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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. 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