HomeMy WebLinkAboutPermit Building 2000-1-24
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I Job# 00-00101-01 I
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Page 1 of2
TRANS#:01-0000345
DATE:JAN 24 2000
AMT RECD:2 $ 162.00
CHANGE:
CASHIER:003
SPRINGPIELD
~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00101-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4750 Franklin Blvd F-2 Spr
Assessors Map#: 18030311
Lot: Block: Addition:
Tax Lot #: 03500
Subdivision:
Owner:
Alfred A Allen
1405 S 2nd Street
Phone Number: 541-746-3830
City/State/Zip: Springfield, OR 97477
Move Value: $5,300
Address:
Scope Of Work: Manufactured Home in Park
Contractor Type
General Contr
Contractor
Jack Allen
Dove Lane, Eugene, OR
Registration # Expiration Date
Phone
541-463-1985
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections 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
working day.
Manufactured Home
Plumb
Required Inspections
I Plumbing I
-After home has been connected to water and sewer.
Manufactured Home Set
Up
Manufactured Home
Final
I Manufactured Home I
-When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house number
.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
Fee
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Manufactured Home Connection
Plumbing Administrative Fee
Total Plumbing
Manufactured Home Setup Fee
Manufactured Home State Issuance
State Surcharge For Manufactured Horn
Manufactured Home Administrative Fee
Total Manufactured Home
I Job# 00-00101-01 I
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
I
Paid On Receipt#
Plumbing
01/24/2000
01/24/2000
01/24/2000
01/24/2000
Manufactured Home
01/24/2000
01/24/2000
01/24/2000
01/24/2000
Granfit~ ~ 0/ C? ~
Signa~
.
Height (feet):
Proposed Units:
Page 2 of 2
Value/Quantity
'I
Fee Amount
1
$.00
$1.05
$15.00
$.45
$16.50
5,300 $105.00
1 $30.00
$7.35
$3.15
$145.50
$162.00
iat~.. ~
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DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726,3689
Manufactured Home Placement
Permit Application
City Job Number: ()() ~ aO 10 / -D I
E \l"EoJ E- V'L-" -o61\.b. V \ I.l1'\C:lE:'
Placement Location: 'l-1S() f\(,Ii\l'i\i.w", .~L.VD. .:st'IIc..fO F -2, 8.t6.€l\It:. 01Jl.1:. Q1+o3
Assessors Map Number:
'CO 03 O~ 1\
Tax Lot Number: 35"0
Lot:
Block:
-
Subdivision:
-
Partition Number:
~
Parcel Number:
Has Partition Been Approved?:--=-
Name: A L p.q.. €:'<l
Mailing Address: I 405
--OWNER--
A. 1t L..L€N
S~m ~Nt Sf-
Phone Number:
City:
S (J Ft..O
State: ~ Il-t;;
1 t./-fq -3830
Zip: q1+11
--CONTRACTORS--
Installer:
W W (.0 IV l"A""-""l ,
WAL..... LGa~
Electrical:
\'
II
CCB#: ,"~I 8+3 Exp: J 2. -Oz, Phone: ~ 18 . 'l1~S
CCB#: (11" r 8't~ Exp: It. .17? Phone: ~98 - 'H' ~S
CCB#: mOr 8'+3 Exp: ( 2.."z. Phone: q-tt8. 182$
CCB#: ll:z.llf Exp: 3- 2001 Phone: ,H3 ,J"! rss
CCB#: Exp: Phone:
Plumbinj!:
\l
"
General Contractor: T r.c:.l< A u..;;,.J
(if applicable)
Mechanical Contractor:
(if applicable)
--LENDING INSTITUTE--
Business Name:
Phone Number:
Mailing Address: -
Attention:
City:
State:
Zip:
--PERMIT INFORMATION--
Value of Home:
Value of FootingIFoundation:
Sq Footage of Home:
Type of Heat:
Heat Pump Installation?:
Sq Footage of Garage/Carport:
x
Application Received By:
Date:
Plan Check Fee:
Receipt Number:
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