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HomeMy WebLinkAboutPermit Building 2000-1-7 1 yo . . 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. -'" . After all required inspections are approved and porches, skirting, decks, venting, house numbers, et I . . 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 . . . 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!> . I, I' 5'0 ' \ \ \ PovJ(1I.- ;JEw 027' If J g , , e. 1-/19 r--(v '2... " , SC4tt loB . .1 rl ---.. , 2-0 \ . 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