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HomeMy WebLinkAboutPermit Building 2002-8-14 ~ " , I Job# 02-00982-01 I , dJi/ '", RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 TRANSa:Ol-0010287 DATE:AUG 14 2002 AMT RECD:2 $ 265,75 CHANGE: CASHIER: 003 CITY OF SPRINGFIELD, OREGON Job Number: 02-00982-01 225 Fifth Street Springfield, OR 97477 Location Of Proposed Site: 1120 Assessors Map#: 17032731 Lot: Block: sz Fairview Dr r Spr Office: 726-3759 Inspection Line: 726-3769 Addition: Tax Lot #: 00600 Subdivision: Owner: Address: Fairview Mobile Home Park 1120 Fairview Street Phone Number: 541-726-6803 City/State/Zip: Springfield, OR 97477 New Value: $1 Scope Of Work: Manufactured Home in Park Installing a single wide in a previously occupied space #52 Contractor Type Electrical Contr Contractor Dixon Electric Inc 33736 Martin Rd, Creswell, OR 97426-9756 Mels Budget Homes 3980 Main St, Springfield, OR Mels Budget Homes 3980 Main St, Springfield, OR Registration # 66894 Expiration Date 7/18/2003 Phone 541-895-2440 Manuf Home Install 541-747-9585 Plumbing Contr 541-747-9585 Office Use Land Use: # Of Buildings: Zoning Code: 0 Occu~ancy,.Group:J to NTION' reC!!lIlI<1.V '~,-;> ._-, Bedrooms: ATTE . t'Heat Source:gon Utility I adopeIJU\lUI~"""- Range: . IO~~~~;:~~~"ntAr ~~b~gC?t,!g!Fire set forth ..v....-;;~~? 'ln1-0010througn U1-\" "',,':'-W' To request an inspection call the 24 hour recording at 726-3769~ :S;II1inspections requested.beforet7,OOules by a.m. will be made the same working day, inspections requested:after..l:00Ja'Tm)\Mii'oe'In"audil:ffi'e:followingne working day. calling the center. \1\lOIU'" '\I~;" N~tifi~ation . numberfortheOregon _!~'L..\ ReqUired Inspections Gel11er IS I-OVU-'N~ -- . I Plumbina I -After home has been connected to water and sewer. Quad Area: # Of Units: Constr. Type: Water Heater: MH Plumbing MH Set Up MH Final I Manufactured Home I -When all blocking is complete. -After all required inspections are appro'i1~Tl~~rches, skirtinE, ~T~~slf~~~\}~e number I lHIS PERM~6 ~~~~~ !HIS PERMIT IS NOT ~~~~~~CED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ". , I Job# 02-00982-01 I , Page 2 of2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Plumbin!l 08/14/2002 10287 08/14/2002 10287 08/14/2002 10287 08/14/2002 10287 Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge - Plumbing Manufactured Home Connection 8% Administrative Fee - Plumbing Total Plumbing 1 $.00 $3.15 $45.00 $3.60 $51.75 Manufactured Home Setup Fee Manufactured Home State Issuance State Surcharge For Manufactured HomE Manufactured Home Administrative Fee Total Manufactured Home Grand Total Manufactured Home 08/14/2002 10287 08/14/2002 10287 08/14/2002 10287 08/14/2002 10287 1 1 $160.00 $30.00 $11.20 $12.80 $214.00 $265.75 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 appr'!J);;..{/ PI~site at all times during construction. 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