HomeMy WebLinkAboutPermit Building 2002-8-14
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I Job# 02-00982-01 I
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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
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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.
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I Job# 02-00982-01 I
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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.
Signature / Y
??-/3.07.-
Date
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