HomeMy WebLinkAboutPermit Building 2000-01-10Job# 99-00951-01 Page 1 of3
Job Number: 99-00951-01
Office:726-3759
lnspection Line:. 726-3769
Tax Lot#: 00204
Subdivision:
*.
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1919 00022ND St SPR
AssessorsMaP#: 17032500
Lot: Block: Addition:
clTY oF SPRINGFIELD, OREGON
Owner: SuPer Sales
Address: 90747Roberts Road
Scope Of Work: Manufactured Home in Park
48,400.00
Phone Number: 541 -341 -121 5
City/State/Zip: Coburg, OR 97408
New Value: $0.00
Contractor TyPe
ElectricalContr
MechanicalContr
Contractor
Dixon Electric lnc
33736 Martin Rd, Creswell, OR
97426-9756
Home Comfort Heating & Air Condit*
Po Box 24205, Eugene, OR 97402-
Registration #
66894
Expiration Date
7t1811999
Phone
541-895-2440
541-345-2838841646t2511999
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
Office Use _--
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy GrouP:
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording a1726-37.69. All insp-ections requested before 7:00
a.m. will be made tne Jim-JwJrkmg a;t, inspectio"ns requested after 7:00 a.m. will be made the following
working day.
Required lnsPections
site -To be made after excavation but prior to setting forms.
Manufactured Home -When all blocking is complete.
Set Up
Footing -After trenches are excavated.
Manufactured Home -when blocking, setup, and plumbing inspections have been approved and the home is connected to
EIec
Manufactured Home -After home has been connected to water and sewer
Plumb
Water Line - Prior to filling trench.
Pedestal - Prior to cover.
Sanitary Sewer Line - Prior to filling trench.
Job# 99-00951 -01
Required lnspections
Transfered Records
Fina! Mechanical -When all mechanicalwork is complete
Mechanical
Final Mechanical -When all mechanicalwork is complete.
Page 2 of 3
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
# Of Stories: Height (feet):
Current Units: Proposed Units
Gensus Code: Does not apply
(sq.
Accessory:Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Transfered Records
Plan Check Fee
Building Permit
Electrical Permit
Plumbing Permit
SDC-Storm Sewer
SDC-Sanitary Sewer
SDC-Transportation
SDC-MWMC
S DC-Ad ministrative Fee
SDC-Willamalane
Manufactured Home
MH State lssuance
Total Transfered Records
07t13t1999
09/2911 999
10t29t1999
09/2911 999
09/29l'1999
09/29/1 999
$48.43
$74.50
$82.00
$90.00
$468.64
$965.40
$491.60
$274.81
$110.02
$699.00
$105.00
$30.00
$3,439.40
3481 9
35689
36055
35689
48
75
82
90
469
965
492
275
110
699
105
30
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
01t10t2000 0000199
1
$9 00
$.45
$6.00
$10.00
$1.0s
$26.50
Grand Total $3,465.90
Main:
Mechanical
Job# 99-00951-01 Page 3 of 3
By signature, I state and agree, that I have carefully examined the-completed application and do
n6redv certifu that all inforriration hereon is true and correct, and I further certify that any and allwork
perforined shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
tne State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure -witnbut permlssion of the Communlty Services Divisi.on, Lujltlg 9glety I further
certid that only contractbrs and employees who are in compliance with ORS 701.055 will be used on
this project.
I further agree
address is read
to ensure that all required inspections are
able from the street, that the permit card
requested at the proper time, that each
is located at the front of the property, and the
approved of remain on the site at alltimes during con struction.
/*za -oO
atu re Date