HomeMy WebLinkAboutPermit Building 2010-6-9
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00741
ISSUED: 06/09/2010
APPLIED: 06/09/2010
EXPIRES: 12/09/2010
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4750 FRANKLIN BLVD F6 EUGENE TYPE OF WORK: Manufactured Home in Park
ASSESSOR'S PARCEL NO.: 1803031103500 "101) \0
" \ ao,,JIIasO(\ \l\~{:E OF USE: New
PROJECT DESCRIPTION: New manufactured ~~ijl1' 'l>'Ii\na O\a~ a sa\ \O~\_
\'\. 01, () 'o~ \as l>1 9'67.-'0
_...,)\0 . -'....~\e o"'~{\) er-.'f\ 'l3.t'b"
, il"-'.u\IS,,"" I" 911 al'"
Owner: EUGENE MOBILE ~~fu~ceP\al'\'0\nIOI)'aso\\n :\,\o(\a
Address: 4750 FRANKLIN BL \\ \i{ICe.\1 2-_'0'0\-'0~\e.i(\ CO~I. \na \a'~~iCe.\iO(\
EUGENE OR 97403 \~Op..'?-~~ut1le.~o~\el. ~':~0\\\I\~~A~)'
()\.l"5. 'n~ \W:i ;; U\~f1> ()..~l1
, :~~lJA~OR INFORMATION .
Contractor ' ' ; License
FATHER AND SONS ,'-;)'i'" " ... ' 100726
Residential
Contractor Type
General
Expiration Date
06/29/2011
Phone
541-689-5090
VB
I BUlUOING-iNFORMATlON ~
# of Stories: I\\~ '-I'l~~~t Size:
Height of Structure :j..?\'i'-.'i:. \r ~\I \'0 ~q Ft 1st Floor:
T~liOf Hea\\I'-\.-'_ t: "\'0 ?'i:.?\ \) rCl'i'-.Sq Ft 2nd Floor:
(\01*"1. ~~ Cl'i:.'i'-. III ClCl~'t- Sq Ft Basement:
\\\\'k~ ie'0VJ. \'0 1'-'O[l.VJ. Sq Ft Garage/Carport
[I.\.\I\\i~ ~ :Cl'i'-. a\). Sq Ft Other: '
,,~\il'jnkl~ ~i~: n/a Occupanf Load:
\.J ~Q(\
. ,,,.. ,-
I DEVE'COPMENT INFORMATION ~
REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Streef Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
,.......
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Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00741
ISSUED: 06/09/2010
APPLIED: 06/09/2010
EXPIRES: 12/09/2010
VALUE:
Status
Issued
""'0'/',.
1 I'~' .:
Total Value of Project
I Fees Paid ,
Fee Description
+ l2o/o'State Surcharge
+ 5% Technology Fee
Manuf Home State Issuance
Manufactured Home Placement
Amount Paid
Total Amount Paid
$47.64
$19.85
$30.00 ;,
$397,0,9" '
$494.49
Date Paid
"6/9/10
6/9/10
6/9/10
6/9/10
Receipt Number
1201000000000000634
1201000000000000634
1201000000000000634
1201000000000000634
I Plan Reviews ~
To Request an inspection call the 24 hour rec9rdi,ng at, 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, insp~ctions requested after 7:00 a.m. will be made the following
work day. ::~..," ,"
LReouired Inspections ~
Manuf Home Set Up: When installation of all piers or stands is complete.
Final Manuf 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.
Site Inspection: To be made after excavation but prior to setti~g forms.
, ,
By signature, I state and agree, that 1 have carefully.,examined th,e completed application and do hereby certify that all
information hereon is true and correct, and I 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 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.
#--
Owner or Contractors Signature
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b /9;10
I I
Date
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Page 2 of 2
~
. .:. CITY OF SPRINGFIELD, OREGON
~",P~'pAI{tNlE.r\lT USE.QNllY'}'
Permit no.: &0- 741/
Date: (, /9) u
225 Fifth Street. Sorin!!field. OR 97477 . PHI54J)726-3753 . FAXI54J)726-3689
Manufactured Dwelling/Recreational-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.
, - ". '. . - . " . - ; . >. ..... J.:', , .' -.,. '- -"."...- "7"' " ~') :,: \:.. ,
,:,'; :J;;""LOCAL;..GOVER~IVII:NT)M~J'R0YAbS,i';-~;2~,,~
Zoning approval verified: DYes. DNo
Property is within flood plain: DYes DNo
Sanitation approval verified: DYes DNo
'-:., ~-" '" ".. -,", ...'.,''','...,n".....'',..:,. .",,--' ,',.I ..,,;......_,._.~.,-.';:;':..,:'..~.f..'..;.,~:;'
; Y:.;;'.,.>:'CATEG'ORY ..'OF ,'CONSTRUCTION; }"c': ::,:
. "" ,. ". . ',. ..... .,..'.. -'.' . '. - . ,', ",- - -. . ,", - ~ ..-, . - -. -. -- ,';' ,...~ .,
o R~sidential I D Government I D Commercial
'JOB.sfTE iNFORMA ;n6NANb"to(;Afl(jN~; :;:
...."... ,..,.'-- -,., "..-.'. ., :"" '". '--..' '_' '..-,_".'_ ....._.,.. ',"e'.,
Job site address: '-17m F""^-'l../,,,,R",
City: G-v--,e..-r<- County: LA,j.e
State: OR ZIP: <17'10 :3
Subdivision: f:Mv Spacellot no.: r:--Clb
Reference: TaxlOl:
~'......'DESCRIPTION6F.WORK .....'/...);.\;
.. '
, .. --. .' .' .-. ,L .',' .
Year Manufactured: {1 7'1
# Bedrooms: ..., I Sq. FIg: ~Ib I Value: /2...,000
L
.. .' .. . .'PROPERTY. OWNER'. :':
.. . ..
Name: P-'~"""",-"-,U, l~. fI, If n <,. LL C-
Address: '-( 7\0 f""r.-^-' Id..-I 11" "
OFF Ie. E"
City: G01 erv"-- I State: OR I ZIP: <( 7'-(0]
Phone~ { - 7\f'1- Z2-i' ~ I Fax'!\:i{-7<t7- 2. 2.. r-,
E-mail: J, ""''' e.c- (Q e.{J ,.., .o"~i
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:
CONTRACTOR INST ALLA TION
Business name: F,,+le--l-- ('''....,r
Address:
City: I State: I ZIP:
Phone: - - I Fax: - -
E-mail:
CCB license no.: I MOl license no.:
Print name:
Signature:
i~.:~; ;~.~;; :~~~:::,.: ;':.:,: ~;, r~~~;~~d~;-,'.f ~,E . $_~H~Qj) h~ .'::;:'~,~?'r~? D\;,\~S}f..~;~;}I-~i:;d:~[:
Description Qty. Cost each Total
(1) Manufactured dwelling
(a) Placement (includes placemen~ I
electrical feeder, water/sewer $397.00 $
connection):
(b) Reiilspection (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-par"- 'trailer
(a) Installation (in'cludes stand and
lot preparation;. support blocking; $397.00 $
'~choring; temporary steps; plumbing,
mechanical, and electri,cal):
(b) Reinspection (no. ofhrs. x fee per br.): $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.
".C". ;";"'';''. ". '. C '. '; ,.... ,
,,,.-:'::.:.-. " ,.FEESHEDUL:E;, ., .".? . ..
,". .,..- ,
" , . . ..
. . $tt7(,~
(3) Surcharge, 12% (.12 x total, equal to I or 2):
(4) State administrative fee for
manufactured dwelling (item 1) $30.00 1 $30.00
only, OAR 918-500-0105(5):
(5) Technology Fee, 5% $ /'1 IS
TOTAL fees and surcharges (3 + 4+5): $l{91f l/"i
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225 Fiftil Street
; '--
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000634.
Date: 06/0912010
11:27: I2AM
Job/Journal Number
COM20 I 0-00741
COM2010-00741
COM2010-0074 I
COM2010-00741
Description
Manufactured Home Placement'
Manuf Home State Issuance
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
Check
Paid By
EUGENE MOBILE VILLAGE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
397.00
30.00
47.64
19.85
$494.49
Amount Paid
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2481
In Person
Payment Total:
$494.49
$494.49
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Page 1 of I
6/9/20l0