HomeMy WebLinkAboutPermit Building 2005-8-5 (2)
. CITY VI' ~rRINGFIELn
Building/Combination Permit'
PERMIT NO: COM2005-00530
ISSUED: 08/05/2005
APPLIED: 05/05/2005
EXPIRES: 02/05/2006
VALUE:
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3998 FRANKLIN BLVD SPACE 3 Eugene
ASSESSOR'S PARCEL NO.: 1703344202400
TYPE OF
Manufactured Home In Park
PRO.JECT DESCRIPTION: Replace manufactured home in park
TYPE OF USE: New
ResidentIal
Owner: GREEN VALLEY ENDEAVORS LLC
Address: 3998 FRANKLIN BLVD
EUGENE OR 97403
I CONTRACTOR INFORMATION'
ill: Oregon law requIres you ~o License
r.ca$t!8lUf()1~/Oml~BM~cth 58756
~. __"" :&QN.~0RA~~Jl"C 58756
~~AA 952-001-001"o/F6~6.&1f6~TIONI
0090. you may obta.,1 e._I! 1- talephone
# of Units: calling the center. (NOW". ~lMncation
Primary Oeeupaney Gro'WQmber IdJ-\l\e Oregon ii !ilt~~\.
Seeondary Oeeupancy Center i$1-8oo-ffl~eat:
ITrimary Construction Type VN Water Type:
Secondary Construction Range Type:
# of Ikrlrooms: Energy Path:
Sprinkled
Contractor Type
~Iannf lIollle Inst
PllIlIlhing
nla
I DEVELOPMENT INFORMATION'
Frolllyard Setback:
Side I Setbaek:
Side 2 Sethaek:
Rear)'anl Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IPUBLIC IMPROVEMENTS'
Strcl't
Phone Number: 541-687-8322
Expiration Date
03/09/2007
03/09/2007
Phone
54 I -461-654 I
54 I -461-654 I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutsfDrains
Storm Sewer Available:
Special Instruction:
Notes:
Cf: F 1HE WORK
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I\Ul\10Rl1to UN~ IS I\BI\NOONEO FOR
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. CITY UI< M"KlNGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00530
ISSUED: 08/05/2005
APPLIED: 05/05/2005
EXPIRES: 02/05/2006
VALUE:
Status:
Issued
225 Firth Strcet,Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
.541-726-3769 Inspection Line,
I Valuatioll J)escrilltion ,
Ill'scription
. Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fef's Paid I
Fl'C Dcscrilltion
+ toeYc, Administrative Fee
+ 7c/,:, State Surcharge
Mannf 1I0l1lc Slate Issuance
Mannfactnrcd Home Conn - Plmb
Manufactul"cd Home Placement
Amount Paid
Date Paid
$20.50
$14.35
$30.00
$45.00
$160.00
8/5/05
8/5/05
8/5/05
8/5/05
8/5/05
Receipt Number
1200500000000001144
1200500000000001144
1200500000000001144
1200500000000001144
1200500000000001144
Total Amount
$269.85
I Plan Reviews I
To Request an inspection caD the 24 hour recording at 726-3769. Ail inspection requested before 7:00
a.l11. will be made the same working day, inspections requested after 7:00 a.m. wiD be made the following
work day.
Uleouire1Jnsnections I
Mannf 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,
["'cks, \'cnling, strcet address numbers, trees, driveway, etc. have been installed.
Mannf lIol1lc Plumbing: After home has been connected to water and sewer.
2 of 3
.
. I
Status:
Issued
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM200S-00S30
ISSUED: 08/05/2005
APPLIED: 05/05/2005
EXPIRES: 02/05/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
B~' signalure, I state and agree, that I have carefully examined the completed application and do hereby certify that all
iulonnatiuu hereon is true and correct, and I further certify that any and all work performed shall be done in accordance
with Ihe Onliuances of the City ofSpringfieW and the Laws of the State of Oregon pertaining to the work described herein,
aud that NO OCCUPANCY wiD be made of any structure without permission of the Community Services Division,
Buildiug SalOly. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used
on this project.
I furl her agree to ensure that all required inspections are requested at the proper time, that each address is readable from
the sl r('el, I hat II per it card ~ located at the front of the property, and the approved set of plans wiD remain on the site
. al alllill1es d, 111 c#t2tction. / ~
. ://i/h....k/?' ~- 5" -cY S-
f - I
OWller or Cn ractors Signature Date
.
.
3 of 3
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22~J!ifth.~treet .
spi~',igfield, Oregon 97477
54]-726-3759 Phone
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G'J:~;~'.'.
Wit,
~ ~
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--. ._-. ' ,
~ty of Springfield Official Receipt
.veIopment Services Department
Public Works Department
,
t Job/Journal Number
~ COM2005-00530
. COM2005-00530
COM2005-00530
, COM2005-00530
~: COM2005-00530
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'. Payments:
: T.rpc of Payment
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8/5/2005
RECEIPT #:
1200500000000001144
Date: 08/05/2005
Description
Manufactured Home Placement
Manuf Home State Issuance
Manufacturcd Home Conn - Plmb
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
GREEN VALLEY
ENDEAVORS
Item Total:
LnecK NumDer AuUHnZ8tlon
Received By Balch Number Number How Received
djb 1856 In Person
Payment Total:
I of I
IO:47:4IAM
Amoont Due
160.00
30.00
45.00
14.35
i
20.50 j
$269.85 .
Amount Paid
$269.85
$269.85
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