\}\r::'E!-.J'TS l'i~:r:;.':. ON HlofE SEflN RE"JlEV'lf:D: Wi-'-~'; , J7ALTf:F?:f(qOr~::::..., n-.ie, ...:.'( ED 01'1 CCLCH.JID P1tNCiL. CKANGEf~ /ltOJ>r Al.:Ti![~'/:'-T!\)r'~~; 1\'1 ,'~ ;:"E TO THE APPROVED DRAWl'tI:GS OR " PROJG:CT A~-Tr::RTHE Ci.(\TE-: BELOW &HALL BE APPROVJt;D BY THE. BUiLDiNG OFFK::;;i.:-. .~ CITY OF SPRINCiWUiL..o,ORSGON -'\! , R8'> ee BY r:;~. J'.--- .."JiIMj~=1-, 1::0 T._ --,. F'C'-NGL - 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000408 Date: 05/0412010 3:15:02PM Job/Journal Number COM20 1 0-00562 COM20 1 0-00562 COM20 10-00562 COM20IO-00562 Payments: Type of Payment Check cReceintl Description Manufactured Home Placement Manuf Home State Issuance + 12% State Surcharge + 5% Technology Fee Paid By BANK OF AMERICA Received By Check Number Batch Number KLK > 1255295 :L1< ,-,> ,,~. t'. Page I of " Item Total: Authorization Number How Received Amount Due 397.00 30.00 47.64 19.85 $494.49 Amount Paid KLK In Person Payment Total: $494.49 $494.49 '-.. \ 5/4/20] 0