HomeMy WebLinkAboutPermit Building 2003-10-8 (2)
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4531 Franklin Blvd 119
ASSESSOR'S PARCEL NO.: 1703344400301
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01021
ISSUED: 10/08/2003
APPLIED: 10/08/2003
EXPIRES: 04/08/2004
VALUE: $ 20,000.00
Eugene
TYPE OF WORK: Manufactured Home in
Park
TYPE OF USE: New Residential
PROJECT DESCRIPTION: MH in park - set only no utility connections
Owner: SHAMROCK PARTNERS LLC
Address: 228 SIR FRANCIS DRAKE BLVD SAN ANSELMO CA 94904
Phone Number: 415-721-7734
# of Stories: ..~..l..
Height of StF~-
Type of"..'l!iJ. '2:J~
waterti~" ~
RanK.~ ~ ~<<
E~~~ !W
. ,,<() ,,~ ,..:~r;:j
.!- ......... ~.
I D~.t~~NT INFORMATION I
&'#"'~V~<?:-#'
~ q<'; ~ &~ay Dist:
~ .;;:::.~ ~<<:-#~iJi},treet Trees Rqd:
^' ~ _~ ~~;;-ved Drive Rqd:
~ ~""- "
'" ~ % of Lot Coverage:
~
Contractor Type
ManufHome Inst
Contractor
JERRY OTT
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VN
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
ManufHome
Type of Construction
Manufactured Home
I CONTRACTOR INFORMATION I
License
69455
BUILDING INFORMATION I
Expiration Date
09/26/2004
Phone
541-935-2696
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervlhl,'<l$urface Area:
"r-::S-.~ l-
......;). '-..s:>
0'r)~q;.}J'
J 0~ ~B\.Q):iqiE!tP~RKING
~...0 (P"0..'Ii#i..~t:->~ ;S::oO~~O
,l/r ~ ~ ;S::o<n~d~~~Il:
~~ 'Q~ f'J0 ~($ ~OD;!ji~]) ~
0'" ~ 0 ~o ;,..0 ~ ~ .bl
0" # ^'~ ~ oQ. 0' .~ 17
..s.. o"'~' <:l C i!f ~ n'
O~- ~ 0 ,," 'S- oJi!l 'V ~v
., 'Ii ~ ~.iN ~ _~ ""
I PUBLIC IMPROVEMENTS--f~.s-0-~(r~..; ~Ci' #'~0Q,#,\;)
^- - ~ ,0 q; .l/r 0 0 "
. ~ ~ tbS~ewalk ~p~ .~
~ ,~C f>, o~ ~.1:. ~
~ ~O~o~~I!!l\l1Sll!~lDs:
~ S). ~ iJ CJ'l1
~##~
~~
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
20,000.00
Value
Date Calculated
Total Value of Project
Paeelof2
$20,000.00
$20,000.00
10/08/2003
8
. Uli' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01021
ISSUED: 10/08/2003
APPLIED: 10/08/2003
EXPIRES: 04/08/2004
VALUE: $ 20,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I FI'I's P'!id I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Manuf Home State Issuance
Manufactured Home Placement
Amount Paid
Date Paid
Receipt Number
$16.00
$11,20
$30.00
$160.00
10/8/03
10/8/03
10/8/03
10/8/03
1200200000000002289
1200200000000002289
1200200000000002289
1200200000000002289
Total Amount Paid
$217.20
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.
I Reollired Tnsneetions I
1 Manuf Home Set Up: When installation of all piers or stands is complete.
2 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.
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 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.
1 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.
~Ol'1~G:Qu;W
J6-!f-o~
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0 102 I
COM2003-0 1021
COM2003-0 1021
COM2003-01021
Payments:
Type or Payment
Check
-~"<' ,...
ltiitT. "~-'--","' """".' .;.;
. ""..--"""""" '
, ,
",~...."j j
",",",""f~' ""..'^__.__....' .. ,
Receipt #: 1200200000000002289
Description
Manufactured Home Placement
Manuf Home State Issuance
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SHAMROCK PARTNERS LLC
Received By
djb
t:heck Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Departme~
Pnblic Works Departmen't
Date: 10/08/2003 3:05:13PM
Amount Paid
160.00
30.00
11.20
16.00
Item Total:
.)M.I tOM'"
How Received
In Person
Payment Total:
Amount Paid
$217.20
$217.20
.
.
'. ~ -nrr " ,~' ..~ r''''l2>r--'4'r~fl~ ~.J011pt I --I' I
,I . I. Vrf , Tr::<~~1" ~, I, I I 1-' i I I I I
: , . .Il' I I I I 'I I 11...>71" /1,1,,) ~ I I. I ! I 1 I I I I
~_:....'- -~'+I_I' ".1"1 1 I~I 1'- 'I I_'_._L_I_:_J-=J_I_L[]~==
"~I' '. I '1' I 1 . I 'oJ ." I 'I
hi '~r~;~~:",' . '1-- 1 ~-r.~t~~~'''~I,~I-~-T-~-
-:--'Ft=:, b,,~~4--; I I I~--I-i-i-i i - ,
--' _ L__I_I I ' 1- '- . -------
l ~ ~ 1 . . 1 . 1 I \ I -I I i I j I I. I i '- _.-J
"I ! I I . I I ! I I 1 I ,.~~ ~.. I ~;:" i
r:t~ ! I. I-I I --I-fJi~e~-I-o~~:{--r~I:-~
't~l' - _! LI -1_1__1- -,- c\~t~Hotfl11+===
I:-~~'- I II I i I I I-I '-I I I ---
[:----:-1. -1.\ ~', 1-', 1 I--j I I -:--1 i' ---
I: ',' I. I rJ l' I I I I I I I i
I . --I - I . hi I I--r---r-;-I--! 1 I I
, , , /I 1 ::0'" I 'I t
\, i " ',' I'., --T o.>'''--'I-'i I .~ I ---
[:--1- I 1--' ! ~---1-'~ . --11-1 I I ! ,I --1r-
- - - -I I I; 1-' : 1-::; - IP I I ..J""I I i J- ,..
.:- - - ,,_-.;19- -_-I-'--~II_'~_ _lL
, S'1~eL.vh,(, j I. i i~t.. ~II I ,. ' ~~I
~:-;- i ,,-- ~- - 1- ~~'I\rll "~ -i-ii- , r-~ 1 I
-'--~ I~,I ,1-, ~'/-( I n~~~--'-I 1---i-~,-rt1-'
= -= - -Ii; i ~ : 1- _~: I_I I I 1--1 I I I I-I 1 [~ ~
__I_~lJ-=I=r---!_Lt : :_I_~I_ I: I-==_L
. Ii 1 I ..' I I I ~
'-'_ ~=I -~-;ltIJ -I i ~'. I I-l-~I-Ii- -=1 : . 1=
i:..-.-w- I I _._~ _1__1 I 1 I I i I I I I I 1_ LU
:' . I . I~r ,.1 I 'I I '...11,,1, T
[ ~' = I, rn - = = - -, ~. Ii , .. I 1- I I I , 'I 'i~ I ; _ I'
~~___! ' I ~.' ! !.IJ !!" II _,II
,.ll}----'---:- I.~- I' 6 "I <:l, r I j. I Ill! ~I . -----:;:-;;;--.f1r
c/I J! I! ,":) i) I I . j I I ~'''/
; 1- - - - -Gvi I,. I! i f.o,V'!~ - I I ~ - -- - - - tr
,---,-----,-';-,\.".. I' ~r , --t1sr~ .fttl_~ I. I - "1.
.___1 I!o'~ .' -.J~: 1_ _L __I 1_ I .
:~ .~=-H~-+-, , :-1-it-L-~i-1 : : I-l-'-~j-I-ll t--
~_I'-) f.+'< I ! II ! i I ,.do!!"J.. i 1_' J 11.~1 i. I I I i_I_
.' ~ ! :-:.-1.-: I 11_1_-,-LII'_J_~1: .B..~_GII_!_I_-I_.i_ I_i':- i_ LJ_J__!_I_I._
Ilil'LJ -.J III Ili!!III'IIJllli
, I 11-' I 1 1:-1 I-i-~! , 1-,-1' I. !1-i-~4'u'fHr-(-1-rl-,-l-r-:
c:XaY-i..j'&'