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HomeMy WebLinkAboutPermit Building 2002-9-30 .. .' . tom lli)) ,.(1 \11 I Job# 02-01171-011 . Page 1 of 2 TRANS#:01-0010761 DA TE : SEF' 30 2002 AMT RECD:2 $ 323,25 CHA1~GE : CASHIER: 061 ~," , .... " CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-01171-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4750 Franklin Blvd E6 Eug Assessors Map#: 18030311 Lot: Block: Addition: Tax Lot #: 03500 Subdivision: Owner: Ernie Ogg PO Box 186 Phone Number: Address: City/StatelZip: Springfield, OR ,,()va~~: "....$18,900 c:, I .~.. ".\.' ,.':j \..) "o'~, ,,>" 0" 0' !;) ,{eC,-",~ .r(OCO <_r'J;\S ,._'O~ ,\~"~,,<:,-2-'0?"'r:~":J <l~J,^0 Contractor Registration #,. Expiration:Date' Mels Budget Homes ~m;~;~'<~O"':~~~~/3'1~;OO~\'()~- 0' oU" '\.~. ~v €I. 0"" 3980 Main St, Springfield, OR ~~"",'1r ~,0\,,(;j c,o~ 0~'~\~ ;~. ;-<.<() ~v r.0 ,~v ',$' _'0" ..;~ ,~~ Dixon Electric Inc ~ ' d -:; . 0~668%4' o~....'l>, ~- ,7/.18/2003 f- o~ ~ >J 13" 0'" r'J'')V 33736 Martin Rd, Creswell, OR \~{~C.'l> c:~ ~'?>~ 0~ O...0~~~tr" 97426-9756 _'0"1 ~<(;o_IO'> ,&-~,v 0 ,~O ,- 0 ..... ~"I ~'iS' \'" Manuf Home Install Mels Budget Homes .~ !;)C1)(;j'~~69~4) ~e\ 5/31/2003 3980 Main St, Springfield, OR I:l c.'l> ~'Oe (;13 <;;>,-<> .L Mels Budget Homes 066954 5/31/2003 ~\:)~~'\ 541-747-9585 3980 Main St, Springfield, OR .~ ~\:) . -<;,. . ,c.., Office Use <J.~~ ~~~~ ~~ Quad Area: Land Use: ~\, ~~~~ ~Idings: # Of Units: Zoning Code: . C:J~~'\)~~ ~upancy Group: Constr. Type: Bedrooms: ~\fV<(,~$- \0~ ~ {;l ~~.eat Source: Water Heater: Range: ~(,':j, S 'X~ ~'\.~(.\) ~.......~\:)'Sq. Footage: '\,) ~~ ~v ~' To request an inspection call the 24 hour recording at 726-37($> ~!~~::;'ilt~ns requested before 7:00 a.m. will be made the same working day, inspections reqUestedl<lft~ ~lff a.m. will be made the following ~~~ ~ Scope Of Work: Manufactured Home in Park New Replace MH in park Contractor Type General Contr Phone 541-747-9585 Electrical Contr 541-895-2440 541-747-9585 Plumbing Contr Required Inspections Electrical MH Service MH Plumbing Sanitary Sewer Line Storm Sewer Line I Plumbinll I -After home has been connected to water and sewer. - Prior to filling trench. - Prior to filling trench. Job# 02-01171-01 Required Inspections I Manufactured Home I -When all blocking is complete. -After all required inspections are approved and porches, skirting, decks, venting, house number ii . " . ~ \ -' I' MH Set Up MH Final Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory: Fee Minimum Electrical Permit Fee Manufactured Home ServicelFeeder State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical Minimum Plumbing Permit Fee State Surcharge - Plumbing Manufactured Home Connection 8% Administrative Fee - Plumbing Total Plumbing Manufactured Home Setup Fee Manufactured Home State Issuance State Surcharge For Manufactured Homl Manufactured Home Administrative Fee Total Manufactured Home Grand Total . Page 2 of 2 # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Paid On Receipt# Electrical I 09/30/2002 10761 09/30/2002 10761 09/30/2002 10761 09/30/2002 10761 Value/Quantity Fee Amount 1 $.00 $50.00 $3.50 $4.00 $57.50 Plumbing 09/30/2002 1 0761 09/30/2002 10761 09/30/2002 10761 09/30/2002 10761 1 $.00 $3.15 $45.00 $3.60 $51.75 Manufactured Home 09/30/2002 10761 09/30/2002 10761 09/30/2002 10761 09/30/2002 10761 18,900 1 $160.00 $30.00 $11.20 $12.80 $214.00 $323.25 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. 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 appromet ~laBc;frem . on the site at all times during construction. 'J/ff2I/ ~u ~/ P- J{)~O"V ~~~- - ~ "'i';A.....g~:~r.J,t'Il:j;S;plEET ,.~"~; ;!;\;;t~:fJ~'" "lei ;J:i,i.'.';:.. E~'~~~l'~j~A,~~,),Cr', ~~.:... ,.H,;'. O:'~"~'SPR.IN~ ORBOON974Ti ,..-..!..,;"t~.l.:/~ L;. l'~;~~"", :;~':.'!"~';T.~,j.::~~I;"k""'" ,,~~~,,:,:,-,,"\".':!:'.,u;~~;I";:'''~'';'''''~':u!l''''~ ,i,~"',.. ;~~i~~rlllJ~~J"t1~~~I~tl~~ i";;':'~~l'~~: ijt.;: l. 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