HomeMy WebLinkAboutPermit Building 2002-07-17SPRINGFTELD
Job# 02-00847-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 02-00847-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 04200
Subdivision:
225Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2145 00031st St 17 Spr
AssessorsMap#: 17023021
Lot: Block: Addition:
ctTY oF SPRINGFTELD, OREGON
Owner: Michele Ryan
Address: 2145 31st Street Sp 17
Scope Of Work: Manufactured Home in Park
Install MH in existing park space
Phone Number: 541-302-7282
City/State/Zip: Springfield, OR97477
Move Value: $1
ContractorType Contractor
ElectricalContr Michele Ryan
2145 31st Street Sp 17, Springfield, OR
97477
Manuf Home lnstall Father & Sons Of Oregon lnc
28426 Royal Ave, Eugene, OR 97402
Plumbing Contr Michele Ryan
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
working day.
MH Electrical
MH Plumbing
Registration #
2145 31st Street Sp 17, Springfield,$a'l
97477 \(\o qU
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
\e
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at726-3769. All ins
a.m. will be made the same working day, inspections requested after 7 wil
Required Ins
-When blocking, setup, and plumbing approved and the home is connectr
Plumbins
-After home has been connected to water and sewer
Manufactured Home
-When all blocking is complete,
-After all required inspections are approved and porches, skirting, decks, venting, house number
MH Set Up
MH Final
Electrical
1-689-5090
541-302-7282
J ob#02-00847 -0 1
# Of Stories: Height (feet):
Gurrent Units: ProPosed Units:
Census Gode: Does not aPPIY
Total:
Page 2 of 2
Construction TYPes:
OccuPancY GrouPs:
# Of Buildings:
# Of Bedrooms:
HandicaP Access?
Area (Sq
Main:Accessory:
Paid On ReceiPtll Value/QuantitY Fee Amount
Electrical
Fee
Minimum Electrical Permit Fee
Manufactured Home Service\Feeder
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Manufactured Home Connection
8% Administrative Fee - Plumbing
Total Plumbing
Grand Total
Manufactured Home SetuP Fee
Manufactured Home State lssuance
State Surcharge For Manufactured Homt
Manufactured Home Administrative Fee
Total Manufactured Home
07117t2002
0711712002
0711712002
0711712002
0711712002
0711712002
0711712002
0711712002
0711712002
0711712002
0711712002
0711712002
9967
9967
9967
9967
9967
9967
9967
9967
I
$00
$50.00
$3.50
$4.00
$57.50
$.00
$3.15
$45.00
$3.60
$51.75
$160.00
$30.00
$11.20
$12.80
$214.00
$323.2s
1
9967
9967
9967
9967
1
1
7 - l1<)
Date
HomenufacturedMa
,?b *,T?t67>B
ELEu-dCAL PERMIT APPLICATION . ..225 FIFTH STREET
SPzuNGFIELD. OREGON 97477
INSPECTION REQUEST 7 26-31 69
LEGAL DESCRIPTIONt-702 30zt
city Job Nu^\", CZ- CC Aq 7-L'I
3. COMPLETE FEE SCHEDULE BELOW
A. Neu' Rcsidcntial-Singlc or
I\{ulti -Family per dl'elling unit.
Included
Iteins Cost
-1/0
\"t)$ 19.00
qA Manufd Hotne or
o\zoo Sum
JOB DESCRIPTION $ 106.00less00
-{-.Clu 500
Permits are non and
if r,vork is not started within
of issuance or if rvork is
2. CONTRACTOR INSTALLA
Electrical Contractor
Modular Drvelling
Senice or Feeder
Ser-vices or Feeders
(
$ 5o.oo 1)
Instirllation, Alterations or
Rclocltion:
200 amps or less.
201 amps to 400
401 amps tool1C
Supcn'isor Licensc Nttrnber
Expiration Date
Signitture of Supcn'isin g Electrician
Address t
C
50.00 _
$50.
Ovcr 600 amps or 1000
"B" above
volts see
Adttrcs.s Zt'({ }t t r
OWNBR INSTALLATION
The installation is being made on
propertl* I olvn u'ltich is not intended
for sa1e, lease or rent.
9- y' tt one
D. Branch Circuits
Nerv Alteration or
E. Iv-
on
or irrigation
Sign/Outline Lighting
Limited Energv,Ees
Limited Energry'Cornm
rvith Sen,ice
_ $ 3.00
not inclutled)
I\'linimum Electric Permit Inspcction Fee is S{5.00 * Surcharges
4. SUBTOTAL OFABOVE
'O7oh Stlie Surcharge
8'% Administrative Fee
TOTAL
Orvners Signirture.
,7 (-oi-
I. LOCATION OF
7', ttt { 3i
t/
Expiration &u\
Constr
Orvners N
amps
$ 63.00
75.00
cit.n € P/' i\ pnone SCL- 72 3Z
$43.00
$50.00
$50.00
$25.00
$+5.00
3ro
-Too-
C E NL'IVIEB E
Benefit,Cre ati ity Com I etenessrl
-T-TT-TT I I-T-Tr[ttttlt
Tl-Tlllllltl_l-l-IIlllllll
fttttttttlt T I I t Lll I I I I I
l06
({
Dont Ovcrlool The Obvlour
Sometimes lhe most helpful ideas are righl in lronl of us'
As the nolcd oiplorer Scolt Love once put il, "Only the most
loolish ol mice would hide in a cat's ear' Bul only the wisest
ol cats *ould think to look lhere.'
NAME:
DATE:
ST<E-TCHES ARE coot) !
ltlt
tttltltttttt
tltttt
S *te
Trnt*ur
P,L,
/30
pn(
,,I s'5 bI
5\
I
?rttrtua
I5
I
tr<€ff
(
33
{
,+--
.- ...!
-
tt,
II
t:
t
0
52At *(-
.l
t?
1t 1
I*t 43 {t
26
,l A5,
itl +7 ,49 4?5D44
2'
J
J
f7
ar.
rt
2t
tg
20
5g
ff
6o.
e4
63
62
5€
t6
t5 .66
t3
65
€q
tl
JT.
7.6 737S74
o
I 7V
.l -l
'80
)7
6 5 I 3 I
tl 4r t<rt
I'ARK I,AYOUT
tl
E}GIIBIT'A'
i