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Home My WebLink AboutPermit Building 2010-5-4 , '.. , ".,,~' "t '1. ,..." L 0 ", '~'T \;(~JI:YQFBfRINGfJEL:Q, OREGON ';d!':DEPARTMENt Us1:'oNLvic .....- "..._,.,~.,.',,'''". ---.-' "..' _... '-""-" -,. ,-..- ~."- '-. ,. ., "'''.- Permit nO':UM?AJl J<? 1- Date5^-+-- ~ 225 Fifth Street. Sorinl!tield, OR 97477 . PH(5411726-3753 . 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 not started within 180 days of ,~ issuance or if work is suspended for 180 days. ',". "., -..-' , -. ~;"--"""".'1;:- ,'""'~''''. '-","'--"L"- i>~~i~';"":!':,'j ,"LOCAL;,G9V!=~NMI:NliAP'J~R9YAl:,l);l';;,!,!~,'; Zoning approval verified: 0 Yes. 0 No Property is within flood plain: 0 Yes 0 No Sanitation approval verified: 0 Yes' 0 No :y\;.;" ,';'CATE"dORV2oF {CONSTRUctioN?;;},;;;?;\: ""'..;" .....,..,.-....- ...:.",.-:........- -;',"-."". ...-,,,....--.....,-, ...' ""-'-- '.-. ,'-"..'.,> iSResidential 0 Government 0 Commercial '\,:. JOSSfTEiriiFORMA'r10N;ANO'LdCA'hOr\i;,;: . :' I .,' ~'.' ._._ ,,,...'. "' .'..,' _ -. '.-". ,;.. ".;.-. ..-''_. . ,--_, .' "":._ _...' ~':" .."..~: ,-',..." . ,'_. ,., ".",'-'.. -,- Job site address: '(7\"0 r ""..,k(,,,, R.v City: ~ """"- County: L,..,~ State: OR ZIP: 97""03 Subdivision: g tv! l/' Spacellot no,: D - 03 Reference: f&,OJ03 If 6Jr'OO Taxloi: :.OESC~IPTlON OF' w'9R~"\~';, i Year Manufactured: Ie '1 f? I . ~ # Bedrooms: '1. Sq, Ftg: 7H'<- Value: Jj!) <'lOO " >>,:,,">PROPERTYOWIliER' ,,' I. Name: ~ e,,-L HI;) ~,k-1L',1 '^ L- L,L L Address: 470' ~<.,..,kL.r R--. City: gu~e..>e- State: O,R ZIP: 17<to- Phone:~( -"'t7 1-Z-t"'7 Fax:.s'Yr?r, 2.{Lrr- ., E-mail: :::;,.."'" er-- ~ e",c""" Q-" 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 918-515-00 1 0, Signature: , CONTRACTOR. INSTALLATION Business name: o=,,~ + Qo~S, Address: City: tv u-HL I <{C 7- Phone: E-mail: CCB license no,: 10 1::l72Jo MDI license no,: Print name: '-' Signature: t:;;t~'~.~:::i F:~~':;: ':~:~.:":;:1~~m~JDm-:_f,g,E::;-'$:9: H~Q.iJ;~-i;"~:t-:',<Jt~~li:'~,\i>t~};N;~}~\~~.%{W Description Qty. Cost each Total (1) Manufactured dwelling (a) Placement (includes placement, electrical feeder, water/sewer connection): $397.00 $ (b) Reinspection (no, ofhrs, x fee per hr). $58.00 $ Placement pennit can only be obtained by homeowner or Oregon- licensed manufactured dwelling installer. (2) Recreati.onal-park trailer (a) Installation (includes staod aod lot preparation;' support blocking; 'anchoring; temporary steps; plumbing, mechanical, and e1ectri,cal): (b) Reinspection (no, ofhrs, x fee per hr) $39ioo $ (c) Eacb additional inspection: (I) $58.00 $ $58.00 $ Electrical service permit to be obtained only QY homeowner performing work or signing supervisor of Oregon-licensed electrical contractor performing work . },y,'''c:':. i, :".:: ,:FEE~CHE[)~'~E"::>}"''?'''' (3) Surcharge, 12% C 12 x total, equal to 1 or 2): $ (4) State administnitive fee for manufactured dwelling (item 1) $30,00 1 only, OAR 918-500-0105(5): (5) Technology Fee, 5% TOTAL fees and surcharges (3 + 4+5): $30,00 $ . - I' ~ 2--t;; ,>"'2- 1(. r,' .fp1"Jrvo... Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00564 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: 11104/2010 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4750 FRANKLIN BLVD D3 ASSESSOR'S PARCEL NO.: 1803031103500 EUGENE TYPE OF WORK: Mannfactnred Home in Park TYPE OF USE: New PROJECT DESCRIPTION: Placement of Used Mannfactnred Dwelling in Park. Residential ~-~:,;c'. ~', ,..',..... . ATTENTION: Oregon law requires you 10 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 Ihe rules by calling the center. (Note: the telephone number for the Oregon Utility Notification . Center is 1-800-332-2344). NOTICE" .::-.,,,,,~ :'f''''.' .... . - .'~ 'i, ~'_ ':~~;:".'<'~:;f,:~,:""l"";. THIS pm/v1IT SHALL EXPIRE IF THE WORK';' AUTHORIZED UNOER THIS PERMIT IS NOT .' COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa2e 1 01'7 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 F13 EUGENE OR 97403 Owner: SANGER JAY Address: 4750 FRANKLIN BLVD EUGENE OR 97403 Owner: AMOROCHO SARITA Address: 4750 FRANKLIN BL VD SPACE N032 EUGENE OR 97403 Owner: EUGENE MOBILE VILLAGE LLC Address: 4750 FRANKLIN BLVD EUGENE OR 97403 Owner: KA W AGUCHI HIROSHI Address: PO BOX 49 EUGENE OR 97440 '-''''in" 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: 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 Pa2e 2 of 7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00564 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: ll/04/2010 VALUE: $ 20,000.00 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 EOOl 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 BL VD 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 of7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00564 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: 11104/2010 VALUE: $ 20,000.00 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 F15 EUGENE OR 97403 Owner: JUAREZ CELERINO Address: 4750 FRANKLIN BLVD SPACE FI5 EUGENE OR 97403 Owner: OGG ERNEST Address: 6208 N CAMINO DE COROZAL TUCSON AZ 85704 Owner: PALMER ROY M & LEONA M Address: 4750 FRANKLIN BLVD #Fl EUGENE OR 97403 Owner: MARTINEZ JA VIER R Address: 1890 HA VDEN 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 EOl2 EUGENE OR 97403 Owner: BALDONADO RENE Address: 4750 FRANKLIN BLVD SPACE Fl7 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 Pa2e 4 01'7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00564 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: 11/04/2010 VALUE: $ 20,000.00 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: DlAZ 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 F12 EUGENE OR 97403 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: COM2010-00564 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: 11/04/2010 VALUE: $ 20,000.00 I CONTRACTOR INFORMATION I Contractor Type Manul' Home Inst Contractor FATHER & SONS OF.OREGON INC Paee 5 01'7 License 100726 Expiration Date 06/29/2011 Phone 541-689-5090 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Fee Description + 12% State Surcharge + 5% Technology Fee Manuf Home State Issuance Manufactured Home Placement Total Amount Paid BUILDING INFORMATION I 1 R3 # of Stories: Height of Structure Type of Heat: Water Type: ,Range Type: Energy Path: Sprinkled Building: VB CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00564 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: 11/04/2010 VALUE: $ 20,000.00 Electric Electric Electric Lot Size: Sq Ft ] st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 742 No I DEVELOPMENT INFORMATlO~ Overlay Dist: # Street Trees Rqd: .Paved -Drive Rqd: '% of Lot Coverage: I PUBLIC IMPROVEMENTS I I Valuation Descriotion ~ $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~ ;~ ',1", " 1,'. Amount Pai~..;,. )."f ~.; Date Paid $47.64 $]9.85.:: . $30.00 $397.00 5/4/]0 5/4/]0 5/4/]0 5/4/]0 $494.49 Pace 6 of 7 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Value Date Calculated Receipt Number 120]000000000000409 120]000000000000409 120]000000000000409 ]201000000000000409 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . "if~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00564 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: 11/04/2010 VALUE: $ 20,000.00 't"." Status Issued ".\ 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. l..Reouired InsDections ~ Site Inspection: To be made after excavation bnt prior to setting forms. Mannf Home Set Up: When installation of all piers or stands is complete. Final Mannf Home Set Up: After all reqnired inspections are reqnested and approved and porches, skirting, decks, venting, street ,address numbers, trees, driveway, etc. have been installed. Mannf Home Plumbing: After home has been connected to water and sewer. MH Electric: Wben blocking, setnp and plumbing inspections have been approved and the home is connected to the panel. By signature, 1 state and agree, that 1 bave carefulli::.examined tbe completed application and do bereby certify that all information hereon is true and correct, and I furthel~ 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 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 ,:"ho 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. Owner or Contractors Signature Date .';'",,: ,"'......,f. "" ~ . "~ .r,:~t~~:. \, " Page 7 of7 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "..J}"" S.7A;O!~IW>......:.... "jJ .... '.'.~:... 1*. ' .. '. ".iINi .. ~. i c'""-'--'-"-__:""""'C"'" "",,: ,,' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000409 3:33:27PM Date: 05/04/2010 Job/Journal Number COM20 1 0-00564 COM20 I 0-00564 COM20 1 0-00564 COM20 I 0-00564 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 + 12% State Surcharge + 5% Technology Fee Paid By BANK OF AMERICA Amount Paid KLK 1255296 $494.49 $494.49 KLK In Person Payment Total: """.\. 1 /. .~..' ';:';" ;.- Page 1 of I 5/4/20 I 0 l~j~_L_LI I i I I I I ' I I 1 I I 1--'-.--.-,,-1- 'I I I I I I__,,_!_L_'~ Iii ,-'l' --i-,-.L-.J-: I I I' I _!_I_I__I_:~_JI-'I-i-t--:-i,!-'--U.-I-'i-:--I-i ,~-,..:. :.:--- I ' , I 1 I __ ___1 i I I I I I " -----, -.' J ' ,I I' I - -. 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Status of Manufactured Structure Ownership 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-\358 Home Information 231720 Manufacturer: HILLCREST Model: UNKNOWN Manufacture Year: 1981 Date of Sale: Square Footage: Roofing Material: Siding Type: Heating Type: Cooling Type: Print Datemme: 03/17/20 lOll :22 am Purchase Price: No. of Bathrooms: Includes Land: No. of Bedrooms: Section Information Manufacturer 10 Number 02950124P HUD Number Site Information 7520 THURSTON RD SPRINGFIELD, OR 97477 LANE COUNTY Owner Information Owner Name(s) VOELKEL, MARIE O'ROURKE, HELENE M Owner Contact Address: 7520 THURSTON RD SPRINGFIELD, OR 97478 NOTES: OWNERS RIGHT OF SURVIVORSHIP *. * * **