HomeMy WebLinkAboutPermit Building 2005-2-11 (2)
.
. CITY OF SrKll~tJFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00169
ISSUED: 02/11/2005
APPLIED: 02/11/2005
EXPIRES: 08/11/2005
VALUE:
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4475 FRANKLIN BLVD SPACE 1 EUGENE TYPE OF WORK: Manufactured Home in Park
ASSESSOR'S PARCEL NO.: 1703344400102
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: MH in park
Owner: SEAVER MOBILE HOME PARK LLC
Address: 26032 ENGLAND LP
VENETA OR 97487
I CONTRACTOR INFORMATION I
Contractor Type
ManufHome Inst
Plumbing
Contractor A-n= , License Expiration Date
FATHER & SONS OF OREG!?Jl IN~TION: Or~daw requrre~o/a3I1805
FATHER & SONS OF ORE'iiP~ l~~~/.e: adoiHfutily the OreodlfiGlli~1lO5
I BUlLmNG\JNF69MA'iIDlli '1:1le rules are set forth
uvYU ~ I ,rough OAR 952-001.
# of !ija';!~~h~:~~8/n COPi~s of ~dl\Sra,b,
HeilllUI1\b't,Y"It5fYli& (Nato., ~e tel~dSt Floor:
Type of He~ Oregon Utility NoSfj~ Floor:
Water Type: nter 181-800-332-2344~q Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Phone
541-689-5090
541-689-5090
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VN
, DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
NOTICE:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
......,. "U'," , Lf\l 111L. II 111L. 'YUIll\
IPUBLIcmJ',RO_y.EMENifS'R THIS PERMIT IS NOT
COMMENCED OR IS AB,Sijijwill~lJ":fp.~;
ANY 180 DAY PERIOD. Downspouts/Drains:
Notes:
Pal!e 1 of3
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00169
ISSUED: 02111/2005
APPLIED: 0211112005
EXPIRES: 08/11/2005
VALUE: .
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
l Fpp<. tl&iILI
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
Amount Paid Date Paid Receipt Number
$20.50 2111105 1200500000000000182
$14.35 2111105 1200500000000000182
$30.00 2111/05 1200500000000000182
$45.00 2111105 1200500000000000182
$160.00 2111/05 1200500000000000182
Total Amount Paid
$269.85
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Ueollirerun~ne~tions I
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.
Manuf Home Plumbing: After home has been connected to water and sewer.
Paee 2 of3
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00169
ISSUED: 02/11/2005
APPLIED: 02/11/2005
EXPIRES: 08/1112005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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 tbe work described herein, and
that NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance wilb 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 eacb address is readable from the
street, that tbe 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.
~A~ ~#~
,p:l-//- OS
---- ------
Owner or Contractors Signature
Date
Paee 3 of3
225 Fift,h Street
Springfield, Oregon 97477
541-726-3759 Phone
.
"'~RINC!ellLD' '
IItr:-'.'.'..'. ,- .,..,....'.'. ".'..
TO< '--" !
~" !
-. "._".".,.,,' "
ar of Springfield Official Receipt
"elopment Services Department
Public Works Department
RECEIPT #:
1200500000000000182
Date: 02/11/2005
1:25:37PM
Job/Journal Number
COM2005-00169
COM2005-00169
COM2005-00 169
COM2005-00 169
COM2005-00 169
Description
Manufactured Home Placement
ManufHome State Issuance
Manufactured Home Conn - Plmb
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
CreditCard PAMELA SEAVER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 877666 In Person
Payment Total:
Amount Due
160.00
30.00
45.00
14.35
20.50
$269.85
Amount Paid
$269.85
$269.85
;,
.1
2/1112005
Page I of I
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