HomeMy WebLinkAboutPermit Building 2003-8-4 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
SITE ADDRESS: 4750 FRANKLIN BLVD SPACE D4 Eugene
ASSESSOR'S PARCEL NO.: 1803031I03500
. CITY OF ~r1UNGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00695
ISSUED: 08/04/2003
APPLIED: 08/04/2003
EXPIRES: 09/30/2004
VALUE: $ 15,000.00
TYPE OF WORK:
Manufactured Home in
Park
New Residential
TYPE OF USE:
PROJECT DESCRIPTION: MH in park - space D-4. Renew building permit 120604.
OGG ERNEST L 'lO~\O
2415 17TH PL SPRINGFIELD OR 97477 00,\)\(1'1' (\ \-\\\\\\~ ,...
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,o\\O~ eel' \1)\'(\1 . < O. ,'..' . .
.~\C7J,'iJ,O(\ 1)1)\-1)1) . co?\E1~,!),nse' "ExPiratIon Date
~o~,,~ 902-_~,, 0'o\7J,\f\ INO\'69'4~$. '; \'; . 09126/2004
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Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Owner:
Address:
Contractor Type
Manuf Home Inst
Contractor
JERRY OTT
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
R-3
VN
Phone
541-935-2696
o/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEV"-LurlvIENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handici/pped:
Paved Drive Rqd: ,1,cO.pP'lft:
\"\:.' ~
% of Lot Coverage: I;..'I--?\?.s:- \r,?-~\\ \S ~O
....(;.. ~utl.\.\.. _",e.?t: _n IOO'?-
I PUBLIC IMPROVE'ME~iS:l~ ~~'i)I;..'(I ~~\>o~'i)\l\"-'
\' ' ni\\~- \)9- \S
\>o\)\\\~I;..~c,I;..'i) S~~rot.\k Type:
c,OWi i:C\J 'i)\>o'l bownspoutslDrains:
\>o~'l
I ValuationDescriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Paeelof2
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Manuf Home State Issuance
Manufactured Home Connection
Manufactured Home Placement
Manufactured Home Service
+ 10% Administrative Fee
Renew Building Permit
Total Amount Paid
.
. CITY OF ~rKll'j\.d<lELD
Building/Combination Permit
PERMIT NO: COM2003-00695
ISSUED: 08/04/2003
APPLIED: 08/04/2003
EXPIRES: 09/30/2004
VALUE: $ 15,000.00
L.Fp.p.~ Paid I
Amount Paid
Date Paid
Receipt Number
1200200000000001879
1200200000000001879
1200200000000001879
1200200000000001879
1200200000000001879
1200200000000001879
2200400000000001482
2200400000000001482
$25.50
$17.85
$30.00
$45.00
$160.00
$50.00
$4.50
$45.00
8/4/03
8/4/03
8/4/03
8/4/03
8/4/03
8/4/03
1216/04
12/6104
$377.85
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.
I Rp.ouirp.d Insop.ction~ I
Manuf Home Set Up: When installation of all piers or stands is complete.
Final ManufHome 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.
MH Service: Approval required prior to utility company energizing service.
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.
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 constr tioo.
-"
<.::: n>
Owner-or Contractors Sign~
1;))f4/0L--j
Da~el I
Paee 2 of2
225 Fifth -titreet .
,- .
Sprmgfield, Oregon 97477
541-726-3759 Phone
.
RECEIPT #:
Job/Journal Number
COM2003-00695
COM2003-00695
Description
Renew Building Permit
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
CreditCard STEVE OGG
12/6/2004
.~
1Ik--
.aty of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200400000000001482
Date: 12/06/2004
2:31:36PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 053080 In Person
Payment Total:
Amount Due
45.00
4.50
$49.50
Amount Paid
$49.50
$49.50
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