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Home My WebLink AboutPermit Building 2000-2-22 -'--- ...... . . I Job# 00-00199-01 I Page 1 of 2 ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00199-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5335 Main St Spr Assessors Map#: 17023300 Lot: Block: Addition: Tax Lot#: 01300 Subdivision: ~ Owner: Charlotte Gessford 5335 Main St Phone Number: Address: Scope Of Work: Manufactured Home in Park City/StatelZip: Springfield, OR 97477 Move Value: $1 Contractor Type General Contr Contractor Charlotte Gessford 5335 Main St, Springfield, OR 97477 Registration # Expiration Date Phone Quad Area: # Of Units: Constr, Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq, Footage: 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 working day. MH Electrical Required Inspections I Electrical I - When blocking, setup, and plumbing inspections have been approved and the home is connect I Plumbing I -After home has been connected to water and sewer, ,Manufactured Home I -When all blocking is complete, -After all required inspections are approved and porches, skirting, decks, venting, house number MH Plumbing MH Set Up MH Final 'I'':'''' '... . Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq, Feet) Main: Accessory: Fee Manufactured Home Service\Feeder State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Sanitary Sewer Footage Plumbing Administrative Fee Total Plumbing Manufactured Home Setup Fee Manufactured Home State Issuance State Surcharge For Manufactured Hom Manufactured Home Administrative Fee Total Manufactured Home Grand Total Signature I Job# 00-00199-01 I # Of Stories: Current Units: Census Code: Does not apply Total: Paid On Receipt# r Electrical 02/22/2000 666 02/22/2000 666 02/22/2000 666 Plumbing 02/04/2000 475 02104/2000 475 02104/2000 475 02/04/2000 475 Manufactured Home 02/04/2000 475 02/04/2000 475 02/04/2000 475 02/04/2000 475 . Height (feet): Proposed Units: Page 2 of2 Value/Quantity 1 20 1 1 Date Fee Amount $40,00 $2,80 $1.20 $44,00 $,00 $1.75 $25,00 $,75 $27.50 $105.00 $30,00 $7,35 $3.15 $145.50 $217,00 The. following projsel as submitted has the following zOning, and does nol require specific land use approval. Zoning _.1:1/'011-- 225 FIFTH STREET Dato ~ - Z? - /1() SPRINGFIELD, OREGON 97477 , . INSPECTION REQUEST: 72~!!':iI9'6'Jd Signalure "I(.J OFFICE: 726-3759 1. LOCATION OF INSTALLATION "l} f Ore.,/.s9' J'"r?5'a> ? !, ~ 5' /.7lA,.u p I~O LEGAL DESCRIPTION /7 tJ '2. ~?> 0 0 t!J 1,3l:)O JOB Dt:SCRIPTION fl.-1o/.J/~ ~ h'/'? ~/';.-.o"r;.Q- Permits are non-transferable and expire if york is not started vithin 180,days of iss~ance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor "o1Z?,c." If' ?~< Address J.f// - /'l-7 .0 / ,0"\/ Phone '7.z. C tf'7" / City ;! r /'<::,Zl Supervisor License Number 30 ;;>. J .5' Expiration Date /17///0/ Constr Contr. Number 2,-0 J~ 2- C Expiration Date / ~ JU jd/& , /""/ . Signature of Supervising Electrician ".0 . .4 ~ ~ -..--' Owners Name t:'/I"oAt .7'r.r Address 53:]; 0<6/;'7 / r; F/' 5'5' n.O ,r;""/5o City fF~?O Phone OlINER INSTALLATION The installation is being made on . property I ovn vhich is not intended for'sale, lease or rent. Owners Signature: mO:l:I3IHS\i::J :39N\jH~______________________________________~ 00'1;1; :lJ~3l:1 HI\! 2. /i.2--I~. OOOG ,,~tj!r.\1Il:, t.(~r_ 999000~lJP: jt'~ - f(' r J.-- l- BLI>CTRICAL PERMIT APPLICATION City Job Number~,::/')()J 91-0L COMPLETE FEE SCHEDULE BELOY 3. A. Nev Residential-Single or Multi-Family per dvelling unit, Service Included: Items Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd. Bome,or Modular, 'Dvelling Service or Feeder . ,B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to. 1000 amps Over 1000 amps/volts Reconnect Only I Sum S 85.00 ..$ 15.00 , " / . $ 4'0.00 'f IJ_ Pi) $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation D. 200 amps"or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 vo!ts Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see "Bit above " Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Addi tional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 19b5tate Surcharge 37. Administrative Fee TOTAL $ 35.00 - $ 2.00 $ 40.00 $ 40.00 $ 20.00 $ 36,00 - - -- - y- V. rJ cJ 2.- l!!I'" J .." . y Y: 00 _c. ~. --- . -'''' . DUPLICATE RECEIPT DUPLICATE RECEIPT --------- ------------ - ------------------- ---------------------------------------- CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD. OR 97477 (541 )726-3753 ---------------------------------------- ---------------------------------------- HAPPY NEW YEAR!!!!!!!! ---------------------------------------- ---------------------------------------- REG-RECEIPT:Ol--O000666 C:FEB 22 2000 CASHIER 10:003 11:34 am A:FEB 22 2000 ---------------------------------------- ---------------------------------------- 1004 ELECTRICAL PERi1IT $40,00 JOB#:00-00199-01 1099 STATE SURCHARGE(7X) $2,80 JOB#:OQ-00199-01 1098 ADMIN FEE(3%) $1,20 JOB#:00-00199-01 TOTAL DUE $44.00 RECEIVED FROM: ABLE ELECTRIC CHECK: $44,00 TOTAL TENDERED $44.00 CHANGE DUE $0.00 ---------------------------------------- -- -----------------------.--------- ------ *Pay Name :ABLE ELECTRIC 'Mail Addr :5511 MAIN STREET *Cty/St/Z :SPRINGFIELD OR 97478 *Site Addr :5335 MAIN STREET #150 ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- THANK YOU!!!!!! ---------------------------------------- --------------------- --_.~--- --------- --- DUPLICATE RECEIPT DUPLICATE RECEIPT ;.' ~. . . ".,. ~. I Job# 00-00199-01 I Page 1 of2 TRANS#:01-0000475 DATE:FEB 04 2000 AMT RECD:l $ 200.00 CHANGE:$ 27.00 CASHIER: 059 SPRINGFlBLD ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00199-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5335 Main St 5pr Assessors Map#: 17023300 Lot: Block: Addition: Tax Lot#: 01300 Subdivision: Owner: Charlotte Gessford 5335 Main 5t Phone Number: Clty/StatelZip: Springfield, OR 97477 Move Value: $1 Address: Scope Of Work: Manufactured Home in Park Contractor Type General Contr Contractor Charlotte Gessford 5335 Main St, Springfield, OR 97477 Registration # Expiration Date Phone Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: 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 working day, MH Set Up MH Final Required Inspections I Plumbing - Prior to filling trench, I Manufactured Home -When all blocking is complete, -After all required inspections are approved and porches, skirting, decks, venting, house number Sanitary Sewer Line Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq, Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: l' . ,..J . Fee Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Sanitary Sewer Footage Plumbing Administrative Fee Total Plumbing Manufactured Home Setup Fee Manufactured Home State Issuance State Surcharge For Manufactured Hom Manufactured Home Administrative Fee Total Manufactured Home Grand Total s~~Q.k -~~--J Job# 00-00199-01 I Paid On Receipt# Plumbing 02/04/2000 475 02/04/2000 475 02/04/2000 475 02104/2000 475 Manufactured Home 02/04/2000 475 02/04/2000 475 02104/2000 475 02/04/2000 475 . Page 2 of 2 Value/Quantity Fee Amount 20 $.00 $1.75 $25,00 $,75 $27.50 1 1 $105,00 $30,00 $7,35 $3,15 $145.50 $173.00 Z" Y - t?O Date