HomeMy WebLinkAboutPermit Building 2000-1-7
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Job# 00-00024-01
TRANS#:01-0000195
DATE:JAN 07 2000
AMT RECD:2 $ 206.00
Page 1 012 CHANGE:
CASHIER:004
RESIDENTIAL PERMIT
City 01 Springfield
Community Services Division
Building Salety
Job Number: 00.00024.
225 North Fifth Street
Springfield, OR 97477
Ollice: 726.3759
Inspection Line: 726.3769
Location 01 Proposed Site: 2150 Laura St SPR
Assessors Map#: 17032710
Lot: Block: Addition:
Tax Lot #: 04400
Subdivision:
Owner: Jennie Sutton
Address: 2150 Laura Street
Scope 01 Work: Manufactured Home in Park
Phone Number: 541.747.8931
City/State/Zip: Springfield, OR 97477
New Value: $23,700.00
Replace manufactured home with new one in existing park.
Contractor Type
General Contr
Contractor Registration #
Great Western Homes Inc 46472
5024 Main St, Springfield, OR 97478-6058
Expiration Date
11/12/1999
Phone
541-726-2171
Quad Area:
# 01 Units:
Constr, Type:
Water Heater:
Olfice Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# 01 Buildings:
Occupancy Group:
Heat Source:
Sq, Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested belore 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m, will be made the lollowing
working day.
Required Inspections
Electrical I
Manulactured
Home Service
Manulactured
Home Plumb
I Plumbinl!! I
. After home has been connected to water and sewer.
Manulactured
Home Set Up
Manulactured
Home Final
I Manulactured Home
. When all blocking is complete.
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. After all required inspections are approved and porches, skirting, decks, venting, house numbers, et
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Job# 00-00024-01
Page 2 of2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
01/07/2000 195
Value/Quantity
Fee Amount
Manufactured Home Service\Feeder
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
1
$40.00
$2.80
$1.20
$44.00
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Manulactured Home Connection
Plumbing Administrative Fee
Total Plumbing
I'>lumbing
01/07/2000 195
1
$.00
$1.05
$15.00
$.45
$16.50
Manufactured Home
Manulactured Home Setup Fee
Manulactured Home State Issuance
State Surcharge For Manulactured Hom
Manufactured Home Administrative Fee
Total Manufactured Home
01/07/2000
195
23,700
1
$105.00
$30.00
$7.35
$3.15
$145.50
$206.00
Grand Total
By signature, I state and agree, that I have carelully examined the completed application and do
hereby certify that all inlormation hereon is true and correct, and I lurther certify that any and all work
performed shall be done in accordance with the Ordinances of the City 01 Springfield and the Laws of
the State 01 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 Salety, I further
certify that only contractors and employees who are in compliance with ORS 701.055 will be used on
this project.
I lurther 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 Iront 01 the property, and the
appr~d ~f p~ans will remain on the site at all times during construction.
J~~ 1-7-;2cDO
Signature Date
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The following pro!
zoning. and does not require specific land
approval -..: /7
Zoning I. I XI l___
/- 7 - a()
Date 1wJ
Autnorized Signature
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALloATION
,.2r50 t-A-vdlll ~ ~6
.. ~GAL DESCRI~ION r--
-M~~"">~' ..ASt1Ai',.F y/"'" CEC/'.
JOB DESCRIPTION
I'e> ~2 ") /r? ..e:J YY~Z7
(
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~ 4f~~<l
Address ~o;;A( r-( /}-,,.) Jr,
Ci ty -Xtt,J&f7b-t> Phone 70Z(" -;J.[ 71
Supervisor License Number
Expiration Date
Constr Contr. Number t'~7~
Expiration Date
Signature of Supervising Electrician
Ovners Name ,)6../1.), f 0vrn.J
Address.ll'5lJ LHJft.~
Ci ty Y.-e, J6F/~j) Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Owners Signature:
DATE: 1- "'/ Y!/.c.
RECEIPT #: -/IlJ "5-
RECEIVED BY: /' ~...a.." _
. '/~
ELEC'l'UCAL PERMIT . APPLICATION
Ci ty Job Number~_~2'?1';'6 /
3. COMPLETE FEE SCHEDULE BELOII
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder I
.B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
unit.
Cos t Sum
$ 85.00
$ 15.00
.$ 40,00 ~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE t./~~6t?
7% State Surcharge 2. ~.c:>
3% Administrative Fee I ,:.Ie>
TOTAL 7'7' . t?t!>
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