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Home My WebLink AboutPermit Building 2000-10-19 c. . . -. Job# 00-01522-01 . Page 1 of 2 TRANS#:01-0003525 DATE:OCT 19 2000 AMT RECD:2 $ 206.00 CHANGE: CASHIER:061 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Phone Number: 541-741-8107 City/State/Zip: Springfield, OR 97478 New Value: $45,000 225 North Fifth Street Springfield, OR 97477 location Of Proposed Site: 5335 Daisy St Spr Assessors Map#: 17023300 lot: Block: Addition: Owner: Address: Greg and Lori Huffman 267 S 40th #4 Scope Of Work: Manufactured Home in Park Placement of M.H. in park Contractor Type General Contr Contractor Gooden-Harrison Construction 1441 hwy 99n, Eugene, OR 97402 Heritage Electric 1042 Horn Lane, Eugene, OR 97404 Electrical Contr Quad Area: # Of Units: Constr. Type: Water Heater: Office Use land Use: Zoning Code: Bedrooms: Range: Job Number: 00-01522-01 Office: 726-3759 Inspection line: 726-3769 Tax lot #: 01300 Subdivision: Registration # Expiration Date Phone 541-689-7762 541-729-1500 # Of Buildings: A I 11::.1\1 i 1UI\l:UI9f.c,~Pjl")9Yc,QnQ.l!~'OU to follow rules ador.H~~t~Q~!:c)regon Utility Notification CenteSq.tRo..Q.tag'e;s are set forth ill vMn ;32.i)i) ;-i)i);\j l; IIvl.Iyl, OAn 5:i,2-(jJ.- To request an inspection call the 24 hour recording at 726-3769. C'A1BiasrtettionsYreqmistea'll1l;ef0f.€!~~orules by a.m. will be made the same working day, inspections requested aftetc7~:(j)m;:a'.Irn: \w.iIIrl:>e'.rDaae3ttle'fdIl0~irif@ne working day. numberfor the Oregon Utility Notification Centor j~- i -~nn-~22-2344). Required Inspections Electrical I MH Service I Plumbing I -After home has been connected to water and sewer. I ~0T~~J.I1E: Manufactured HpOle__ _ When all blocking is complete. I nl-::l r-t:.RMIT SHALL EXPIRE IFTHE WORK Aft II . d' t' 0.' IT', 'Q\r->'"?I-'"' I "~.....r-n if.lrt'" D'd""" fl'T I~ ".lC:l..~ - er a require Inspec Ions are aplJr.ovea'anU:~orCI'les'lSI\I Ing,ll: ec~s, v:er.JlIllg, house numbel COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. MH Plumbing MH Set Up MH Final I I ., . I Job# 00-01522-01 I . Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Electrical 10/19/2000 3525 10/19/2000 3525 10/19/2000 3525 Value/Quantity Fee Amount Manufactured Home Service\Feeder State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 1 $40.00 $2.80 $1.20 $44.00 Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Manufactured Home Connection Plumbing Administrative Fee Total Plumbing Plumbing 10/19/2000 3525 10/19/2000 3525 10/19/2000 3525 10/19/2000 3525 1 $.00 $1,05 $15.00 $.45 $16.50 Manufactured Home Setup Fee Manufactured Home State Issuance State Surcharge For Manufactured Homl Manufactured Home Administrative Fee Total Manufactured Home Grand Total 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 701.055 will be used on this project. Manufactured Home 10/19/2000 3525 10/19/2000 3525 10/19/2000 3525 10/19/2000 3525 45,000 1 $105.00 $30.00 $7.35 $3.15 $145.50 $206.00 I further agree to ensure that all required inspections are requested at the proper time, that each address is rea abl1/r. the street, that the pennit card is located at the front of the property, and the approvJ(!;.t f~. sc~n the site at all times during construction. L M9 /00 / I ' Signature Date . i '\ , I ! .~ . I I . i t i . '. I . - The following project as submitted h~.S the following . and does not. require specific land use zoning, , approval.. L i) IL Zoning (J7) 225 FIFTH STREET fb -" (q., \ SPRINGFIELD ,OREGON 97 ~,ty . f<u.-/ INSPECTION REQUEST.: 7~lli3m Signature OFFICE: 726-3759. 2. CONTRACTOR INSTALLATION ONLY .B. Electrical Contractor ~~ ~ Address /tJr2- ~ ~ . City ~~ ? Supervisor License Number 1. LOCATION OF INSTALLATION 53 J )' ~(S'-/ /' LEGAL DESCRIPTION /70830--0 C::> f :t 0-.0 . JOB DESCRIPTION ~ J/V1 H- PL~6tL7 /I'Aetc. Permits are non-transferable ~d expire if york is not started vithin 180 days of issuance or if work is suspended for 180 days. Phone 7.;2 9 - / ~OO ~f5-.s /1-( o{ Constr Contr. Number b ~/3>7 iQ;... __ 2-L/J!/C;Y ( I - Signature 0 Supervisin~ Electrician -. ~ .~ Owners Name G-R-.f:::(S- I-lcA ~ ~ .> C-t 0 I<--- ..d C( Phone 7'((;- <6JO 7 Expiration Date Expiration Date , Address Zb7 SP;:ZJ Ci ty O\1NER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: /0 ( So 0- 0 '35'2- 5" ~f? -- 'ELECTRICAL PERMIT APPLICATION ci ty Job Numberoo .-o/5~2. - 0 1 3. COMPLETE FEE SCHEDULE BELOV . A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Su 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular. 'Dwelling Service or Feeder $ 85.00 $ 15.00 I ,$ 40.00 .!:a) Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Ov~r 1000 amps/volts Reconnect. Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see liB" above D. Branch Circuits , . . New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $' 2.00 E. Miscellaneous (Service/feeder not includec -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. ~YBTOTAL OF ABOVE 7 fI. State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ ~.OO $~ $~~ C"J !t~ ~ ~J4E_ ...ED 0 ..{~ ?? ~ ~&B acn. Otrl O'-maol'..:l ...........OOtrl . .06-00 02: 1BP \ . P.04 . . . ,1' , . DEVELOPMfNTSfRWCESDEPARTMENT 22S FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726.3689 J . Manufadured Home Placement Permit Application City Job Number: Placement Location: .'" (;;ro..l"c:.._4C}. F.1 +~+~ s'. ..?"33S h~~ ~ey , =*.1 O~ AS!le&!lors Map Number: Tax. Lot Number:.. Lot:__... Rlock: Subdivi.!lioo: ..' Partition Number: Parcel Number: Has Partition Reen ^rprovcd?: -oWNRR-- I Name: G.....~-'l -t:" kr; H"" .ff~,,1'\ Phone NumbLT: 7'1/-8167 Mailing Address: (" ..l1y:_, , Slate: ..._, ZiJl: -CONTRACfORS- Installer: CCll#: " Exp: Phone; Plumbing: ,~f"'" - ~~~r: \&:;4, (~t)..rr CCR//: Zo-.2~ t::xp: . CCB/j: (., > J2,l F.xJ1: CCBt/: Uc.'i 41 Exp: ,,,__ Phonc: be? -77101- PhOllC:.~.-'(,QO Phun~:.w1-77fo.~ F.lectrical: \\t..r;-\-"4t E.\e,ctr;c... General Contractor: CX'.tJdt'Oo'\. - l-\c,rr: ~n (if applicable) McchtlI1ical Controctor: (if applicable) . ccu#: Ex : ----...... ..,- p Phone: --LENDING JNSTITIJTE- Fhl!linesll Name: !'hone Numher: Mailing Addrcs:i: Attention: . Citv: ...-.. Stnte: 7..ip: .. ___ I -PERMIT INFORMA 1'ION- Value ol"Home: 4..~oc;o Value (If l"ooting/FoUJIdation: NQ.N.C Sq Foouge ofHomc:l~o Sq Footlsgc ofGnmgetc=:"llmorj) , Type ofHclJl;.J;[eCc_ . , Heat Pump Inst..'\lIation7:.u -'-' .rz.. x 2." .~ S \ 2.. ScJ.f-+ Application Received B)':_. Date: PIM Cbe<:k Fee: Receillt Number: - ... ~IJ I ::::- I' r1 ~ ~= = ~ ~ :~ :.~.: ::' :: ............................... - >- ....- .- ~. .-. ~ " ., .4 .. ._ ".. ... . ;U ~' ~ .... .:' -, -. '- -- ... .. .. -- :..:;:::p .. .- - ,- - ...- ..... , .~. .~ :::"i' " ,COI'\-trG\C.fo.... : 4 Good~ \-\0.".. ~t'l 1'T' J YW I/wy qfjN C~e'lt.. 0(2. 97Yo?.. 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