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. LQ'Ck't)ON~O~" "S'tAUJ111ON ~~~~~~ ~~,II.;:~2: ~~Utt~~~t."' t:.;(1)~~17'~~;:;'::'i:~.s;rk~'W~~i~,:~~{.:;~~;t~.~"",:,.:ff:::'"
"'\:)':'-'.;"' },:',';:" I"'f'''''-'~:: ',' " 'u"~:i~:J ;;,~-i,..-L' 011. ~:<::r:,;.".,..... .. f.l~.r;::N'''~: ~""~~~Id ...LI;.:;~j;;ill~;;;;:"'!'~hl;,':':',~"::"i'~:":i;.:~;;!:,.'~~~;;(~':~;'~:;iit
..).~~.~",:,~~.,."
' '-1 ,.:> U '-'M "" VT Eb' ... ='~~:~~b';:;~:~:I;;n';;;:"'''''---''''~t1~;
LEGAL :DUiCR.IPTION .,--,-., 0 ~ !Ilcluded:!~\>;
1'lf>3.0sJ/ ()3....>u \0110 I'A.'A C ~'.,""\'
. \1'0 "so ~~ ~ 'l\lm'(';'
ol'"s \",,0 ..";;.,,,'
,- , 'I :o~\\\a eC\\\C ::'~~;":':
~.':.'~,'_:::__{,~r:':;,:,.,:"'.i",:,.,',;.,,,., JOB D!Jc;tw'TI9,~ _ ^ . /...".-"'" __ "S :~,,\'o s~ 1000 dciitl. rlossl... _ $106.00 .~:,1}:'~
.:-,~-:" _,,,If ~JJ/V-"':.'[l,.~r-:"'\~ n J\oV ,:',G~;~::~;i!
~ , ,.. \o\\o'llo ...I. aoe .Il / ortion ~}._~\!~~:,:::.
':-~~\i~'l.;, \':m~ ~ ~f\v 1 '"':,.. . 1~ "
,.,.. ' Permits are ~n-trnTl$re:~I!"".~~~P;'" S 19.00 j"",",,:L
::"..':.:,.".'~:_,',;':,.,:~:",".:".~,',:".:.,.....,.:::..,.",.;::,:"..,.",'.,:,;.'.:~~r&E~rl;;tf:: ~~o~:ed ~"\"s~~"a\\l'O ~:,)!~~;;~~t~:/ S 50.00 ~
. ::," ':>:{;k:. ;-: . a " .\~-tt~~~~ t~..l\i,.~l~'~~" '.~~r:W .~:
2. CO~prOp. ~fT~~ ON'",Y B. S:rn~ or Fteden _-b~;r,l{'i~ .S~,..,;:,~i:,\. i;!~{f:
:;;;;-;t:,' .!;+/ InSlllllat1an, Alt=_~.~f:O ......,.,':, ::;,:,.".; -"
El ._~I,tf:~,:>. '):-",';0. n""Ocalloll'. ,.'~-',~.,,;J 'l;' 7'!"')"':'~. '._~-;_:',_:.
octnlo'W. 'l'2un~tQT-"I:'> ...~ i~.g;.'J.,1:1:f.;,," ''t..;..,;..... .r.:...,.....~.
. !,;:.:.i~'Di'xOM~:~':.I::CTRIC INC f.~~~r:~1~~J~ ~"f~~)t~;:~.f.;~}~t- :;~i;it)
:.i(l';~.~,~.,. . ,,~.~~ ' . ,~~~E"""--'}il:l~~;l.." .. '....' . i~~f~'.~t:{'.;'t~:,..T;;" ;;:l;~i,i;.t_1;;-
Address !rr:t.~;tI~.:~37~1\;lW...MABII,,1 ~~~:.~~;~~~~2::(~~~~,: i.~.!,'.;~-S:~~.OOf~!.::~:~'~1.r
'~>!;~RES~' ",' OR 9742 !O. , "J:J!h~-i;1,' '" ,:5~~~:';::;.;
. '''''''''''0 :,',"~"( i:ri',..-',.'."w~".,
CIty '''''"...'15iIi~~~ "~ "",," 'il.. j,:,
, ~;~,!~-::;-:<~rij~)!' Ji;};"ri~r[<. ,', iij~:', ,.,AA\p~~~;~~::~
supC<\-ubi,t#:-:<;<.,!5,j1l#li~ ,,~:~it;, .!b~~:;i'"4;l;k%,;f!i;t?~:qq'~'i"-';;'i,
I.,>-.:ffi>::..';!t>: '1t3't",Ji,Ii.;.:, .,.; ".~~I~~1f.t .. ,~".;t'"..:tt~.;,.'y:,t;>"''''~"~an:i'I'7I;tr:.~';
~;{~~!! ~,?i~L~iJ~~~,.'~~~if:~=~~ ;it,;::~~~:.:"".~.~~~i..:~t~i1~
"'&"'"fr:,Xf.j;J;'''''''~'''~~~''' .., 'ilhk- "". '....1.
i~j~st,~~" " Qns -'."..;j,~]~~~i~~i;;'~;t~ '-~:.:~~\~/1?i'~1~5~~rfl~
.'",."..,".'c,,;'.~~)~.-pll<itlonD31.e Te if v~t__ " .... .,..$f!l;I' ~_'_''''_
.'-,..:,.-..,.I'...."...r""I~ .~ ...~w~ ~
~.:iE';;.~.;'!{'~~rt~~r.~~~:\;..." ,.""t':t;~~ilCI;.S\~! '~ ,t.~{~l,~ ~~t\I";:~S'
:::~t;i'; ,~,;fil i"""",qfSuperv' 'Q"El.ttrlclan ~~~~;C~\'1lt:-,f~bvor '_ :,..,/ '" '0.,,',
~~~:'%ff Y:. ;"'>:~Jt~~ :, _ \~~~~\~~~~~~~~a1:~~~.~~-;;"".,,\1~~~~. ,;
.,;)'t...._'.\:..;~ ~,~...:m~. ,~"v.;J.. . ^ ~ "',".' '~' G- G D."Srnnc.h . -, . "
,~~..-. --.:: "ll"""'....., . ~~lj' ....,'" C"''\'I.~ ....'" """l''>'''~
,t..",:.;t'r:~; ..," '~.. /.'~'.." . ""\}\~ Now ., :)TEittenslonPer'OM.~ ;~:;J':;~:
.r"'~;.?:!C~.\JI.~..,,",^..r...~, .,.'. ..:>t_. ,. -'''"4-, ~{+:. ,,;,;t':
-;_\i.-(~;.1t:?~lt:~~~_~'."'7 -L!",~':,.. ?...~~"}- ,.~.~~~-". __ i'~)f~ i,]t: .~~~:~~Z: ~U~~.l
..'C..;~,.:'"'.~:,:..ti1j'.::" - ,-:J7. :7: ,~..~~ . f!~ ",' Onf~:'fq~ ii'h: ....~)~~~ .':.'[;:')",~,
.\\'.t,~:lrf:~1:~.~~ ;..,...;p,:~ ~.~ ~ ".. . ... ~I"' f...... ~:-,~';:_\o"'tti"'~ :;:i!r .. ~.. ":. "~'-o~~ ~.: ~-;'~:i:,
,.;'i,,,.~..\'_~r=;,i,~,.j,.,IO'.F'~,,._~..~<-,,..q AI..".'....~. .<.~c,..~.~ ~ q!.lf~l~......~ ~t\., ."'_.I':~.,~.'\'.... ".
.~.... ~ ,..,._,\I'j'~.ll.\I.,~:'r"..tl,.,,1 ',' \,lfU"J.~' ';i!'. l:',~\~:"''a:'J !''''''. ".f) .?tJ.; .i'!~;.AI..f.,..,,\~'1'~.~.:::.~
. . .-. ,- ,c, '__,Ct'.'''' '~~i.Ck,,',,::,,:,"... ,'" c '"'''''''11"''' .. ",l",,~,i%i~:'\S aJ'~4;\.\C., ~'fi-";''::'i:J _.' ,'. ,.,,..!-,"~...
.",:::.;'i:.i1:~".ClJi' .:,[?~~~;..,Phli!l.l!'\:,.'::. ""\ilI,.._~"n (l.<t.,~ ~>:\\<i ~~O...,., . ,"..,. '". .
J;i;~rlj;if~~:~~~:~f~~~.~~j;i~;~..f~~ ~e._. ~:~II~. '.- ~,~~~~t~t~n~cl'u~~dTt.,..?..;.'~r;a."f.~;~.:.~,:'..~..~,f:.
,..'.,...'.""n.b"....liill\i~&1i.,"','" <lif'--"" .VV'l ~c "",' <: '.__
1'~~ll.il:(,. ~1~1~~~i:"i'1
: 39N\JHJ "---" .:'- ;'.'.,W..,. . """~-'" t
SG'~G~ $ G:OJ3~ lW\J
GODG O~ d3S:31\JO
T.9LOT.OO-T.O:#SN\J~1
-,
'i'.
./
4WVU.1