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Home My WebLink AboutPermit Building 1995-9-19 , .' Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951457 225 North Fifth Street Springfield, OR 97477 Of:Eice: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1835 INLAND WAY Assessors Map #: 18030233 Lot: Block: Tax Lot #: 02400 Subdivision: Owner: JOHN PIGENN Address: 1835 INLAND WAY Phone #: 741-8356 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: MANUFACTURED HOME NEW Contractor Const. Contractor # Expires Phone General: M & A CONSTRUCT 0088928 916 Prescott Lane Springfield OR 97 Plumbing: M & A CONSTRUCT 0088928 916 Prescott Lane Springfield OR 97 Electrical: HERITAGE INV 0063137 1042 Harn Lane Eugene OR 974040000 02/11/96 947-6504 02/11/96 747-6504 12/27/95 688-1600 QUAD AREA: 5RSW # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1344 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 work day. REQUIRED INSPECTIONS --- MANUF HOME/MOBILE HOME SET UP - When all blocking is complete. MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and plumbing inspections have been approved and home is connected to panel MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to water and sewer. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. Lot Type: INTERIOR --- PLUMBING PERMIT --- Item Mobile Home Fee 15.00 Plumbing Permit Surcharge/Admin 15.00 1.20 TOTAL CHARGE (C) 16.20 --- MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/Admin ELECTRICAL PERMIT 105.00 20.00 8.40 43.20 TOTAL MISCELLANEOUS PERMITS (E) 176.60 Job Number: 951457 Page 2 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 192.80 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. ADDITIONAL COMMENTS --- 2 STREET TREES REQUIRED 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 pE~rformed shall be done in accordance with the Ordinances of the City of Spri.ngfield, and the Laws of the State of Oregon pertaining to the work describ"d 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 wi.ll 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 approved set of plans will remain on the site at all times during construction. ~ ~fu-P J q{['1 1C1-....l:=) Date VALIDATION - - - Receipt Number: _/~~;7~ Date Paid: "'7-/'9-"7'5' Amount Received: 1"72, Sid." Received By: I'.:;;f~~-..- \. - . SPRINGFIELD I 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST:: 726-3769 OFFICE: 726-3759 1.\~~~~~-,~ \.5tt)~~~Nn1.~ ",,.TQll RESCR-PTI\I"L-_^Q \ l"l\\\tl I .~)lJ\ .7 pe~mit~ are nou2transferable and expire if wor~ is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTAL~TION ONLY Electrical contrac\od\ Q)(\: ~ Address \tJ\l) _l ~ .~Q j City-f,k 1)Q V\CL Phone '\~~ '. \~ .\ . 19'(;8.i(QCo Supervisor Llcense Number a 4~<:;. \0. \.Q5 Expiration Date Constr Contr. Number~3\ ?-() \~ .a~'q.q Expiration Date " Signat~.e e,; OIfA'~ suupp~erViSing Electric~an .~~ owne;~ Nam~ ~ Oer\.r\ Address \ R?:k ' (~ City ~ hone:141.'6~n , OYNER INSTAL The installation is 'being made on property I own which is not intended for sale, lease or rent. Owners' Signature: --------------------------------------- DATE: q..~.?5""" RECEIPT II: '14'.0'76 DurD'T'l~n RY- ~ ~ ELECTRICAL PERMIT APPUCATIEia City Job Number ~\:if~~" COMPLETE FEE SCHEDULE BELOY C\5\,5 I 3. A. New Residential~Single or Multi-Family per dwelling unit. Service Included: .:...!. Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or 1DP. ". Modular.'Dwelling I .- ,- . Service or Feeder $ 40.00 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 $ 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 "B" above " New, Alteration or ExtE!nsion Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~e ~~,:w . DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726.3753 FAX (503) 726.3689 MANUFACTURED HOME SET-UP AGREEMENT As required by the City.of Springfield that with the approval of the attached manufactured homes will be placed at Springfield, Oregon, City Job Number Development Code, I understand and p~~ts, ~Of the {ollowing \'n;,)~ ... \C'i f\C'\. ,--,:n.u L(~\,,-\~ . \ agree ...,/ Tv~e I Manufactured Home. A multi-sectional (double wide or wider) unlt with an enclosed tloor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce heat loss to levels equivalent to the performance standards required of single family dwellings ~-7'n"JteQ Wldf:F tll,:, c....~.'?'..l'~ . o.:x ~ ~ ?b C3Jt\s\llJG~ TVQe II Manufac.tured Home. A unit of not less than 12 feet in width with an enclosed tloor area of not less than 500 square feet, that has a nominal roof pitch of 2 feet in height for each 12 feet in width and that ?as no bare metal siding or roofing. I further state, by my signature below, that I have been provided with the following information: _ Manufactured Home blocking - Yater line connection - Street tree standards - Sanitary sewer connection - Electrical connection _ Minimum requirements for permanent steps I also understand that if I am installing a Type I Manufactured Home, the home shall be enclosed at the perimeter with stone, brick or other masonry materials, and with no more than 12 inches of the enclosing material exposed above grade. .' Si~~f' A-~ Cil[ \q \cto Date .'